donor selection criteria
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Donor Selection Criteria
• Donor selection determines the eligibility of a donor to donate
blood.
Types of blood donors
• Voluntary Donors –Donate Blood on their own• Replacement Donors : from within the patient’s
own family or community• Autologous Blood Donor -Are patients who
donate their own blood for self• Apheresis Donor- Donate blood components
through the process of cell separation
Professional Donors
• Professional Donors -means a person who donates blood for a valuable consideration, in casher kind, for any source, on behalf of the recipient patient includes a paid donor or a commercial donor………….
• A bad donor………….
Good vs Bad
Voluntary Non Remunerated Blood Donors are the low risk donors for • Safe blood • Sustainable blood Supply
Replacement Donors-not a preferred system • Risks of professional Donors. • Risk of hidden information
Policies and Guidelines
RRSCCDonor RecruitmentDonor RetentionDonor SelectionBlood CollectionDonor Counseling
Donor Recruitment Program
An adequate supply of low risk donors requires A donor recruitment program A dedicated recruitment section with trained staff like Lab Technologist ,Lab specialist ,lab
scientist or MLSO
Basic Transfusion Chain
The quality of the BTS is influenced by the quality of each of the links
Blood donors
Collection
ProcessingScreening
Testing
Transfusion
Blood safety
The first & the most important step, in ensuring that blood and its products for transfusion do not have any pathogenic virus/bacteria, is the PROPER SELECTION of BLOOD DONORS.
Donor selection should be done carefully.
The donor should be in good health to avoid any bad effect to the donor or to the recipient
Pre Donation Information
Documents to give information to donors
General advice Pre- and post- donation Information about giving blood
Deferral information Self- deferral on the basis of medical condition Self- deferral on the basis of risk behavior
• Registration, consent of the donor & demographic information.
• Medical history• Physical examination.• Laboratory tests
Donor selection
• Donor selection criteria are essential
Based on accepted regional/ international practice
• Protect the donor Ensures that it is safe for the donor to donate• Protect the recipient
Ensures that any risk of transfusion- transmittedinfection or other adverse effect is minimized
Demographic information
So that the donor can be informed of any laboratory test abnormality or can be called for future donation.
• Donor’s name • Father’s/Husband’s name • Date of birth/Age• Gender : Male/Female • Residential & Office address with phone
numbers.
Medical Interview
• Are you at present in good health?• When did you eat last? • Are you taking any medicine?• Have you been vaccinated recently?• Have you ever suffered a convulsion or mental
disorder? • Have you ever had jaundice?• Have you lost significant weight loss in last six
months ?
Medical interview-Collection of information on health and behaviour for Critical assessment of donors regarding fitness
What to ask and why
Maintain confidentiality Good relationship comes from trust Personal interviews should not be overheard Maintain right of each donor to privacy
Medical examination
Haemoglobin testingWeight
Should not
• have cough, influenza or sore throat, common cold at the time of blood donation
• have taken any antibiotics or any other medications (Allopathic or Ayurveda or Sidha or Homeo) in the past 48 hours
• have taken alcoholic beverages in the past 24 hours• be pregnant or breast feeding or donate during her
menstrual cycles• have donated blood in past 3 months
have been treated for rabies in the past one yearbe treated for Malaria in the past three monthshave had any immunizations in the last one monthhave had any dental treatmenthave taken Aspirin in the past 72 hourshave diabetes, heart disease or high BP, cancer, blood
clotting problem or blood diseasehave TB, bronchial asthma or allergic disorder, liver
disease, kidney disease, fits or fainting
Donor should be in good healthAge -18 - 60 yearsHaemoglobin - not less than 12.5 g/dLPulse - between 50 and 100/minute with no irregularitiesBlood Pressure -Systolic 100-180 mm Hg and Diastolic 50 - 100
mm HgTemperature - NormalBody weight - ≥ 45 kgs. ( for 350 ml.) ≥ 60 kgs. ( for 450 ml. )Both male and female can donate bloodSkin at the venipuncture site should be free from any lesion or
scar of needle. Any pricks may indicate drug
Temporarily Defer the donor if history of
Major surgery – six months Minor surgery – three monthsDonated blood – 3 months. Tooth extraction/manipulation–3 daysReceived blood or blood component
transfusion – 1yrAspirin – defer if taken within last 3 days for
component preparation /platelet pheresis
Temporarily
History of malaria for three months after treatment and cessation of symptoms .
Tuberculosis for five years after complete treatment and cessation of symptoms.
Permanently Defer Donors with history of
Heart disease : Coronary disease, Rheumatic heart disease,
Cardiac medication, cardiac surgeryHypertensionEndocrine :diabetes, hyperthyroidismMalignancyHigh risk group donors for HIV infection
PermanentlyChronic renal failureChronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, AsthmaMedications : anticoagulants, , immuno -
suppressives, cardiac medications.
Acceptable criteriaDonor should meet all the acceptable criteria
for routine whole blood donation however :Age of the donor-18 to 50 years.Weight of the donor-> than 55-60kg.The pre-procedure platelet count should be
more than 150,000 per cubic mm
SHORT PERIOD
• Donor should not have taken aspirin or any other platelet inhibitor in last 72 hours.
• The donor should not be fasting prior to the procedure,
• Donor should have a prominent and easily accessible central anticubital vein in at least one of the arm.
SHORT PERIOD
The minimum time gap between two blood donations should be 12 weeks/3 months
Whole blood donation must be deferred for at least 72 hours after plateletpheresis
In case of re-infusion failure, donor should not donate whole blood for 12 weeks
Donor care• Donor care – before, during and after
donation • Donating blood should be a pleasant
experience• The venue must be a safe place for the donor• The venue must be comfortable & clean.
• Adequately Address Adverse reactions • Facilities to deal with any reactions during or
after donation
DONOR CARE-BEFORE DONATION
Everyone involved in interviewing & counselling should develop a friendly & tactful approach that encourages donors to be honest & accurate in their answers to questions about their medical history.
The health check should always be handled professionally so that the donors feel they are in good hands
Be sensitive to the donors feelings of fear & embarrassment
No chatting with other staff & ignoring the donor
DONOR CARE-DURING DONATION
Staff must be trained in interpersonal skills and should always be smart & clean in appearance with high standard of personal hygiene
Staff should have pleasant manners & be capable of conversing freely with donors at the time of donation.
An act of carelessness or lack of professionalism by staff during or after donation can be detrimental to the donors coming back again to donate blood
Observe the donor for 8-10 minutes on the donor chair to prevent adverse reactions.
Observe for another 10 minutes in the refreshment area whilst Donor has refreshment .
Inspect the venepuncture site before the donor leaves the donor room
Thank u very much
Ask the donor to write his comments/suggestions in the donor refreshment register
Thanks donors WITH APPRECIATION so that they are motivated and encouraged to become repeat regular voluntary blood donor.
Post donation instruction to the donor before leaving blood bank
Drink more fluid in next 24 hours.Do not smoke for1/2 hour after donation.Continue with daily routine work but avoid strenuous exercise e.g.
Weight lifting for 24 hours.Do not drive for at least half an hour.Volume lost due to blood donation is replenished by 48 hours. Can
safely donate again after three months.Report to blood bank in case of any adverse reaction.
Document adverse reaction if any on the donor card and donor register.
Donor Satisfaction
Congenial atmosphereCourteous and trained staffCare and Comfort ConfidentialityCounselingConstant feed backContinuous efforts
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