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    • Bodine van Wingerden

      Revised: ISBT Code of Ethics   09/12/2017

      ISBT is pleased to announce the revision of the ISBT Code of Ethics; one of the Societies most important documents. In December 2013 the ISBT Board endorsed a recommendation to revise the Code. The Standing committee on Ethics chaired by Dr Peter Flanagan has worked since 2014 to review and revise the old Code. ISBT members were given opportunities to comment during the review process. The new version of the Code was accepted by the ISBT membership on June 20, 2017 during the General Assembly at the 27th congress of the ISBT in Copenhagen. ISBT considers that the new code keeps the same philosophy as the old code but the new code is more useable, meaningful and appropriate. The new Code of Ethics has been translated into six different languages for the convenience of our international members. Please find an English, French, Spanish, Russian, Chinese, and Arabic version of the Code of Ethics on the ISBT website. The most important changes made to the Code of Ethics are; To lengthen the code to include an introductory paragraph to set the scene and construct the specific principles that constitute the code. The introduction of a stewardship section which contains a series of statements which are mainly directed at health authorities and policy makers who set overall standards for blood service provision. The concept of stewardship is based on concepts identified in the Nuffield Council on Bioethics report on ‘Human bodies: Donation for medicine and research. Individual statements aligned to a series of ethical principles. This aims to provide clarity on why the principles are important. A series of footnotes are provided to give information on the source underpinning the statements. The use of the terms ‘must’ and ‘should’ to identify a statement as mandatory or as an objective, were carefully reviewed and considered. The term must identifies something as mandatory. Relocation of certain principles, for example the principle that blood is a public resource and that access should not be restricted is now positioned in the Stewardship section of the code. For any queries about the new Code of Ethics please contact ISBT Central Office.
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Judith Chapman

Titles and qualifications

Question

ISBT is considering a new class of membership and therefore I am exploring two questions:-

1) What qualifications are required in your laboratory or country in order for you to be able to crossmatch blood for patients unsupervised?

2) What is the job title in your laboratory or country of someone who carries out unsupervised blood grouping, antibody screening and crossmatching?  For example in the UK you would be a called a medical laboratory scientist.

Your responses will really help the ISBT Board in their discussion on ISBT membership classes.  Thank you!

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In Norway:

1) You need official acknowledgement as a bioengineer (Norwegian: Bioingeniør), and to learn, sign and follow instructions in the local blood bank. Alternative: MD, specialist of immunology and transfusion medicine.

2) Bioengineer (Norwegian: Bioingeniør).

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Denmark

1) Like Norway it is done by bio technicians (a 3-4 year education) (in Danish bioanalytiker). The education covers many laboratory specialities, so blood group serology incl crossmatch is learned or updated during the first months of the job.

2) Job title is: Bioanalytiker (bio technician would be my attempt as translation) 

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In Indonesia

1. The crossmatch and antibody blood screening is done by blood technician (before 2016 was 1 year education, but now the education is changed to become 3 year education). The education covers donor recruitment and selection, blood collection, processing, testing (blood serology, antibody screening and TTIs testing), storage and distribution. The refreshing training is also done regularly for each topic.

2. Blood Technician.

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In India, at our center blood bank technicians after passing 2-3 years Medical Laboratory Technician course and  having 2-3 years of  working experience in immunohematology are allowed to work independently for antibody screening and Rh Phenotyping but cross matching are done even by staff with lesser experience. Designations are given as Blood Bank technicians, Senior Technicians, Assistant technical Supervisor, technical Supervisor and Chief technical officer. 

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Thanks for breaking the ice.

1. In Bangladesh, blood grouping, screening of donors blood, cross matching and sometimes donor selection is done medical technologist (lab). They study for 3/4 years coarse as diploma in medical technology in different organisations. After diploma coarse they can go for bachelors or masters coarse. 

 2. Job title- MT(LAB) [Medical Technologist (Lab)]. Blood grouping and cross matching they can done without supervision. But antibody screening is done by graduated doctors/ specialist in transfusion medicine.                        

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Guest   
Guest

In our blood bank in Alexandria university blood bank Egypt primary blood group for blood bags are done and approved by laboratory doctors in immunohaematology lab then in the release lab laboratory technologist do a recheck for the blood group and do the cross matching for blood bags

 

Edited by Nada

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Ademola   

In Nigeria, these job description belongs to Medical Laboratory Technologist (MLT)/Medical Laboratory Scientists (MLS) under the leadership of Laboratory Physician/Pathologist/TM specialist, who directs the lab as the case may be. MLT undergo a diploma training, while MLS have a B Sc degree.

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Some responses given by our followers on LinkedIn:

Taiwo Ukashah Oloko 
1.Medical Laboratory Scientist 2.Medical Laboratory Scientist

Yamama Tamim 
Hello, in yhe province of Québec in Canada, you should have succeeded the college diploma in "Technolgies d'analyses biomédicales" and be a member of the "Ordre professionnel des technologistes médicaux du Québec". The title would than be"medical laboratory technologist". Need any more info, send me a Linkedin message pls.

Oladapo Asiyanbi 
1.Medical Laboratory Scientist 2. Medical Laboratory Technicians 3. Pathologists 4. Fellow Postgraduate West Africa College in Laboratory Medicine (FWACP.Lab) 4. Fellow Postgraduate National College in Laboratory Medicine (FNCP. Lab) 5. Fellow Postgraduate West Africa College in Heamatology (FWAP.H) 6. Fellow Postgraduate National College in Heamatology (FNMC.H)

Marie Kobayashi, CG, MB(ASCP) 
You could also be a CLS (Clinical Laboratory Scientist).

Dr Munira Borhany 
Medical laboratory technician Medical laboratory Scientists Post graduate Fellowship in Haematology and Blood Bank. Pathologists

Dr'Soumya Das 
In India... It is Medical laboratory technologists....

Gopal Sharma 
if a person is passed 10+2 with science he can do DMLT and he is able to do cross match blood for patients under supervision of pathologist, but if he is BACHELOR of medical lab. technology he become medical lab. technologist and as per drug and cosmetic act 1940 he is able to do unsupervised blood grouping, antibody screening and cross matching.but final signature by blood bank medical officer.

Deepak Kumar
I think blood bank technical supervisor has to right to report signing . MSC Biochemist has signing right in biochemistry report . ISBT should think up gradation of technician and technical supevisor.

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Hi Judith

In Iran , pre-transfusion testes including blood grouping, allo-antibody screening , cross matching and direct and indirect coombs are done by medical laboratory scientist (MLS) with 4 years education in Medical Universities  or medical laboratory technician (MLT) with 2.5 years education (however students for MLT degree  level is not admitted by Medical Universities for last several years) and sometimes they have to precipitate to short-time special training program. 

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