Download Guidance Standard17

Doing Well, Doing Better: Standards for Health Services in Wales
Supporting Guidance
Standard 17: Blood management
Organisations and services ensure that patients have access to a safe and
sufficient supply of blood, blood products and blood components, through
a) Compliance with legislation and national guidance on the supply and use
of blood, blood products and blood components;
b) The use of schemes and systems to reduce wastage of blood, blood
products and blood components;
c) Effective planning for blood shortages;
d) An ongoing programme of education, training and competence
assessment for all staff involved in the transfusion process; and
e) The reporting of all adverse blood reactions and incidents.
What is the Standard about?
Ensuring that patients have timely access to a safe and sufficient supply of
blood, blood products and blood components.
Who is it for?

For all services where blood, blood products and blood components
are produced or used
What you need to do?
a) Compliance with legislation and national guidance on the supply
and use of blood, blood products and blood components;
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

How do you audit compliance with legislation and national guidance?
How do you act on any failure to comply?
How are you assured that you have an adequate supply?
How do you monitor the safe use of blood, blood products and blood
components?
b) The use of schemes and systems to reduce wastage of blood, blood
products and blood components;


How do you minimise waste?
What are your ‘cold chain’ arrangements?
c) Effective planning for blood shortages;


What arrangements are in place for effective stock rotation and
management of blood supplies?
How do you plan for blood shortages and communicate this internally
and externally?
d) An ongoing programme of education, training and competence
assessment for all staff involved in the transfusion process; and


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How do you assess competency?
How do you provide education and training?
How do you ensure staff are up-to-date with policies and procedures?
e) The reporting of all adverse blood reactions and incidents.
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What arrangements do you have for documenting all adverse
incidents, near misses, complaints, serious adverse reactions and
serious adverse events to the MHRA (via SABRE)?
What arrangements do you have for reporting to external bodies, e.g.
Report to the Serious Hazards of Transfusion (SHOT), Welsh
Assembly Government?
How do you ensure robust investigation, implement corrective and
preventative actions and share the learning?