#06-5558 Accrd Manual V7 - COLA

IMMUNOHEMATOLOGY & TRANSFUSION SERVICES>TS 5 EEnsure that all delegated responsibilities are properly performed?Laboratories should be aware that the following tests are considered high complexity when performed for thepurpose of compatibility and transfusion of blood products.• ABO and Rh Type• Antibody Screen• Compatibility• Direct Antiglobulin Test (DAT)• Unexpected Antibody IdentificationAs such the laboratory must ensure that a qualified General and Technical Supervisor is identified to overseethe transfusion service. The functions of a transfusion service are unique in comparison to other specialtieswithin the laboratory. Frequently the individual(s) that fulfill the duties of General and Technical Supervisorfor other specialties of the laboratory do not have the education, training and experience to perform thesefunctions for the transfusion service. For this reason, many laboratories will need to designate differentindividuals to fill the role of General and Technical Supervisor for the Transfusion Service. These individualsmust meet requirements for education and experience as defined in the Personnel Qualifications Table at thebeginning of Section IV of you Accreditation Manual. This section also details the responsibilities of theindividual holding each position.As part of the laboratory’s personnel competency assessment program, the education, training, and performanceof duties and responsibilities of the General and Technical Supervisor should be assessed to assure qualityof laboratory service and promotion of patient safety.TS 6 EProvide adequate consulting services or obtain outside expertise when needed for special problems?Storage, Transportation and DatingTS 7 RAre readily accessible written procedures in effect that detail proper storage temperatures and how they are tobe monitored and controlled?TS 8 EDo the laboratory records demonstrate that units used for the storage of blood and blood components assureadequate maintenance of the temperatures desired?TS 9 RAre temperatures of areas used for the storage of blood and blood components, i.e. refrigeration units, freezers,ambient air; continuously recorded or manually recorded every four hours?If a recorder is used (TS 10 - TS 12):TS 10 EIs it checked against a thermometer daily?TS 11 RAre the recorder charts changed when needed?TS 12 RAre the recorder charts initialed, dated and retained?TS 13 RDoes an audible alarm sound indicating a power failure or other disruption of refrigeration?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FOR MORE INFORMATION CONTACT COLA PHONE 800.981.9883 | FAX 410.381.8611 | ON-LINE www.cola.org65