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Donor selection and type ss
- 1. Blood DonorCriteria & Deferral Criteria by Dr.Shahida Baloch
- 3. Who is BloodDonors 1.Voluntary Donors Donate Blood on their own
- 4. From within thepatient’s own family or community
- 5. Are patients whodonate their own blood for self
- 6. Donate blood componentsthrough the process of cell separation
- 7. Means a personwho 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.
- 8. are thelow risk donors for • Safe blood • Sustainable blood Supply Replacement Donors-not a preferred system • Risks of professional Donors .• Risk of hidden information
- 9. 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 Policy for blood Collection
- 10. The first& the most important step, in ensuring that blood and its products for transfusion do not have any pathogenic virus /bacteria, is the
- 11. .Donor selectionshould 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 test
- 12. Donor selectioncriteria 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 behavior for Critical assessment of donors regarding fitness What to ask and why Maintain confidentiality Good relationship comes from trust, Personal interviews should not be over heard Maintain right of each donor to privacy
- 13. Are youat 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 ?
- 14. 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 . .
- 15. History ofmalaria for three months after treatment and cessation )انتباہof symptoms Tuberculosis for five years after complete treatment and cessation of symptoms.
- 16. Heart disease: Coronary disease, Rheumatic heart disease Cardiac medication, cardiac surgery Hypertension Endocrine :diabetes, hyperthyroidism Malignancy High risk group donors for HIV infection
- 17. Chronic renalfailure Chronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, Asthma Medications : anticoagulants, anti convulsants, immuno suppressive, cardiac medications.
- 18. if history ofMajor surgery – six months Minor surgery – three months Donated blood – 3 months. Received blood or blood component transfusion –1yr Aspirin – defer if taken within last 3 days for component preparation /platelet-apheresis . Tooth extraction/manipulation- 3 days Both male and female can donate blood Skin at the venepuncture site should be free from any lesion or scar ofneedle. Any pricks may indicate drug
- 19. have beentreated 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
- 20. 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
- 21. The minimumtime gap between two blood donations should be 12 weeks/3 months Whole blood donation must be deferred for at least 72 hours after plateletapheresis 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
- 22. Age ofthe 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. 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 anti cubital vein in at least one of the arm.
- 23. Age 18 -60 years Haemoglobin not less than 12.5 g/dL Pulse between 50 and 100/minute with no irregularities Temperature Normal Blood Pressure Systolic 100-180 mm Hg and Diastolic 50 - 100 mm Hg Body weight ≥ 45 kgs. ( for 350 ml.)≥ 60 kgs. ( for 450 ml. )
- 24. Everyone involvedin 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-DURINGDONATION 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.
- 25. Observe thedonor 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.
- 26.