Name: _Ramos, Clark Justine T.

____ Date: __04/19/2022____

Course/Section: _BSMT – 2A___ Instructor: __Ma’am Romina Briones_

I.

AO No. 156 s. 1971 AO No. 291 s. 1976

Section 7 Section 7
No person is permitted to operate, No person is permitted to operate,
manage or supervise a blood bank unless manage or supervise a blood bank and/or
he or she is a licensed physician duly blood processing laboratory unless he or
registered with the Board of Medical she, (1) is a licensed physician duly
Examiners of the Republic of the registered with the Boar of Medical
Philippines to practices the medical Examiners of the Republic of the
profession in this country and must have Philippines to practice the medical
had training in blood bank operations in profession in the country; (2) must have
accredited blood banking institutions. had training in blood bank operations in
accredited blood banking institutions and
(3) be certified in competency by a
specialty board
Section 13. Requirements for a Blood Section 13. Requirements for a Blood
Bank and/or Blood processing laboratory Bank and/or Blood processing laboratory
a. Personnel (a) Personnel
Blood banks and blood processing Blood banks and/or blood processing
laboratories shall be under the direction laboratories shall be under the direction
and supervision of a licensed and and supervision of physicians as provided
qualified physician with training in blood for in Section 7. All medical technologists
processing and operation in an accredited and medical laboratory technicians must
blood bank. All technical assistants be registered with the Board of Medical
involved in the technical aspects of blood Technology. The physician–in–charge
banking operation should be either shall be authorized to head, manage, or
registered physicians or registered supervise no more than two (2) blood
Medical Technologists. No qualified banks contiguously located in the
physician will be given permits to operate particular area. The physician–in–charge
more than four (4) geographically shall be authorized to head, manage or
separate, blood banks and/or clinical supervise only one blood bank with
laboratories except in localities where outlets.
other factors like lack of qualified In hiring of personnel, the following
physicians and the needs of public health should be observed:
have to be considered. (1) For blood banks and/or blood
b. Physical plant processing laboratories performing
(1) Work rooms must be housed in a medical and physical screening of no
permanent building constructed of strong more than twenty (20) donors per
materials, preferably concrete or semi– extraction day, at least one medical
concrete. Floor must be concrete, tiled or technologist should be employed for any
linoleum finish. It must also have additional twenty (20) donors per
adequate drainage. extraction day for a fraction thereof
(2) Work rooms should be well– another medical technologist should be
ventilated with adequate provisions for hired.
either natural or artificial lighting. (2) A medical laboratory technician
(3) Should be relatively dust–free, may, however, perform the workload of
preferably air conditioned. mentioned above provided that the
(4) Should have adequate supply of medical laboratory technician is
water for washing and cleaning facilities supervised by a medical technologist. A
such as for scrubbing of hands, washing medical technologist can supervise only
glass containers, utensils, and other two medical laboratory technicians at a
glassware used in the laboratory time.
(5) A separate space must be provided (3) An assistant physician may be hired
for the bleeding or collection of blood to assist the pathologist in the medical
which should be well lighted and well and physical screening of the donors. He
ventilated and situated on the cool portion or she cannot, however, supervise the
of the building. The ideal temperature is performance of laboratory tests unless he
from 75o–80oF. or she is also qualified to head the
(6) The laboratory should likewise be laboratory under the existing Rules and
clean and should be located just adjacent Regulations.
to the bleeding area.

c. Equipment
(1) For preliminary testing of donors:
(a) Blood pressure apparatus
(b) Stethoscope
(c) Weight scale
(d) Disposable or autoclave lancets,
needles for making punctures for
collecting blood for hematologic
examinations.
(e) Hemoglobin determination apparatus
or hematocrit
(f) Miscellaneous glassware slides, etc.
(g) Clinical thermometer
(2) For Bleeding Area:
(a) Bleeding tables or bed
(b) Blanket to cover donor when needed
(c) Bedside table with containers for
sterile, cotton, sponges, spirit of ammonia
(d) Tourniquet
(e) Autoclaved or disposable syringes,
needles
(f) Special blood containers with
measured anticoagulants, sterile and
pyrogen free solutions
(g) Disposable plastic blood donor sets
(h) Emergency tray containing
vasopressor drugs, atropine and cardio –
respiratory stimulant and intravenous
fluids and infusion set.
(i) Blood Collection Scale

(3) Storage Room

(a) Blood refrigerator, with automatic
thermoregulatory of adequate capacity.
Temperature of refrigerator must be
automatically maintained between 2o –
8oC. it must be provided with at least a
laboratory thermometer which much be
read and recorded every 12 hours. If
possible, an alarm system must be
incorporated to extreme temperature. The
refrigerator must be used exclusively for
storage of blood.

(4) For the Blood Processing Laboratory

(Minimum required equipment)
(a) Clinical centrifuge for serology work.
(b) Waterbath for 37oC and 56oC with
motoring thermometer
(c) Microscope, compound
(d) Shaking machine for serological
tests
(e) Miscellaneous laboratory
glasswares, slides, etc.
(f) Close system for blood components

(5) For maintenance of Sterile supplies

With the adequate use of expendable
blood containers, donor sets, transfusion
sets and other expandable assemblies,
the list of equipment mentioned above,
under minimum equipment, are all that is
required. However, if reusable equipment
and supplies are to be used, the following
additional facilities are required:
(a) Adequate washing facilities
(b) Autoclave and hot air sterilizer

(6) For fractionation of blood

components other than packed red cells
and plasma, there should be a
refrigerator centrifuge torsion balance.
d. Reagents
(1) ABO typing sera
(2) Rh typing sera
(3) Bovine albumin and/or Coomb’s
reagent or enzyme like Ficin or Papain or
trypsin etc.
(4) Antigen for the acceptable
serological tests.
(5) Copper sulfate if there’s not
hematocrit or hemoglobinometer
(6) Giemsa’s or Wright’s stains
II.

AO No. 184, s. 1972 AO No. 242, s. 1975

Section 5 Section 5
Human blood shall not be the subject of The cost of blood types “A”, “B” and “O” is
public bidding. It may be procured from set at Php55.00 per 500cc and an
licensed blood banks at cost. The costs of additional Php5.00 is charged for the use
the different types of human blood are as of plastic bag.
follows: There is a charge of Php25.00 if
additional tests are performed, and the
Type A xxx qualified donor is usually given Php50.00
Type B xxx as an honorarium covering his/her meals,
Type O xxx transportation, and other expenses.
Type AB xxx

If plastic bags are utilized, an additional

cost of P5.00 maybe added. An additional
cost of P20 for each type of human blood
may be charged if all of the following tests
are undertaken: (1) Micro–hematocrit (2)
spectrophotometric determination of
hemoglobin (3) Detection of Australian
antigen

An “honorarium” fee of P25.00 shall be

given a qualified donor to cover his meal,
transportation and other expenses.