donor deferrals Flashcards

(44 cards)

1
Q

list steps checked during ‘selection: donor ID’

A
  • photographic ID for age
  • date of last donation
  • deferral status
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2
Q

last deferral period for WBC donation

A

56 days

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3
Q

list deferral period for double RBC donation

A

112 days
3 times/year

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4
Q

list deferral period for PLT donation

A

7 days
24 times/year

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5
Q

list deferral period for plasma donation

A

28 days
13 times/year

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6
Q

list diseases in which tests are available but will not detect window periods

A
  • chagas
  • HBV
  • HCV
  • HTLV 1 and 2
  • WNV
  • zika
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7
Q

name diseases in which tests are available but not universally used

A
  • HIV group O strain CMV
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8
Q

list diseases that have no licensed tests available and are only ID from DHQ

A
  • babesiosis
  • CJD
  • Malaria
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9
Q

list items checked in a mini physical prior to donation

A
  • general appearance
  • anemia: hgb/hct
  • temperature
  • blood pressure
  • pulse
  • weight
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10
Q

name the allogenic H/H requirments

A
  • M: hgb >13 hct
  • F: hgb>12.5, hct>38%
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11
Q

name the autologous H/H requirmens

A

H/H >11 or 33%

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12
Q

name the temperature cut off for doantions

A

not to exceed 37.5C or 99.5F
- helps determine bacterial infection

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13
Q

name the cut off for miniphysical blood pressure

A

less than 180/100 (FDA)

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14
Q

list the pulse requirments in the mini physical

A

50-100 BPM

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15
Q

name the mini physical weight req

A

> 110 lbs

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16
Q

what is the purpose of the DHQ

A

prevents donations from individuals who may be in window period of infectivity or other transmissible diseases

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17
Q

list health risks the DHQ attempts to address

A
  • infectious diseases
  • bacterial contamination
  • cardiac strain
  • birth defects
  • caugulopathy
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18
Q

list diseases of interest for travel restrictions

A
  • blood parasites: malaria leichmania
  • virus: zika and ebola
  • prions: variant CJD
19
Q

when is the ‘questioning only’ approach used, and for what infectious agent

A

agents with defined risk but no test
- malaria, prions, ebola

20
Q

when is the ‘donor testing only’ approach used, and for what infectious agent

A

donor test available but no questions can distinguish individual risk of infection
- WNV, chagas

21
Q

when is the ‘questioning and testing’ approach used, and for what infectious agents

A

both ID risk of infection and effective tests
- HIV, HBV, HCV, zika, babesia, syphilus

22
Q

when is the ‘use test-negative blood for specific recipients’ approach used, and for what infectious agent

A

high prevalence of infectious agent in donors but ID subset of recipients benefit from tested negative blood
- CMV

23
Q

when is the ‘test blood component’ approach used and for what infectious agent

A

infectious agent not detectable in donor sample
- bacteria (platelets)

24
Q

what are teh requirments for blood collection

A
  • BP cuff inflated
  • 16g needle
  • cannot exceed 15 minutes
25
name the most common collection reaction in donors
vasovagal - brachycardia (slow heart rate)
26
name the donor reaction most common in 1st time donors
hyperventilation
27
name the most uncommon donor reaction in blood donations
hypotensive shock - tachycardia (fast heart rate)
28
name the 3 types of donors
- allogenic - directed - autologous
29
name the collection types for autologous donation
- pre-op - acute normovolemic hemodilution - intraoperative collection - post operative cell salvage
30
name the risk factor of autologous donations
TACO - getting too much blood
31
in what scenario can an underweight donor be accepted
- autologous donation - math eq: (donor weight/110)=(anticoag/450mL)
32
as of 2018, what are blood products tested for
- t Cruzi Ab - HBsAb and HBcAb - HCAb - HIV - HTLV - syphilis - WBV - babesia
33
list the required tests of donated blood
- ABO - D phenotype - Ab screen - infectious disease testing - QC
34
how is QC ran on donated blood
- platelet bacterial testing - WBC count on leukoreduced units (filtred)
35
syphilis test method and deferral time
FTA-ABS 12 months post treatment
36
HBV test method and deferral time
- HBV DNA, HBsAg, anti HBc - neutralization/NAT - permenent
37
HIV (1&2) test method and deferral time
- NAT - permanent
38
HCV test method and deferral time
- pool HIV NAT - permanent?
39
HTLV test method and deferral time
- anti-HTLV ChLIA - permanent
40
T cruzi test method and deferral time
- ChLIA on first time donors - indefinite
41
WNV test method and deferral time
- NAT - 120 days - tested in pools until first pos in mosqito season
42
Bebesiosis test method and deferral time
- NAT and DHQ - 2 years from reactive test - year round single donor test in endemic regions (east coast)
43
Zika test method and deferral time
- NAT - 4 weeks
44
how long are donor records kept for and why
10 years - past units given reviewed for potential infections transmission