BCM - Programs of Blood and Plasma Collection

 

Note: compare with the implementation of this task in the 'Blood Center Manager Assistant' software

Select Manager/Adjustment/Rules description/Programs of Product Collection in the Main Menu.

First of all, enter the Program Name and select the type of Product to be collected – Whole Blood or Plasma. Following is an explanation of the rest information, presented at the screen.

USE THIS PROGRAM for First Time New Donors – press Key ‘Y’ or ‘N’.

NOTE: BCM supports up to 99 Programs of Product Collection and if your Center collects both Whole Blood and Plasma, you'll have to describe two Primary Programs (for First Time New Donors) for each Product type. It makes easier to control New Donor by Center staff if First Time New Donors served accordingly to the rules of a Primary Program. But you are not limited to perform a Primary Program at the very first Donation in special cases. For example, you know for sure that New Donor in your Center switched from another Center, and already qualified as a Special Donor for some Product. In this case you do not need to check his Product Quality with a Primary Program and can put him/her to the Special Program at the very first Donation at your Center.

Max. Weight per year – if the Center SOP limiting the amount of Product can be drawn annually by this Program, calculate weight in grams and type in this field. Type 99999 if no limit prescribed.

NOTE: BCM automatically recalculates weight into volume, accordingly to prescribed conversion coefficient.

INFREQUENT Donors donate by this Program – press Key ‘Y’ or ‘N’. This parameter is helpful to control Donor Activity to prevent donations of irregular category of Donor. Infrequent Donors are sent from the Registry to QC with a corresponding message if this parameter is ‘No’.

FREQUENT if more than 1 donation per ... weeks – BCM defines Donor as INFREQUENT (irregular) if there was no Donation in the period prescribed by this parameter.

Back Up Source Material – non-modified list to select Plasma, Whole Blood, Serum or Urine.

WEIGHT RESTRICTIONS are separated in two categories – for Automatic and Manual Product Collection. Each category has 3 groups of Donor Weight (LOW, MIDDLE and HIGH) to adjust in accordance with Center SOP and defines Product Weight depending on Donor Weight.

NOTE:  Manual collection (Blood). Weight in the case of Plasma Manual Collection is the weight of each Bag of Whole Blood collected. For example, if Donor Weight is in the MIDDLE group and you collect Whole Blood in 2 Blood Bags – each of them must weight --- grams. Product Weight in another case means Final Product Weight collected.

Action if product runs out of the expiration period - choose ‘Nothing’ or ‘Change Label to’ to open the list of Product Labels. Select <ADD> and type the name of a new appropriate Label, if needed.

Product Expiration and Storing Temperature

Next figure shows how to modify the list of BCM Actions if OUT OF STORE TEMPERATURE range.

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Press Key ALT+A to add a string into the list. The screen OUT OF STORE TEMPERATURE will be activated. Define the Label text, applicable to the action. You can delete any string from this list later by pressing Key ALT+D. Each selected Label can be modified if the ENTER is pressed.

NOTE: pay attention to the areas PHYSICIAN CHECKS DONOR, TESTS OF PRODUCT BY THIS PROGRAM and GENERAL DONOR TEST, where left column of adjustments (Frequent Donors) disabled for modification. This is because the picture describes a Primary Program, and all donors on this Program are Infrequent by definition. The same occurs if INFREQUENT Donors donate by this Program marked as ‘No’. BCM examines Donor activity each visit and performs specific TESTS OF PRODUCT BY THIS PROGRAM if Donor Activity changed and different Product Tests Sets prescribed for Frequent and Infrequent Donors.

Software Automatic Actions by Product Test Results

Now let describe BCM reaction for TESTS OF PRODUCT BY THIS PROGRAM. There is only one test on the list in the figure, but all Tests must be defined in the Center as required for different Products. You may select any Tests and bind them as a Set to any Program.

Press Key ENTER on the line ABO GROUP to activate the next screen:

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Assign BCM actions for each Key Symbol, defined in the General Test Description. There is quite friendly user interface – each time ENTER pressed in the Key Symbol List, the cursor will jump to the Reactions List. Select reaction and press the ENTER – cursor moves back to the Key Symbol List, and so on to the end of the Key Symbol List. If Temporary Rejection selected, a field will be opened to adjust the period of time.

NOTE: Some Test Result Types can be a Symbol and a Number (see Manager/Adjustment/Rules description/Tests) and the Reaction List expands as shown in the figure. Reaction ### See NUMBER ### in this example means BCM presents a Numeric Test results if the Key Symbol Result is POSITIVE.

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Next, we have to define Test Frequency. At the figure above, the ABO GROUP test has to be  performed Only once. Additionally, you need to define how long is possible to wait for Test Result and what to do if no Result in prescribed period. The next picture shows this adjustment.

NOTE: pay attention to the reaction Wait for results. In this case Donations prohibited till BCM gets this Test result. An important choice of BCM action is Refer to QC. In this case, Selected QC staff makes decisions about current donation possibility. Detail information about absence of expected Tests Results appears automatically.

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Now let’s define BCM actions, related to Donor Product if Donor rejected.

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In the case of an ABO GROUP Donor, we'll probably select Nothing. But some other Tests may need, for example, Automatic Look Back. If you select, for example, Re-label THIS, ALL NEXT & PREVIOUS from first NON REACTIVE, the next field will appear to adjust look back period. Additionally you have to select or add a New label.

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Sometimes you need to notify a Donor of a problem with some test. Mark Send Donor Notification Letter and it will be prepared automatically. Press Key <Ok> to save and return to the previous screen. You can see the ABO GROUP test marked, which means it is already bound to the Program.

NOTE: push button <Turn test OFF> (previous picture)any time you want to unbind some Test(s) from the Program.

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Questionnaire Assigned

The last to define is GENERAL DONOR TESTS and QUESTIONNAIRE, applicable to this Program. Use Key SPACEBAR to toggle mark in the list of  General Donor Tests. Press Key ENTER to select Questionnaire. To make all modifications permanent, push button <Save>. But you can Edit or Add New Program in the future.

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To return to the Main Menu, Push button <Exit>.

NOTE: to speed up process this dialog initally developed by other programmer, but redesigned by me later, because of bugs