SIMT UOC

The SIMT UOC (Transfusion Immunohematology Service), belonging to the Diagnostic and Pharmaceutical Assistance Department, cooperates with the SIMT UOS of Cassino and the S.T. of the PO of Sora, carrying out blood and blood component collection activities, including self-donation, in order to ensure the transfusion support of blood components and blood products to the Operating Units of the public and affiliated hospital facilities present in the territory and to contribute to regional self-sufficiency.

The activity is aimed at promoting blood donation, through the training and information of citizens (with particular attention to the world of schools) on donation and transfusion issues. Health surveillance is also carried out on blood donors as required by current legislation.

Finally, specific programmes for patients suffering from blood diseases that require diagnostic services and outpatient therapeutic interventions are carried out in the outpatient clinics of the POs of Frosinone, Cassino and Sora.

The following are guaranteed:

• transfusion therapy;
• blood therapy;
• parenteral martial therapy;
• pre-deposit for self-donation;
• preparation/application of platelet gel.

In addition, the service is interested in the acceptance and management of Cord Blood (SCO) in collaboration with the UU.OO. of Company Obstetrics and Gynecology and the selection of bone marrow donors in collaboration with the ADMO.

PBM (Patient Blood Management) has been activated at all the Transfusion Structures of the Frosinone asl, as required by current legislation, in order to improve clinical outcomes and prevent avoidable transfusion.

Services / Activities provided

The services pertaining to the SIMT UOC (Immunohematology Transfusion Service) are as follows:

Blood components and PBM distribution laboratory

The service includes the following activities closely related to the clinical aspects of the transfusion process:

• acceptance and assessment of the appropriateness of requests for blood components for transfusion therapy for inpatients, outpatients and home patients;
• selection, assignment and delivery of blood components relating to accepted requests within time intervals dependent on the medical assessment of clinical urgency (from immediate delivery of universally compatible blood component units to delivery within 24 hours of accepting the request);
• distribution of blood components to other transfusion structures for intra-regional compensation;
• management of blood component stocks for the purpose of guaranteeing transfusion support under emergency-emergency conditions;
• hemovigilance understood as information management and reports relating to serious reactions or incidents related to transfusion for the purpose of implementing the safety of the transfusion practice;
• perioperative blood recovery: the Service performs autotransfusion procedures that allow the collection, washing and re-infusion of blood lost by patients during surgery, using fully automatic closed systems. It is active within 24 hours in order to support emergency-emergency surgery.

DH and Transfusion Medicine Clinic

Patients with non-acute pathologies can benefit from the following services on an outpatient basis:

• specialist visits to Transfusion Medicine;
• blood component transfusions;
• therapeutic salves;
• pre-deposit for self-donation;
• infusions of drugs for the treatment of chronic anaemias;
• donations of autologous blood for autotransfusion;
• preparation and supply of autologous blood components for topical use. The activity is aimed at inpatients, hospitalized in Day Hospital, by appointment and upon request of the Specialist Doctor.

Donation Room

Blood and blood components donation

This sector guarantees the maximum and scrupulous protection of the donor, in the strictest compliance with Italian and European laws, regulations and transfusion recommendations.

The donation procedure includes the phases of acceptance of the donor, the execution of pre-donation examinations, medical examination, evaluation of suitability for donation and the amount of blood or blood components to be taken that best suits the characteristics of the donor. Blood is drawn in a closed, sterile, disposable system.

During the donation, the donor is assisted by the medical and nursing staff of the SIMT who provides all the information requested, monitors the progress of the donation, observes the onset of adverse reactions.

After the donation, there is a rest phase on the donation chair and a refreshment phase with the intake of solid and liquid foods.

The average time required to complete the entire whole blood donation process is between 30 and 60 minutes, for the collection of plasma from apheresis it takes 60/90 minutes. Higher times can be determined by extraordinary inflows of donors for urgent-emergency situations. All Donors must present themselves with an identity document and health card/tax code.

Sange Collection for Self-Donation

Patients who are candidates for elective surgery and are at risk of transfusion support may donate their blood in the month prior to surgery, which will be stored at the Transfusion Service until needed.

The amount of blood that is collected is calculated based on the blood loss expected by the attending physician for the type of intervention planned.

The Transfusion Service Physician responsible for self-donation, defines the number of accesses necessary to collect the required amount of blood and provides clinical advice from the beginning to the end of the collection program.

Pre-deposited blood, possibly not transfused, is not usable for other patients.

The Service can also be accessed by patients residing in the provincial territory who must perform surgeries in other regional and extra-regional hospital facilities.

The self-donation program provides an average of 2 accesses over a period of 7 days. The time required for each self-donation procedure is approximately 30 minutes.

Immunohematology Laboratory

The Service performs tests suitable for the characterization of erythrocyte and platelet antigens (ABO/Rh blood groups, erythrocyte and platelet phenotypes), for the search and identification of allo and irregular anti-erythrocyte and platelet auto-antibodies. This analytical activity is the basis for the phenotypic characterization of patients and/or blood donors and blood components and constitutes the indispensable support for the following clinical activities:

• preoperative evaluation of patients who are candidates for surgery;
• transfusion therapy for inpatient, outpatient and home patients;
• diagnosis and treatment of autoimmune haemolytic anaemias;
• diagnosis and treatment of platelets;
• prevention and treatment of haemolytic disease of the newborn.

Response times are dependent on the type of analysis required as follows:

• erythrocyte immunohaematology analysis not related to blood transfusion (e.g. diagnostic determination of blood group): 24 hours;
• analysis of erythrocyte immunohaematology related to blood transfusion (e.g. determination of erythrocyte irregular antibodies): from 30 minutes to 2 hours in relation to the degree of therapeutic urgency;
• platelet immunohaematology analysis: 15 days.

Perioperative blood recovery

The Service performs autotransfusion procedures that allow the collection, washing and re-infusion of blood lost by patients during surgery and/or in the hours following surgery, using fully automatic closed systems. It is active within 24 hours in order to support emergency-emergency surgery.

Donor control and haemovigilance

Hemovigilance is the system of procedures aimed at the detection and monitoring of serious reactions and serious adverse events related to the transfusion process and also includes the surveillance of transfusion-communicable infectious diseases. Therefore, this service performs:

• epidemiological surveillance of donors;
• serious unwanted reactions from donors;
• serious undesirable effects on recipients and transfusion errors;
• serious accidents.

P.O. Transfusion Structure of Sora

At this facility, blood collection activities are carried out, including self-donation and specific programs for patients with blood diseases who need diagnostic services and outpatient therapeutic interventions. The following services are guaranteed at the Outpatient Clinic:

• transfusion therapy;
• blood therapy;
• parenteral martial therapy;
• predeposit for self-donation.

Transfusion Medicine Outpatient Clinic

Patients with non-acute pathologies can benefit from the following services on an outpatient basis:

• specialist visits to Transfusion Medicine;
• blood component transfusions;
• therapeutic salves;
• infusions of drugs for the treatment of chronic anaemias;
• donations of autologous blood for autotransfusion.

Blood components distribution laboratory

The service includes the following activities closely related to the clinical aspects of the transfusion process:

• acceptance and assessment of the appropriateness of requests for blood components for transfusion therapy for inpatients, outpatients and home patients;
• selection, assignment and delivery of blood components relating to accepted requests within time intervals dependent on the medical assessment of clinical urgency (from immediate delivery of universally compatible blood component units to delivery within 24 hours of accepting the request);
• management of blood component stocks for the purpose of guaranteeing transfusion support in emergency-emergency conditions.

Blood and blood components donation

This sector guarantees the maximum and scrupulous protection of the donor, in the strictest compliance with Italian and European laws, regulations and transfusion recommendations.

The donation procedure includes the phases of acceptance of the donor, the execution of pre-donation examinations, medical examination, evaluation of suitability for donation and the amount of blood or blood components to be taken that best suits the characteristics of the donor. Blood is drawn in a closed, sterile, disposable system.

During the donation, the donor is assisted by the medical and nursing staff of the SIMT who provides all the information requested, monitors the progress of the donation, observes the onset of adverse reactions.

After the donation, there is a rest phase on the donation chair and a refreshment phase with the intake of solid and liquid foods.

The average time required to complete the entire donation process is between 30 and 60 minutes. Higher times can be determined by extraordinary inflows of donors for urgent-emergency situations. All Donors must present themselves with an identity document and health card/tax code.

Blood Collection for Self-Donation

Patients who are candidates for elective surgery and are at risk of transfusion support may donate their blood in the month prior to surgery, which will be stored at the Transfusion Service until needed.

The amount of blood that is collected is calculated based on the blood loss expected by the attending physician for the type of intervention planned.

The Transfusion Service Physician responsible for self-donation, defines the number of accesses necessary to collect the required amount of blood and provides clinical advice from the beginning to the end of the collection program.

Pre-deposited blood, possibly not transfused, is not usable for other patients.

The Service can also be accessed by patients residing in the provincial territory who must perform surgeries in other regional and extra-regional hospital facilities.

The self-donation program provides an average of 2 accesses over a period of 7 days. The time required for each self-donation procedure is approximately 30 minutes.

Blood collection in the Province of Frosinone

The collection of blood and blood components is necessary to ensure the transfusion support of blood components and blood products to the operating units of public and affiliated hospitals throughout the Province. The SIMT of the ASL of Frosinone has an agreement and collaborates with the following Associations:

• AVIS Provinciale di Frosinone: Telephone/Fax: 0775.852790;
• EMA – Nino Manfredi: Telephone: 339.2122340;
• FRATRES: Telephone: 328.7021102;
• ADSPEM: Telephone: 0775.882347;
• A.Do.LA.S.: Telephone: 347.3756685;
• A.D.V.P.S.: Telephone: 329.7119037.

These Associations promote the culture of blood donation throughout the territory of the Province and organise collections at Collection Points or Autometeche that have been accredited by the Lazio Region.

The collections are organized according to an annual calendar, which can be consulted at the Associations themselves or at the Transfusion Facilities of Frosinone, Cassino and Sora. The Frosinone ASL blood collection points are:

• Castro dei Volsci: Via A. Carnevale, snc;
• Acute: Via Germini, 1;
• Amaseno: Viale G. Marconi, 10;
• Arce: Via Stazione, 42;
• Ceccano: Via Boschetto;
• Ceprano: Via Regina Margherita, 5;
• Fiuggi: Piazza Martiri di Nassirya, snc;
• Giuliano di Roma: Via Marconi, snc;
• Monte San Giovanni Campano: Via San Marco, 83;
• Paliano: Via Fratelli Beguinot;
• Patrica: Via Quattro Strade, snc;
• Pastena: Via San Michele, 1;
• Vallecorsa: Largo Colagiovanni, 1;
• Villa Santo Stefano: Piazza Umberto;
• Ferentino: Via Fresine Vasciotte, 5/A;
• Alatri: San Benedetto Hospital;
• Pontecorvo: House of Health;
• Anagni: Civil Hospital;
• Pdr EMA-Nino Manfredi: S.S. 155 Montelena – Alatri;
• Pdr EMA-Nino Manfredi: Via P. Mascagni, 7 – Isola del Liri.

Our Commitments to Users

Our commitments to Users are as follows:

Reception and orientation:

• each user is guaranteed correct information and a precise orientation in the use of the services provided;
• all Healthcare Professionals provide extensive documentation relating to donation and association activities in order to increase donations;
• the Services card is made available to users in the waiting rooms of all Services;
• each operator is identifiable by the data shown on the uniform and/or identification card.

Timeliness, regularity and punctuality:

• the waiting time for the donation of whole blood does not exceed 1 hour on average;
• for urgent exams, a preferential channel is provided with acceptance, execution of the exam and delivery of the report on the same day (except for special exams);
• the reports of the immunohaematological investigations are delivered within 1 working day.

Personalization and humanization:

• each operator addresses users with courtesy and availability, paying attention to the requests of internal and external users;
• in the provision of outpatient services, particular attention is paid to the clinical and family needs of users.

Completeness and clarity of health information:

• medical advice is provided to each user who requests specific information about their examinations;
• patients before undergoing diagnostic and therapeutic services are informed by medical personnel through the informed consent procedure;
• all Healthcare Professionals collaborate with Donor Associations to promote blood donation education.

Comfort:

• the rooms used as waiting rooms are comfortable and the seats are adapted to the average presence of users;
• the presence of a Healthcare Professional available for any critical issues is always guaranteed in all waiting rooms.

Who donates blood gives life

Blood cannot be produced in the laboratory and is therefore only available through donation.

A healthy organism replenishes it quickly and the donation does not constitute a risk: indeed, with periodic donations, the donor’s state of health is constantly monitored.

Blood is essential in surgeries and organ transplants, in the treatment of leukaemias or other oncological diseases, in first aid and emergency services, in the various forms of chronic anaemia.

The S.I.M.T. of the ASL of Frosinone guarantees the maximum and scrupulous protection of the donor, in the strictest compliance with Italian and European laws, regulations and transfusion recommendations.

The donation procedure includes the phases of acceptance of the donor, the execution of pre-donation examinations, medical examination, evaluation of suitability for donation and the amount of blood or blood components to be taken that best suits the characteristics of the donor. Blood is drawn in a closed, sterile, disposable system.

During the donation, the donor is assisted by the medical and nursing staff of the SIMT who provides all the information requested, monitors the progress of the donation, observes the onset of adverse reactions.

After the donation, there is a rest phase on the donation chair and a refreshment phase with the intake of solid and liquid foods.

The average time required to complete the entire whole blood donation process is between 30 and 60 minutes, for the collection of plasma from apheresis it takes 60/90 minutes.

Frequently Asked Questions

Who can donate blood?

All those who meet the following requirements:

• an age between 18 and 65;
• a body weight of not less than 50 kg;
• enjoy good general physical condition.

Who can’t donate blood?

The following must abstain:

• positive tests for infectious diseases;
• alcoholics and drug addicts;
• suffering from epilepsy;
• suffering from heart and blood diseases;
• affected by malignant neoplasms;
• transplanted subjects;
• suffering from insulin-dependent diabetes.

How do you donate blood?

Remember to show up in the morning with a light breakfast (without milk):

• 10 minutes are enough to make the donation;
• withdrawals are made at intervals of no less than 90 days;
• men can donate four times a year;
• women of childbearing age may donate twice a year;
• when you donate blood you will find highly qualified personnel.

Why donate blood?

Why you can save a life and help others:

• a gesture of awareness and solidarity;
• to monitor your health through visits and examinations;
• to make the Lazio Region self-sufficient and limit imports;
• because especially in the summer there is more need.

When can you donate blood?

• every day including holidays from 08.00 to 11.30;
• by calling 0775.8822349 – Collection Room;
• by calling 0775.8822370 – Visit Clinic.

Days and times of receipt

• Laboratory for the distribution of blood components and PBM Frosinone: – Contact person: Dr Maurizio Carlini. H24 activities;
• D.H. and Frosinone Transfusion Medicine Clinic: – Contact person: Dr. Elena Gigliotti. Monday to Friday from 8.00 am to 2.00 pm;
• Donation of blood and blood components Frosinone: – Contact person: Dr. Maria Di Carlo. Every day including holidays from 8.00 am to 11.30 am;
• Frosinone Immunohematology Laboratory: – Contact person: Dr. Cristina D’Amico;
• Perioperative recovery of Frosinone blood: every day including holidays 24 hours a day;
• Donor control and hemovigilance Frosinone: – Contact person: Dr. Maria Chiara De Nicolò. The service is carried out by appointment;
• Sora Transfusion Medicine Clinic:: from Monday to Friday from 10.30 am to 2.00 pm;
• Sora blood components distribution laboratory:: from Monday to Saturday from 08.00 to 14.00 (public holidays and afternoon and night shifts are supported by the SIMT of Frosinone);
• Donation of blood and blood components Sora:: from Monday to Saturday from 08.00 to 10.00;
• Blood collection for Sora Self-Donation:: from Monday to Saturday by reservation.

Executives

Medical Managers

• Dr. Gianluca Bianco
• Dr Maurizio Carlini
• Dr. Serena Cestra
• Dr. Maria Chiara De Nicolò
• Dr. Maria Di Carlo
• Dr. Deborah Gadaleta
• Dr. Elena Gigliotti

Biologist Manager

• Dr. Cristina D’Amico