DONOR SCREENING Flashcards by Kyra Catedral

GOVERNING AGENCIES

(4 - intl)
(2 - local)

Association for the Advancement of
Blood & Biotherapies

Food and Drugs Administration

College of American Pathologists

Clinical Laboratory Standards Institute

DOH

NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM

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DONOR SCREENING

GOALS (2)

Protect the health of the potential donor

Protect the health of the potential recipient

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DONOR SCREENING

3 STEPS

Registration
Health History Interview
Physical Examination

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DONOR SCREENING

• Documenting information for donor’s identity
• Prevent collection from an unqualified donor
• Contact information for test results or other relevant info

REGISTRATION

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REGISTRATION

Donation records include the following: (5)

• Donor’s full name
• Permanent address/contact info
• Date of Birth (Age: 16 - 65)
• Gender
• Date of last donation

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REGISTRATION
Additional information:

• Unique identification number
• Positive Identification: Photo
• Race
• Intend use of donation

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REGISTRATION

• All prospective donors must be given _____describing the donation process and donor eligibility
• Information about risks of_____ transmitted by blood transfusion
• Communication material must be available for donors not fluent in English or have hearing/vision impaired

educational materials

infectious diseases

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DONOR SCREENING
HEALTH HISTORY INTERVIEW

2 categories:

Could determine the…

• Questions intended to protect the donor
• Questions intended to protect the patient

deferral status of the donor

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Could determine the deferral status of the donor

HEALTH HISTORY INTERVIEW

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DONOR CATEGORIES (3)

Allogeneic
Autologous
Recipient Specific Directed donation

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terms used for blood donated by individuals for anyone’s use

“Allogeneic”, “homologous”
and “random donor”

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•: donate blood for your own use only

Autologous

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• donor called in because blood/blood product is needed for a specific patient

Recipient Specific Directed donation

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Three types of deferrals:

Temporary

Indefinite

Permanent

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• prospective donor is unable to donate blood for a limited period of time.

Temporary deferral

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• Prospective donor is unable to donate blood for someone else for an unspecified period of time due to current regulatory requirements.

Indefinite deferral

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Prospective donor will never be eligible to donate blood for someone else.

Permanent deferral

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PHYSICAL EXAM

General Appearance:
Weight:

Appears Healthy

> 50kg or 110 lbs

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PHYSICAL EXAM

Hematocrit:
• Allogeneic donor:
• Women:
• Men:

• Autologous donor:

> 38%
39%

> 33%

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PHYSICAL EXAM

Hemoglobin:
• Allogeneic donor:
Women:
Men:

• Autologous donor:

> 12.5 g/dL

> 13.0 g/dL

> 11.0 g/dL

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PHYSICAL EXAM

Temperature: <

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37.5°C/99°F

PHYSICAL EXAM

Blood Pressure:
• Systolic:
• Diastolic:

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<180 mmHg

<100 mmHg

PHYSICAL EXAM

• Pulse Rate:______
Athlete donors =_____

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50-100 bpm

<50 bpm is acceptable

INFORMED CONSENT
•________ mandate that informed consent of allogeneic, autologous, and apheresis donors
be obtained before donation.

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AABB Standards

• Understanding of all the donor information presented • Additional questions • Blood tests • Notified if testing indicates that the blood presents a risk of transmitting disease • Used for other purposes

INFORMED CONSENT

BLOOD COLLECTION • The phlebotomist should confirm the ______ of the donor before beginning venipuncture • Inspects the antecubital area of both arms of the donor

IDENTIFICATION n Identity

BLOOD COLLECTION BAG LABELLING

Primary Bag Satellite Bags Sample Tubes Donor Registration Form

ARM PREPARATION • Two solutions for disinfecting venipuncture site:

lodophor 10% povidone-iodine

• Needle gauge: • Usual donation time:

16-17 8-12 minutes

*More than 15 minutes: This is unsuitable for prep of (3)

platelets Fresh frozen plasma CRYO

BLOOD COLLECTION • DONOR REACTIONS (3)

Mild Moderate Severe

• Mild Reactions

Syncope nausea hyperventilation twitching muscle spasm

• Moderate Reactions

Mild reactions and loss of consciousness

• Severe Reaction

Moderate reactions and convulsions

TREATMENT for Weakness, sweating, dizziness, pallor, nausea, vomiting

• Remove needle and tourniquet; • elevate legs above head; • apply cold compress from back to the neck

TREATMENT for Syncope

• Cold compresses on back of neck

TREATMENT for Twitching, muscle spasms

• Have donor cough

TREATMENT for Hematoma

• Apply pressure 7-10 minutes; • apply ice for 5 mins.

TREATMENT for Convulsions

• Call for help; • ensure donors airways are free

TREATMENT for Cardiac difficulties

• Call for emergency help

POST DONATION • Avoid smoking for_______; avoid alcohol until______ • Drink more fluids for the next___ • If dizziness or fainting occurs,_____ • ***Inform the blood center if any symptoms persist***

30 minutes; something has been eaten 4 hours lie down or sit with the head between the knees

must be retained by the blood collection facility as mandated by the FDA and AABB.

• Donor records

• There must be a system to ensure that the ***donor's confidentiality is not compromised and that donor records are not altered.*** • There must be ***policies on record-keeping and storage,*** and the blood bank staff should be well-trained on these policies and procedures.

DONOR RECORDS

Retention of Donor Records (5 years)

Medical director ***approval for donation interval***

DONOR PROCESSING CATEGORIES (2)

Immunohematologic Testings Infectious Disease Screening

DONOR PROCESSING CATEGORIES ***Immunohematologic Testings***

• ABO and D Typing • Antibody Screen

DONOR PROCESSING CATEGORIES ***Infectious Disease Screening***

• Syphilis • Hepatitis Virus • HIV Others

DONOR PROCESSING: IMMUNOHEMATOLOGIC TESTS ABO/Rh • Methods: (4)

• Tube • Microplate • Solid Phase Adherence • Gel Test

• Any _____ and _____discrepancies should be resolved before labeling the donor unit

ABO and D typing

DONOR PROCESSING: IMMUNOHEMATOLOGIC TESTS ***ANTIBODY SCREEN*** • Detects unexpected antibodies in the_____ • Most important abs detected are those produced_____

donor's plasma after transfusion or pregnancy

• If clinically significant antibodies are present: • _______ and_______are ***not used for transfusion*** • If used,_____ is required on the label of the component

PLASMA and PLATELETS Ab interpretation

DONOR SCREENING Flashcards

(52 cards)