Training program from Virginia Blood Services based on their policy and practices as well as patient demographics for the Central Shenandoah Valley in VA. The emphasis of Data on Harrisonburg, VA and Winchester, VA

1. Autologous & Patient Selected Donations
SPECIALS 120
Instructor:
Christopher Bayonet, NRAEMT
Collections Supervisor - RMBC

2. Patient Services Overview
 Autologous Donations are those donations where a Donor is donating towards
their own surgeries in preparation for possible blood loss.
 Patient Selected Donations are those donations where a Friend or Family
Member is donating to a specific person’s needs. They need to either have a
matching or compatible blood type.
 There may be a Service Fee applied to all Autologous and Patient Selected
donations of $150 per unit to be drawn. This is payable either by Check or by
Credit/Debit Card. Donor Relations may choose to waive this fee in some cases
(so reach out to Julie Miller at 804.213.4186 if you have any questions).
Q47. Are you giving an Autologous or Directed donation today?
Are you giving for your own surgery? Or to a friend and/or family member

3. You said there “may be a Service Fee”…
For all Autologous and Patient Selected Donations, the
donors in question may be assessed a fee of $150 per
unit to be drawn in order to fulfill the prescription.
This is because generally the hospitals “pick-up” the
costs of testing, processing and distribution of these
units. But in this case, the units are tagged for specific
recipients so the donors themselves are required to pay
for these services.
Occasionally, Patient Services/Donor Relations may
waive this service fee. If you have any questions,
please reach out to Julie Miller at 804.213.4186.

4. Processing Payment of “Service
Fees”
You have obtained your unit, and now we need to
collect payment from the donors. Generally we would
like to do this one of two ways – Check made out to
Virginia Blood Services to be forwarded to LaTina
Johnson in Emerywood or via Credit/Debit Card.
To receive approval for Credit/Debit Card payments you
would need to reach out to one of the following (in
order):
1. Michelle Greygor 412.209.7316
2. Laurie Yakemowicz 412.209.7456
3. Joe Simoni 412.209.7380
4. Richelle Brown-Robinson 412.209.7406
5. Carla Clarke 412.209.7329

5. Autologous Donations
Those donations where a Donor is donating towards
their own surgeries in preparation for possible blood
loss.

6. Autologous Donation Scheduling
 All Prescriptions for Autologous Donation must
be signed by the Donor’s Physician, if they are
not we are unable to schedule (or phlebotomize)
this donor.
 There must be a minimum of 3 Days
(approximately 72 hours) between each donation
and be scheduled no shorter than 5 Days prior to
the anticipated surgery. This is due to regulations
from the FDA.

7. Registration
 When registering a Autologous Donor you want to
make sure you register them using an
Autologous/Therapeutic DHF (DS-003A)
 You will need to enter a “Hospital Code” for this
DHF in BBCS.
Screening
 It is possible to collect a donor weighing less than 110
lbs using SOP 14-104 (i.e. “Adjusted Bag Weight”)
making sure to not the Amount of blood which was
drawn on the Hang Tab.
 Minimum Hemoglobin is 11.0 g/dL (Approx. 33%
Hematocrit)
 Due to the risk of BACTEREMIA we are unable to

8. Donor Documentation & Shipping/Notification Cards
 You will need to complete a Patient Data Flow
Sheet, Shipping, and Notification Cards.
 If you are unable to obtain any of the additional
prescribed units from the donor (beyond their
initial donation) – Notify the Physician and then
Complete a shipping notification to make
Hospital Services aware of any changes to the
original order.

9. Autologous Practice
Let’s do a “Role Play”
Autologous Donor.
Typically, we do not get a great
many Autologous Donors any
longer. What many of us will do
is print out the SOP and Walk
through it step by step.
To sign you off for this we will
have a “pretend” donor that you
will screen as if they were a real
donor.
…I Hear them now

10. Patient Selected Donations
A Friend or Family Member that is donating to a specific
person’s needs. They need to either have a matching or
compatible blood type

11. Patient Selected Donors Overview
 Donors seeking to donate for another need to be:
 On the list provided by the patient and/or their
family
 Donating no less than 3-Days prior to the
anticipated Surgery
 We require a prescription for the recipient of all
Patient Selected Donations procedures.
 Women of childbearing years should not receive
blood from their husbands (or potential father of
their children).

12. Patient Selected Donors Selection
Patient Selected Donations are those donations where a Friend or
Family Member is donating to a specific person’s needs. They need to
either have a matching or compatible blood type.
 The family (or donor) will need to provide us with a list of candidates for
donation.
 Unlike Autologous Donors who are registered on the
Autologous/Therapeutic DHF (DS-003A), Patient Selected Donors will
need to be registered and screened with the Allogeneic DHF (DS-003).
 Even though the donor has been selected by the Patient (or their
family) they still need to:
 Meet Allogeneic Donor Criteria
 Have a Matching or Compatible Blood Type (as determined by Physician
Prescription) – when in doubt, call the prescribing Physician
 If they are seeking to come in before 56-Days to donate, you will need special
approval from Dr. Sheppard.

13. Patient Selected Donations
Procedures
 All Documentation to be filled out for an Autologous
Donation must also be completed for a Patient Selected
Donor. [i.e. Patient Data Flow Sheet, Shipping, and
Notification Cards.]; remembering to update the
Notification Card any time that the order changes.
 If samples are unable to be collected during the donation
process, collect the samples via SOP 02-308
 Occasionally for PSD procedures you will need to use a
Light Blue “Special Request” hang tag; we need these for
the following cases:
 If WB, FFP, Cryo or other components are ordered
 If special preparations are required
 If the unit needs to be processed as a “STAT” unit.

14. PSD Practice
Let’s do a “Role Play” PSD
Donor.
Typically, we do not get a great
many Patient Selected Donors
any longer. What many of us
will do is print out the SOP and
Walk through it step by step.
To sign you off for this we will
have a “pretend” donor that
you will screen as if they were
a real donor.
…I Hear them now