UNIT 4: RA7119 (National Voluntary Blood Services Act) Flashcards

1
Q

Philippine Red Cross was previously called Philippine National Red Cross, but was changed for what reason?

Changed when the RA10072 The Philippine Red Cross Act of 2009 was signed

A

The Philippine Red Cross is an independent and autonomous non-government organization (should not have “national” in its name)

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2
Q

What is PBCC?

A

Philippine Blood Coordinating Council

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3
Q

PBC

A

Philippine Blood Center

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4
Q

True or False

Before WWII, blood was collected and directly administered to patients.

A

True

Voluntary Blood Donation began to be promoted after WWII

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5
Q

When did the PRC launch the National Blood Program?

A

July 17, 1948

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6
Q

Who was the first Blood Donor of the National Blood Program?

A

Pres. Elpidio Quirino

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7
Q

What was the original objective of the National Blood Program?

A

To maintain a constant and ready supply of whole blood or plasma at least for emergency cases

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8
Q

RA 1517 is also known as

A

Blood Bank Law

Some government and private hospitals set up blood banks.

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9
Q

RA 7119 is also known as

A

National Voluntary Blood Services Act of 1994

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10
Q

What caused the emergence of commercial blood banks?

A

Inability of the PNRC National Blood Program (NBP) and hospital blood banks to cope with this growing demand

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11
Q

When was RA 1517 Blood Bank Law approved?

In order to assure the safety of the supply of blood from the hospital and commercial blood banks

A

June 16, 1956

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12
Q

Blood Donor’s Week is held annually on the _____?

A

2nd week of July

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13
Q

It is “An Act regulating the collection, processing and sale of human blood, and the establishment and operation of blood banks and blood processing laboratories”

A

RA 1517 (Blood Bank Law)

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14
Q

RA 1517 (Blood Bank Law) was repealed by?

A

Republic Act No. 7719

Safeguarding and promoting public health and welfare by preventing improper collection, processing and sale of human blood or its product to the public.

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15
Q

When was RA 7719 approved?

A

May 5, 1994

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16
Q

What A.O. is this?

“Rules and Regulations Implementing Republic Act No. 7719 otherwise known as the National Services Act of 1994”

A

Administrative Order No. 9, Series of 1995

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17
Q

What A.O. is this?

“Requirements and Procedure for a License to Operate a Blood Bank/Blood Center in the Philippines”

A

Administrative Order No. 17-A, Series of 1998

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18
Q

What A.O. is this?

“Rules and Regulations for the Establishment of the Philippine National Blood Services Amending Ao. No.9 S. Of 1995”

A

Administrative Order No. 2005-0002

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19
Q

What A.O. is this?

Rules and Regulations Governing the Regulation of Blood Service Facilities dated May 2, 2008

A

Administrative Order No. 2008-0008

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20
Q

What are the purposes of RA 7719?

A
  • To promote voluntary blood donation
  • To provide safe, adequate, affordable and equitable blood products
  • To inform the public
  • To require all blood banks/ centers to operate on a non profit basis
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21
Q

Who initiated the bill for RA 7719?

A

initiated by Committee on NBSP & filed by Sen. Rene Saguisag

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22
Q

When was the bill for RA 7719 filed?

A

1989

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23
Q

Through the RA 7719, the commercial blood banks were phased out in _______?

A

2 - 4 years

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24
Q

True or False

RA 7719 provides Duty-free importation of blood bank equipment, reagents, blood bags, and supplies.

A

True

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25
Q

What is Section 1 of RA 7719?

A

Title: National Voluntary Blood Services Act of 1994

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26
Q

What is Section 2 of RA 7719?

A

Declaration of Policy

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27
Q

What is Section 3 of RA 7719?

A

Definitions

There are 10 terms defined

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28
Q

What is Section 4 of RA 7719?

A

Promotion of Voluntary Blood Donation

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29
Q

What is Section 5 of RA 7719?

A

National Voluntary Blood Services Program (NVBSP)

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30
Q

What is Section 6 of RA 7719?

A

Upgrading of Services and Facilities

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31
Q

What is Section 7 of RA 7719?

A

Phase-out of Commercial Blood Banks

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32
Q

What is Section 8 of RA 7719?

A

Non-Profit Operation

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33
Q

What is Section 9 of RA 7719?

A

Regulation of Blood Sciences

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34
Q

What is Section 10 of RA 7719?

A

Importation of Blood Bank Equipment, Blood Bags and Reagents

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35
Q

What is Section 11 of RA 7719?

A

Rules and Regulations

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36
Q

What is Section 12 of RA 7719?

A

Penalties

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37
Q

What is Section 13 of RA 7719?

A

Separability Clause

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38
Q

What is Section 14 of RA 7719?

A

Repealing Clause

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39
Q

What is Section 15 of RA 7719?

A

Effectivity Clause

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40
Q

How many sections are in RA 7719?

A

15 Sections

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41
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

a. to promote and encourage voluntary blood donation by the citizenry and to instill public consciousness of the principle that blood donation is a __________

A

humanitarian act

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42
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

b. to lay down the legal principle that the provision of blood for transfusion is a _______

A

is a professional medical service and not a sale of a commodity

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43
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the third policy states:

to provide for adequate, safe, affordable and equitable distribution of supply of blood and blood products

A

True

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44
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

d. to inform the public of the need for voluntary blood donation to curb the hazards caused by the _________

A

commercial sale of blood

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45
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the fifth policy states:

e. to teach the benefits and rationale of voluntary blood donation in the existing health subjects of the formal education system in all public and private schools, in the elementary, high school and college levels as well as the non-formal education system

A

True

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46
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

f. to mobilize all sectors of the community to participate in mechanisms for _______

A

voluntary and non-profit collection of blood

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47
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

g. to mandate the Department of Health to establish and organize a ________ in order to rationalize and improve the provision of adequate and safe supply of blood;

A

National Blood Transfusion Service Network

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48
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the eighth policy states:

h. to provide for adequate assistance to institutions promoting voluntary blood donation and providing non- profit blood services, either through a system of reimbursement for costs from patients who can afford to pay, or donations from governmental and non- governmental entities:

A

True

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49
Q

Section 2

In order to promote public health, it is hereby declared the policy of the State:

i. to require all blood collection units and blood banks/centers to operate on a ________

A

non-profit basis

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50
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the tenth policy states:

j. to establish scientific and professional standards for the operation of blood collection units and blood banks/centers in the Philippines

A

True

51
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the eleventh policy states:

k. to regulate and ensure the safety of all activities related to the collection, storage and banking of blood; and

A

True

52
Q

Section 2 | True or False

Under section 2 (Declaration of Policy), the twelfth policy states:

l. to require upgrading of blood banks/centers to include preventive services and education to control spread of blood transfusion transmissible diseases.

A

True

53
Q

How many policies are there in Section 2?

A

12 policies

54
Q

Section 3

It refers to human blood, processed or unprocessed (whole blood) and includes blood components, its products and derivatives.

A

Blood/blood product

55
Q

Section 3

It is defined as “A laboratory or institution with the capability to recruit and screen blood donors, collect, process, store, transport and issue blood for transfusion and provide information and/or education on blood transfusion transmissible diseases.”

A

Blood Bank (BB)/Blood Center

56
Q

Section 3

It is defined as “A blood bank that exists for profit, money or any material gain earned out of sale of, or exchange for, blood or blood products which profit, money or any material gain are not used solely for the operation and maintenance of the blood bank service.”

A

Commercial blood bank

57
Q

Section 3

It is defined as “A blood bank which is located within the premises of a hospital and which can perform compatibility testing of blood.

A

Hospital-based blood bank

58
Q

Section 3

It is defined as “An institution or facility duly authorized by the Department of Health to recruit and screen donors and collect blood.

A

Blood Collection Unit (BCU)

59
Q

True or False

Blood Collection Unit (BCU) & Blood Station (BS) only need an Authority-to-Operate (A.T.O.)

A

True

60
Q

Classification of Blood Service Facility (Ownership)

It is operated and maintained partially or wholly by a national, provincial, city or municipal government or other political unit by any department, division, board or agency thereof or by a government owned or controlled operation.

A

Government

61
Q

These are donors who donates blood for money

e.g. commercial blood banks

A

Paid donors

62
Q

These are donors who give blood when it is required by a member of their own family or community as a replacement for the used blood in the hospital or blood bank

It is illegal to require a patient who used mutliple blood bags to be rquired to replace them with blood bags not proportionate to what was used

A

Replacement donors

63
Q

It is defined as “Diseases which may be transmitted as a result of blood transfusion, including AIDS, Hepatitis-B, Malaria and Syphilis”

A

Blood transfusion transmissible diseases

64
Q

According to WHO, what are the 5 Core Test?

A
  • Antibody to HIV, subtypes 1 & 2
  • Hepatitis B Surface Antigen
  • Antibody to Hepatitis C
  • Serologic Test for Syphilis (RPR/VDRL)
  • Malaria

AHAS M

65
Q

It is defined as “any other person to whom the Secretary delegates the responsibility of carrying out the provisions of this Act”

A

Secretary of Health

66
Q

Who is the current Secretary of Health?

A

Dr. Teodoro Herbosa

67
Q

It is defined as “An individual included in the list of qualified voluntary blood donors referred to in Section 4, paragraph (e), who is ready to donate blood when needed in his/her community.”

A

Walking Blood Donor

68
Q

How many days can Acid-citrate-dextrose be effective as an anti-coagulant?

A

21 days

69
Q

How many days can Citrate-phosphatedextrose be effective as an anti-coagulant?

A

21 days

70
Q

How many days can CP2D be effective as an anti-coagulant?

citrate-phosphate-didextrose

A

21 days

71
Q

How many days can CPDA1 be effective as an anti-coagulant?

A

35 days

72
Q

How many days can CPDA2 be effective as an anti-coagulant?

A

42 days

73
Q

How many days can Heparin be effective as an anti-coagulant?

A

2 days

74
Q

As defined in A.O. No. 2010-0001, it is any unit, office, institution providing any of the blood transfusion services, which can be a Blood Bank, Blood Center, a Blood Collection Unit or a Blood Station

A

Blood Service Facility (BSF)

75
Q

As defined in A.O. 2008-0008, it is any government or private hospital or PNRC chapter which has not been licensed as a blood center but has been authorize by the DOH to store and issue blood and blood product, and perform compatibility testing, when necessary

A

Blood Station (BS)

76
Q

As defined in A.O. 2010-0001, it is a blood service facility where blood collection procedure is done in which whole blood is removed, a selected component separated and the remainder returned to the donor.

A

Apheresis Facility

77
Q

As defined in A.O. 2010-0001, it is a hospital with a licensed clinical laboratory capable of red cell typing and crossmatching and which does not have any blood service facility but which only receives blood and blood components for blood transfusion as needed

A

End-User Hospital (EU)

78
Q

As defined in A.O. 2010-0001, it is a licensed/accredited nonhospital health facility without a licensed clinical laboratory but which administers blood transfusion.

A

End-User Non-Hospital Health Facility

79
Q

Section 4

What are the 5 ways to promote voluntary blood donation as stated in Section 4?

A
  • Public Education
  • Promotion in Schools
  • Professional Education
  • Establishment of Blood Services Network
  • Walking Blood Donors
80
Q

Section 5

The DOH, in cooperation with the PNRC and PBCC and other government agencies and nongovernmental organizations shall plan and implement a ________ to meet in an evolutionary manner, the needs for blood transfusion in all regions of the country.

A

National Voluntary Blood Services Program (NVBSP)

81
Q

Section 5

What organizations provided the fund for NVBSP?

A
  • Government - budgetary allocation of the DOH
  • PCSO - P25,000,000
  • PAGCOR - P25,000,000
  • Duty Free Philippines - P20,000,000
  • Contributions of other agencies (civic organizations)
82
Q

It is an informal organization composed of the designated blood centers and hospital blood banks, blood stations and enduser hospitals established to provide for the blood needs of a specific geographical area.

A

Blood Services Network

83
Q

What are the committees under the Executive Committee?

A

F I T P P C
- Technical Committee
- Committee on Public Education, Advocacy
- Committee on Professional Education
- Committee on Curriculum Development
- Committee on Finance
- Committee on Information Technology

84
Q

What section is this?

Upgrading of Services and Facilities – All blood banks/ centers shall provide preventive health services such as education and counselling on blood transfusion transmissible diseases. All government hospitals, including those that have been devolved, shall be required to establish voluntary blood donation programs and all private hospitals shall be encouraged to establish voluntary blood donation programs.

A

Section 6: Upgrading of Services and Facilities

85
Q

Section 6 | True or False

The Department, in consultation with the PSHBT and the PSP, shall also establish guidelines for the rational use of blood and blood products.

A

True

86
Q

Section 7

All commercial blood banks shall be phased-out over a period of ________ after the effectivity of this Act

A

2 years after

87
Q

Section 8

All blood banks/centers shall operate on a nonprofit basis: Provided, That they may collect service fees ________ prescribed by the DOH which shall be limited to the necessary expenses entailed in collecting and processing of blood.

A

not greater than the maximum

88
Q

What section is this?

It shall be unlawful for any person to establish and operate a blood bank/center unless it is registered and issued a license to operate by the Department: Provided, That in case of emergencies, blood collection and transfusion under the responsibility of the attending physician shall be allowed in hospitals without such license under certain conditions prescribed by the Department

A

Section 9: Regulation of Blood Sciences

89
Q

Section 10 | True or False

blood bags and reagents used for the screening and testing of donors, collection and processing and storage of blood shall be imported tax-and duty-free by the PNRC, blood banks and hospitals participating actively in the National Voluntary Blood Services Program

to be promulgated by the Department in consultation and coordination with the Department of Finance

A

True

90
Q

Section 11

The implementation of the provisions of this Act shall be in accordance with the rules and regulations to be promulgated by the Secretary, within ________ from the approval hereof.

A

within 60 days

91
Q

Section 12

What is the penalty (for license) for blood banks/centers that collect charges and fees greater than the maximum prescribed by the Department?

A

shall have its license suspended or revoked by the Secretary

92
Q

Section 12

What is the penalty for blood banks/centers that collect charges and fees greater than the maximum prescribed by the Department?

A
  • imprisonment not less than 1 month nor not more than 6 months
  • a fine of not less than P5,000 nor more than P50,000
  • or both
93
Q

What is the penalty for blood banks/centers that establish and operate a blood bank without securing any license to operate?

A
  • imprisonment of not less than 12 years and 1 day nor more than 20 years
  • fine of not less than P50,000 nor more than P500,000
  • or both
94
Q

The head of the blood bank and the necessary trained personnel under the head’s direct supervision found responsible for dispensing, transfusing and failing to dispose, within 48 hours, blood which have been proven contaminated with blood transfusion transmissible diseases shall be imprisoned for ________ years.

This is without prejudice to the filing of criminal charges under the Revised Penal Code.

A

10 years

95
Q

What section is this?

If any provision of this Act is declared invalid, the other provisions hereof not affected thereby shall remain in force and effect.

A

Section 13: Separability Clause

96
Q

What section is this?

  • This Act shall supersede Republic Act No. 1517 entitled “Blood Bank Act.” The provisions of any law, executive order, presidential decree or other issuances inconsistent with this Act are hereby repealed or modified accordingly.
A

Section 14: Repealing Clause

97
Q

What section is this?

This Act shall take effect after 15 days following its publication in the Official Gazette or in 2 national newspapers of general circulation.

A

Section 15: Effectivity Clause

98
Q

Who was the President of the Senate during the approval of RA 7719?

A

Edgardo J. Angara

99
Q

Who was the Speaker of the House of Representatives during the approval of RA 7719?

A

Jose De Venecia, Jr.

100
Q

Who was the Secretary of the Senate during the approval of RA 7719?

A

Edgardo E. Tumangan

101
Q

Who was the Secretary General of the House of Representatives during the approval of RA 7719?

A

Camilo L. Sabio

102
Q

Who was the President of the Philippines during the approval of RA 7719?

A

Fidel V. Ramos

103
Q

Classification of Blood Service Facility (Ownership)

It is operated and maintained partially or wholly by a national, provincial, city or municipal government or other political unit by any department, division, board or agency thereof or by a government owned or controlled operation

A

Government

104
Q

Classification of Blood Service Facility (Ownership)

It is established and operated with funds through donation, capital or other means by an individual, corporation, association or organization.

A

Private (for hospital-based BSF only)

105
Q

Classification of Blood Service Facility (Institutional Character)

It is a BSF located within the premises of a hospital

A

Hospital-based

106
Q

Classification of Blood Service Facility (Institutional Character)

It is a government-owned or PNRC-owned BSF located outside the premises of a hospital consistent with the NVBSP strategic plan.

A

Non-hospital-based

107
Q

Classification of Blood Service Facility (Service Capability)

What Blood Service Facility is this?
- Advocacy and promotion of voluntary blood donation and healthy lifestyle
- Provision of whole blood and packed red cells
- Storage, issuance, transport and distribution of whole blood and packed red cells
- Compatibility testing of red cell units, if hospital-based

A

Blood Station (BS)

108
Q

Classification of Blood Service Facility (Service Capability)

What Blood Service Facility is this?
- Advocacy and promotion of voluntary blood donation and healthy lifestyle
- Recruitment, retention and care of voluntary blood donors
- Screening and selection of voluntary blood donors
- Conduct of health education and counselling services
- Collection of blood (mobile or facility-based) from qualified blood donors
- Transport of blood to BC for testing and processing
- Compatibility testing of red cell units, if hospital-based

A

Blood Collection Unit (BCU)

109
Q

Classification of Blood Service Facility (Service Capability)

What Blood Service Facility is this?
- Advocacy and promotion of voluntary blood donation and healthy lifestyle
- Storage and issuance of whole blood and blood components obtained from a BC

The following services shall also be provided:
- Compatibility testing for red cell units
- Direct Coombs test
- Red cell antibody screening
- Investigation of transfusion reactions
- Assist the HBTC in the conduct of post-transfusion surveillance (hemovigilance)

A

Blood Bank (BB)

110
Q

Classification of Blood Service Facility (Service Capability)

What Blood Service Facility is this?
- Advocacy and promotion of voluntary blood donation and healthy lifestyle
- Recruitment, retention and care of voluntary blood donors
- Collection of blood (mobile or facility-based) from qualified blood donors
- Conduct health education and counselling services
- Testing of units of blood for TTIs
- Processing and provision of blood components
- Storage, issuance, transport and distribution of units of whole blood and/or blood products to hospitals and other health facilities

A

Blood Center (BC)

111
Q

Who appoints and allocates personnel who are suitably qualified, skilled and trained to assume the responsibilities, authority, accountability and functions of the position?

A

Blood Service Facility (BSF)

112
Q

All reagents and glasswares to be used by the BSF shall be based on the minimum requirement for sensitivity and specificity of testing reagents as the testing procedures as recommended by the _________?

A

Technical Committee of the NVBSP

113
Q

True or False

There shall be a system of reporting and recording of results of BSF examinations.

A

True

114
Q

True or False

The BSF shall participate in an External Quality Assessment Program (EQAP) administered by the designated National Reference Laboratories (NRL) or other external assessment program approved by the DOH-NVBSP.

A

True

115
Q

All hospital-based BB, BCU, and/or BS shall establish a ______

A

Hospital Blood Transfusion Committee (HBTC)

116
Q

The required documents for the licensure of the Blood Bank or the authorization of the BCU or BS shall be submitted to the ________?

A

Center for Health Development (CHD)

117
Q

True or False?
The LTO/ATO must be displayed at all times at a prominent place within the premises.

A

True

118
Q

The CHD shall be notified within ________ of any change in management name or ownership. In cases of transfer of location, a new application for LTO/ATO shall be required.

A

15 calendar days

119
Q

True or False
A separate LTO/ATO shall be required for each BSF or branch maintained in separate premises even if operated by the same management.

A

True

120
Q

What are the documentary requirements for the issuance of LTO/ATO

A

• Certificate of inclusion in the Regional Blood Services Network approved by the identified Lead Blood Center in the region
• Duly accomplished and notarized application form
• DTI/SEC registration (initial)
• List of personnel with photocopy of valid PRC card
• Location map (initial)
• Floor diagram
• List of equipment – with serial number, brand, date of purchase, number of units and operational status
• NVBSP Annual Blood Report (renewal)
• Certificate of participation in EQAS in previous year (renewal)

121
Q

The CHD director or his authorized representative/s inspects the BSF within _______ from the time of application to determine compliance with standards and technical requirements.

A

30 calendar days

122
Q

The ATO to operate a Blood Service Facility shall be valid for a period of _____.

A

3 years

123
Q

As part of the hospital license to operate, the license to operate/authority to operate a BB/BCU/BS shall be valid for a period of _______.

A

1 year
LTO = 1 year
ATO = 3 years

124
Q

What are the violations on applying and issuance of license?

A

• Any material false statement in the application
• Misinterpretation of facts or falsification of documents or records
• Refusal to make available its books, accounts and records of operation to an authorized person from the BHFS/CHD
• Charging of blood service fees above the maximum fees set by the DOH
• Collection of blood from paid or remunerated donor whether payment comes from the hospital or from the patient/relatives.
• Refusal to participate in EQAS (External Quality Assessment Scheme )conducted by the designated National Reference Laboratories.