Donor Recruitment, History, Physical, and Collection (Exam 3)

What does computerized registration of donors allow for?

- Flagging of previous deferrals

- Checking of donation intervals

- Flagging of rare blood types

- Displaying of comments

What information is taken from the donor and kept on record?

- Full name

- Date and time of donation

- Address

- Phone number

- Gender

- Age/DOB

- Consent

What must the donor be educated on at the donation site?

- Diseases transmitted through transfusion

- S/Sx of AIDS

- Required testing

- Notification of abnormal results

- Deferral registry

- Incarceration

- Alternative test sites for AIDS

- Illness post donation

- Consent includes acknowledgement of education

Medical history of a blood donor is collected via the ______.

DHQ (Donor History Questionnaire)

What are the three types of deferral?

Temporary, indefinite, permanent

What are some things that cause a temporary deferral?

Blood transfusion, vaccination, piercing

What are some things that cause an indefinite deferral?

Living location (in regard to prevalent diseases)

What are some things that cause a permanent deferral?

Hepatitis C, B positive

You can donate whole blood every ______ weeks.

8

You can donate double red cells by apheresis every ______ weeks.

16

You can donate platelets via apheresis ______ times a week up to ______ times a year.

2, 24

You can donate plasma via apheresis every ______ days.

28

Intervals for autologous or directed whole blood donation are determined by a patient's ______.

physician

What medical history must be taken from a patient when donating blood?

- General health status

- Antibiotics

- Medications

- Aspirin

- Pregnancy

- Vaccinations

- Medical conditions

- Travel history

What things are important when determining a donor's exposure to another person's blood, body fluids, tissues, or organs?

- Tattoos

- Ear/body piercings

- Needle sticks

- Transfusions

- Transplants

- Sexual contat

- Household contact (Hepatitis only)

Travel history is needed to reduce the risk of exposure to ...

CJD (England), HIV-1 Group O, Malaria (Sub-Saharan Africa)

Blood donors must be ______ years of age, with parent consent.

16

Blood donors must weight at lease ______lbs.

110

The temperature of a donor at the time of donation must be equal to or below ______.

99.5F (37.5C)

A donor's pulse must be between ______ and regular.

50-100

A blood donor's blood pressure must be equal to or less than ______mmHg.

180/100mmHg

Blood pressure meds are okay for donation

A female's hemoglobin must be greater than or equal to ______g/dL to donate blood.

12.5g/dL

A male's hemoglobin must be greater than or equal to ______g/dL to donate blood.

13.0g/dL

A female's hematocrit must be greater than or equal to ______g/dL to donate blood.

38%

A male's hematocrit must be greater than or equal to ______g/dL to donate blood.

39%

Hemoglobin and hematocrit requirements are ______ for double red cell by apheresis donations.

higher

Platelet apheresis donors must have a platelet count of greater than or equal to ______.

150,000

Autologous donations require a hemoglobin of at least ______g/dL or a hematocrit of ______%.

11g/dL, 33%

What is the purpose of the arm exam prior to donation?

See if the patient has...

- Rash

- Infection

- Lesions

- Scarring

- Evidence of IV drug abuse

- Repeated venipunctures

Prior to inserting the needle for a blood draw, the arm must be cleaned for at least 30 seconds with ______ or ______.

iodophor compounds (iodine complex), chlorhexidine gluconate with isopropanol alcohol

When cleaning, you should start at the intended venipuncture site, the scrub in an ______ and let it stand for 30 seconds.

outward circle

______ should be placed on the arm until performing the venipuncture.

Sterile gauze

Each blood donor is given a unique ______.

donor number

The max collection for blood donation is ______mL plus samples.

500mL

What precautions must be taken to prevent disease transmission via transfusion?

- Safe donor and vein selection

- Disinfection

- Safe handling, transport, prep, and storage of units

- Testing with FDA approved tests

- Adherence to FDA, AABB, CAP guidelines

Apheresis is the selective removal of a ______ using cell separation.

blood component (RBCs, plasma, PLTs)

Blood donations use ______ component collections.

automated

Therapeutic apheresis can be used for certain ______ or collection of ______.

diseases, hematopoietic pluripotent stem cells

What components can be separated using apheresis?

- PLTs

- Plasma

- RBCs (and double RBCs)

- Leukoreduction

In order to perform apheresis, samples must be ______ to separate each component based on gravity.

centrifuged

During apheresis, filtration separation is used, based on ______ of the blood components.

molecular size

What are the three methods of apheresis?

- Intermittent flow centrifugation

- Continuous flow centrifugation

- Filtration

Intermittent flow centrifugation is less ______ than continuous flow centrifugation.

efficient

Intermittent flow centrifugation requires ______ venipuncture site(s), while continuous flow centrifugation requires ______.

one, two

Filtration apheresis is done through the use of a ______.

membrane (filters based on component sizes)

What can RBC apheresis be used to treat?

Sickle cell disease and malaria

What can WBC apheresis be used to treat?

Leukemias and cell therapies

What can PLT apheresis be used to treat?

Thrombocytosis

What can plasma apheresis be used to treat?

- HUS

- TTP

- Kidney or heart transplant rejection

- Guillain Barre Syndrome

- Myasthenia Gravis

- Goodpasture's Syndrome

- Waldenstrom's

- Hyperlipidemia

Single donor platelets can be stored at ______C with agitation.

20-24C

Single donor platelets expire ______ days after collection.

5 days

Plasma must be frozen solid within ______ hours of collection.

6 hours

Plasma must be stored at less than or equal to ______C.

-18C

Plasma expires ______ after collection.

1 year

RBCs can receive additive solution that extends its expiration date to ______ days after collection.

42 days

RBCs are filtered to remove ______.

WBCs

After apheresis, collected platelets must be ______.

cultured

Apheresis-collected platelets must reach a count of at least ______ in 90% of the products.

3 x 10^11

Platelets collected via apheresis must have a pH of at least ______ at outdate or issue 100%.

6.2

In leukocyte reduced platelets, there must be equal to or less than ______ WBCs in 95% of the units tested.

5 x 10^6

Leukoreduced RBCs must retain at least ______% of the original RBCs.

85%

Leukoreduced RBCs must contain less than or equal to ______ residual WBCs.

5 x 10^6