Blood donation and Medimission


Published on

Blood donation and Medimission

Published in: Education, Technology, Business
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Blood donation and Medimission

  2. 2. BLOOD FACTS• Blood flows everywhere through the human body.• We cannot live without it.• The heart pumps blood to all our body cells, supplying them with oxygen and food.• Blood also carries proteins and cell fragments called platelets that let blood clot where there has been an injury. DR.T.V.RAO MD TMC 9/12/2012 2
  3. 3. BLOOD COMPONENTS• Packed red cells• Platelets• Fresh Frozen Plasma• Frozen plasma• Cryoprecipitate• Albumin• Immunoglobulins DR.T.V.RAO MD TMC 9/12/2012 3
  4. 4. DO YOU KNOW? 450ml of blood can save as many as three lives. Every two seconds, someone in India needs blood. One out of every three of us will need blood in our life time.Even with all of today’s technology, there is no substitute for blood. Someone has to give blood in order for someone to receive blood. DR.T.V.RAO MD TMC 9/12/2012 4
  5. 5. THE DONATION PROCESS• Education• Recruitment• Selection• DonationDR.T.V.RAO MD TMC 9/12/2012 5
  6. 6. FACT SHEET -1 Hospitals predict that the need for blood will increase 5% each year. Approximately only 4% of the eligible population in India donates blood. 75% of donors donate only ONCE per year.If they donated just two times per year there would never be any shortages. DR.T.V.RAO MD TMC 9/12/2012 6
  7. 7. Many Reasons to Donate Blood Blood is always needed for,  accident victims  cancer patients  blood disorder patients  surgery patients  Pre-mature, pre term babies  and many others…….  1 of out 10 hospital patients needs a blood transfusion  4.5 million Indians lives are saved by blood transfusions each yearDR.T.V.RAO MD TMC 9/12/2012 7
  8. 8. BLOOD TRANSFUSION SAFETY AND THE CLINICAL LABORATORY• Traditionally, blood transfusion practice and blood banking are part of the larger clinical laboratory• Involve both laboratory practice and medical careDR.T.V.RAO MD TMC 9/12/2012 8
  9. 9. COMBINED APPROACH TO BLOOD DONOR SCREENING• Blood centers employ a combination of strategies to protect the blood supply, including pre-donation risk deferral questions and laboratory screening tests.• Risk deferrals are most effective in localized epidemics.• Pre-donation questions are less effective when a behavior or risk is common to most of the population, i.e., heterosexual sex.• Therefore, in developing countries there is a heavier reliance on laboratory-based screening methods.DR.T.V.RAO MD TMC 9/12/2012 9
  10. 10. PROCEDURE FOR VOLUNTARY BLOOD DONATIONPre-Donation:1. Donor Screening2. Donor Eligibility criteria3. Deferral Criteria (Donor Consent Form)4. Medical examinationBlood Donation:5. Blood donation procedurePost donation6. Rest, advice & refreshment7. Donor Certificate, Donor ID card DR.T.V.RAO MD TMC 9/12/2012 10
  11. 11. 1. Donor Screening• Safe Donor selection involves – 1. Identification of low risk populations 2. Donor education and recruitment 3. Encouraging self deferral based on “Deferral Criteria” 4. Medical Examination before donation• Voluntary Non-remunerated Repeat Donor (VNRD) is safest DR.T.V.RAO MD TMC 9/12/2012 11
  12. 12. 2. DONOR ELIGIBILITY CRITERIA• Who can donate? Wt > 45 Kg • Age: 18 - 60 years • Weight : > 45 kgs • Hemoglobin level: >12 gms/dl for men and 12.5 gms/dl for women • In good health DR.T.V.RAO MD TMC 9/12/2012 12
  13. 13. DEFERRAL CRITERIA WHO CANNOT DONATE? Life long 1 year 6 Monthsх Abnormal bleeding disorder o Surgery o Tattooing or bodyх Heart, Kidney, Liver Disorder piercing o Typhoidх Thyroid disorder o Dental extractionх Epilepsy, Mental disorders o Dog biteх Tuberculosis, Leprosy, o Root canal treatment o Unexplainedх Asthma weight loss o Malariaх Cancer o Continuous low o Vaccinationх Insulin dependent diabetics grade feverх Uncontrolled High BP DR.T.V.RAO MD TMC 9/12/2012 13
  14. 14. DEFERRAL CRITERIA… (DONOR CONSENT FORM)Postpone donation for 6 months if you have risk factors for HIV/AIDS , such as..• Having sex with more than one partner without using condom for vaginal, anal or oral sex• Intravenous drug abuse• Having sex with a person who could have the above risk factors DR.T.V.RAO MD TMC 9/12/2012 14
  15. 15. Deferral Criteria… (Donor Consent Form)Female donors cannot donate blood……• During pregnancy• After delivery for one year• When lactating• During menstrual period and for 7 days thereafterMale donors cannot donate blood……• If consumed Alcohol in the previous 24 hours DR.T.V.RAO MD TMC 9/12/2012 15
  16. 16. MEDICAL EXAMINATION AT CAMP • Blood test for: • Blood grouping • Hemoglobin • Blood pressure • Pulse • General physical examinationDR.T.V.RAO MD TMC 9/12/2012 16
  17. 17. BLOOD DONATION PROCEDURE REMEMBER! The Donor Must …. • have had good rest / sleep • have had light meal • be mentally preparedDR.T.V.RAO MD TMC 9/12/2012 17
  18. 18. 5. BLOOD DONATION PROCEDURE VOLUME OF BLOOD COLLECTION Donor Blood Amount Used for Weight collected45 kgs -55 350ml Single bag Whole Blood kgs> 55 kgs 450 ml Double / Blood Triple bag Components DR.T.V.RAO MD TMC 9/12/2012 18
  19. 19. TESTING AT BLOOD BANK FOR TRANSFUSION TRANSMISSIBLE INFECTIONS (TTIS)Blood collected at the BDC is screened using highest quality screening tests for 6 TTIs• HIV 1• HIV 2• Hepatitis B• Hepatitis C• VDRL (syphilis)• Malaria DR.T.V.RAO MD TMC 9/12/2012 19
  20. 20. POST DONATION ADVICE• Drink lots of fluids for next 24 hours• Avoid smoking for one hour & alcohol till after a meal• Don’t use elevator to go up immediately after donation as it will make blood rush to your feet & make you dizzy!• Avoid highly strenuous exercises & games for a day• If you feel dizzy, lie down & put your feet up. You will be alright in 10-20 mins.• Remove band-aid after 4 hours. If it bleeds, apply pressure & reapply band- aid. If bruised and painful, apply cold-pack 4 to 5 times for 5 mins each. The bruise is due to blood seeping into the surrounding tissue. It will take a few days to get reabsorbed.• If you have any questions, meet camp doctor or the centre collecting the Blood• DR.T.V.RAO MD TMC 9/12/2012 20
  21. 21. COUNSELING FOR “REACTIVE” DONORSIf a blood sample tests positive for any TTI, then….• Tests are repeated in duplicate• Complete confidentiality is maintained about the test results• only the donor is informed, counseled & encouraged for further testing• Referrals to health experts are provided along with follow-ups DR.T.V.RAO MD TMC 9/12/2012 21
  22. 22. BLOOD PRODUCTS / COMPONENTS & THEIR USES Blood collected is screened for TTIs (infections) & IF SAFE, is separated into components & stored for issue to patients.• Whole blood • For Exchange Transfusion in Babies • Accident Victims • Complicated Delivery cases • Some specific surgeries• Blood Components • Red Cells (for anemia) • Fresh Frozen Plasma (for clotting disorders, burns) • Platelets/Platelet rich plasma (for cancer, dengue) • Cryoprecipitate (for clotting disorders) • Cryo Poor Plasma (for burns) DR.T.V.RAO MD TMC 9/12/2012 22
  23. 23. WHAT WE CAN DO?• Make Blood Donation a HABIT• Donate regularly – every 3 months to commemorate special days like birthdays, anniversaries ….• Motivate others to donate• Refer your friends and relatives DR.T.V.RAO MD TMC 9/12/2012 23
  24. 24. RELEVANCE OF BLOOD TRANSFUSION SAFETY ACTIVITIES • Approximately 90 million transfusions worldwide annually • 31% of transfusions not screened for HIV, Hepatitis B or Hepatitis C • Most laboratory screening lapses occur in developing countries Source: WHO, GDBS 2001DR.T.V.RAO MD TMC 9/12/2012 24
  25. 25. APPROPRIATENESS OF TRANSFUSION• May be life-saving• May have acute or delayed complications• Puts patient at risk unnecessarily• ‘ The transfusion of safe blood products to treat any condition leading to significant morbidity or mortality, that cannot be managed by any other means’. DR.T.V.RAO MD TMC 9/12/2012 25
  26. 26. Our Vision - MEDIMISSIONThe likely impact of this initiative would be as follows:A) Blood Shortages: This would be a thing of past, there would not be any blood shortage for any patients, anywhere, any timeB) Accident victims would have a far better chance of survival through timely medical attention and treatment. This could be extended to cover victims of any sudden health problems anywhere, any timeD) The concept and network could be extended to other healthcare areas also DR.T.V.RAO MD TMC 9/12/2012 26
  27. 27. OUR MISSION AT MEDIMISSIONTo make “safe” and “economical” blood available to everybody, when and wherever required. - No blood shortage - No cancelled surgery for lack of blood - No emergency appeal to blood donors - Assured Quality of blood - Optimal utilization of available blood DR.T.V.RAO MD TMC 9/12/2012 27
  28. 28. DO NOT FORGETDR.T.V.RAO MD TMC 9/12/2012 28
  29. 29. • Programme Created By Dr.T.V.Rao MD for Universal Awareness on Facts on Blood Donations and Transfusions and Vision of Our Medimission at Travancore Medical College, Kollam Kerala India • Email • doctortvrao@gmail.comDR.T.V.RAO MD TMC 9/12/2012 29