donor selection criteria

2. Donor Selection Criteria
• Donor
selection
determines
the eligibility
of a donor
to donate
blood.

3. 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

4. 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………….

5. 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

6. Policies and Guidelines
RRSCC
Donor Recruitment
Donor Retention
Donor Selection
Blood Collection
Donor Counseling

7. 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

8. Basic Transfusion Chain
The quality of the
BTS is influenced by
the quality of each
of the links
Blood donors
Collection
Processing
Screening
Testing
Transfusion

9. 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

10. 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

11. • Registration, consent of the donor &
demographic information.
• Medical history
• Physical examination.
• Laboratory tests

12. 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- transmitted
infection or other adverse effect is minimized

13. 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.

14. 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 ?

15. 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 testing
Weight

16. 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

17. have been treated for rabies in the past one year
be treated for Malaria in the past three months
have had any immunizations in the last one month
have had any dental treatment
have taken Aspirin in the past 72 hours
have diabetes, heart disease or high BP, cancer,
blood clotting problem or blood disease
have TB, bronchial asthma or allergic disorder,
liver disease, kidney disease, fits or fainting

18. Donor should be in good health
 Age -18 - 60 years
 Haemoglobin - not less than 12.5 g/dL
 Pulse - between 50 and 100/minute with no irregularities
 Blood Pressure -Systolic 100-180 mm Hg and Diastolic 50 -
100 mm Hg
 Temperature - Normal
 Body weight - ≥ 45 kgs. ( for 350 ml.)
≥ 60 kgs. ( for 450 ml. )
 Both male and female can donate blood
 Skin at the venipuncture site should be free from any lesion
or scar of needle. Any pricks may indicate drug

19. Temporarily Defer the donor if history of
Major surgery – six months
Minor surgery – three months
Donated blood – 3 months.
Tooth extraction/manipulation–3 days
Received blood or blood component
transfusion – 1yr
Aspirin – defer if taken within last 3 days for
component preparation /platelet pheresis

20. Temporarily
History of malaria for three months after
treatment and cessation of symptoms .
Tuberculosis for five years after complete
treatment and cessation of symptoms.

21. Permanently Defer Donors
with history of
Heart disease : Coronary disease, Rheumatic
heart disease,
Cardiac medication, cardiac surgery
Hypertension
Endocrine :diabetes, hyperthyroidism
Malignancy
High risk group donors for HIV infection

22. Permanently
Chronic renal failure
Chronic liver disease
Stomach ulcer
Bleeding tendencies
Severe allergic disorder, Asthma
Medications : anticoagulants, , immuno -
suppressives, cardiac medications.

23.  Acceptable criteria
Donor 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

24. 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.

25. 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

26. 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

27. 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

28. 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

29. 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

30. 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.

31. 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.

32. Donor Satisfaction
Congenial atmosphere
Courteous and trained staff
Care and Comfort
Confidentiality
Counseling
Constant feed back
Continuous efforts