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Your browser does not have javascript enabled. As a result some functionality is not enabled for your visit. You are still able to complete and submit the survey so please feel free to do so.

Welcome to our Online Hospital Blood Bank Survey!

Help on accessing alternative formats, such as PDF, MP3 and WAV files, can be obtained in the alternate format help section.

Select the icon to download a PDF version Online Hospital Blood Bank Survey.

(PDF Version - 91 K)

This survey is meant for people who have a high level of knowledge about activities and oversight within their hospital blood bank.

You have until July 6, 2007 to complete the survey. A Consultation Report that includes findings from both the Online Workbook and Online Survey will then be drafted and posted to this website.

Your responses to this survey will help us to better understand Canada's blood system at a hospital and regional level, and will inform the further refinement of proposed regulatory requirements for specific blood related activities.

Please refer to the Glossary (also available in PDF format) to understand how Health Canada is defining the technical terms you find below. Although the survey is short, it need not be completed in one sitting - each section may be completed and submitted independently.

Before you begin, we need to know the name and location, including postal code, of the hospital you represent.

Hospital Name or Regional Health Authority:

Address:

Province:

Postal Code:

Section I - Accreditation, Standards and Quality Systems

Question 1 Does your hospital blood bank have an accreditation based on the National Standard, CAN/CSA-Z902-04 Blood and Blood Components?
Yes
No

Question 2 Does your hospital blood bank have an accreditation based on the Canadian Society of Transfusion Medicine standard?
Yes
No

Question 3 Does your hospital blood bank have an accreditation based on the American Association of Blood Banks standard?
Yes
No

Question 4 Has your hospital implemented, in whole or in part, the National Standard, CAN/CSA-Z902-04 Blood and Blood Components?
Yes, full implementation - If yes, skip to question 6.
Yes, partial implementation - If yes, skip to question 6.
No

Question 5 My hospital will implement the National Standard, CAN/CSA-Z902-04 Blood and Blood Components within months.

Question 6 Does your hospital have a quality system in place that applies to its blood bank?
Yes
No

Section II - Blood Collection Programs

Question 7 Do your hospital staff perform allogeneic collection of blood and blood components for transfusion?
Yes
No

Question 8 Do your hospital staff perform preoperative autologous collection (perioperative collection is not included) of blood and blood components for transfusion?
Yes
No - If no, skip to Question 14.

Question 9 Do your hospital staff test autologous units for transmissible diseases?
Yes
No

Question 10 Does Canadian Blood Services or Héma-Québec test (for transmissible diseases) autologous units collected in your hospital?
Yes
No

Question 11 Approximately how many units of blood are collected through your autologous blood program each year?
1-25
26-50
51-100
101-500
>500

Question 12 What percentage of units collected through your autologous blood program each year are discarded?
10%
11-25%
26-50%
51-75%
>75%

Question 13 Does your hospital have a quality system in place that applies to autologous donation?
Yes
No

Question 14 Do your hospital staff collect designated blood donations?
Yes
No - If no, skip to Question 17.

Question 15 Approximately how many patients each year go through your hospital's designated blood donation program?
1-5
6-10
11-15
16-25
>25

Question 16 Does your hospital have a quality system in place that applies to designated blood donation?
Yes
No

Question 17 Do your hospital staff collect directed blood donations?
Yes
No - If no, skip to Question 20.

Question 18 Approximately how many patients each year go through your hospital's directed blood donation program?
1-5
6-10
11-15
16-25
>25

Question 19 Does your hospital have a quality system in place that applies to directed blood donations?
Yes
No

Question 20 Do your hospital staff collect blood through a walking donor program?
Yes - If yes, skip to question 23.
No

Question 21 Did your hospital cancel a walking donor program in the past five years?
Yes
No - If no, skip to question 25

Question 22 Why did your hospital cancel its walking donor program?
No longer needed
Lack of funding
Lack of donors
Publication of National Standard CSA/CAN-Z902-04, Blood and Blood Components
Other, please specify

- Skip to question 25

Question 23 Approximately how many times in the past 5 years was your hospital's walking donor program used?
1-5
6-10
11-15
>15

Question 24 Does your hospital have a quality system in place that applies to its walking donor program?
Yes
No

Section III - Blood Distribution and Recall

Question 25 Does your hospital have an emergency release program, outside of the CBS program, for blood and blood components that have not been fully determined safe for transfusion?
Yes
No - If no, skip to Question 28

Question 26 Approximately how many times has your emergency release program been used in the past year?
1-5
6-10
11-15
16-25
>25

Question 27 Does your hospital have a quality system in place that applies to emergency release?
Yes
No

Question 28 Does your hospital distribute blood and blood components to another facility?
Yes
No

Question 29 Does your hospital have a recall system for blood and blood components that have been distributed?
Yes
No

Question 30 How rapidly can your hospital recall blood and blood components that have been distributed?
<30 minutes
<1 hour
1-4 hours
5-12 hours
>12 hours

Section IV - Blood Modification Activities

Question 31 Does your hospital carry out any of the following activities on blood received from Canadian Blood Services or Héma-Québec?

Irradiation
Yes
No

Washing
Yes
No

Pooling
Yes
No

Other, please specify
Yes
No

If no to all of these, skip to Question 33

Question 34 Does your hospital have a system for blood and blood components to ensure that errors and accidents are identified, investigated, evaluated and corrective actions taken when required?
Yes
No