Transfusion Medicine Services

The Blood Bank of Khwaja Yunus Ali Medical College & Hospital is a Government licensed blood bank established in 2004. Located on the ground floor of this hospital, it aims to provide patients with the safest possible blood, equivalent to any international standard. All donations received in the blood bank are voluntary and non-remunerated. All necessary safety measures are taken for both the donors and the recipients including performing the mandatory screening tests for infectious diseases.

Mission:

a) To provide highest quality of therapeutic and diagnostic transfusion medicine services for the patients

b) To assure reliable and economical supply of safe blood by providing standard and acceptable hemotherapy services

c) To provide an outstanding education in all aspects of blood banking and transfusion medicine and prepare fellows for a career in  a blood center or in a hospital transfusion service, either in an academic center or in a community hospital.

d) To provide support to Govt. initiatives in achieving its objectives and promote research and education programs in transfusion medicine and also to provide consultative services for the state and the country in the field of Transfusion Medicine.

Vision:

To be the leaders and to maintain good standards in the field of Transfusion Medicine, to assist the clinicians by providing safe, affordable and highest quality of blood and blood products to Khwaja Yunus Ali Medical College Hospital, Enayetpur, Sirajganj and neighboring hospitals, to undertake therapeutic procedures for critically ill neurological, nephrological and medical patients to develop skilled man power for the state and the country in the specialty and to cater for patient care through research.

Who may Donate Blood?

Blood donation is a healthy habit that helps blood renewal and it is not hazardous at all. The volume of blood collected from a donor is about 450ml (8% - 12% of the donor blood volume), this blood volume is compensated within 24hrs of donation and the body replaces the lost red cells within several weeks (4-6weeks). Eligible healthy donors (age 18 to 60 years, having Hb >12gm/dl and weight >45) males can donate blood every 4 months’ interval and females every 6 months’ interval. Platelet Apheresis donor’s age should be 18 to 60 years’ weight >50kg and has not taken the medicine Plavix/Ticlid for the last 14 days.

Some instructions prior to blood donation:

• Do not donate blood on an empty stomach.
• Maintain a gap of 30 min after meal.
• Good sleep on the previous night.
• Drink water (2 glasses) before blood donation
• Do not donate blood if you have a fever, taking antibiotics or aspirin or antihistamine or insulin.
• Do not take alcohol 24 hrs prior to blood donation.
• Do not smoke 30 min before or after blood donation.
• Avoid driving, vigorous exercise, or playing tennis for at least 2-3 hrs after blood donation.

Some instruction after blood donation:

• Eat and Drink something before leaving the blood donor area
• Drink more fluid for the next 4 hours.
• Avoid strenuous physical activity or heavy lifting for about five hours. 
• If there is bleeding from the phlebotomy site raise an arm and apply pressure to the site.
• If fainting or dizziness occurs either lie down or sit with the head between the knees.
• If the symptom persists either telephone or return to the blood bank or see a doctor.
• Resume all normal activity if asymptomatic.
• Remove bandage after 1 hour.

Collection of blood:

Prior to blood donation, we do a screening process of the donor which consists of confidential medical examinations including medical history, hemoglobin examination, blood pressure, weight, pulse, and temperature check. Then, a small amount of blood sample is taken for grouping, checking for infectious diseases, and cross-matching. If all tests are okay, then the donor is asked to donate blood. All our materials used in blood donation are strictly sterile and disposable.

Single Donor Apheresis Platelet (SDP) is prepared by connecting the donor to a machine and selectively collecting the platelet and returning the remaining blood components back to the donor.

Department Activities

 i. Laboratory Activities:

ii. Day care Services:

iii. Academic activities:

iv. Research Activities:

v. National Activities:

i. Laboratory Activities:

1. Phlebotomy (Blood collection):
2. Blood Grouping: Patient & Donor
3. Cross-matching/Compatibility testing of donated blood bag/unit with Patients blood
4. Screening (HBV, HCV, HIV I & II, Syphilis & Malaria) of indoor & OPD patient:
5. Coombs’ test (DCT & ICT):
6. Rhesus Antibody detection & titration:
7. D^u detection
8. Hemolysin test,
9. Paternity testing
10. Secretor status
11. Blood component: PRBC/RCC, PRP (Platelet rich plasma), Fresh plasma/Fresh frozen plasma, Platelet Conc., Cryoprecipitate & Cryo poor plasma preparation:

Apheretic collection of PRBC, Platelet, MNC & Stem cell.

ii. Day care Services:

Blood Transfusion

Blood letting

Iron Chelation

PRP therapy

Therapeutic Plasma Pheresis/Exchange

iii. Academic activities:

a) Undergraduate Teaching: MBBS Student:

Group placement for 3^rd year MBBS students: 07 days.
Lecture class for 5^th year students: 05
Internee doctors training: 07 days.

b) Post-graduate teaching:

Placement for MD/MPhil in Radiotherapy: 15 days 

c) Presentation at Departmental Scientific seminar in 2023:

1. Blood Transfusion- how it is safe!
2. Appropriate use of Blood
3. Blood Component therapy in Clinical Practice
4. Therapeutic plasmapheresis in Clinical Practice
5. Voluntary blood donor motivation.

 d) CME Program:

Every month on 1^st Sunday scientific session & dialogue among the doctors and all staff of the department in the departmental conference room, KYAMCH.

iv. Research Activities:

Individual doctors of this department carry out research and publish their work regularly in Medical Journals of home and abroad.

     Ongoing research in 2023: 

• Comparative Efficacy of Therapeutic Plasma Exchange and Immunosuppressive Therapy in Systemic Lupus Erythematosus: A Case-Control Study.
• Utilization of Platelet Rich Plasma (PRP) in Various Department at a Tertiary Hospital in Bangladesh
• Study on Screening Tests Among Blood Donors in Khwaja Yunus Ali Medical College & Hospital.

v. National Activities:

1. World Blood Donor day 14 June_2023, with slogan “Give blood, give plasma, share life, share often.”
2. Voluntary Blood donation program:

“January 01 – New year, February 21 – International Language Day, March 17 – Bangabandhu birth day and National Children’s Day, March 26 – Bangladesh Independence Day, August 15 - National Mourning day, & December 16 – Victory Day”.

Future Plan:

1. To strengthen Laboratory services by introducing PCR, ELISA, NAT, Hemoglobin electrophoresis machine, Automated hematology analyzer, Laminar flow hood, Automated per-operative blood salvage instruments, Blood warmer etc.
2. To stablish bone marrow transplantation unit.
3. To Update “Motivation & Communication Unit” for increasing voluntary non-remunerated blood donor, negative & rare blood group donor pool.
4. To stablish local network system in Transfusion Medicine Department, KYAMCH with other Institutional Blood Bank, Private Blood Bank, Voluntary blood donor organization & National Blood Transfusion Center.
5. To publish half-yearly/Yearly “KYAMC&H Blood Transfusion Journal”.
6. To open Post graduation DBS&T & MD course.