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Drive to Check Misuse of Blood in Hospitals
Published by cezene
04-05-2007
Drive to Check Misuse of Blood in Hospitals

Kathmandu, May 4:

The Central Blood Transfusion Service (CBTS) and Nepal Blood Donors' Association (NBDA) are planning to strictly monitor daily blood supply and blood transfusion in major hospitals and nursing homes in light of increasing blood scarcity in the valley.
Mahendra Bilash Joshi, president of the Nepal Blood Donors Association (NBDA), told this daily, "Demand for blood is very high compared to the increasing number of blood donors' organisations."
Joshi added that the NBDA and the CBTS are planning to monitor daily blood supply in hospitals and check the misuse of blood.
According to reports, some hospitals and nursing homes demand more blood than they actually need. Some hospitals lack blood storage facilities.
"To reduce scarcity of blood, we have requested 253 member organisations to collect blood during non-holidays too," Joshi said. "In coordination with the Computer Association of Nepal, the NBDA has started a website where the needy can log on and find the volunteer willing to donate blood."
Dr Manita Rajkarnikar, director, CBTS under the Nepal Red Cross Society, said, "The CBTS collects blood regularly through mobile blood donation camps. Various organisations also take part in these camps."
"We can't exactly tell how much units of blood hospitals and nursing homes require every day. Sometimes it's 120 units; at times the demand jumps to around 300 units a day."
The CBTS is maintaining the stock of 200-220 units of blood, keeping in mind the demand of hospitals and nursing homes. "Sometimes, rare blood groups like B and AB are stocked for emergency situations," Rajkarnikar said.
"We have not been able to conduct blood donation camps due to protests and bandhs," Rajkarnikar said.
When there is scarcity, blood is supplied through replacements. "In replacement, the patient party exchanges fresh blood with the CBTS stock. Donors are also contacted for replacements," Rajkarnikar said.
There are 50,000 blood donors throughout the nation and 30,000 of them are from the Kathmandu valley.
The CBTS said it collected 1,03,067 units of blood throughout the country in 2005-06 against its annual target of 60,000 units. It supplied 1,36,630 units of blood to the needy throughout the nation during the same period.
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By Walrus on 04-05-2007, 09:00 AM
Re: Drive to Check Misuse of Blood in Hospitals

This topic needs some serious disussion.

Can anyone say what is 'misuse of blood' that a doctor may do?
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By medicalmarvel on 05-05-2007, 08:37 AM
Re: Drive to Check Misuse of Blood in Hospitals

hospitals that don't have proper blood storage facilities should work on the matter. it's a good step of the CBTS and NBDA to monitor and regulate blood donation and distribution. patients in need of blood should get the blood in time and this should be the primary target of these organizations. more campaigning can be done to influence people to donate blood.
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By Walrus on 05-05-2007, 11:11 PM
Re: Drive to Check Misuse of Blood in Hospitals

This stringency can give problem to medical officers. They should feel more secure to order blood transfusion when needed. But this method to regulate by just terming some of the indications as 'misuse' should be discouraged as this is more like questioning their ability to understand when blood is needed.

The practice is that when blood is needed the relatives of the patient are sent to Bhrikutimandap Red Cross Blood Bank to get blood but they are often made to listen to ridiculous chatter of the person distributing blood. They often are made to hear that 'doctors order blood without need' and so on. The one who goes to get the blood often have tiring bargain before he gets the blood he is asked to get.

When I am working in ER and when I feel there may be need of blood, I should be assured that I have access to enough blood when I need it.

CBTS should take it as their responsibility not some favor they are doing to us.

In the name of 'regulation' and 'misuse', we are being questioned about our judgement. Should the doctors accept this?

By the way, why can't they reach those of us who will not hesitate to donate blood when needed? I am sure many of us won't hesitate but we haven't been approached by CBTS when there was need? Why can't they raise awareness in community about blood donation? A few rallies and few posters are not good enough for them to say that there are no enough donors around and they get the right to question judgement of a practicing medical doctors.
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