Studied by 3 peoplegen considerations
donor area pleasant and clean
personnel friendly/well trained
screening designed to protect donor and recipient
donor confidentiality must be protected
qualifications established by AABB, FDA, state
gen donor requirements
photo ID, 17 yrs, 110 lbs
hydrated, sensible meal 4 hrs prior
general good health
donor screening
encompasses medical Hx, physical exam, sero testing of donor blood
designed to answer:
will 450ml donation harm donor?
could blood transmit disease at this time?
any donor may be excluded by any of the 3
donor registration (donor card)
info must be obtained to pos ID donor and link to previous donations
should be able to contact in future if needed
name, date, time, address, phone, gender, age/DOB
consent to donate
consent to donate
donors should be informed of procedure and potential risks
given education on HIV, risky behavior, and not to donate in order to get tested for HIV
must sign form
are you feeling healthy and well today?
should be free of infectious diseases (colds) on day of donations
if not feeling well, determine if reason is cause for deferral
are you currently taking an antibiotic?
the reason for taking the antibiotic needs to be evaluate to determine if person has bacterial infection that could be transmissible by blood
are you currently taking any other medication for an infection?
the reason for taking the med needs to be evaluated to determine if person has viral, fungal, parasitic or other infection transmissible by blood
have you taken medications on the medication deferral list in the indicated time frames?
if yes, they will be deferred for the appropriate period of time
have you read the educational materials today?
donors must read prior to donating
in the past 48 hrs have you taken aspirin or anything with aspirin?
aspirin irreversibly inactivates plt function so donor cannot be sole source of plts
solely donating plts: deferred for 72 hrs
whole blood: can still donate but bag will say ASA
in past 8 wks, have you donated blood, plts, plasma?
whole blood donor can donate every 8 wks
plasma, plts, leukocyte donors by apheresis can donate every 2 days
no more than 24 plt donations/yr
in past 8 weeks, have you had any vaccines or other shots?
certain vaccines have live agents; should not donate for specified period of time
deferral period for live, attenuated vaccines
no deferral for killed, synthetic vaccines
in past 8 wks, have you had contact with someone vaccinated for smallpox
all donors who received smallpox vaccination are deferred for a minimum of 56 days regardless of when the scab fell off
in past 16 wks, have you donated a double unit of red cells using an apheresis machine?
donor should not donate more than once every 16 wks
in pas 12 months have you had a blood transfusion?
receiving an allogeneic blood transfusion of blood, plts, plasma or other component increases risk of transmitting infectious diseases so deferred for 12 months
in past 12 months, have you had a transplant (organ, tissue, BM) OR had graft such as skin or bone?
exposure to allogeneic tissues thru transplant = 12 months deferral
in past 12 months, have you come into contact with someone else’s blood?
contact with open wound, non intact skin or mucous membrane with blood of person, a needle stick, or other sharps injury has inc risk of transmitting infectious disease
12 month deferral
in past 12 months, have you had an accidental needle stick?
exposure to someone else’s blood thru a needle stick has inc risk of transmitting infectious disease
12 month deferral
in past 12 months: have you had sexual contact with anyone who has AIDS/HIV or had pos test for HIV/AIDS virus?
sexual contact w person with clinical/lab evidence of HIV infection has inc risk of transmission = 12 month deferral
in past 12 months, have you had sexual contact with a prostitute or anyone else who takes money/drugs for sex?
sexual contacts have 12 month deferral
in past 12 months, have you had sexual contact with anyone who has used needles to take drugs/steroids or anything not prescribed by their doctor?
needle drug users are at high risk of transmitting diseases so their sexual contacts are also at high risk = 12 month deferral
in past 12 months, have you had contact with another male or someone who had contact with another male?
a male having sexual contact with a male increases risk of transmitting HIV = 12 month deferral
in past 12 months, have you had sexual contact with someone with hepatitis?
sexual contact with someone hepatitis positive can have increased risk of transmitting = 12 month deferral
in past 12 months, have you lived with someone who has hepatitis?
living with someone hepatitis positive can increase risk of transmission = 12 months deferral after last contact
in past 12 months, have you had a tattoo?
tattoo = 12 month deferral unless applied by a state regulated entity with sterile needles and non reused ink
in past 12 months, have you had an ear or body piercing?
ear or body piercing = 12 month deferral unless done with single use equipment
in past 12 months, have you been treated for syphilis or gonorrhea?
syphilis/gonorrhoeae treatment, or confirmed reactive screening syphilis test = 12 month deferral
in past 12 months, have you been in juvenile detention, lockup, jail, prison for more than 3 days?
detained or incarcerated in a facility for 3+ days has an increased risk of transmitting diseases = 12 month deferral
in past 3 yrs have you been outside the US/canada?
residents of a malaria endemic country = 3 yr deferral w/ no symptoms
prior residents of endemic countries who live in non endemic countries for 3 years who do not travel to malaria endemic area = 12 month deferral after subsequent travel
prior residents of endemic countries who have not lived in non endemic countries for 3 yrs who travel to an endemic area = 3 yr deferral
from 1980 -1996 did you spend 3 months in the UK?
indefinite deferral from risk of developing vCJD from eating beef in UK
from 1980-1996, were you in the military, civilian military employee or a dependent of a member?
indefinitely deferred if they spent 6+ months on a base
1980-1990: belgium, netherlands, germany
1980-1996: spain, portugal, turkey, italy, greece
from 1980 to present, did you spend 5 yrs in europe?
5+ yrs in europe = indefinitely deferred from risk of vCJD
from 1980 to present, did you receive a blood transfusion in UK or france?
anyone receiving blood products in the UK or france = indefinitely deferred from vCJD risk
have you ever been pregnant?
pregnancy = deferred for safety of donor (risk of HLA Abs can cause TRALI)
have you ever had positive test for AIDS/HIV?
clinical or lab evidence of HIV/AIDS has an increased risk of transmitting = indefinite deferral
have you ever used needles to take anything not prescribed by your doctor?
needle users have increased risk of transmitting = indefinite deferral
have you ever received money, drugs, other payment for sex?
taking money, drugs as payment for sex has inc transmission risk = indefinite deferral
have you ever had malaria?
a person who has had malaria and received appropriate treatment = 3 yr deferral after becoming asymptomatic and living in non endemic country
have you ever had chaga’s?
chaga’s = indefinite deferral
have you ever had babesiosis?
babesia = indefinite deferral
have you ever received a dura mater graft or xenotransplantaion product?
dura mater transplant/graft has inc risk of vCJD = perm deferral
xenotransplantation = indefinitely deferral
have you ever had a type of cancer?
must be evaluated to determine eligibility
have you ever had any problems with your heart/lungs?
must be free of resp diseases
must evaluate any Hx of heart/lung diseases
have you ever had a bleeding or blood disease?
hemophilia or clotting disorder that requires treatment = deferred to prevent harm by the needle used for donation
have any of your relatives have CJD?
relative of someone w CJD = indefinite deferral
collection areas w/o active transmission of zika - question
in past 4 wks have you been to any places on the list?
collection areas with active transmission of zika - questions
in past 4 wks:
have you had zika infection
have you had 2+ of fever, joint pain, rash, conjunctivitis, headache
have you had sexual contact w a man who has zika or symptoms within 3 months of your contact
arm inspection
look for rash, lesions, needle tracks at potential venipuncture site
hazardous/strenuous activity
if yes, donor advised to refrain for 8 hrs after donating
eaten within 4 hrs
lightheadedness may occur if not
weight
< 110lbs; must get approval for less than 100 and adjust anticoag used if less than 300mls drawn
temperature
< 99.5F
pulse
between 50-100
blood pressure
systolic top: 90-180
diastolic bottom: 50-100
copper sulfate test (H/H)
acceptable: blood drop sin 15 sec
hgb < 12.5 OR hct 38% will float (> will sink)
if donor fails = rejected
autologous criteria: minimum hgb 11
SpG of copper sulfate should be 1.053
formula for reducing anticoag
63ml - ((donor wt/110) x 63) = amt of anticoag to be removed
(donor wt/110) X 63 = amt of anticoag needed
formula for amt of blood to be drawn
donor wt/100 x 450
mild donor rxn
fainting, nausea, vomiting, hyperventilation, muscle spasms
from sight or blood or unk
instructions for fainting
remove needle, tourniquet
cold compress on forehead
raise feet above heat
loosen clothing, secure airway
monitor vitals
instructions for nausea
breathe slowly
cold compress
turn donor head to side, provide receptable
give water after vomiting
moderate donor rxn
mild + loss of consciousness, dec heart rate, hyperventilation, systolic BP falls below 60
check vitals, administer O2
severe donor rxns
previous + convulsions, cerebral ischemia, marked hyperventilation, epilepsy
call 991, prevent donor from sustaining injury, ensure adequate airway
hematoma
blood collection under skin
remove needle, tourniquet
apply pressure while raising arm above heart
apply ice for 5 min
Note
Flashcard