Clinical Assistant - Mumbai - Kokilaben Dhirubhai Ambani Hospital

Description

• Administration, oversight and coordination

a) overall supervision

b) inventory management

c) fulfilling regulatory requirements

d) records and reporting

e) preparing data for hospital transfusion committee meetings

f) fulfilling CME program requirements

g) plan appropriate training programs and execute the same

h) provide consultation to supervisory and technical personnel on maintaining adequate inventory of all blood components

i) in times of limited inventory, provide interface to attending physician and resident staffs on request for those components in short supply

j) evaluate functions of blood bank periodically that is daily /weekly/monthly basis

• Donor Management

a) Perform routine donor evaluation and monitoring including physical examinations and phlebotomy site examination and review of periodic laboratory testing

b) Provide consultation to blood bank technical and medical social worker concerning donor selection and acceptability

c) Evaluate and mange blood donor reactions

d) Evaluate and follow up donor with abnormal test results, including infectious disease testing

e) Evaluation and approval of requests for specific components from specific donors

f) Selection of donors for specific patients

g) Evaluation of donor acceptability

h) Donor monitoring

• Camp Management

a) medical officer should check the following:

Exact venue, number of donor, time for camp, refreshment for donor, furniture, space, mobile vans, appliances for collection and transportation of blood and emergency kit.

b) record and report the details about the blood camp to the consultant TM

• Testing (IH/ID)

a) Provide consultation and support to technical and clerical staff concerning specimen and requisition acceptability.

b) Review and interpret:

i) blood typing discrepancies

ii) Positive antibody screening

iii) Antibody panels; prenatal titers

iv) Positive direct/indirect anti- globulin tests

c) provide consultation to technical staff concerning additional evaluation of patients with complex serological problems

d) Review clinical significance of serological findings and decide on additional testing required prior to transfusion.

• Component Management

a) provide consultation to apheresis nursing and technical staff concerning donor selection and acceptability

b) evaluate and manage apheresis donor reaction

c) provide medical direction for components collection via cell separator

d) evaluate and approve request for selected and specialized blood components, including washed red cells and apheresis derived platelets

• QMS/QA

a) Assist with developing, implementing and maintaining the quality assurance with respect to

i) Organization

ii) Personnel

iii) Technical

iv) Document control

v) Infrastructure management

vi) Equipments

vii) QA

viii) Audits

b) Perform the initial review of the quality control records with the quality manager

c) Ensure staff and departmental compliance with all regulatory, safety and institution policies and procedures

d) Ensure that all work is done according to the required standards

e) Ensure the SOP is followed at all critical steps of process flow like donor screening, phlebotomy site cleaning, phlebotomy, temperature maintenance during blood transport etc.

f) Ensure the application of good manufacturing practices (GMP) ,/ Good lab practices (GLP)/ Good clinical practices (GCP)

• Training

a) Plan for training at different levels of staff

b) Competency management/assessment

c) Plan and help in conduction of the refresher and regular training programs of the staff in the blood bank

d) Help in evaluating the knowledge of the new staff and arrange for the training programs

• Clinical service

a) Provide consultation to clinical staff concerning selection and acceptability of donor for autologous transfusion/autologous and allogenic BMT / Granulocytes / Lymphocytes / BMH , etc.

b) Consult with the attending physician and resident staff as necessary

c) Determine risk of transfusion in: patients with complex serological problems and patients who require transfusion before routine serological testing can be completed. Provide consultation to attending physician and resident staff as indicated

d) Review initial workup of all transfusion reactions reported to blood centre.

e) Determine additional evaluation required and prepare a written interpretation for review and discussion with the in-charge blood bank and provide consultation to attending physician and resident staff as indicated

f) Provide initial evaluation of patients who are candidates for therapeutic apheresis. This includes: review of patients problems; prepare initial draft of consultation report and review with the consultant transfusion medicine to select appropriate patients for therapeutic apheresis; determine the apheresis protocol to be used; determine methods to be used for evaluating patients response to therapeutic apheresis

g) Obtain informed consent for therapeutic apheresis from patients

h) Schedule therapeutic apheresis procedure with apheresis personnel/company engineer

i) Complete therapeutic apheresis worksheets and write the detailed order for the apheresis procedure

j) Evaluate patient pre procedure and document procedure / SOP note

k) Evaluate and manage patient reaction during therapeutic apheresis

l) Monitor and evaluate patient response to therapeutic apheresis

m) Participate in Hemovigilance program of India

• Biosafet6y and Infection Control

a) Ensure universal precautions to be followed consistently by all the staff of blood bank

b) Ensure infection control practices including BMW management