UNIT 4: RA7119 (National Voluntary Blood Services Act) Flashcards
(124 cards)
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)
2
Q
What is PBCC?
A
Philippine Blood Coordinating Council
3
Q
PBC
A
Philippine Blood Center
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
5
Q
When did the PRC launch the National Blood Program?
A
July 17, 1948
6
Q
Who was the first Blood Donor of the National Blood Program?
A
Pres. Elpidio Quirino
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
8
Q
RA 1517 is also known as
A
Blood Bank Law
Some government and private hospitals set up blood banks.
9
Q
RA 7119 is also known as
A
National Voluntary Blood Services Act of 1994
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
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
12
Q
Blood Donor’s Week is held annually on the _____?
A
2nd week of July
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)
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RA 1517 (Blood Bank Law) was repealed by?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.
15
Q
When was RA 7719 approved?
A
May 5, 1994
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
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
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
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
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
21
Q
Who initiated the bill for RA 7719?
A
initiated by Committee on NBSP & filed by Sen. Rene Saguisag
22
Q
When was the bill for RA 7719 filed?
A
1989
23
Q
Through the RA 7719, the commercial blood banks were phased out in _______?
A
2 - 4 years
24
Q
True or False
RA 7719 provides Duty-free importation of blood bank equipment, reagents, blood bags, and supplies.
A
True
25
What is Section 1 of RA 7719?
*Title*: National Voluntary Blood Services Act of 1994
26
What is Section 2 of RA 7719?
Declaration of Policy
27
What is Section 3 of RA 7719?
Definitions
| There are 10 terms defined
28
What is Section 4 of RA 7719?
Promotion of Voluntary Blood Donation
29
What is Section 5 of RA 7719?
National Voluntary Blood Services Program (NVBSP)
30
What is Section 6 of RA 7719?
Upgrading of Services and Facilities
31
What is Section 7 of RA 7719?
Phase-out of Commercial Blood Banks
32
What is Section 8 of RA 7719?
Non-Profit Operation
33
What is Section 9 of RA 7719?
Regulation of Blood Sciences
34
What is Section 10 of RA 7719?
Importation of Blood Bank Equipment, Blood Bags and Reagents
35
What is Section 11 of RA 7719?
Rules and Regulations
36
What is Section 12 of RA 7719?
Penalties
37
What is Section 13 of RA 7719?
Separability Clause
38
What is Section 14 of RA 7719?
Repealing Clause
39
What is Section 15 of RA 7719?
Effectivity Clause
40
How many sections are in RA 7719?
15 Sections
41
# 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 __________
humanitarian act
42
# 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 _______
is a professional medical service and not a sale of a commodity
43
# 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
True
44
# 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 _________
commercial sale of blood
45
# 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
True
46
# 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 _______
voluntary and non-profit collection of blood
47
# 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;
National Blood Transfusion Service Network
48
# 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:
True
49
# 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 ________
non-profit basis
50
# 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
True
51
# 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
True
52
# 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.
True
53
How many policies are there in Section 2?
12 policies
54
# Section 3
It refers to human blood, processed or unprocessed (whole blood) and includes blood components, its products and derivatives.
Blood/blood product
55
# 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."
Blood Bank (BB)/Blood Center
56
# 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."
Commercial blood bank
57
# 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.**"
Hospital-based blood bank
58
# 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.**"
Blood Collection Unit (BCU)
59
# True or False
Blood Collection Unit **(BCU)** & Blood Station **(BS)** only need an **Authority-to-Operate (A.T.O.)**
True
60
# 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.
Government
61
These are donors who donates blood for money
| e.g. commercial blood banks
Paid donors
62
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
## Footnote
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
Replacement donors
63
It is defined as "Diseases which may be transmitted as a result of blood transfusion, including AIDS, Hepatitis-B, Malaria and Syphilis"
Blood transfusion transmissible diseases
64
According to WHO, what are the 5 Core Test?
* Antibody to HIV, subtypes 1 & 2
* Hepatitis B Surface Antigen
* Antibody to Hepatitis C
* Serologic Test for Syphilis (RPR/VDRL)
* Malaria
| AHAS M
65
It is defined as "any other person to whom the Secretary delegates the responsibility of carrying out the provisions of this Act"
Secretary of Health
66
Who is the current Secretary of Health?
Dr. Teodoro Herbosa
67
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."
Walking Blood Donor
68
How many days can **Acid-citrate-dextrose** be effective as an anti-coagulant?
21 days
69
How many days can **Citrate-phosphatedextrose** be effective as an anti-coagulant?
21 days
70
How many days can **CP2D** be effective as an anti-coagulant?
| citrate-phosphate-didextrose
21 days
71
How many days can **CPDA1** be effective as an anti-coagulant?
35 days
72
How many days can **CPDA2** be effective as an anti-coagulant?
42 days
73
How many days can **Heparin** be effective as an anti-coagulant?
2 days
74
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
Blood Service Facility (BSF)
75
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**
Blood Station (BS)
76
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.
Apheresis Facility
77
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
End-User Hospital (EU)
78
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.
End-User Non-Hospital Health Facility
79
# Section 4
What are the 5 ways to promote voluntary blood donation as stated in Section 4?
- Public Education
- Promotion in Schools
- Professional Education
- Establishment of Blood Services Network
- Walking Blood Donors
80
# 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.
National Voluntary Blood Services Program (NVBSP)
81
# Section 5
What organizations provided the fund for NVBSP?
- 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
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.
Blood Services Network
83
What are the committees under the Executive Committee?
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
# 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.
Section 6: Upgrading of Services and Facilities
85
# 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.
True
86
# Section 7
All commercial blood banks shall be phased-out over a period of ________ after the effectivity of this Act
2 years after
87
# 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.
not greater than the maximum
88
# 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
Section 9: Regulation of Blood Sciences
89
# 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
## Footnote
to be promulgated by the Department in consultation and coordination with the Department of Finance
True
90
# 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.
within 60 days
91
# 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?
shall have its **license suspended** or **revoked** by the **Secretary**
92
# Section 12
What is the penalty for blood banks/centers that collect charges and fees **greater than the maximum** prescribed by the Department?
- 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
What is the penalty for blood banks/centers that establish and operate a blood bank without securing any license to operate?
- 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
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.
## Footnote
This is without prejudice to the filing of criminal charges under the Revised Penal Code.
10 years
95
# 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.
Section 13: Separability Clause
96
# 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.
Section 14: Repealing Clause
97
# 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.
Section 15: Effectivity Clause
98
Who was the President of the Senate during the approval of RA 7719?
Edgardo J. Angara
99
Who was the Speaker of the House of Representatives during the approval of RA 7719?
Jose De Venecia, Jr.
100
Who was the Secretary of the Senate during the approval of RA 7719?
Edgardo E. Tumangan
101
Who was the Secretary General of the House of Representatives during the approval of RA 7719?
Camilo L. Sabio
102
Who was the President of the Philippines during the approval of RA 7719?
Fidel V. Ramos
103
# 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
Government
104
# 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.
Private (for hospital-based BSF only)
105
# Classification of Blood Service Facility (Institutional Character)
It is a BSF located within the premises of a hospital
Hospital-based
106
# 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.
Non-hospital-based
107
# 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
Blood Station (BS)
108
# 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
Blood Collection Unit (BCU)
109
# 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)
Blood Bank (BB)
110
# 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
Blood Center (BC)
111
Who appoints and allocates personnel who are suitably qualified, skilled and trained to assume the responsibilities, authority, accountability and functions of the position?
Blood Service Facility (BSF)
112
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 _________?
Technical Committee of the NVBSP
113
# True or False
There shall be a system of reporting and recording of results of BSF examinations.
True
114
# 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.
True
115
All hospital-based BB, BCU, and/or BS shall establish a ______
Hospital Blood Transfusion Committee (HBTC)
116
The required documents for the licensure of the Blood Bank or the authorization of the BCU or BS shall be submitted to the ________?
Center for Health Development (CHD)
117
True or False?
The LTO/ATO must be displayed at all times at a prominent place within the premises.
True
118
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.
15 calendar days
119
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.
True
120
What are the documentary requirements for the issuance of LTO/ATO
• 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
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.
30 calendar days
122
The ATO to operate a Blood Service Facility shall be valid for a period of _____.
3 years
123
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 _______.
1 year
LTO = 1 year
ATO = 3 years
124
What are the violations on applying and issuance of license?
• 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.
