RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES

Category /
Specialty Intermediate Primary
Criteria
Level of Care
Facility Philippine Blood Center 1. Sub- National Blood Regional Blood Center 1. Regional Blood LGU Blood Center (non- Hospital Blood Bank Hospital Blood Bank Blood Station Blood Collection Unit Voluntary Blood
Nomenclature (non-hospital-based) Center for Visayas (non- (non-hospital-based) Center hospital-based) (hospital-based) (non-hospital-based) Donor
hospital-based) (non-hospital-based) Recruitment,
2. Sub-national Blood 2. Provincial/City/ Inter- Retention, and
Center for Mindanao provincial/Inter-City Care Unit
(non-hospital-based) (non-hospital-based)

Catchment · National (DOH) ·Sub-national (DOH) · Regional (DOH) · Philippine Red Cross LGU · Regional (DOH) · Provincial (LGU) · District/
· PrivateMunicipal
Hospital · Municipal (LGU) · Barangay/RHU
(LGU)
· Private Hospital · Philippine Red Cross
General As an apex Blood Service Same as Regional Blood • Apheresis Donor • Apheresis Donor GMP-based manufacture Blood Banking and Blood Banking and Blood/Blood product Same as VBDRRC plus: Donor
Description of Facility with highest and Center plus: Management Management of blood and blood Transfusion Transfusion storage and dispensing Collection of WB from Management but
service specialized level of blood • Blood Irradiation • GMP-based • GMP-based products Technology Technology volunteer blood donors limited to voluntary
capability services, training and • Pathogen Reduction manufacture of blood manufacture of blood and blood donation
research. Technology and blood products blood products advocacy,
Ÿ Policy, protocol and • NAAT recruitment,
standards development. • Leukoreduction • Leukoreduction retention and care
Ÿ Same as DOH Sub- • Leukodepletion • Leukodepletion
national Blood Center
plus:
• Cryopreservation of Rh
negative and rare blood
• Antibody Identification
• Cord Blood Banking
• Plasma fractionation

Blood Services · Apheresis Donor · Apheresis Donor · Apheresis Donor · Apheresis Donor - - - - - -
recruitment, retention and recruitment, retention and recruitment, retention recruitment, retention and
care care and care care

· Apheresis Donor · Apheresis Donor · Apheresis Donor · Apheresis Donor - - - - - -

counseling counseling counseling counseling
· In-house and Mobile · In-house and Mobile · In-house and Mobile · In-house and Mobile - - - - - -
Apheresis Apheresis Apheresis Apheresis

· In-house Whole Blood · In-house Whole Blood · In-house Whole Blood · In-house Whole Blood · In-house Whole Blood - - - - -
(WB) donation (WB) donation (WB) donation (WB) donation (WB) donation

· Donor hemovigilance · Donor hemovigilance · Donor hemovigilance · Donor hemovigilance · Donor hemovigilance

. GMP-based . GMP-based . GMP-based . GMP-based Manufacture . GMP-based Manufacture . Blood Banking . Blood Banking . Blood Banking -
Manufacture and Manufacture and Manufacture and and Distribution of Blood and Distribution of Blood
Distribution of Blood Distribution of Blood Distribution of Blood Products Products
Products Products Products

· WB component · WB component · WB component · WB component · WB component - - - - -

processing and labeling processing and labeling processing and labeling processing and labeling processing and labeling

· Leukoreduction and · Leukoreduction and · Leukoreduction and · Leukoreduction and - - - - - -

Leukodepletion Leukodepletion Leukodepletion Leukodepletion
· Aliquoting of red cells · Aliquoting of red cells · Aliquoting of red cells · Aliquoting of red cells · Aliquoting of red cells - - - - -
for pediatric bags for pediatric bags for pediatric bags for pediatric bags for pediatric bags

· Testing for TTIs · Testing for TTIs · Testing for TTIs · Testing for TTIs · Testing for TTIs - - - - -
(Serology and Nucleic (Serology and Nucleic (Serology and Nucleic (Serology ) Centralized (Serology ) Centralized
Acid Amplification Test Acid Amplification Test Acid Amplification Test NAAT with DOH Sub- NAAT with DOH National,
(NAAT) (NAAT) (NAAT) national and Regional Sub-National and
Blood Center Regional Blood Center

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 RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES

Category /
Specialty Intermediate Primary
Criteria
Level of Care
· Immunohematology · Immunohematology · Immunohematology · Immunohematology · Immunohematology - - - - -
(ABO and Rh Typing) and (ABO and Rh Typing) and (ABO and Rh Typing) (ABO and Rh Typing) and (ABO and Rh Typing) and
Antibody Screening Antibody Screening and Antibody Screening Antibody Screening Antibody Screening

· Rh Negative and other · Rh Negative and other · Rh Negative and other · Rh Negative and other · Rh Negative and other - - - - -
Rare Blood Type Registry Rare Blood Type Registry Rare Blood Type Rare Blood Type Registry Rare Blood Type Registry
Registry

· Blood storage and · Blood storage and · Blood storage and · Blood storage and · Blood storage and · Storage and · Storage and · Storage and transfusion - -
dispensing dispensing dispensing dispensing dispensing transfusion of Red Cell transfusion of Red Cell of Red Cell and other
and other blood and other blood blood components
components obtained components obtained obtained from a Blood
from a Blood Center or from a Blood Center or Center or another hospital
another hospital another hospital

· Direct blood distribution · Direct blood distribution · Direct blood distribution · Direct blood distribution · Direct blood distribution - - - - -
to Hospital Blood Banks to Hospital Blood Banks to Hospital Blood Banks to Hospital Blood Banks to Hospital Blood Banks
and Blood Stations and Blood Stations and Blood Stations and Blood Stations and Blood Stations

· Quality Control of Blood · Quality Control of Blood · Quality Control of · Quality Control of Blood · Quality Control of Blood - - - - -
and Blood components and Blood components Blood and Blood and Blood components and Blood components
using Statistical Process using Statistical Process components using using Statistical Process using Statistical Process
Control (SPC) Control (SPC) Statistical Process Control (SPC) Control (SPC)
Control (SPC)

· Pathogen Reduction · Pathogen Reduction · Centralized with DOH · Centralized with DOH · Centralized with DOH - - - - -
Technology Technology Sub-National Blood Sub-National Blood Sub-National Blood
Center Center Center

· Blood Irradiation · Blood Irradiation · Centralized with DOH · Centralized with DOH · Centralized with DOH - - - - -
Sub-National Blood Sub-National Blood Sub-National Blood
Center Center Center

· Cryopreservation of Rh · Centralized with PBC · Centralized with PBC · Centralized with PBC · Centralized with PBC - - - - -
Negative and Rare Blood

· Antibody Identification · Centralized with PBC · Centralized with PBC · Centralized with PBC · Centralized with PBC - - - - -

· Cord Blood Banking · Centralized with PBC · Centralized with PBC · Centralized with PBC · Centralized with PBC - - - - -
· Plasma Fractionation · Centralized with PBC · Centralized with PBC · Centralized with PBC · Centralized with PBC - - - - -
Technology

- - - - - · Compatibility testing · Compatibility testing · Compatibility testing of - -

of red cells units of red cells units red cells units

- - - - - · Direct Coombs Test · Direct Coombs Test · Direct Coombs Test - -

- - - - - · Patient Red cell · Patient Red cell · Patient Red cell - -

antibody screening antibody screening antibody screening

- - - - - · Investigation and · Investigation and · Investigation and - -

reporting of transfusion reporting of transfusion reporting of transfusion
reactions reactions reactions

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 RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES

Category /
Specialty Intermediate Primary
Criteria
Level of Care
- - - - - · Active and functional · Active and functional · Active and functional - -
Hospital Blood Hospital Blood Hospital Blood
Transfusion Committee Transfusion Committee Transfusion Committee
(HBTC) for post- (HBTC) for post- (HBTC) for post-
transfusion transfusion transfusion surveillance
surveillance surveillance (hemovigilance)
(hemovigilance) (hemovigilance)

- - - - - · Voluntary Blood · Voluntary Blood · Voluntary Blood Donor · Voluntary Blood Donor · Voluntary Blood
Donor Recruitment, Donor Recruitment, Recruitment, Retention, Recruitment, Retention, Donor
Retention, Education & Retention, Education & Education & Counseling Education & Counseling Recruitment,
Counseling Counseling Retention,
Education &
Counseling

- - - - - Submission of BMR, Submission of BMR, Submission of BMR, BSI, - -

BSI, and BSIMan to BSI, and BSIMan to and BSIMan to affiliated
affiliated Blood Center affiliated Blood Center Blood Center

- - - - - - - - · Donor selection and -

screening

- - - - - - - - · Blood Collection -
- - - - - - - - · Updating of VBD · Updating of VBD
Registry Registry

Fixed Assets / Same as Sub-National Same as Regional Blood Same as Regional Blood Same as Blood LGU Same as Blood Collection Same as Hospital Same as Blood Station General Minimum 1. General (minimum)
Equipment Blood Center Center Center/Provincial/City/Int Blood Center Unit and Hospital Blood Blood Bank Requirements requirements:
See Annex G: Equipmet er-Provincial/City Bank (Provincial) (Provincial)
Summary

Plus: Plus: Plus: Plus: Plus: Plus: · Air-conditioning unit in

work area
Cryopreservation Pathogen Reduction · Apheresis machine with · Balance (rough balance Freezer (Plasma · Serological Centrifuge · Automatic emergency
Equipment for rare blood Machine AVR and top loading) Freezer (-300C) with (>3400 rpm with minimum light
types AVR, Ultralow Freezer timer of 30 seconds)
(-800C)

Cord Blood Banking Blood Irradiator Immunology analyzer Plasma Thawer or · Clinical centrifuge · Fire Extinguisher
Equipment for TTIs (EIA, its equivalent, with
Chemiluminescence) regulated temperature

Plasma Fractionation Hematology Analyzer Platelet Rotator/ · Microscope, binocular, · Generator with capacity
Equipment for QC of blood products Agitator with incubator equipped with Oil to match their electrical
Immersion Objective requirement and
(O10) equipment

Coagulation Analyzer Blood Culture Machine · Pipettor · Computer with printer,

for QC of plasma products for QC of blood products UPS, AVR

pH meter for QC of Water bath/ dry bath • Autoclave for -

Plateltes set at 37°C for cross- sterilization for disposal
matching and discrepant of used blood bags
blood typing

Contact Shock Freezer · Immunohematology · Stopwatch or timer -

for rapid freezing of analyzer (optional)
plasma products

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 RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES

Category /
Specialty Intermediate Primary
Criteria
Level of Care
Refrigerated Centrifuge · Refrigerator (Blood · Thermometer -
with AVR Bank Refrigerator (laboratory, room)
controlled at +2 to +60C
with temperature recorder
and alarm system, and
AVR)

Biosafety cabinet · Plasma Extractor · Reagent Refrigerator -

with laboratory
thermometer and AVR
Tube Welder 2. Blood Collection -

Water Distiller · Blood donor couch or -

bed
Waste processor · Sphygmomanometer -
(non-mercurial)

Leukoreduction · Stethoscope -
Machine
· Clinical Thermometer -
(non-mercurial)
· Hemoglobin -
determination
(Hemoglobinometer or
photometer or
spectrophotometer)

· Tackle box/ phlebotomy -

box

· Clinical weighing scale -

(calibrated up to 200kg
for blood donors)

· Surgical forceps, -
scissors

Blood Mixer with -

weighing scale
· Tube stripper -

· Tube sealer -

· Needle destroyer -

· Blood transport box

with data logger, infrared
thermometer, and
adequate cooling
elements (for Mobile
Blood Donation/ MBD)

Physical See Annex F: Physical See Annex F: Physical See Annex F: Physical Same as Blood LGU In compliance to DC Same as Hospital In compliance to DC In compliance to DC In compliance to DC
Facility/ Work Facility/ Work Facility/ Work Facility/ Work Blood Center 2018-0039-A: Areas for Blood Bank 2018-0039-A: Areas 2018-0039-A: Areas for 2018-0039-A "Revised
environment Environment Environment Environment Blood Center - Area of at (Provincial) for Hospital Blood Blood Station - Assessment Tool for
least 19 m2 Bank - Area of at least Designated Area in the Licensing Blood Service
19 m2 Clinical Laboratory: Facilities.” Areas for
Blood Collection Unit:

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Physical
Facility/ Work RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES
environment

Category /
Specialty Intermediate Primary
Criteria
Level of Care
Reception / waiting Areas for blood bank Storage blood bank Reception/ waiting are
area - 1.0 m2 /person refrigerator, plasma refrigerator - 1.0 m2/ person
freezer, platelet
agitator, and supplies
(at least 1.2 m2 per
storage unit)

Donor Counseling -5.02 Blood typing and Blood typing and Cross Donor Counseling -
m2 Crossmatching Work matching 5.02 m2
Counter

Physical Exam area for Releasing of blood Releasing of blood Physical Exam area
donor - 5.02 m2 Donor products products for donor - 5.02 m2
extraction - 6 m2 per bed
or couch

Blood screening for NOTE: Location of Donor extraction - 6.0

TTIs -10 m2 Hospital Blood Bank m2
must be adjacent or
easily accessible to the
main clinical
laboratory.

Processing of blood into blood components - 4.65 m2 per equipment Provision of sink for
hand washing
Storage facility - 4.65 Area for Refrigerator
m2 per storage unit and Supplies (at least
Releasing of blood 1.2 m2 per storage unit)
products

Administrative Office Preparation area -

5.02 m2

Releasing of blood
products
Administrative Office
Human See Annex A: Proposed See Annex B: Proposed See Annex C: Proposed See Annex D: Proposed See Annex E: Proposed Same with Hospital Based on DC 2018- Based on DC 2018-0039- Based on DC 2018- Barangay Health
Resource Organizational Structure Organizational Structure Organizational Structure Organizational Structure Organizational Structure Blood Bank 0039-A Total No. of A Total No. of 0039-A "Revised Workers
Assets (National Blood Center) (Sub-National Blood (Regional Blood Center) (Provincial/City and (LGU Blood Center) (Provincial) Designated Staff in Designated Staff in Blood Assessment Tool for
Center) Inter/Provincial/Inter-City Hospital Blood Bank: Station: Licensing Blood Service
Blood Center) Facilities.” Total No. of
Designated Staff in
Blood Collection Unit:
1 Pathologist, 4 RMTs, 1 Pathologist, 3 1 MD, 1 RMT, 2
1 RN/RMT designated RMT Phlebotomists, 1 RN

Other Services · Conduct of Training for · Conduct of Training for · Conduct of Training for · Conduct of Training for · Conduct of Training for - - - - -
Personnel of Sub-national Personnel of the whole Personnel of other Blood Personnel of other Blood Personnel of other Blood
and Regional Blood Visayas and Mindanao Banks within the region Banks within the region Banks within their
Centers nationwide (CPD areas (CPD Accredited province
Accredited Provider) Provider)

· Research (Operations · Research (Operations · Research (Operations - - - - - - -

research, clinical trials) research, clinical trials) research, clinical trials)

· Quality Control/QC of · Quality Control/QC of · Quality Control/QC of · Quality Control/QC of · Quality Control/QC of - - - - -
(Red Cells, Platelets, and (Red Cells, Platelets), of (Red Cells, Platelets), of (Red Cells, Platelets), of (Red Cells, Platelets), of
Plasma) of other Blood other Blood Centers other Blood Centers other Blood Centers other Blood Centers
Centers (Government and (Government and (Government and (Government and (Government and
PRC) PRC) Quality Control/QC PRC) Quality Control/QC PRC) Quality Control/QC PRC) Quality Control/QC
of Plasma centralized with PBC of Plasma centralized with of Plasma centralized with PBC of Plasma centralized with PBC
PBC

Page 5 of
 RESOURCE STRATIFIED FRAMEWORK FOR BLOOD SERVICE FACILITIES

Category /
Specialty Intermediate Primary
Criteria
Level of Care
· Monitoring and · Monitoring and · Monitoring and · Monitoring and · Monitoring and - - - - -
Assessment of all BSFs Assessment within their Assessment within their Assessment within their Assessment within their
catchment areas catchment areas catchment areas catchment areas

· Support to NVBSP · Support to NVBSP · Support to NVBSP - - - - - - -

Management Office for Management Office for Management Office for
Policy and Standards Policy and Standards Policy and Standards
Development Development Development

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