08/11/2023

1- MOTIVATIONAL POSTER
2- REGISTER FORMAT
A) Master Record for Blood and Its Components Register
B) Blood Donor Record
C) Issue Register
D) Records of Blood Bags (ACD/ CPD/ CPD-A/ SAGM)
E) Blood Component Requisition Register and X-Match Record
F) Register for Diagnostic Kits & Reagents used
G) Transfusion Adverse Reaction Record
H) Donor Adverse Reaction Record
I) Stock Register for General Consumables/ General Stock Registers
J) Donor Deferral Records
K) Donor ICTC Referral Records (for HIV/ HCV/ HBsAG Positive)
L) Records of Component Supplied
M) Cross Matching & Transfusion Reaction Form (to issue with supply)
N) TTI Register
O) Elisa Worksheet
P) Quality Control Register (Blood & Its Components)
Q) Quality Control for Anti A, Anti B, Anti AB, Anti D and AHG
R) Discard & Autoclave Register
S) Daily Stock Position
T) Inventory of Blood Bank Equipment
U) Voluntary Blood Donor Directory
V) Voluntary Blood Donor Camp Summary
3- Labels of Blood Bags as per D & C Act 1945 (Schedule F)
4- Donor Form (English & Hindi)
5- Staff Document File (Appointment /Joining /Qualification /Experience/Reliving/Affidavits/Fitness
Certificate)
6- Standard operating Procedure (SOP)
7- SBTC/ NACO : Standards of Blood Banks & Blood Transfusion Services
8- GSR 166 (E) & Drug & Cosmetic Acts 1945
9- Emergency Medicine Checklist
10- Sterility Testing Agreement with Microbiology lab for sterility and culture of blood samples
11- Bio-Waste Bins (Color Coded)& Bio Waste Agreement
12- Medical Fitness Certificate Staff
13- Equipment Calibration/ Installation/ IQ PQ OQ/ Validation of RCF value of Centrifuge
Machine
14- Machinery List with Make/ Model/ Serial Number/ Capacity/Equipment ID/Calibration Date/Next
Calibration
15- Appointment and Joining Letter for Staff (also Authorization to MO/Ic for Blood Bank)
16- Equipment Bill
17- QC Lab (Cell Counter & Ph Meter for Apheresis M/C)
18- Tested Blood Unit & Un-tested Blood Units Stickers/ Room Name Plates
19- MAP in 8 Copies
20- Pest Control/ Insecticutor/Oxygen Cylinder
21- Standby Generator 25-30 KVA with Bill or Rent Agreement
22- Ownership Paper (Khatauni & Registry Paper )
23- Electricity Bill
24- Day to Day Activity Authorization
25- Whole & Sole Responsibility Authorization
26- MOIC Stamp
 Blood Bank Rooms & Machinery List

1- Reception & Waiting Area

Pen Donor Form Reception Counter

Pencil Cobra Files Waiting Chairs
Staplers/ Stationary scissors File Punching Machine Revolving Chairs
Insecticutor Fire Cylinder (Small)

2- Medical Examination

Hb Device Lancets Boss Chair

Weighing Device Digital Sharp Container Table
Stethoscope HB device Cuvettes Steel Chairs
BP Instruments Alcohol swabs Examination Couch
Thermometer Digital MOIC Stamp Almirah

3- Refreshment Room

Domestic Fridge Fruit Juice Sofa cum Resting couch

Water Bottles Dining Table

4- Donor Room & SDP Room

Donor Couches Sharp Container Blanket

Blood Collection Monitor Transportation Ice Box Kidney Tray
Tube Sealer Emergency Tray Set Clamps
Oxygen Cylinder (Mask/ Dressing Jar Artery Forceps/ Scissors
Gauge/ Regulator)
I.V. Stand Emergency Medicine Sponge Forceps
Syringe 2mL, 5mL Band-Aid/ Hansaplast I.V. Infusion Set
Apheresis Machine 5% Dextrose/ NS Cotton Roll/ Gauge / Alcohol
Swabs/ Spirit/ Betadine
Microport Tape Tourniquets Cotton Ball/ Smiley Balls
Wash Bottles Working Bench Steel/ Crash Steel Chairs
Cart
Loose Gloves Step Foot (To Keep BCM) Distill Water

5- Counselor Room

Steel Chair Table With Proper Privacy

 6- Serology & Cross Match Lab

Kit Storage Fridge (with Glass Slides Test Tube Racks

External Temp. Display)
Serology Water Bath Precipitating Tubes (6x50 mm) Glassware Cleaning Materials
Table Top Lab Centrifuge Micropipettes & its Stands Filter Papers
Rh View Box EDTA and Plain Vials Steel Chairs
Microscope Test Tubes 5mL, 12mL Pasteur Pipettes/ Droppers
Plastic Beakers Wash Bottle Small Funnel

7- TTI Lab

Elisa Reader EDTA and Plain Vials Steel Chairs

Elisa Washer Test Tube Racks Glass Jar 2 liter
Incubator Glassware Cleaning Materials Measuring Cylinder 1000 mL
VDRL Rotator Filter papers Conical Flask 500 mL
Beaker 250 mL, 500 mL Micropipettes & Stands

8- Store & Record Room

Almirah Rack (Blood Bank General Store)

9- Sterilization Room (with Exhaust Fan )

Hot Air Oven Autoclave Containment Box (Discard

Blood Unit)

10- Components Storage Room & QC Lab

Blood Bank Refrigerators Laminar Air Digital Ph Meter

-40 Degree Freezer Tube Sealer Cell Counter
-80 Degree Freezer Weighing Machine Electronics Dry Rubber Balance Materials
Capacity 500 Gram.
Platelet Agitator Refrigerated Centrifuge Chairs
Plasma Thawing Bath Double Pan Balance Digital Wall Thermometer
Tube Stripper Plasma Extractor Fire Extinguisher

11- Main Door Blood Bank

Shoe Rack Shoe Covers Slippers

Hand Sanitizer

Note: TTI/ Serology/ Sterilization Labs Require working Slabs with SS Sink.
All brick wall require tiles up to 5 feet.
Working Slab requires in Component Area.
 CHECKLIST OF EMERGENCY MEDICINE Date: ………………….
SERIAL INJECTION BATCH NO. EXPIRY DATE FIRST AID
NO.
1 DOPAMINE T.T. (TETANUS TOXID)

2 HYDROCORTISONE SPIRIT AMMONIA AROMATIC

3 PERINORM BETADINE SOLUTION

4 LASIX BANDAGE

5 DERIPHYLLIN GLUCOSE POWDER

6 MEPHENTIN BAND AID

7 DEXMENTHASONE ANTISEPTIC SOLUTION

8 ATROPINE MISCELLANEOUS

9 AVIL HOT WATER BOTTLE

10 SODIUM BICARBONATE ICE CAP

11 CALCIUM CARBONATE TONGUE DEPRESSOR

12 DISTILLED WATER PAPER BAGS

13 ADRENALINE TOWEL

14 NORADRENALINE TISSUE PAPER

15 5% GLUCOSE OXYGEN CYLINDER

(MASK/GAUGE/REGULATOR)
16 NORMAL SALINE SYRINGES

MEDICINE I.V. INFUSION SET

1 PARACETAMOL TAB. I.V. CANNULA

2 AVIL TAB. I.V. STAND

3 DEXADIN TAB. THROMBOPHOB OINTMENT

4 RANTAC TAB.

5 DICLOFENAC TAB.

6 EMESET TAB.

7 ASPIRIN TAB.

Sign of MO/Ic…………………….. Sign of Tech. Supervisor……………………….

 Serial Number Blood Bank Consumables Quantity
1 Sharp Container (1 Liter and 5 Liter) 1 Each
2 Blood Bag Weigh Machine Electronics Cap. 500 Gm 1
3 Donor Weight Machine Digital 1
4 Stethoscope 1
5 BP Apparatus 1
6 Test Tube Racks (24 Tubes) 4
7 Test Tubes 5mL, 12mL
8 Digital Temperature & Humidity Display Digital 2
9 Lancets 1 Box
10 Clinical Thermometer 1
11 Glass Slide 1 Box
12 OT/ Surgical Drum 9x9 1
13 Artery Forceps/ Clamp Forceps/ Sponge 1 Each
Forceps/Scissors
14 Micropipettes Stands 2
15 Spirit Swab 1
16 Cotton Roll 1
17 Betadine Solution 1
18 Savlon 1
19 Blotting/ Filter Paper
20 EDTA Vial
21 Plain Vial
22 Kidney Tray 1
23 Surgical Tray 8 x 12 (as Medicine Tray) 1
23 Measuring Cylinder 1000 mL (Borosilicate) 1
25 Beaker 500 mL 2
26 Wash Bottle 250 mL 2
27 Transportation Ice Box 3 to 5 liter 1
28 Temperature Display for Kit Storage Fridge 1
30 Tourniquets 4

 STAFF ATTENDANCE
 Push/ Pull on Doors
 Remove your Shoes Here
 SHARP CONTAINER
 OXYGEN REFILL DATE
 FIRE CYLINDER REFILL DATE
 TEMP. DEVICE ON DOMESTIC FRIDGE
 TRANSPORTATION BOX 10 LITER
 SHOE RACK AND SHOE COVERS