blood bank reception by : mr. waggas elaas. topic outline description function (including donation...

Blood Bank Reception

By : Mr. Waggas Elaas

Topic Outline

• Description• Function (including donation for driving license ).• Preliminary tests done• Equipment and devices• Waiting area• How to deal with patients• Requests forms

BB- CR - MLT 408. Lec.2 Mr. Waqqas

2

Reception

The BB reception is the starting point to BB and blood donation; where donors are welcomed; educated, tested and accepted.

Warm welcome to the donor. Breakfast verification / Arrange breakfast. Seating arrangements nearby. Donor directed to registration counter in a sequence.


3

Floor Plan


4

Waiting Area


5

LCD screens

• Sometimes the BB reception is equipped with screens to entertain donors and also for educational purposes.

• Necessary information are displayed .


6

How to deal with patients

• All laboratory technologists and other healthcare personnel collecting or handling specimens must follow established standards, which includes blood and other potentially infectious materials.

• These standards include wearing appropriate personal protective equipment (PPE) and following all safety rules for all specimens regardless of whether they are identified as being infectious or not.


7

What are personal protective equipment (PPE)??


8

Remember that:

1. The patient/donor is sick. He’s uncomfortable. He’s frightened.

2. Be nice. Be caring. Keep your promises.

3. Express to the patient/donor what you’re going to do.

4. Seek the assistance of your supervisor or colleagues without making the patient feels.


9

Donor Screening• Two goals or purposes for screening

– Protect the health of the potential donor– Protect the health of the potential recipient

• Four outcomes– Acceptance– Temporary deferral– Indefinite deferral– Permanent deferral

• Three components of screening– Registration– Health history interview– Limited physical examination.

Donor Registration

• Written materials are given to the donor which explains high risk activities which may make the donor ineligible

• Donor must be informed and give consent that blood will be used for others unless they are in a special donor category

• First time donors must provide proof of identification such as ID card, citizen number, address and any other unique information.

• Repeat donors may be required to show photo ID.

Donor Registration

• Additional useful information– Name– Address – phone #– Unique donor characteristics

• Donor must be provided with– HIV high risk activities– Warnings about donor reactions– Tests that will be performed and notification– Post phlebotomy care instructions

Medical Checkup Weight, BP, hemoglobin measurement &

blood grouping.

General check up. (BP, weight)

A few questions…(smoker, diabetic,

hypertensive, last time

donation)BB- CR - MLT 408. Lec.2 Mr.

Waqqas13

What is this used for?


14


15



16


Name the method used

Medical History

• Frequency of donation– Whole blood or red blood cells 8 weeks

(sometimes 12 wks)

– Two unit red cell unit 16 weeks– Plateletpheresis – up to 24 times/year– Plasmapheresis– once every 4 weeks, can be

done twice a week

Medical History

• A thorough history is obtained each time• Standardized universal questionnaire is used• Questions are asked that are very intimate in

nature but are critical in assessing HIV or HBV risks

• Has donor ever been deferred, if “yes”, why.• Medications the donor is taking are present in

plasma, may cause deferral• Infections the donor has may be passed to

recipient, may be cause for deferral

Permanent Deferrals• Immoral activities.• Used IV drugs even ONCE in lifetime.• Taking clotting factors.• Hepatitis after age 11.• Cancer deferrals vary, some accept after period of being

disease free others do not accept.• Protozoan diseases such as Chagas disease or

Babesiosis• Received human pituitary growth hormone.• Positive test for: HBsAg, Hepatitis C, HTLV I/II or HIV.• Medications like : Tegison

12 Month Deferral• Recipient of blood, components or blood

products such as coagulation factors• Sexually transmitted disease-if acquired

indicates safe sex not practiced and donor at risk for HIV and HBV

• Accupuncture, tattoo, ear piercing• Needle stick• Rabies vaccine• Any intimate sexual relations with HIV or HBV

positive, hemophiliacs, drug users or individuals receiving drugs.

Temporary DeferralsCertain immunizations

2 weeks -MMR, yellow fever, oral polio, typhoid 4 weeks -Rubella, Chicken Pox 2 months – small pox

Pregnancy Certain medications

Proscar/Propecia, Accutane – 1 monthAvodart – 6 monthsSoriatane – 3 yearsFeldene – no platelet donation for 2 days.Plavix and Ticlid – no platelet donation for 14 days

Malaria 3 yearsWest Nile virus 28 days

Female donors cannot donate blood……• During pregnancy• After delivery for one year• When lactating • During menstrual period and for 7 days

there after

Male donors cannot donate blood……• If consumed Alcohol in the previous 24

hours

Physical Examination

• Evaluate general appearance• Weight – : > 45 kgs (18 – 60 years)

• Temperature 37.5 C OR 99.5F• Blood pressure

– Systolic </= to 180 mm Hg– Diastolic </= 100 mm Hg

• Hemoglobin and Hematocrit– Allogenic 12.5 g/dL or 38%– Autologous 11.0 g/dL or 33%

Preliminary tests done atBB reception

• ABO & Rh. Blood Grouping.

This is usually done using direct slide method . Why?

• Hb.

This is usually done using simple and quick devices.


24

Blood Donation


25

Refreshment Nutritious, Light, Non Spicy

Sandwich / Fruit / Fruit salad

Beverage ( non alcoholic/ non carbonated) Coffee/ Tea/ Juice / Milkshake/ Hot chocolate


26

Gifts and Feedback A token of appreciation.Obtaining donor feedback.


27

Donor Card / Reject letter

BB- CR - MLT 408. Lec.2 Mr. Waqqas 28

Request Forms


29

Thank U


30

blood bank reception by : mr. waggas elaas. topic outline description function (including donation...

Documents

area bb cr

bb reception

donor ineligible donor

donor screening

time donation bb cr

potential donor

floor plan bb cr

patients requests forms