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Surgeon used his own blood to save pregnanted woman under emergency. Hospital fined
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From September, 2004 to June, 2005, this hospital from picks the blood 6200 milliliters uses in clinically. Area sanitation bureau Bureau Chief Xie Zhi Gang in accepted when the author interview indicated, the Dongchuan area people hospital from picked the blood rescues the patient is reasonable illegal. This courtyard secretly picks the blood although is stems from rescues person’s good intentions, but violated the related stipulation actually is the undeniable fact, if because the hospital starting point were good, avoided the punishment, from now on on will possibly have the hospital rescues artificial takes the chance. " Moreover, if because transfuses blood causes the public health healthy question, who is responsible? This is the individual life and the public health conflict, although two is indifferent 孰轻孰重, after all latter is the social question." He thinks, for prevents this kind of matter once again occurs, hospital itself must strengthen management, with the blood center communication work, saves the blood insufficient question is easy to solve. Certainly 卫生行政 department also must strengthen supervising and managing. Hospital: Temporarily picks the blood is the helpless choice regarding this, Dongchuan area people hospital Chair Tan Zhong Neng explains, the hospital repeatedly temporary urgently will pick the blood also is must not later on for it. In September, 2004, after the Dongchuan area is legally abolished picks the blood bank, this area various medical establishments clinical unify with the blood by the Kunming blood center supplies. The Dongchuan area is apart from the Kunming 160 kilometers, draws blood back and forth needs 5 ~ 6 hours, possibly can delay some seriously injured patients’ urgent rescues. The Kunming town center blood bank blood source is insufficient, many times is unable the blood plasma which supplies this courtyard please buys. Moreover, plans inestimably with the blood, frequently appears lacks the blood phenomenon. According to " medical establishment clinical with blood policing method " (implementation) 19th, conforms to following 3 kind of situations, the medical establishment should urgently need the blood may the temporary gathering blood: (1) remote border district medical establishment and the locus does not have the blood bank (or central blood bank); (2) endangers the patient life, the urgent need blood transfusion, but other medical measures cannot substitute; (3) has alternately matches the blood and the fast diagnosis method examination second grade hepatitis virus surface antigen, the hepatitis C virus immune body, the AIDS (picture - news - homepage) the viral immune body condition, the medical establishment should urgently need the blood needs the temporary gathering blood. Chair Tan thinks they belong emergency pick the blood, " our motive and the objective effect all is good, I think the punishment was overweight." In view of the Yunnan Province health department said they secretly pick the blood illegal view, Chair Tan ask in reply: " Person’s life only has one time, in 救死 holds when the wound and the legal laws and regulations conflicts, you can choose which one?" Regarding the Dongchuan area people hospital with the blood tense question, saves the health department assistant investigation and study warm 绮 thinks has two reasons, one is is difficult to preserve, the end product blood only has one week the retention time, two is oneself picks the blood is cheap. Is opposite to the city blood center every 200 milliliters blood 210 Yuan, own picks only needs 70 Yuan. Blood center: Illegal picks the blood does not tell the author to patient safety Kunming blood center Li Quan Ze, various hospitals should each month submit to the respective blood bank with the blood plan, every day also must make an appointment. " The center basically all grants every request. Moreover, according to the national stipulation every 200 milliliters blood 210 Yuan prices, including the examination AIDS virus as well as each kind of hepatitis virus as well as 7 examinations expenses, but also has frozen saves as well as the cartage expense. But from examines needs 7 hours to the proof blood security time, was urgent illegally picks the blood not only violates the related legal laws and regulations, to safely used the blood patient’s life also to pose the huge threat.
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Some moderator please change the topic title to “use her own blood” thanks.
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“It was an emergency, It’s doctor’s obligation to save the patient,(literal translation: save the dying and help the injured), I just did what a doctor should do. I had no idea I was to be informed of breaking the law later” Dr Lu from gynecology and obstetrics department of People’s Hospital Dongchuan area Kunming Yunnan Province was at a loss.
June 8th, preganated woman Ruan Huailian had a massive womb hemorrhage after a Caesarean birth surgery and was in urgent need of blood transfusion. Hospital had no storage of type AB blood then. Hospital also failed to find voluntary blood donor. After Tan Zhongneng, chairman of Dongshan District People’s Hospital, getting permission from the leader of district health department, he agreed surgeon Lu Xinhua to donate 200mL of his own blood for free, which eventually saved Ruan Huailian. Ruan and her family was extremely affected(Literal translation: were grateful…forever) by Lu’s heroic effort. Hospital was ready to commend her but Dr Lu politely refused.
However, on Aug 15th, Hospital received an administrative penalty sentence from Provincial Health Department which stated the hospital had no license to collect blood and it broke the law to collect blood itself. and ordered hospital’s immediately reorganization and to pay a fine of 60 000 yuan ($7 500).
Surgeon donated blood to save patient, but hospital was fined. it caused quite a stir there. Ruan’s relatives said, “The purpose of collecting blood by hospital and surgeon is to save patient, not for money. If such heroic effort can’t get any commendation, but instead receives punishment, we very much doubt the rationality of such punishment.” Locals believe it was top priority to patient’s life, doctor has no time worry about things like that.
Health Department: Private collecting of blood by hospital breaks the law
Law enforcement official of Yuan Nan Provincial Health Department stated, this punishment wasn’t just for this case but for a series of illegal acts of collecting blood within a period. This hospital was charge of drawing, storing and distributing blood branch medical units and should had enough blood storage. But this hospital collected blood privately for emergency use various times. this showed there were administrative problems within the hospital. According to PRC blood donation law, illegal collection of blood should be stopped by administrative health department of People’s Goverment above county level, with illegal incomes confiscated and can be fined for 100 000 yuan at the most. Considering the hospital was saving the patient, this was a minor punishment.
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According to notifications from provincial health department, Dong Shan District People’s Hospital had performed emergency blood collection for 7 patients with massive hemorrhage with 2 cases not reported to District health administrative department to be filed. From Sep 2004 to June 2005, this hospital had collected 6200mL of blood for clinical use.
Chief of District Health Department told reporter, Collecting blood by Dong Shan District People’s Hospital is a rational but illegal act. Although the hospital collected blood with the good will of saving lives, the fact it broke law is undisputed. if it could get away without being punished just because it had the good will, some one will take his chance in the name of saving lives" “what is more if there are publish health problems because of blood transfusion, who will be responsible. This is a conflict between personal life and public health. though neither is more important than the other, the later(public health) is a social problem.” he believes "To prevent further occurances, hospital should improve its own organization, and has more communication with blood banks so that it would be easier to solve the problem of lacking blood storage. also health administrative department should strengthen supervision and management.
Hospital: hospital was forced to collect blood under emergency privately
Chairman of Dong Shan District Poeple’s Hospital explained, hospital was forced to collect blood under emergency privately. Sep 2004, blood bank of Dong Shan District was removed by law. all clinical use of blood in this district was provided by Kunming Central Blood Bank. The distance between Kun Shan and Kunming was 160km and it took 5-6h to fetch blood which might well delay the rescue of urgent patients. Kunming Central Blood lacked blood storage and had failed to provide needed blood to the hospital multiple times, further more it was difficult to estimate the amount of required blood and resulted in not enough blood.
According to *Administration of clinical use of blood by medical institutions *(implementation) 19, medical institutions can collect blood privately for emergency use under 3 conditions: 1) Institution lies in a remote place and has blood banks(or central blood banks) nearby; 2) Patient is in danger and there’s no substitution method to save him/her 3) Hospital has the ability to match the blood and check for Hepatitis B, C and AIDS. Tan believes they were collecting blood legally under this law. “We have the right motive and the right result, it’s an overly harsh punishment”
In reply to the conviction of illegal private collection of blood by Yunnan by Provincial Health Department, Tan refuted, “Everyone has only one life, if you have to choose between saving lives and law, which would you choose?”
On the problem of the lack of blood storage of Dong Shan District People’s Hospital, Wen Qi, assistant investigator of provincial health department, said there were 2 reasons for this, one is the difficulty for preserving the blood, product blood could only be kept for a week. The other is the low cost of private collection. compared with the cost of 200 yuan($25) for every 210ml of blood of fetching blood from blood banks, the cost of private collection was 70 yuan ($8.75)
Blood center: illegal collection of blood is unsafe to patients
Li Quan from Kunming central blood bank told reporter, hospitals will tell the blood bank their monthly proposals of blood requirement also their daily appointment. "Blood center almost replies to every request. the price of 200 yuan for 210 ml of blood was set by country’s ruling which includes the cost of checking hepatitis and AIDS virus together with the cost of freezing and transportation fees. it took 7 hours to make sure the blood was safe to use. illegal emergency blood collection posed a great threat to patients’ lives
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