JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Collection - manual

Quality Audit Preparation

Process:

Manual collection of blood from issue fridge

Area:

Issue fridge

Auditees:

Any person involved in blood collection, including:

  • Porters
  • Theatre nursing staff
  • Theatre ODP
  • Daycase nursing staff (as adjacent to IF)

Initial preparation:

SOP for the process is it:

  • Specific
  • In date
  • Authorised
  • Controlled document
  • Regularly reviewed

Additional Evidence required:

  1. Training records and competency assessments
  2. Sample signatures/initials of authorised collectors
  3. Completed blood collection form for each unit collected
  4. Completion of blood register with name of collector, date and time
  5. Transport
  6. Time to transport blood from IF to ward
  7. Return of blood to IF

Interviews/process:

  1. Observation of process
  2. Questions
  3. Knowledge assessment

Additional requirements:

  1. Fridge daily maintenance log including max/min temp; calibration of IF, both to UKAS standard
  2. Alarm testing
  3. Housekeeping
  4. Return of unused units – stock control