IHBT (Immuno Haematology Blood Transfusion)

About the Specialty

Uniting Expertise at MGMCH's Department of Immunohaematology and Blood Transfusion with excellence.

ihbt-about

The Department of Immunohaematology and Blood Transfusion at MGMCH is a dedicated department for blood transfusion. The experts here are proficient in treating human illnesses with blood and blood components in an appropriate manner.

With a state-of-the-art facility to offer blood transfusion services, our team aims to provide the most comprehensive patient care.

We have strict adherence to quality control when it comes to all stages of donor selection, donor room protocols, blood screening and processing, and serological procedures for blood grouping and typing.

HOD Message

HOD Massege

Dr. Rachna Narain

Professor & Head

Department of IHBT ( Transfusion Medicine )

To inculcate the values of Gandhian philosophy for human service and benevolence among the students as they are inspired for the activities like blood donation, platelet donation, plasma donation and advanced therapeutic care in life threatening conditions. Mission of our Department is to be Centre of excellence for blood transfusion services by providing safest possible clinical application that ensures the highest quality product and services, operating efficiencies, innovation and values the highest ethical, medical, and scientific standards, compassion, respect, integrity, and caring for all people, including the donor satisfaction and improved patient care , and the acquisition, sharing, and application of knowledge, thus fostering a corporate and civic culture to continually earn and maintain public trust.

To lead the fields of transfusion medicine by adopting the most advancing technology and provide a ray of hope for the future by teaching the medical leaders of tomorrow.

Specialty Clinics

Immunohaematology

Immunohaematology at MGMCH is a branch of haematology that focuses on studying blood groups, antibodies, and antigens. It plays a crucial role in blood transfusions, organ transplants, and managing hemolytic diseases, ensuring compatibility and safe transfusions for medical interventions.

Blood Screening and Processing

Blood screening and processing involve analysing a blood sample for various health markers, such as blood type and infectious diseases. After collection, the blood undergoes centrifugation to separate components like plasma and cells. These processes ensure the safety of blood products for transfusions and aid in diagnosing and monitoring medical conditions.

Blood Donation

Blood donation is a voluntary act of giving blood, typically collected from a donor's arm through a sterile needle. This life-saving contribution provides vital components like red cells, plasma, and platelets to treat various medical conditions, surgeries, and emergencies, supporting patients in need of transfusions or specialized medical treatments.

Blood Transfusion

Blood transfusion is a medical procedure involving the transfer of blood or blood components from a donor to a recipient. It is done to treat various medical conditions, such as anaemia, surgery, or trauma, by replenishing blood components like red blood cells, plasma, or platelets to restore or improve the patient's health.

Core Competencies

Patient Care

Our dedicated team recognises the paramount importance of empathy and precision in fulfilling their roles as healthcare professionals. Committed to providing optimal treatment for health issues and promoting overall well-being, our team collaborates seamlessly to ensure the highest standards of patient care.

Medical Expertise

Our team members possess extensive knowledge in evolving biomedical, clinical, and related sciences. Leveraging this profound expertise, they meticulously tailor patient care strategies to achieve optimal outcomes.

Continuous Improvement

In our relentless pursuit of enhanced patient care, our experts thoroughly investigate and assess each case, striving to identify and implement the most effective treatment plans for the betterment of our patients.

Interpersonal and Communication Excellence

We prioritize the development of robust interpersonal and communication skills among all team members. Effective communication with patients, their families, and professional colleagues is a cornerstone of our approach to care, fostering a supportive and informed environment.

Professional Integrity

Guided by unwavering ethical principles, our treatment plans are firmly rooted in professionalism. We are dedicated to demonstrating sensitivity and respect to all our patients, upholding the highest standards of integrity in every aspect of our practice.

Holistic Healthcare Approach

Our responsive staff considers the broader healthcare context, efficiently utilising system resources to deliver high-quality care. We are unwaveringly committed to excellence in patient care within the larger framework of healthcare practices, ensuring a comprehensive and holistic approach to well-being.

Diagnostic and Clinical Services

Blood transfusion services is an integral part of medical therapy that can be life-saving in critical cases and has a key role in solid organ and stem cell transplant programs. As with any treatment, however, transfusion of blood or blood components must be ordered and administered safely and judiciously under the guidance of a medical doctor. Transfusion is more than a single discrete event—it is a process that begins from donor vein to recipient vein. The transfusion chain begins with donor considerations (whether their donation is safe for them to do and whether the donation is safe for any patient to receive).

Once blood is collected, the safety of the blood product is a main focus of activity (transfusion-transmitted testing, compatibility testing, necessary modifications such as irradiation or leukocyte reduction).

The endpoint of the transfusion process involves recipient considerations (proper identification of the unit and the patient, appropriateness of blood as the best treatment modality, administration of the unit, evaluation of the recipient), and safe disposal of unused or empty blood bags as per BMW policy. With the mission of “To provide best-in-class safe, secure, cost-effective, hassle-free supply of blood products and perform a critical role in clinical services to meet the needs of the healthcare community, patients, and our donors through advanced transfusion medicine,” the Blood Center, Mahatma Gandhi Medical College & Hospital (MGMCH) is providing world-class transfusion services. The Blood Center, MGMCH is the first NABH-accredited blood center and is ranked number one by the National Blood Transfusion Council among all medical college-based blood centers in the state of Rajasthan. It has the first state-of-the-art Transplant Immunology lab (NABL accredited) with facilities like Luminex, Flow Cytometer, Next-Generation Sequencing (NGS), and has received appreciation for ABOi renal transplants and cadaveric transplant HLA testing in the state of Rajasthan.

The Blood Center has most recent and advanced facilities including:

  • Hematopoietic stem cell harvesting
  • Granulocyte concentrate, lymphocyte collection
  • Leukodepleted blood products, blood irradiation, single donor platelets
  • NAT-tested blood products
  • Component modification for intrauterine transfusion
  • Thalassemia screening
  • Immunophenotyping and molecular testing for leukemia
  • Workup for autoimmune hemolytic anemia
  • Red cell antibody screening of all donors and recipients
  • Therapeutic procedures, i.e., therapeutic plasma exchange in life-threatening cases of Myasthenia Gravis, Guillain-Barré Syndrome, and double cascade plasmapheresis in ABO-incompatible renal transplants. We are actively participating in the Haemovigilance Program of India (HvPI), Ministry of Health and Family Welfare, Government of India, with a dedicated haemovigilance nurse.

The Blood Center, MGMCH, is among 21 institutes in India that participated in the clinical trial of COVID-19 Convalescent Plasma (CCP) therapy, the “PLACID trial” conducted by ICMR during the pandemic. This is the largest trial on CCP across the world, and we got the opportunity to serve patients by providing the maximum number of CCP units not only in Jaipur but also across the state.

We are proud to be the first NABH-accredited Blood Center in Rajasthan and achieved Association for the Advancement of Blood & Biotherapies(AABB) Quality Certificate first few in Asia. We established the first Transplant Immunology lab with Luminex and received an appreciation award for ABOi renal transplants in Rajasthan. First blood centre among medical college-based blood centre in Rajasthan, ranked by the National Blood Transfusion Council, Government of India. We offer all recent and advanced facilities, including stem cell harvesting, and we run a successful Haemovigilance Program with a dedicated haemovigilance nurse.

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Aims and Objectives

To provide best in class safe, secure and cost effective, hassle free supply of blood products and perform a critical service to meet the needs of the healthcare community, patients and our donors through advanced transfusion medicine practices.

To be Centre of excellence of Blood transfusion services by providing safest possible and clinical application that ensures the highest quality product and services, operating efficiencies, donor satisfaction and improved patient care.

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Milestones of Department

  • 2015: Transplant Immunology (HLA) Lab with Luminex facility
  • 2015: Flow Cytometry Lab
  • 2015: Intrauterine Transfusion
  • 2016: Double Cascade Plasmapheresis for ABOi Renal Transplant
  • 2016:Nucleic Acid Test (NAT) Lab
  • 2016: First among medical colleges based blood bank in Rajasthan ranking done by National Blood Transfusion Council (NBTC) Ministry of Health and Family Welfare Government of India
  • 2017: First Medical College based Blood Centre accredited by National Accreditation Board for Hospitals & Healthcare Providers (NABH).
  • 2018: First Transplant Immunology(HLA) Lab of the Rajasthan accredited by National Accreditation Board for Testing and Calibration Laboratories (NABL) accreditation
  • 2018: Starting of Flow Crossmatch for solid organ transplant
  • 2019: Starting of Hemovigilance Program of India
  • 2019: Next Generation Sequencing
  • 2020: PLACID Trial of Indian Council of Medical Research (ICMR)
  • 2020: License for Plasmapheresis, Peripheral Blood Stem Cell, Irradiation, Mono Nuclear Cell, Granulocyte Concentrate
  • 2021: Certificate for second cycle of NABH accreditation of Blood Centre
  • 2021: International Certification by American Association of Blood Bank(AABB)

Services

  • Only centre for Human Leukocyte Antigen (HLA) testing and crossmatching of diseased donor and solid organ recipient in Rajasthan
  • Safest possible blood/components by most advance automated testing
  • Therapeutic Plasma Exchange
  • Double Cascade Plasmapheresis for ABO incompatible Solid organ transplant
  • Intrauterine transfusion
  • Granulocyte concentrates
  • Hematopoietic Peripheral Blood Stem cell
  • Irradiated Blood Products
  • Leukodepleted Blood Products
  • Advance immunohematology lab
  • Nucleic Acid Test (NAT) for detection of transfusion transmitted infections in window period
  • Luminex based testing in Transplant Immunology (HLA)Lab
  • Flowcytometry Lab for Immunophenotyping, T & B Cell crossmatch for solid organ transplant
  • Next Generation Sequencing (NGS) Lab for high resolution typing and molecular testing
  • Haemovigilance for effective monitoring of transfusion practices.

Facilities

One of the unique Department of the country providing maximum number of services in reference to transfusion services and transplant testing under one roof. One of the biggest Department of the State in terms of area (~23,000 sq ft).

  • Research lab with all latest equipment
  • Transplant Immunology lab equipped with inverted microscope
  • LUMINEX platform
  • Next Generation Sequence
  • Flow Cytometer
  • Library with most recent
  • Archived Books
  • Recent Standards
  • Indian Pharmacopeia and National and International Journals
  • Internet and Wi-Fi facility for all the students and staff
  • Seminar room with well equipped with most modern smart class facility

Our Associated Doctors

FAQs

Donating blood is a safe process, Needles and bags used to collect blood are used only once and then discarded, making spread of infection to the donor impossible.

Most reasons, for which donors are turned away from donating blood, are temporary, not permanent, for example, one common reason for deferral is low hemoglobin level in the blood, but hemoglobin levels fluctuate and are affected by what we eat. Check the screening criteria to see if you may be eligible to donate. A "miniphysical examination" is given to all potential donors to ensure they are healthy enough to donate.

Regulations allow to donate whole blood once every 3 months. The waiting period between donations can be different for other blood components. For example, donating only platelets in a process called apheresis requires only a 3 day wait before a person can donate again.

You must be in good health, in age group 18 to 65 years and weight at least 45 kg. You will also need to pass physical and health history reviews prior to donation. Conditions that require a temporary deferral are pregnancy, hospitalization or surgery in near past, vaccinations, some health conditions and certain medications, final eligibility is determined by medical professionals at the time of donation.

Yes. The health history will be conducted by a trained professional in an individual booth arranged to preserve confidentially. Your answers will be kept confidential. If your blood tests positive to any of the administered standard tests, you will receive confidential notification or phone call. We maintain strict confidentiality of all blood donor records.

While you may be unable to donate blood, there are other ways you can help. You can help recruit other suitable donors or volunteers and help make donors'

You'll need a good night's sleep the night before, and a good breakfast or lunch before your donation. Drink fluids like juice, milk, or soda a ahead of time. Take your normal medications as prescribed. Ensure you have adequate iron level by making iron-rich foods part of your/daily diet. These include red meat, poultry, fish, green leafy vegetables, iron-fortified cereals, nuts, raisins and prunes. During your donation, relax. After your donation, have some juice and sandwitch in the refreshment area. Then you can go about your daily activities, but avoid heavy weight lifting or strenuous exercise for the remainder of the day.

The whole process takes about 60 min. It starts with registration, a health history and a mini-physical examination. Then the actual donation process starts, which usually takes less than 10-12 minutes. Afterward, you will be asked to spend a few minutes in the "Refreshment Area" where you are offered light snack before returning to your normal activities.

A blood donation equals approximately 450ml of blood. The average adult body has 4-6 litre. The vast majority of people will not feel any different because of the donation. A very small percentage may experience temporary dizziness, but some rest and fluids will help you feel better quickly. Your body will replace the lost fluid within 24 hours.

Each blood donation is assigned a unique number, which will identify it throughout its path from the donor to the hospital patient. Immediately after the blood donation, the blood is placed in transport containers designed to keep it at a safe temperature until it reaches our component laboratory. Samples of the blood donation are simultaneously sent to the testing laboratories to be tested for transmissible diseases. In the component lab, the blood is separated into its components: red blood cells, platelets and plasma. The products are then placed in quarantined, temperature-controlled refrigeration units until the test results are received (usually 24-48 hours later) and the blood is then either used for patient or destroyed, depending upon test results. From here the blood is transported to wards/OT based on patient need. Hospital personnel then transfuse the blood or blood products to a patient in need.

Red blood cell transfusions are critical for many patients who have suffered a traumatic injury, have anemia or have undergone surgery. Platelets help patients with blood disorders, such as leukemia and aplastic anemia. They help stop bleeding. Fresh frozen plasma increases the level of clotting factors to help control bleeding.

Yes, family members and friends can make directed donation but it takes longer time to process it as compared with the tested blood in the blood bank inventory donated by replacement or volunteer donor.

 

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