1. Donor ManagementDonor Management
in Blood Banksin Blood Banks
MUHAMMAD ASIF ZEB
Lecturer MLT (KMU)
Master in health and professional education (MHPE in
progress)
M.Sc. Hematology
B.Sc. MLT
Certificate in health and professional education (CHPE)
Certificate in health research (CHR)
2. • Donor selection determines the eligibility of a
donor to donate blood.
3. Types
1. Voluntary Donors : Donate Blood on their own
2. Replacement Donors : from within the patient’s
own family or community
3. Autologous Blood Donor -Are patients who
donate their own blood for self
4. Professional Donors -means a person who
donates blood for a valuable consideration, in cash or
kind, for any source, on behalf of the recipient patient
includes a paid donor or a commercial donor.
4. Fact sheetFact sheet
A person has 5 - 6 litres of blood in their body.
A person can donate blood every 90 days (3 months).
Body recovers the Blood very quickly:
Blood plasma volume– within 24 - 48 hours
Red Blood Cells – in about 3 weeks
Platelets & White Blood Cells – within minutes
5. Safety ConcernsSafety Concerns
• Safety of Blood Donor & Blood Recipient (patient)
because “Safe Blood” gives life, “Unsafe blood” gives
infections
• To ensure “Blood Safety”,
• Strict “Donor Screening” at the Camp
• “Testing” of collected blood to WHO specified
standards
• Strict “cross-matching” of blood samples to ensure
safe transfusion to patient
6. Pre-Donation informationPre-Donation information
• It is quick and safe.
• It doesn’t hurt.
• It saves 3 to 4 lives.
• Blood is taken ONLY from Voluntary Donors
• Using sterile, disposable blood bags &
instruments
• Donated Blood is tested and separated into
components benefiting 3-4 patients
• It is safe to donate every 3 months
7. Procedure forProcedure for
Voluntary Blood DonationVoluntary Blood Donation
Pre-Donation:Pre-Donation:
1. Donor Screening
2. Donor Eligibility criteria
3. Donor Consent Form
4. Medical examination
Blood Donation:Blood Donation:
5. Blood donation procedure
Post donationPost donation
6. Rest, advice & refreshment
7. Donor Certificate, Donor ID card
8. • Safe Donor selection involves –
1. Identification of low risk populations
2. Donor education and recruitment
3. Medical Examination before donation
1. Donor Screening1. Donor Screening
9. 2. Donor Eligibility Criteria2. Donor Eligibility Criteria
• Who can donate?
• Age: 18 - 60 years
• Weight : > 50 kg
• Hemoglobin level: >12.0 gms/dl for
women and 12.5 gm/dl for men
• In good health
Wt > 50
Kg
10. 3. Deferral Criteria3. Deferral Criteria
Who CANNOT donate?Who CANNOT donate?
Life long 1 year 6 Months
х Abnormal bleeding
disorder
х Heart, Kidney, Liver
Disorder
х Thyroid disorder
х Epilepsy, Mental
disorders
х Tuberculosis,
Leprosy,
х Asthma
х Cancer
х Insulin dependent
diabetics
o Surgery
o Typhoid
o Dog bite
o
Unexplained
weight loss
o
Continuous
low grade
fever
o Tattooing or
body piercing
o Dental
extraction
o Root canal
treatment
o Malaria
o Vaccination
11. Female donors cannot donate blood……
• During pregnancy
• After delivery for one year
• When lactating
• During menstrual period and for 7 days there after
Male donors cannot donate blood……
• If consumed Alcohol in the previous 24 hours
3. Deferral Criteria…3. Deferral Criteria…
(Donor Consent Form)(Donor Consent Form)
12. 4. Medical Examination4. Medical Examination
• Blood test for:
• Hemoglobin
• Blood pressure
• Pulse
• General physical examination
13. 5. Blood Donation Procedure5. Blood Donation Procedure
Remember!Remember!
The Donor Must ….
have had good rest /
sleep
have had light meal
be mentally prepared
14. 5. Blood Donation Procedure5. Blood Donation Procedure
Volume of blood collectionVolume of blood collection
Donor
Weight
Blood
collected
Amount Used for
45 kgs -55
kgs
350ml Single bag Whole Blood
> 55 kgs 450 ml Double /
Triple bag
Blood
Components
15. Post Donation AdvicePost Donation Advice
Drink lots of fluids for next 24 hours
Avoid smoking for one hour & alcohol till after a meal
Don’t use elevator to go up immediately after donation as it will
make blood rush to your feet & make you dizzy!
Avoid highly strenuous exercises & games for a day
If you feel dizzy, lie down & put your feet up. You will be alright
in 10-20 mins.
Remove band-aid after 4 hours. If it bleeds, apply pressure &
reapply band-aid. If bruised and painful, apply cold-pack 4 to 5
times for 5 mins each. The bruise is due to blood seeping into
the surrounding tissue. It will take a few days to get reabsorbed.
16. 6. Testing at Blood Bank for6. Testing at Blood Bank for
Transfusion Transmissible Infections (TTIs)Transfusion Transmissible Infections (TTIs)
Blood collected at the BDC is screened using highest
quality screening tests for 6 TTIs
• HIV 1
• HIV 2
• Hepatitis B
• Hepatitis C
• VDRL (syphilis)
• Malaria
17. Counselling for “Reactive” donorsCounselling for “Reactive” donors
If a blood sample tests positive for any TTI, then….
Tests are repeated in duplicate
Complete confidentiality is maintained about
the test results
only the donor is informed, counseled &
encouraged for further testing
Referrals to health experts are provided along
with follow-ups
18. Benefits to Donor of blood donationBenefits to Donor of blood donation
Health benefits:
Regular donation (2-3 times a year….)
• Lowers cholesterol
• Lowers lipid levels
• Decreases incidence of heart attacks, strokes
Donor is also eligible to receive one FREE unit of blood if
needed for
• Self
• Spouse/ Child/ Parents, and
• Even friends