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Safe and Healthy Blood DonorsSafe and Healthy Blood Donors
Selection criteria.Selection criteria.
Mehwish ARSHADMehwish ARSHAD
TRAINEE TECHNOLOGIST.TRAINEE TECHNOLOGIST.
 Donor selection determines the eligibility of a
donor to donate blood.
 Types of blood donors
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 -means a person who
donates blood for a valuable consideration, in cash
or kind, for any source, on behalf of the recipient
patient includes a paid donor or a commercial
donor.
• 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
Donor Recruitment
Donor Retention
Donor Selection
Blood Collection
Donor Counseling
An adequate supply of low risk donors requires
 A donor recruitment program
 A dedicated recruitment section with trained
staff
The quality of the
BTS is influenced by
the quality of each
of the links
Blood donors
Collection
Processing
Screening
and 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 untoward
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
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.
 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
 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
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 ?
Should not
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
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
 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 venepuncture 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 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 /plateletpheresis .
Temporarily Defer the donor with
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 surgery
Hypertension
Endocrine :diabetes, hyperthyroidism
Malignancy
High risk group donors for HIV infection
Permanently Defer Donors with history of
Chronic renal failure
Chronic liver disease
Stomach ulcer
Bleeding tendencies
Severe allergic disorder, Asthma
Medications : anticoagulants, anticonvulsants,
immuno suppressives, cardiac medications.
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.
TTI Results - non-reactive
The pre-procedure platelet count should be
more than 150,000 per cubic mm.
 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.
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 – 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.
 Ask the donor to write his comments/suggestions in the
donor refreshment register
 Thank 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 SatisfactionDonor Satisfaction
CongenialCongenial atmosphereatmosphere
CourteousCourteous and trainedand trained
staffstaff
Care and ComfortCare and Comfort
ConfidentialityConfidentiality
CounselingCounseling
ConstantConstant feed backfeed back
ContinuousContinuous effortsefforts
Donor selection
Donor selection

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Donor selection

  • 1.
  • 2. Safe and Healthy Blood DonorsSafe and Healthy Blood Donors Selection criteria.Selection criteria. Mehwish ARSHADMehwish ARSHAD TRAINEE TECHNOLOGIST.TRAINEE TECHNOLOGIST.
  • 3.  Donor selection determines the eligibility of a donor to donate blood.
  • 4.  Types of blood donors
  • 5. 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 -means a person who donates blood for a valuable consideration, in cash or kind, for any source, on behalf of the recipient patient includes a paid donor or a commercial donor.
  • 6. • 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
  • 7. Policies and Guidelines Donor Recruitment Donor Retention Donor Selection Blood Collection Donor Counseling
  • 8. An adequate supply of low risk donors requires  A donor recruitment program  A dedicated recruitment section with trained staff
  • 9. The quality of the BTS is influenced by the quality of each of the links Blood donors Collection Processing Screening and testing Transfusion
  • 10. 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 untoward effect to the donor or to the recipient.
  • 11. 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
  • 12. • Registration, consent of the donor & demographic information. • Medical history • Physical examination. • Laboratory tests
  • 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.  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
  • 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. 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 ?
  • 17. Should not 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. 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
  • 19.  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 venepuncture site should be free from any lesion or scar of needle. Any pricks may indicate drug
  • 20. 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 /plateletpheresis .
  • 21. Temporarily Defer the donor with History of malaria for three months after treatment and cessation of symptoms . Tuberculosis for five years after complete treatment and cessation of symptoms.
  • 22. 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
  • 23. Permanently Defer Donors with history of Chronic renal failure Chronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, Asthma Medications : anticoagulants, anticonvulsants, immuno suppressives, cardiac medications.
  • 24. 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. TTI Results - non-reactive The pre-procedure platelet count should be more than 150,000 per cubic mm.
  • 25.  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.
  • 26. 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
  • 27.  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
  • 28. 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 
  • 29. 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.
  • 30.  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.
  • 31.  Ask the donor to write his comments/suggestions in the donor refreshment register  Thank donors WITH APPRECIATION so that they are motivated and encouraged to become repeat regular voluntary blood donor.
  • 32. 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.
  • 33. Donor SatisfactionDonor Satisfaction CongenialCongenial atmosphereatmosphere CourteousCourteous and trainedand trained staffstaff Care and ComfortCare and Comfort ConfidentialityConfidentiality CounselingCounseling ConstantConstant feed backfeed back ContinuousContinuous effortsefforts

Editor's Notes

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