How to lose flavour to help each other and donate blood

How to lose flavour to help each other and donate blood
Staff reporter Yan � "Have no blood, the major operation stops! " On March 7, reporters heard such a special " doctor's order " in the consulting room of thoracic surgery of hospital of a the first, second and third of Beijing . Because the blood bank of the hospital is ischemic, Lao Li's father is stranded. "My father suffers from serious illness, the operation needs blood platelet, the doctor tells me that lets me donate blood, also let me mobilize family members to donate the blood. " It is Lao Li tell on reporter, offer he and elder sister by 200 ml of bloods respectively, " getting getting more more enough, the hospital asks relatives to think about the method again, the hospital does not have blood. " Not long ago, media expose, river, Tong Zhou District of Beijing and city of Nanjing would rather district to cut open the palace to produce respectively, but the hospital presses for the card matter of blood donating, cause the social extensive concern. The a usually said one help each other, donate blood, accord with the demands for relevant laws and regulations? Why cause the patient's disgust and public query? The law is permitted to help each other in the blood donating hospital to mobilize and choose date for operation the patient's relative's unpaid blood donation, is this kind of method legal? The answer is definite. An expert of chinese society of blood transfusion (CSBT) enumerates the basis of relevant laws and regulations of donating blood of helping each other for the reporter. Article 15 of " law of blood donating " issued in 1998 stipulates clearly: "In order to ensure citizen's clinical first aid to use the need of the blood, the country recommends and instructs the patient choosing date for operation how to have one's blood stored for one's own use, mobilize family, the relatives and friends, unit and society to help each other and donate blood. " Issued in 1999 <>Stipulate to examine patient and choose date for operation patient, should mobilize the intersection of patient and have one's blood stored for one's own use, blood transfusion of body since through manage doctor while being flat, or mobilize the patient relatives and friends to donate blood. The medical organization should regard the above-mentioned working condition as commenting on the important examination content of doctor's personal working achievement. The procedure that " clinical blood transfusion technical specification " which Ministry of Public Health printed and distributed helped each other and donated blood clearly of 2000: Relatives and friends donate blood to mobilize patient relatives by managing doctor,etc. each other, in the blood transfusion dept. ' Blood bank) Fill in the registration form, to some of blood collecting which blood stations or health authorities sanction (room) Unpaid blood donation, the beginning when the blood station carries on blood, examine again, and is responsible for allocating the qualified blooding. So, under the situation that the blood source is tense, the hospital proposes the suggestion of unpaid blood donation on patient relatives, really have it according to depending on. Mobilizing and changing and imposing causes" Lose flavour " "Help each other, donate blood itself have fault, but many place help each other, donate blood into a rigid index of the hospital. How much for example, there are unwritten regulations in some province and city, help each other and donate blood to take the hospital and reach clinically with oligemic proportion, some area require the proportion up to 20%, hospital have change person in order to impose, hard and fast rule patient relatives help each other and donate blood. " A blood managerial expert tells reporters. This expert claims, the medical organization inserts between blood transfusion service and patient, in a dilemma. On one hand, the hospital really encounters the blood supply again and again in shortly; On the other hand, hospital in hospital day, patient equally time expenses the intersection of examination and index limit in hospital, have to urge the patient to help each other and donate blood at once when ischemic, guarantee the operation goes on as scheduled, in case that index examination such as day equally in hospital of influence. "Especially departments such as surgery, blood disease, first aid of the blood with bigger dependence,etc. in general hospital, the index of examination is big challenge for them. " Another kind of formal one " Lose flavour " . Under the intersection of blood and the intersection of source and nervous situation, free blood donor and spouse, at the blood used in clinic direct relative, actually could enjoy and nearly fail with the regulation of the blood free. "Citizens will get a unpaid blood donation card, is writing clearly above the relative can use the equal amount of blood after unpaid blood donation. But in fact, if the blood of medical organization is in short supply, then this aglow unpaid blood donation card may become pale and unable. " The blood managerial expert explains to the reporter, this preferential policy could contribute only under the sufficient situation of blood. "If the hospital told you to have no blood, even if you donated blood in the past, would go to the blood center or nearby blood donating to click and donate blood again again. " The doctor says, let relatives donate blood in a situation that the patient needs the operation badly and is suspected of taking advantage of precarious position without mincing words, and the doctor even says this is " The gangsterism " . "Patient relatives should go to donate blood under the voluntary prerequisite, but not is forced to donate blood in anxious and tired out condition. Otherwise, it not only injure the emotion of the free blood donor, has injured patient relatives' body and mind even more to help each other and donate blood. " What the question is Help each other and donate blood " Lose flavour " ,Where does the question appear? "I think government's responsibility accounts for 40%, the blood transfusion service accounts for 60%. " A blood managerial expert claims, though there is input in propaganda of unpaid blood donation every year in the government, but efforts is not enough yet, the great environment of social unpaid blood donation is not ripe enough yet. "For example, a city of such a size, it is very difficult to want to set up a blood donating cabin or arrange a blood-collecting car. It is very difficult to borrow one seat in the flourishing place and do the public service. The blood donating cabin set up like Xidan of Beijing, the government of Xicheng District of this city has given and stood and done greatly. " Help each other and donate blood " Lose flavour " The blood used in clinic can not be ensured causing after all. The expert claim blood transfusion service should recruit the guide requirement according to a feasible one, take more positively recruiting the measure and doing a good job of the guarantee of meeting an urgent need. For example, do the street blood-collecting cars all put in place? Set up steady volunteer's team in blood transfusion service? Have blood transfusion service staff member to think, help each other, donate blood " lose flavour " ,The medical organization has certain responsibility too. In 2009, one province and one will reveal to situation investigation of blood used in clinic of 199 second hospital and 16 tertiary hospitals, it is up to 20% with the blood proportion that unreasonable. If can use the blood clinically rationally, blood supplt would not be so nervous, the blood donating demand will not be so big either to help each other. Should build the early warning mechanism's question of blood collecting and supplying to put forward, where to solve the problem way? The blood transfusion head of the department Gong JiWu of BJ Hospital says, mobilizes the family to help each other and donate blood, can release unpaid blood donation to propagate singly for patient relatives, or the doctor proposes orally it gets to collect blood to click and donate blood when it is convenient, might not " Release the operation while donating blood " . He proposes setting up early warning mechanism in short supply of blood, once blood transfusion service finds the blood and gathers the storing amount to drop to certain extent, notify the medical organization early. For example Beijing in hospital on average as 8 day, blood transfusion service should advance 5 days notice day, so that the intersection of medical organization and adjustment charge, cure the disease people. "Guarantee to perform the operation in time, leave hospital in time with the patient with old blood volume, when the blood stock is tense, choose to accept and is in hospital with the patient with little blood volume first. " But prewarning is not omnipotent medicine, because the blood used in clinic There is one side that can't be adjusted and controlled. Accumulate the puddle hospital ICU director Zhou Ning to think, relieving with the blood tensely should develop resources and reduce expenditures in Beijing, encourage and instruct the patient to have one's blood stored for one's own use. Have one's blood stored for one's own use while being what is called, mean the patient choosing date for operation gathers and stores one's own blood in front of the operation first, defeated by oneself the blood that oneself stores ahead of time at the time of the operation. So can can save the blood used in clinic ensure patient's life security effectively as well as. The expert proposes, the administrative department of the hygiene should supervise the blood used in clinic strictly, for severe punishment to abusing the behavior of blood products. Propagate unpaid blood donation to the society of different levels in a more cost-effective manner, stimulate the enthusiasm that the public participates in unpaid blood donation, and improve the fixed unpaid blood donation team and recruit the mechanism.

|