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It is mandatory that serious transfusion hazards and incidents must be recognised, managed and reported to either SHOT (Serious Hazards of Transfusion); and/or SABRE (Serious Adverse Blood Reactions and Events). All blood transfusion related incidents, including serious transfusion reactions, must be reported using the Trust Clinical Incident process. In addition Blood Bank must be notified immediately by telephone so that appropriate investigation can be undertaken which may include the immediate withdrawal of issued components. The Hospital Transfusion Team will generate a report for SHOT and SABRE, and the matter will be reported to the Hospital Transfusion Committee. All transfusion reactions will be investigated by the laboratory.

UHB, Department of Laboratory Haematology (Including Transfusion), Blood Bank

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Blood for Surgery

Cross-matched blood for patients undergoing surgery will be automatically de-reserved between 08.00 and 09.00 two days following the stated date required and the blood returned to bank stock. If the operation is delayed, or if you wish to transfuse after this time, then you must telephone the Blood Bank so that the blood will continue to be reserved for your patient. Platelets, Fresh Frozen Plasma and Cryoprecipitate will be automatically de-reserved between 08.00 and 09.00 on the day following the date required.

Blood for Anaemia

Cross-matched blood will be held for a maximum of 48 hours after the stated time required or first unit transfused. The patient may have formed antibodies during this time and it is therefore unsafe to transfuse the remainder of the cross-matched blood. If further transfusion is required, please send a fresh blood sample and transfusion request.

UHB, Department of Laboratory Haematology (Including Transfusion), Blood Bank

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Blood Bank Issue room and Satellite Blood Issue Fridges for storage of blood are situated at:

Location/ Department

Door number

Blood bank

Level -1: A/-1/CLS/C5a

WCCA

level 2: A/2/CC/160

Cardiac Theatre 

Level 2: A/2/TH/158

Main Theatres

Level 2: A/2/STR/20A

Ambulatory Care

Level 0: A/0/AC/130

Emergency Department

Level 1: A/1/AE/7

Interventional Radiology

Interventional Radiology Department
Centre for Clinical Haematology (CCH) Centre for Clinical Haematology Department (CCH)

Queen Elizabeth Hospital

The main issue area in the QEHB is secure at all times and will require a Trust identity card for access.

Collection of Blood or Components

This procedure of collection of platelets and FFP is the same as blood. The only difference is the storage and transport temperature. The full procedure is discussed in the Transfusion Policy (available on the Trust Intranet). Only those trained and assessed as competent in the procedure can collect blood and blood components. The procedure is also prominently displayed in the blood bank issue areas. Only one unit of blood can be collected at a time. Exceptions are generally associated with emergencies in theatres, Critical Care Units or Accident and Emergency. When components of different types are collected at the same time they should be carried in separately.

UHB, Department of Laboratory Haematology (Including Transfusion), Blood Bank

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All unused blood/components must be returned to Blood Bank with the form Authority For Return of Unused Blood/ Blood Components. Please complete all patient details on the form. Return Blood/FFP to drawer marked ‘returned blood’ in Issue Blood Bank fridge. If cryoprecipitate or platelets are to be returned, contact Blood Bank. If blood/FFP was not stored at 4o (+/- 2o) for longer than 30 minutes, the Blood Bank on 13297 or bleep 1376, must be contacted.

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Prothrombin complex concentrate (Beriplex)

Available from the emergency pharmacy fridges at QEH. Guidelines for use are on the hospital intranet under P (Prothrombin complex concentrate)

See Guidelines on trust intranet for the use of Prothrombin Complex Concentrate (Beriplex) in life-threatening haemorrhage in patients on warfarin or acquired deficiency of vitamin K dependant clotting factors.

Albumin

Obtained from Pharmacy

Activated factor VII - rFVIIa (Novoseven)

Available from emergency pharmacy fridges at QEH.

Guidelines for use are on the hospital intranet for the use of recombinant activated factor VII (NOVOSEVEN) in life-threatening uncontrolled haemorrhage.

Anti D

Obtained from the Women’s Unit after consultation with Haematology Medical staff

If unsure discuss the use of these products with Blood Bank or Haematology medical staff.

UHB, Department of Laboratory Haematology (Including Transfusion), Blood Bank

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Location of Laboratories

Where the laboratories are located and information about the services offered at each laboratory

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Copyright UHB Pathology 2025

Protection of Personal Information – Pathology Laboratories Services comply with the Trust Data Protection Policy and have procedures in place to allow the Directorate and it’s employees to comply with the Data Protection Act 1998 and associated best practice and guidance.

The laboratories at Queen Elizabeth Hospital, Heartlands Hospital, Good Hope Hospital and Solihull Hospital form part of the services provided by University Hospitals Birmingham and are UKAS (United Kingdom Accreditation Service) accredited to the ISO 15189:2012 standard. Laboratories are currently transitioning across to ISO 15189:2022 standard. For a list of accredited tests and other information please visit the UKAS website using the following link: https://www.ukas.com/find-an-organisation/ 

  • Molecular Pathology is a UKAS accredited medical laboratory No. 8759
  • Biochemistry is a UKAS accredited medical laboratory No. 8910
  • Haematology and Transfusion is a UKAS accredited medical laboratory No. 8784
  • Clinical Microbiology is a UKAS accredited medical laboratory No. 8760
  • Cellular Pathology is a UKAS accredited medical laboratory No. 10141
  • United Kingdom Health Security Agency laboratory is a UKAS accredited medical laboratory No.8213

Tests not appearing on the UKAS Schedule of Accreditation currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.

For further test information, please visit the test database: https://qehbpathology.uk/test-database 

For further information contact Louise Fallon, Quality Manager, 0121 371 5962/ 0121 424 1235