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  • Summary of Checklist of Requirements of Issuance of COI

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    HAZEL
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    This document contains checklists of requirements for obtaining a Certificate of Inclusion into the Regional Voluntary Blood Services Network for various types of blood collection facilities. The requirements include attendance at network meetings, submission of blood reports, utilization of standard forms, compliance with blood service fees, and maintenance of appropriate agreements and documentation. Verification is through attendance sheets, submitted reports, official receipts, signed agreements, and other records. The requirements and verification methods are tailored to the specific functions of Blood Collection Units, free-standing Blood Stations, hospital-based facilities, and Blood Centers.

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    For certificate issuance

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    This document contains checklists of requirements for obtaining a Certificate of Inclusion into the Regional Voluntary Blood Services Network for various types of blood collection facilities. The requirements include attendance at network meetings, submission of blood reports, utilization of standard forms, compliance with blood service fees, and maintenance of appropriate agreements and documentation. Verification is through attendance sheets, submitted reports, official receipts, signed agreements, and other records. The requirements and verification methods are tailored to the specific functions of Blood Collection Units, free-standing Blood Stations, hospital-based facilities, and Blood Centers.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOCX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    902 tayangan4 halaman

    Summary of Checklist of Requirements of Issuance of COI

    Diunggah oleh

    HAZEL
    This document contains checklists of requirements for obtaining a Certificate of Inclusion into the Regional Voluntary Blood Services Network for various types of blood collection facilities. The requirements include attendance at network meetings, submission of blood reports, utilization of standard forms, compliance with blood service fees, and maintenance of appropriate agreements and documentation. Verification is through attendance sheets, submitted reports, official receipts, signed agreements, and other records. The requirements and verification methods are tailored to the specific functions of Blood Collection Units, free-standing Blood Stations, hospital-based facilities, and Blood Centers.

    Hak Cipta:

    © All Rights Reserved
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    Tandai sebagai konten tidak pantas
    dari 4

    ANNEX A

    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional


    Voluntary Blood Services Network

    For Blood Collection Unit (BCU):

    Requirements Means of Verification


    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 01, 02
    & 05) quarterly
    b. Blood Safety Indicator report (BSI Sections 1
    & 2) annually
    3. Utilized NVBSP prescribed Donor History 3. Utilized properly accomplished DHQ
    Questionnaire

    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional


    Voluntary Blood Services Network

    For Blood Station (BS) free-standing, non-hospital based:

    Requirements Means of Verification


    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 06,&
    07) quarterly
    b. Blood Safety Indicator report (BSI Sections 1,
    4, & 6) annually
    3. MOA with BC or Lead BSF 3. Signed MOA
    4. Blood Inventory Management 4. Submitted weekly blood stocks (signed
    by BS Head & as reflected in the
    MOA)
    5. Utilized NVBSP prescribed blood request forms 5. Utilized properly accomplished blood
    (Adult &Pedia) request forms
    6. Complies with recommended Maximum Blood 6. Official Receipts reflecting blood
    Service fees (as per DOH AO No2015-0045 & service fees
    DC # 2016-0318)
    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional
    Voluntary Blood Services Network

    For Blood Collection Unit/Blood Station (BCU/BS) free-standing, non-hospital based:


    Requirements Means of Verification
    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 01, 02,
    05, 06, & 07) quarterly
    b. Blood Safety Indicator report (BSI Sections 1,
    2, 4 & 6) annually
    3. MOA with BC or Lead BSF 3. Signed MOA
    4. Blood Inventory Management 4. Submitted weekly blood stocks (signed
    by BS Head & as reflected in the
    MOA)
    5. Utilized NVBSP prescribed forms 5. Utilized properly accomplished DHQ
    a. Donor History Questionnaire (DHQ) and blood request forms
    b. blood request forms (Adult &Pedia)
    c. Complies with recommended Maximum 6. Official Receipts reflecting blood
    Blood Service fees (as per DOH AO No2015- service fees
    0045 & DC # 2016-0318)

    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional


    Voluntary Blood Services Network

    For Hospital-based Blood Station (BS) and Hospital Blood Bank (HBB):
    Requirements Means of Verification
    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 04, 06&
    07) quarterly
    b. Blood Safety Indicator report (BSI Sections 1,
    4, & 6) annually
    3. MOA with BC or Lead BSF 3. Signed MOA
    4. Blood Inventory Management 4. Submitted weekly blood stocks (signed
    by BS Head & as reflected in the
    MOA)
    5. Functional and active Hospital Blood Transfusion 5. Hospital Order for HBTC & Minutes of
    Committee (HBTC) the Meetings; Blood Utilization
    Review
    6. Utilized NVBSP prescribed forms 6. Utilized properly accomplished DHQ
    a. Donor History Questionnaire (DHQ) and blood request forms
    b. blood request forms (Adult &Pedia)
    c. Complies with recommended Maximum 7. Official Receipts reflecting blood
    Blood Service fees (as per DOH AO No2015- service fees
    0045 & DC # 2016-0318)
    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional
    Voluntary Blood Services Network

    For Hospital Blood Bank (HBB) with additional functions:

    Requirements Means of Verification


    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 01 to
    08) quarterly
    b. Blood Safety Indicator report (BSI Sections 1
    to 6) annually
    3. MOA with BC or Lead BSF 3. Signed MOA
    4. Blood Inventory Management 4. Submitted weekly blood stocks (signed
    by BS Head & as reflected in the
    MOA)
    5. Functional and active Hospital Blood Transfusion 5. Hospital Order for HBTC & Minutes of
    Committee (HBTC) the Meetings; Blood Utilization
    Review
    6. Utilized NVBSP prescribed forms 6. Utilized properly accomplished DHQ
    a. Donor History Questionnaire (DHQ) and blood request forms
    b. blood request forms (Adult &Pedia)
    7. Complies with recommended Maximum Blood 7. Official Receipts reflecting blood
    Service fees (as per DOH AO No2015-0045 & service fees
    DC # 2016-0318)
    8. HIV and other TTIs Proficiency Training 8. Certificate of Proficiency from RITM
    Workshop for RMTs TTI-NRL
    9. Referral of tested reactive blood units for 9. Confirmatory request form & results
    confirmation at RITM TTI-NRL
    10. Participation in NEQAS with RITM TTI-NRL & 10. Certificate of Participation in
    NKTI IH-NRL respective NRLs with Very
    Satisfactory to Excellent Ratings
    11. Subscription to NBBNetS 11. Use of NBBNetS barcode sticker
    Checklist of Requirements of Issuance of Certificate of Inclusion into the Regional
    Voluntary Blood Services Network

    For Blood Centers (BC)

    Requirements Means of Verification


    1. Attendance to the Zonal Blood Services Network 1. Name with signature in the BSN
    Meeting Attendance sheet & copy of Certificate
    of
    Appearance/Attendance/Participation
    2. Submission of blood reports to Blood Program 2. Blood reports submitted, collated &
    Coordinator analyzed
    a. Blood Monitoring reports (BM forms 01 to
    08) quarterly
    b. Blood Safety Indicator report (BSI Sections 1
    to 5) annually
    3. MOA with BC or Lead BSF 3. Signed MOA
    4. Blood Inventory Management 4. Submitted weekly blood stocks (signed
    by BS Head & as reflected in the
    MOA)
    5. Utilized NVBSP prescribed forms 5. Utilized properly accomplished DHQ
    a. Donor History Questionnaire (DHQ) and blood request forms
    b. blood request forms (Adult &Pedia)
    6. Complies with recommended Maximum Blood 6. Official Receipts reflecting blood
    Service fees (as per DOH AO No2015-0045 & service fees
    DC # 2016-0318)
    7. HIV and other TTIs Proficiency Training 7. Certificate of Proficiency from RITM
    Workshop for RMTs TTI-NRL
    8. Referral of tested reactive blood units for 8. Confirmatory request form & results
    confirmation at RITM TTI-NRL
    9. Participation in NEQAS with RITM TTI-NRL & 9. Certificate of Participation in
    NKTI IH-NRL respective NRLs with Very
    Satisfactory to Excellent Ratings
    10. Subscription to NBBNetS 10. Use of NBBNetS barcode sticker

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