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donor selection criteria

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MLT LECTURES BY TANVEER TARA
MLT LECTURES BY TANVEER TARA

This document discusses donor selection criteria and donor care policies. It outlines different types of blood donors, including voluntary, replacement, autologous, and apheresis donors. Professional donors who are paid are not preferred due to risks. Selection criteria aim to protect both donors and recipients by ensuring donors are healthy and low risk. The donor selection process involves registration, consent, medical screening, and testing. Policies cover donor recruitment, retention, counseling, and ensuring a safe donation experience.

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donor selection criteria
Donor Selection Criteria • Donor selection determines the eligibility of a donor to donate blood.
Types of blood donors • Voluntary Donors –Donate Blood on their own • Replacement Donors : from within the patient’s own family or community • Autologous Blood Donor -Are patients who donate their own blood for self • Apheresis Donor- Donate blood components through the process of cell separation
Professional Donors • Professional Donors -means a person who donates blood for a valuable consideration, in casher kind, for any source, on behalf of the recipient patient includes a paid donor or a commercial donor…………. • A bad donor………….
Good vs Bad Voluntary Non Remunerated Blood Donors are the low risk donors for • Safe blood • Sustainable blood Supply Replacement Donors-not a preferred system • Risks of professional Donors. • Risk of hidden information
Policies and Guidelines RRSCC Donor Recruitment Donor Retention Donor Selection Blood Collection Donor Counseling
Donor Recruitment Program An adequate supply of low risk donors requires  A donor recruitment program  A dedicated recruitment section with trained staff like Lab Technologist ,Lab specialist ,lab scientist or MLSO
Basic Transfusion Chain The quality of the BTS is influenced by the quality of each of the links Blood donors Collection Processing Screening Testing Transfusion
Blood safety The first & the most important step, in ensuring that blood and its products for transfusion do not have any pathogenic virus/bacteria, is the PROPER SELECTION of BLOOD DONORS. Donor selection should be done carefully. The donor should be in good health to avoid any bad effect to the donor or to the recipient
Pre Donation Information Documents to give information to donors  General advice Pre- and post- donation Information about giving blood  Deferral information Self- deferral on the basis of medical condition Self- deferral on the basis of risk behavior
• Registration, consent of the donor & demographic information. • Medical history • Physical examination. • Laboratory tests
Donor selection • Donor selection criteria are essential Based on accepted regional/ international practice • Protect the donor Ensures that it is safe for the donor to donate • Protect the recipient Ensures that any risk of transfusion- transmitted infection or other adverse effect is minimized
Demographic information So that the donor can be informed of any laboratory test abnormality or can be called for future donation. • Donor’s name • Father’s/Husband’s name • Date of birth/Age • Gender : Male/Female • Residential & Office address with phone numbers.
Medical Interview • Are you at present in good health? • When did you eat last? • Are you taking any medicine? • Have you been vaccinated recently? • Have you ever suffered a convulsion or mental disorder? • Have you ever had jaundice? • Have you lost significant weight loss in last six months ?
Medical interview-Collection of information on health and behaviour for Critical assessment of donors regarding fitness  What to ask and why Maintain confidentiality Good relationship comes from trust Personal interviews should not be overheard Maintain right of each donor to privacy  Medical examination Haemoglobin testing Weight
Should not • have cough, influenza or sore throat, common cold at the time of blood donation • have taken any antibiotics or any other medications (Allopathic or Ayurveda or Sidha or Homeo) in the past 48 hours • have taken alcoholic beverages in the past 24 hours • be pregnant or breast feeding or donate during her menstrual cycles • have donated blood in past 3 months
have been treated for rabies in the past one year be treated for Malaria in the past three months have had any immunizations in the last one month have had any dental treatment have taken Aspirin in the past 72 hours have diabetes, heart disease or high BP, cancer, blood clotting problem or blood disease have TB, bronchial asthma or allergic disorder, liver disease, kidney disease, fits or fainting
Donor should be in good health  Age -18 - 60 years  Haemoglobin - not less than 12.5 g/dL  Pulse - between 50 and 100/minute with no irregularities  Blood Pressure -Systolic 100-180 mm Hg and Diastolic 50 - 100 mm Hg  Temperature - Normal  Body weight - ≥ 45 kgs. ( for 350 ml.) ≥ 60 kgs. ( for 450 ml. )  Both male and female can donate blood  Skin at the venipuncture site should be free from any lesion or scar of needle. Any pricks may indicate drug
Temporarily Defer the donor if history of Major surgery – six months Minor surgery – three months Donated blood – 3 months. Tooth extraction/manipulation–3 days Received blood or blood component transfusion – 1yr Aspirin – defer if taken within last 3 days for component preparation /platelet pheresis
Temporarily History of malaria for three months after treatment and cessation of symptoms . Tuberculosis for five years after complete treatment and cessation of symptoms.
Permanently Defer Donors with history of Heart disease : Coronary disease, Rheumatic heart disease, Cardiac medication, cardiac surgery Hypertension Endocrine :diabetes, hyperthyroidism Malignancy High risk group donors for HIV infection
Permanently Chronic renal failure Chronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, Asthma Medications : anticoagulants, , immuno - suppressives, cardiac medications.
 Acceptable criteria Donor should meet all the acceptable criteria for routine whole blood donation however : Age of the donor-18 to 50 years. Weight of the donor-> than 55-60kg. The pre-procedure platelet count should be more than 150,000 per cubic mm
SHORT PERIOD • Donor should not have taken aspirin or any other platelet inhibitor in last 72 hours. • The donor should not be fasting prior to the procedure, • Donor should have a prominent and easily accessible central anticubital vein in at least one of the arm.
SHORT PERIOD The minimum time gap between two blood donations should be 12 weeks/3 months Whole blood donation must be deferred for at least 72 hours after plateletpheresis In case of re-infusion failure, donor should not donate whole blood for 12 weeks
Donor care • Donor care – before, during and after donation • Donating blood should be a pleasant experience • The venue must be a safe place for the donor • The venue must be comfortable & clean. • Adequately Address Adverse reactions • Facilities to deal with any reactions during or after donation
DONOR CARE-BEFORE DONATION Everyone involved in interviewing & counselling should develop a friendly & tactful approach that encourages donors to be honest & accurate in their answers to questions about their medical history. The health check should always be handled professionally so that the donors feel they are in good hands Be sensitive to the donors feelings of fear & embarrassment No chatting with other staff & ignoring the donor
DONOR CARE-DURING DONATION Staff must be trained in interpersonal skills and should always be smart & clean in appearance with high standard of personal hygiene Staff should have pleasant manners & be capable of conversing freely with donors at the time of donation. An act of carelessness or lack of professionalism by staff during or after donation can be detrimental to the donors coming back again to donate blood
Observe the donor for 8-10 minutes on the donor chair to prevent adverse reactions. Observe for another 10 minutes in the refreshment area whilst Donor has refreshment . Inspect the venepuncture site before the donor leaves the donor room
Thank u very much Ask the donor to write his comments/suggestions in the donor refreshment register Thanks donors WITH APPRECIATION so that they are motivated and encouraged to become repeat regular voluntary blood donor.
Post donation instruction to the donor before leaving blood bank  Drink more fluid in next 24 hours.  Do not smoke for1/2 hour after donation.  Continue with daily routine work but avoid strenuous exercise e.g. Weight lifting for 24 hours.  Do not drive for at least half an hour.  Volume lost due to blood donation is replenished by 48 hours. Can safely donate again after three months.  Report to blood bank in case of any adverse reaction.  Document adverse reaction if any on the donor card and donor register.
Donor Satisfaction Congenial atmosphere Courteous and trained staff Care and Comfort Confidentiality Counseling Constant feed back Continuous efforts
donor selection criteria

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donor selection criteria

  • 2. Donor Selection Criteria • Donor selection determines the eligibility of a donor to donate blood.
  • 3. Types of blood donors • Voluntary Donors –Donate Blood on their own • Replacement Donors : from within the patient’s own family or community • Autologous Blood Donor -Are patients who donate their own blood for self • Apheresis Donor- Donate blood components through the process of cell separation
  • 4. Professional Donors • Professional Donors -means a person who donates blood for a valuable consideration, in casher kind, for any source, on behalf of the recipient patient includes a paid donor or a commercial donor…………. • A bad donor………….
  • 5. Good vs Bad Voluntary Non Remunerated Blood Donors are the low risk donors for • Safe blood • Sustainable blood Supply Replacement Donors-not a preferred system • Risks of professional Donors. • Risk of hidden information
  • 6. Policies and Guidelines RRSCC Donor Recruitment Donor Retention Donor Selection Blood Collection Donor Counseling
  • 7. Donor Recruitment Program An adequate supply of low risk donors requires  A donor recruitment program  A dedicated recruitment section with trained staff like Lab Technologist ,Lab specialist ,lab scientist or MLSO
  • 8. Basic Transfusion Chain The quality of the BTS is influenced by the quality of each of the links Blood donors Collection Processing Screening Testing Transfusion
  • 9. Blood safety The first & the most important step, in ensuring that blood and its products for transfusion do not have any pathogenic virus/bacteria, is the PROPER SELECTION of BLOOD DONORS. Donor selection should be done carefully. The donor should be in good health to avoid any bad effect to the donor or to the recipient
  • 10. Pre Donation Information Documents to give information to donors  General advice Pre- and post- donation Information about giving blood  Deferral information Self- deferral on the basis of medical condition Self- deferral on the basis of risk behavior
  • 11. • Registration, consent of the donor & demographic information. • Medical history • Physical examination. • Laboratory tests
  • 12. Donor selection • Donor selection criteria are essential Based on accepted regional/ international practice • Protect the donor Ensures that it is safe for the donor to donate • Protect the recipient Ensures that any risk of transfusion- transmitted infection or other adverse effect is minimized
  • 13. Demographic information So that the donor can be informed of any laboratory test abnormality or can be called for future donation. • Donor’s name • Father’s/Husband’s name • Date of birth/Age • Gender : Male/Female • Residential & Office address with phone numbers.
  • 14. Medical Interview • Are you at present in good health? • When did you eat last? • Are you taking any medicine? • Have you been vaccinated recently? • Have you ever suffered a convulsion or mental disorder? • Have you ever had jaundice? • Have you lost significant weight loss in last six months ?
  • 15. Medical interview-Collection of information on health and behaviour for Critical assessment of donors regarding fitness  What to ask and why Maintain confidentiality Good relationship comes from trust Personal interviews should not be overheard Maintain right of each donor to privacy  Medical examination Haemoglobin testing Weight
  • 16. Should not • have cough, influenza or sore throat, common cold at the time of blood donation • have taken any antibiotics or any other medications (Allopathic or Ayurveda or Sidha or Homeo) in the past 48 hours • have taken alcoholic beverages in the past 24 hours • be pregnant or breast feeding or donate during her menstrual cycles • have donated blood in past 3 months
  • 17. have been treated for rabies in the past one year be treated for Malaria in the past three months have had any immunizations in the last one month have had any dental treatment have taken Aspirin in the past 72 hours have diabetes, heart disease or high BP, cancer, blood clotting problem or blood disease have TB, bronchial asthma or allergic disorder, liver disease, kidney disease, fits or fainting
  • 18. Donor should be in good health  Age -18 - 60 years  Haemoglobin - not less than 12.5 g/dL  Pulse - between 50 and 100/minute with no irregularities  Blood Pressure -Systolic 100-180 mm Hg and Diastolic 50 - 100 mm Hg  Temperature - Normal  Body weight - ≥ 45 kgs. ( for 350 ml.) ≥ 60 kgs. ( for 450 ml. )  Both male and female can donate blood  Skin at the venipuncture site should be free from any lesion or scar of needle. Any pricks may indicate drug
  • 19. Temporarily Defer the donor if history of Major surgery – six months Minor surgery – three months Donated blood – 3 months. Tooth extraction/manipulation–3 days Received blood or blood component transfusion – 1yr Aspirin – defer if taken within last 3 days for component preparation /platelet pheresis
  • 20. Temporarily History of malaria for three months after treatment and cessation of symptoms . Tuberculosis for five years after complete treatment and cessation of symptoms.
  • 21. Permanently Defer Donors with history of Heart disease : Coronary disease, Rheumatic heart disease, Cardiac medication, cardiac surgery Hypertension Endocrine :diabetes, hyperthyroidism Malignancy High risk group donors for HIV infection
  • 22. Permanently Chronic renal failure Chronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, Asthma Medications : anticoagulants, , immuno - suppressives, cardiac medications.
  • 23.  Acceptable criteria Donor should meet all the acceptable criteria for routine whole blood donation however : Age of the donor-18 to 50 years. Weight of the donor-> than 55-60kg. The pre-procedure platelet count should be more than 150,000 per cubic mm
  • 24. SHORT PERIOD • Donor should not have taken aspirin or any other platelet inhibitor in last 72 hours. • The donor should not be fasting prior to the procedure, • Donor should have a prominent and easily accessible central anticubital vein in at least one of the arm.
  • 25. SHORT PERIOD The minimum time gap between two blood donations should be 12 weeks/3 months Whole blood donation must be deferred for at least 72 hours after plateletpheresis In case of re-infusion failure, donor should not donate whole blood for 12 weeks
  • 26. Donor care • Donor care – before, during and after donation • Donating blood should be a pleasant experience • The venue must be a safe place for the donor • The venue must be comfortable & clean. • Adequately Address Adverse reactions • Facilities to deal with any reactions during or after donation
  • 27. DONOR CARE-BEFORE DONATION Everyone involved in interviewing & counselling should develop a friendly & tactful approach that encourages donors to be honest & accurate in their answers to questions about their medical history. The health check should always be handled professionally so that the donors feel they are in good hands Be sensitive to the donors feelings of fear & embarrassment No chatting with other staff & ignoring the donor
  • 28. DONOR CARE-DURING DONATION Staff must be trained in interpersonal skills and should always be smart & clean in appearance with high standard of personal hygiene Staff should have pleasant manners & be capable of conversing freely with donors at the time of donation. An act of carelessness or lack of professionalism by staff during or after donation can be detrimental to the donors coming back again to donate blood
  • 29. Observe the donor for 8-10 minutes on the donor chair to prevent adverse reactions. Observe for another 10 minutes in the refreshment area whilst Donor has refreshment . Inspect the venepuncture site before the donor leaves the donor room
  • 30. Thank u very much Ask the donor to write his comments/suggestions in the donor refreshment register Thanks donors WITH APPRECIATION so that they are motivated and encouraged to become repeat regular voluntary blood donor.
  • 31. Post donation instruction to the donor before leaving blood bank  Drink more fluid in next 24 hours.  Do not smoke for1/2 hour after donation.  Continue with daily routine work but avoid strenuous exercise e.g. Weight lifting for 24 hours.  Do not drive for at least half an hour.  Volume lost due to blood donation is replenished by 48 hours. Can safely donate again after three months.  Report to blood bank in case of any adverse reaction.  Document adverse reaction if any on the donor card and donor register.
  • 32. Donor Satisfaction Congenial atmosphere Courteous and trained staff Care and Comfort Confidentiality Counseling Constant feed back Continuous efforts