of January 28, 2006 No. 26
About approval of the Procedure for procurement, processing, storage and distribution of blood, components of blood and the List of organizations of service of blood (banks of blood) which are engaged in procurement, processing, storage and distribution of blood, blood components
For the purpose of execution of Items 1.6 and 1.7 of the Presidential decree of the Azerbaijan Republic "About application of the Law of the Azerbaijan Republic "About donorship of blood, components of blood and service of blood" of July 18, 2005 263, the Cabinet of Ministers of the Azerbaijan Republic decides No.:
1. Approve "Procedure for procurement, processing, storage and distribution of blood, blood components" and "The list of organizations of service of blood (banks of blood) which are engaged in procurement, processing, storage and distribution of blood, blood components" (are applied).
Prime Minister of the Azerbaijan Republic
Approved by the Resolution of the Cabinet of Ministers of the Azerbaijan Republic of January 28, 2006, No. 26
1.1. During procurement of blood, components of blood it is necessary to draw close attention, first of all, to the place of blood selection, therefore, to the surface of skin of elbow bend. It is necessary to wait for complete passing through the surface of skin of the used antiseptic solution to venepunktion. Depending on type of antiseptic solution, time spent for drying happens different, but this time shall be at least 30 seconds. The needle before entry into the prepared place shall not concern it.
1.2. At all stages of procurement of blood mixture of blood with anticoagulant shall be provided in the necessary procedure. For achievement of it from the moment of intake of blood she shall contact with anticoagulant and is well stirred.
1.3. In ideal provision time of complete selection of blood shall not exceed 10 minutes. If time of selection of blood takes more than 12 minutes, then this blood is not used for receipt of platelets. If blood selection time more than 15 minutes, plasma of this blood is not used for direct injection and for the purpose of preparation of factors of coagulation.
1.4. If during aferezny transaction during blood there is any break, such blood is not used for preparation of labile plasma proteins or platelets.
1.5. When hashing by hand the blood sack should be overturned every 30-45 seconds. When using automatic methods of blood transfusion it is necessary to follow statutory rules.
1.6. Separation of components of blood separators of cages and collection requires the room of the corresponding sizes, service, equipment maintenance and the workers able to use this equipment.
1.7. During transaction the donor shall be under observation of the doctor that in case of undesirable reactions, to receive emergency medical service.
1.8. The total amount of the selected blood shall be 250-450 ml, that is it is no more than 13% of total amount of blood of the donor.
1.9. On labels of ware (plastic packets and systems) in which the shelter is selected there shall be clearly readable following data:
* name and address of the producer;
* name of sack of blood and type of plastic material;
* structure and amount of anticoagulant and additional solution (if it is used);
* information about the producer;
* data on ware (number of series and number of container of set);
* number of code of the producer written in form, possible for reading by eye and the special device.
2.1. For the purpose of identification of shortcomings, the ware used for blood selection shall be checked before selection of blood and later. Ware before use shall be checked according to composition of solution of anticoagulant and appearance. If after opening on sacks and labels humidity or change of their color is observed, this ware cannot use.
2.2. Each selected blood shall have the special identification number read by eye and the device. In special identification number the code of organization where blood, year of selection of blood and number of series was selected is specified. The system of labels shall give the chance of tracing of all information on the donor and donor blood interested in organization of blood.
2.3. Attentive check consists in similarity of individual information about the donor and the data on label.
3.1. Main objective of modern transfusion terapiiklinicheska reasonable use of components of blood.
3.2. Components of blood are the medical particles of the whole blood received in banks of blood by sedimentation methods in the centrifuge, filtering and filling.
3.3. Components of blood can be prepared also by aferezny method. Plasma, leykotsitny, trombotsitny and eritrotsitny masses can be received by this method.
3.4. Because of high probability of deterioration in activity and functions of components of labile blood, in high-quality providing with very important factors storage conditions and term are. So, delays when processing and not the corresponding storage conditions can exert negative impact on quality of the prepared end products.
3.5. The plastic materials used in blood selection, afereza and preparation of components shall be combined with blood and, from the point of view of the technological purposes, meet relevant requirements.
3.6. For achievement of isolation of system during process of separation of components collected systems shall be used multibag ready or sterilely. The structure of such system gives the chance of preparation in sterile conditions of desirable component.
3.7. Despite councils of use at all stages of preparation of components only of the closed systems, considering local restrictions for lowering to minimum bacterial pollution, the open systems corresponding to the environment can be used.
3.8. When using open systems it is necessary to observe asepsis strictly. The erythrocytes received in such way shall be transferred within 24 hours after preparation, and platelets shall be used within 6 hours.
3.9. By statistically reasonable method the selected platelet sample for bacterial inspection or experience of nucleinic acid supplies with the authentic information on possible pollution of all components of blood. The purpose of the carried-out control of quality of identification of bacterial pollution - to be convinced of compliance to accepted standards of the prepared and processed blood. For implementation of long-term control according to the corresponding statistical plan control of quality is carried out.
3.10. If bacterial pollution oversteps the established limits, then for establishment of the possible reason the comprehensive investigation shall be conducted, all rules of selection of blood and transactions shall be newly considered.
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