Adapting AABB Donor Regulation at KCBB

Why?

• Blood safety starts by bleeding safe Blood donors “Safe Blood starts with me”

• BTS need to Implement adequate donor selection criteria to insure Blood supply safety

• BTS need also to insure donor safety

Balance

Safety Vs Stock

What we do?

• KCBB is AABB Accredited since 1989• We comply with AABB donor regulations• Donor selection and donor care policies are

derived from AABB regulations

What we do?

• Donor registration• Donor education• Donor selection:

– DHQ– Medical checkup

• Donor care

Registration

AABB Standards require that the donor be linked to the donor records (photo ID)

Required information: Name (first, last, MI) Date and time of donation Address Telephone Gender Age (date of birth) – allogeneic donors must be at least 17

years of age

Education

Donors must also be given education material about blood donation

Educational material include:Before you donateYour first donationTTI (HIV,HBV,HCV)Post donation instructions

DHQ

Derived from AABB which is based on FDA regulations

DHQ

Why ask questions?Asking questions helps determine the

overall suitability of the donor; from this, the donor will be:AcceptedTemporarily deferredPermanently deferred

AABB DHQ

AABB DHQ

• Two pages• 48 questions• We modified it:

– Compressed and combined some question– Currently 1 page with 32 questions– Added questions– Available in 4 different languages

Medical check up

• General Appearance• Weight (47 Kg)• Temperature (less than 37.5)• Pulse (50 -100)• Blood Pressure:

– Systolic ≤180 mm Hg– Diastolic ≤100 mm Hg

• Hemoglobin (≥12.5 g/dL)• Skin Lesion

50-100 bpm

110 lbs

180 100

99.5°F 37.5°C

12.5 g/dL 38%

In summary….

Informed consent

• Before donation, a donor must provide informed consent

• If for any reason a donor doesn’t think their blood is safe to donate, there must be a mean for confidential unit exclusion

• It is all kept confidential….

Donor selection criteria

Periodically reviewed and updated by:Head of donation unitKCBB scientific and clinical committeeQuality Management departmentDuring AABB inspection

comparison

• Age : 18 (17 with a parent approval)• Weight: 50 Kgs• Hemoglobin:

– Male: 13.5– Female: 12.5

Malaria

• A vector-borne disease caused by protozoan parasites (genus Plasmodium)

• Occurs in numerous regions of the world

Anopheles mosquito

Malaria

• 3 year deferral if the donor becomes asymptomatic after infection

• 3 year deferral after the immigrant/citizen departs from the endemic area

• 12-month deferral if a person travels to an endemic area and shows no symptoms on return

Malaria

• We test for Malaria• Test all coming from endemic areas• Test all with recent history of travel to Malarie

endemic area• Currently working on developing a new policy

future

• Introduce barcoded sticker system for confedential unit exclusion

• Malaria testing policy• vCJD deferral policy to be revisited• Abbreviated questionnaire for regular donors• Improve our internal audit and AABB

regulation implementation system

Thank you

• Appreciation for my team:– Physicians

• Wafa’a, Ranya, Ranya, Hala. Marwa, Ayat, Nabeel, Osama and Mohammad

– Nursing staff

– Clerks

Keep your blood donors smiling