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

Crossmatching / e-issue

Quality Audit Preparation

Process:

Crossmatching and electronic issue

Area:

Blood Bank - laboratory area

Auditees:

Any qualified (competency assessed) BMS working in blood bank, including on-call BMS staff.

Initial preparation:

Is the SOP for the process:-

  • Specific for the process ie Liss tube / Diamed / Emergency / high-risk / EI
  • In date
  • Appropriately signed & authorised by an authorised signatory
  • Complete equipment checklist
  • Official copy
  • Links to COSHH / Risk Assessments / other SOP’s
  • Regularly reviewed

Additional Evidence required:

  1. Training Records (including record of WASPS) / competency assessments including competency of trainers
  2. Document control
  3. QC records
  4. Specimen acceptance criteria

Interviews/process:

  1. Observation
  2. Questions
  3. Knowledge assessment
  4. Objective evidence
  5. Quality improvement suggestions

Additional requirements:

  1. General housekeeping of the area.
  2. Records for fridges (reagent, sample, stock & issue), pipettes, centrifuges, FFP thawers and incubators
    • Calibration
    • Maintenance
    • Temperature monitoring
    • Temperature mapping
    • Alarms formerly tested.
  3. Reagent logs.
  4. Evidence of stock rotation – reagents and blood (first in/first out)
  5. Disposal of out of date blood components