Blood collection management in romanian transfusion network; current and perspective features

Abstract

The presentation of blood collection management in Romania, is structured in 4 parts: the first part is devoted to general presentation of organization of National Network, with afferent legislation and regulations; the second one displays certain social-economic and demographic data, such as ageing/gender, gross domestic product, and unemployment rate, aiming to have a general view about Romanian historical, current and forecasted data, each of them being partly involved in future national strategy in transfusion field. The third part refers to certain interconditioned situations, which fingerprint the national policy regarding quality system in transfusion field, represented by: -general population evolution in terms of impact upon donors' poolhaving as references: the total number of donations, and donations/1000 inhabitantshistorical data and forecast for the next 6 years; -an approach of identification of the most reliable and safer potential blood donors' groups, by displaying the evolution of first time donations, according to period of time, number, age, gender; -"meet of demand" with explanation of the existing huge gap; -the complexity of specific activity in collection/processing, refering to: number of collected units/separation rate of total blood, and number of platelets apheresis procedures, and testing regarding the total number of laboratory tests, aiming the maximum security for transfusion therapy; -taken into account the evolution of medical staff, at to both levels: national and transfusion network, with obvious evidence of undersized in number and overloaded in job description. Based on the above objective parameters, and on EC missions conclusions, with the interest of drawing the future policies in transfusion field, the fourth part presents a questionnaire designed for fraiming each blood establishment, regarding blood donation promotion, and blood donors recruitment, operational marketing in blood donation process, blood supply management, and blood collection activity; the answers were interpreted according to a predetermined evaluation scale about strategies: short-, medium-and long term /degrees of priority, and actions: presence, number and efficiency. Further, were selected and displayed part of the answers to above mentioned criteria, with concurrent SWOT analyse, and afferent codification for future national policy. Some pertinent conclusions arose, about the correlation of human resources (number and training) with: acquisition of modern equipment, use of an unique computerized soft for recruitment and retention activities, and hemovigillance purpose, standardized reporting system, authorized vehicles for mobile collections, and renovation and modernization of the infrastructures, all of these based on performance criteria/blood collection management, thus security requirement and satisfaction of the medical staff (prehospital and hospital), blood donors and recipients, being fulfilled, as major objective of national policy.