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BLttD BANKSANTOKBADURLABHJIMEMORIALHOSPITAL

cum MEDICALRESEARCHINSTITUTEBhawanlSinghMarg,Jalpur

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cdPJJ#~From 1973 to 2008, from a basic, blood bank facilityto a state-of-the art multi -component blood bank and transfusion service, from 8% voluntary donationsto 70% voluntary donations, from 10 units/day to 150 components/day, it hasbeen a long journey, driven by zeal, compassion and a never-ending desire tobe the best. Initially designed to meet the needs of in-house SDMH patients, theBlood Bank has, today, emerged as a multi-disciplinary speciality, catering tothe entire state of Rajasthan. It has been a colossal team effort, inspired by thelate Shri Rashmikant Durlabhji, who always dreamt of making this Blood Bank,a not-for-profit organisation, the best in the country.

PJ>ad;. PJ>~ and QF~The Blood Bank was established in

1973, and since its inception, it wasdestined to reach great heights. Evenin the initial days, we were testing forHepatitis Band C which, only yearslater, became mandatory by law! Theguiding principle has always been toprovide quality care.

dIJ.. P/ladtmd:ant PlJw<laUit.

cfkY€UM<!I'oYlpntokk PlJtI#laUit. dTnd (1.958-2007)

My brother, Bhai (I never dared to call him Rashmi) had one trait I alwaysadmired -whenever he obsessed after something, he would not rest until it was

achieved. This applied to the ICA (International Colored GemstonesAssociation which was his brainchild), the GJEPC (Gems and Jewellery ExportPromotion Council, of which he was Chairman), the JJS (the Jaipur JewelleryShow which he dreamt up) and the Blood Bank (where he overcame every

possible hurdle). He applied the same principle to taming a stubborn horse.But for this, SDMH would never have been built - he gave formto my father'sdream, shape to my father's vision, cement to my father's concept. When itcame to the Blood Bank, he wanted the best in the world - a state-of-the-artunit that had the best infrastructure and the best possible team.

It was Rashmiji's dream to make thisBlood Bank a benchmark for all blood

banks across the length and breadth ofthe country. In 2002, it became apublic Blood Bank, which functionedround-the-clock to provide transfusionservices to all the hospitals in thevicinityof Jaipur. At the same time, theBlood Bank also acquired the ultimateadvancement in transfusion-'the

component system'. This provides thespecific component of blood to thepatient which he requires, therebymaximising the utilization of a single,whole blood unit.

Second bestfor Bhal was never an option I

In Dr. Sangal and his team, Bhai discovered people who not only shared hisdream but were also willing to put it into practice. This shared vision between

Bhai and Dr.Sangal, as well as the unqualified and unstinted support of a bandof dedicated workers, culminated in the creation of the Blood Bank in 1973.

This brochure, then, isa dedication to my brother, and also a tribute to the staffof the Blood Bank. May this spiritendure!

Yogi DurlabhjiAUHust 2008

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1 "

From the start, we have kept abreast ofall advancements in the functioning ofblood banks. We were amongst thefirst ones to use gel technology toavoid delayed complications of bloodtransfusion. The Blood Bank is, today,equipped with fully automated,electronic cross-matching equipmentwhich provides complete traceability,blood grouping, cross-matching andantibody screening.

In 2002, the Blood Bank was shifted toits new premises in the AvednaAshram. Besides improvements intechniques, efforts have also beenmade to enthuse and excite the peopleworking there. The quality assuranceand high performance resulted in theBlood Bank laboratory being accred-ited by NABL, Department of Scienceand Technology, Government of India.This is the first such accreditation of

any laboratory in Rajasthan.

Earlier, a meagre 8% of all blooddonations werevoluntary.Toimprovethissituation,a committeewasformed.The Avedna Ashram also undertookthe project of voluntary blooddonations. This project was inaugu-rated by Dr. RA Mashelkar inFebruary 2003. With more than 200voluntary drives a year, now 70% of all

blood donated is voluntary. An air-conditioned bus, which can accom-modate four donors simultaneously,reachesdonorsat theirdoorsteps.

In keeping with the National BloodPolicy of the government, and with thehelp of the National AIDS ControlOrganization, a curriculum wasprepared to train technical supervisorsin the Blood Bank. This has proved tobe a huge success. Most blood banksin the state employ supervisors trainedby our Blood Bank.

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It is no surprise that the Governmentof Rajasthan has entrusted the SDMBlood Bank with the task of providingtraining to the blood bank in-chargesof all 32 districts of the state. We have

started Plasmapheresis / Apheresis /Plateletpheresis.

The Blood Bank has worked untiringlyto scale enviable heights, This hasbeen rendered possible by a dedicatedteam of like-minded individuals.

WWJl up~

o To make our Blood Bank a 100% voluntary blood donor bank

o To organize public awareness and education camps for blood donationand thalassemia

o To create a unique platelet donor group

o To introduce NAT testing for all blood units collected for the best qualityproducts

o Tomake the Blood Bank a quality assurance and training centre

2 3 "

~1973 Inception of the Blood Bank

1994 Started HBsAg and HCV testing, even before it was mademandatory by law

1997 Started using gel technology (second in India) to avoid delayedtransfusion reaction

2002 Shiftedinto new premises)

2003 Changed from whole Blood Bank to component Blood Bank

2003 Became a public Blood Bank, catering to several other hospitalsof Rajasthan

2003 Launched "Blood - the Lifeline", a project undertaken by the

Avedna Ashram for increasing voluntary donations

2003 Upgraded ELISAtechnology to fully,automated chemiluminencetechnology, avoiding all manual errors and making the test moresensitive

2004 Started Apheresis facilities

2004 ConductedRAPCONand integratedthe Blood Bank,RajasthanChapter to this conference

2004 Publisheda special edition of SDMJournal for "Rightblood torightpatient at righttime" about the use of blood and itscompo-nents

2004 Started firsttraining course for technical supervisors in the countrywith the help of NACO in preparing the curriculum

2004 Launched a special, air-conditioned bus for mobile blooddonations

4

2005 Project"Prayatna" taken up by "Blood -the Lifeline" for eradica-tion of, information about and education of thalassemia.Todate,more than 40,000 testshave been conducted, along~ith numer-ous awareness drives

Awarded Institutional Award by ISBTI

Awarded an Appreciation Award by Rajasthan AIDS ControlSociety for outstanding contribution

Blood Bank was recognised as "Regional Blood Centre" by RSACfor the regions of Dausaand Alwar

Tr~iningwasconductedfor ICHAp,a Canadian - funded project forHIVtesting and counselling, and for IHAT

Established PCR lab in Blood Bank with the initiationof NATtesting

Entrusted by Government of Rajasthan to conduct trainingprogrammesfor blood storagecentres for all 32 districtsof thestate

Upgraded apheresis facilitiesby adding one more unit andleucoreduction facilities

Started HBCtestingof blood units

Added Cobas Amplicor, an FDAapproved unit for NATtesting inPCR laboratory

Rrst installationof Techno Twin Station, a fully automated cross-matching and grouping unit in India

Laboratoryof the BloodBanktestingreceivedaccreditationfromNABL(Departmentof Scienceand Technology,Government ofIndia)

2008 Established first blood storage facility of our Blood Bank at .

Kailash Hospital, Behror

5 .'

2005

j2006

2006

I2006

2006

2007

2007

2007

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2008I

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D AllComponents with NAT(NucleicAcidAmplification Test)Tested

Tests Performed

D Blood Group ABO-Rh

D Rh-Antibody Titre

D Coombs DIRECT TEST

D Coombs INDIRECTTEST

D Cold Agglutination

D HbA2 (Hemoglobin A2) Electrophoresis

D Rh-phenotype and Kell (Antibodies Screening)

D Complete Irregular Antibody Identification

6

"Pl3txd- tk~" pjJ~: ~ ~The trustees of the Santokba Durlabhji Charitable Trust and the Avedna

Ashram Trust have decided to ensure easy availability of blood and its compo-nents to the needy on a cost recovery basis or even free-of-cost .

As a result, the" Blood - the Lifeline" project was born.

A core committee of like-minded individuals, opinion makers and profession-als was founded.

At the first meeting of the core committee , the National Policy on Blood wasdiscussed. It was resolved that this project would try to realize the aims andobjectives of the policy, wherever possible, with the participation of the BloodBank.

Other activities were also identified:

A. Voluntary donor motivation byway of lectures, demonstrations,publications etc. On this front,there has been steady progress.In 2002, when the Blood Bankwas totally in-house, the totalnumber of donors was 4,000 to5,000 per year, and thevoluntary donor percentagewas about 8% to 10%. Over the

years, the voluntary donorshave grown; a stunning level of70% voluntary donations hasnow been reached.

B. Organizing blood donationcamps. Tremendous work hasbeen done in promotingvoluntary blood donations.

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'Blood. the liteA ProjectOf

'KSD AVEDNA ASH~Mf~f~i!JsiJ;

ACTIVITIES

1. Voluntary Blood DonationMovement

2. "Prayatna"-Eradication ofthalassemia

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Names of Components

D Whole Blood

D Paediatric/Divided RBC Unitsl.,

D Packed Cells

D Fresh Frozen Plasma

D Platelet Concentratei

D Old Frozen Plasma

D Single Donor Platelet Concentrate

D Cryoprecipitate Concentrate

D All Components with Anti - HBc (Total)Tested

The "Blood- the Lifeline"project has launched amobile blood bank. Thishas further encouragedvoluntarydonations.

C. Human resource develop-ment for trained man-

power in blood banking.The necessary infrastruc-ture is .already available.The hospital is alreadyrunning a recognized two-year diploma in medicallaboratory technology, andhas a component- prepar-ing blood bank. SDM hasstarted recruiting success-ful DMLT candidates forthis course. National AIDS

Control Organization(NACO) has been helpfulin setting up this course.

D. 'Prayatna'- this project wastaken up to eradicatethalassemia from the state;as of now, more than40,000 persons have beentested and counselled.

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Dr. Shubha Gupta

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Dr. G.N. Gupta"

Team at WOrk

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Blood BankSantokba Durlabhji Memorial Hospital

cum Medical Research Institute,1stFloor,AvednaAshram, Bhawani SinghMarg, Bapu Nagar,

Jaipur-302 015 (Rajasthan) India

~ 91-141-2566251-258Ext.-407, 406 "'--9 91-141-5110209~ 91-141-2574189 --

11"--11 e-mail: sdmhos@sanchar.net.in