Cabinet Resolution · UAE

Cabinet Resolution Regarding the Blood Transfusion Regulations

Issued 6 July 2008 · In Force

The Cabinet:

Having reviewed the Constitution;
Federal Law No. (1) of 1972 Regarding the Competences of Ministries and Powers of Minister as amended;
Federal Law No. (7) of 1975 Regarding the Practice of Human Medicine Profession as amended;
Federal Law No. (27) of 1981 Regarding the Prevention of Communicable Diseases;
Federal Law No. (5) of 1984 Regarding the Practice of Certain Medical Professions by non-physicians and non-pharmacists, Non-Physicians and Non-Pharmacists;
Federal Law No. (2) of 1996 Regarding Private Health Facilities;
Cabinet Resolution No. (7) of 2008 Regarding the Medical Examination of Expatriates for Employment or Residency in the State;
Cabinet Resolution No. (118/9) of 2008 Approving the Draft Cabinet Resolution Regarding Blood Transfusion; and
Upon the proposal of the Minister of Health and the approval of the Cabinet,

Hereby resolves as follows:

Article (1)

The blood transfusion regulation attached to this Resolution is hereby approved. All government (federal and local) and private health facilities in the State shall be required to implement the measures, procedures, and rules prescribed therein.

Article (2)

The Ministry of Health shall monitor the implementation of this regulation. The local health authorities shall also monitor its implementation within the scope of their respective competence.

Article (3)

Without prejudice to criminal and civil liabilities, any violation of this regulation shall be deemed a disciplinary violation, and the disciplinary penalties prescribed by law shall apply thereto.

Article (4)

The Minister of Health may amend the attached regulation by addition or deletion whenever necessary.

Article (5)

This Resolution shall be published in the Official Gazette. All previous resolutions that contradict or conflict with the provisions of this Resolution shall be repealed. It shall enter into force from the date of its publication.

Mohamed bin Rashid Al Maktoum Prime Minister

Issued by us in Abu Dhabi: Dated: 3 Rajab 1429 A.H. Corresponding to: 6 July 2008 A.D.

Section One: Administrative Regulations for the Technical Aspects of Blood Transfusion Service Centers

Chapter One: Blood Transfusion Service

Definition

Classification of blood transfusion service centers

Main functions of blood transfusion service center

Competences of the laboratory department at the Central Blood Center

Conducting Viral laboratory Diagnostics

Blood components separation

Storage of blood and blood components

Monitoring of medical equipment

Preserve donor result records

Conducting confirmation tests for positive cases and for all tests via Enzyme-Linked Immunosorbent Assay (Elisa)

Satellite Blood Bank (located within hospital laboratory departments)

Main functions of the Satellite blood bank

Semi-fixed mobile blood banks

Mobile blood banks

Chapter Two: Indications for the Optimal Use of Blood and It's Main Components

Definition of blood

Components of blood

a- Blood cells
- 1. Red Blood Cells (RBCs)
- 1. White Blood Cells (WBCs)
- 1. Platelets
b- Plasma
C- Methods for Preserving Blood and Its Components:
- 1. Chemical Substances Used for preserving Whole Blood and the preservation Duration:
  - CPD
  - CPDA
  - CPDA-1
  - ADSOL or SAG-M
  - GLYCEROL
- 1. Biochemical Changes in Whole Blood and Its Components During Storage from Initial Collection up to 35 Days
- 1. Laboratory Diagnostic Tests on Blood Unit after Donation
d- Indications for Optimal Use of Blood and its Main Components:
e- Use of Blood and its Components in Blood Group Incompatibility:
- 1. As per ABO system
  - 1/1- Transfusion of packed red blood cells
  - 1/2- Blood Plasma Transfusion
  - 1/3- Platelet transfusion
- 1. As per Rhesus (RH) System
  - 2/1- Transfusion of packed red blood cells
  - 2/2- Blood plasma transfusion
  - 2/3- Transfusion of Platelet Concentrates
f- Role of blood banks in reducing the transmission of diseases
g- Blood transfusion risks

Chapter Three: Principles of Handling Blood and its Components:

Introduction

Sterility

Gamma-Irradiation

Blood and Blood Components

1. Whole Blood
- 1-1- Modified Whole Blood
- 1-2- Irradiated Whole Blood
- 1-3- Low Volume Whole Blood
1. Red Blood Cells and their Components
- 2-1- Red Blood Cells (RBCs)
- 2-2- Frozen Red Blood Cells
- 2-3- Washed Red Blood Cells
- 2-4- Leucodepleted Packed Red Cells
- 2-5- Rejuvenated (activated) red blood cells
- 2-6- Irradiated Red Blood Cells
- 2-7- Low Volume Red Blood Cells
1. Plasma Derivatives
- 3-1- Fresh Frozen Plasma (FFP)
- 3-2- Cryoprecipitate (Antihemophilic Factors)
- 3-3- Plasma frozen within 24 hours of donation
- 3-4- Liquid Plasma
- 3-5- Cryoprecipitate-Poor Plasma
1. Platelets

Laboratory tests conducted on donated blood

ABO group Testing
Rh type Testing
Previous Blood Group Records
Screening for Red Blood Cell Antibodies
Screening for Infectious Diseases Associated with Blood Transfusion

System for Disposal of Blood Units or Components Unsuitable for Transfusion

Labeling process for blood and blood components

1. General conditions
1. Identification of Blood Unit or its Components
1. Labeling during collection or preparation
1. Renewing blood component validity prior to the labeling process
1. Final Label prior to distribution
1. Cases for Special Labeling

Storage, Transport, Receipt and Expiry Process:

Storage process
Transportation process
Receipt process
Expiry date

Method of storage, transport and expiry

Documents and Records of blood transfusion centers

Blood storage policy: The specified duration of blood storage is the retention duration of various records:

Permanent records
Records to be kept for a minimum of five years

Quality assurance requirements for blood and blood components

Section Two: Ensuring Safety of a Patient Receiving Blood Transfusion

Chapter One: Responsibilities of the Blood Bank

Chapter Two: Responsibilities of the physician ordering the blood transfusion

Chapter Three: Responsibilities of the Physician Supervising the Transfusion of Blood and Blood Components

Chapter Four: Rules and Regulations Governing Blood Transfusion Services

Key regulatory requirements for the work of blood banks

Blood Banks Basic and administrative Regulation.
Comprehensive quality system applied in blood banks.
Hospitals Blood Transfusion Committees.
Tasks of the Hospital Blood Transfusion Committee

Source: uaelegislation.gov.ae