Bonor selection criteria 1

Asif Zeb
Asif ZebLecturer à Shaukat Khanum Memorial Cancer Hospital and Research Centre
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)
• Donor selection determines the eligibility of a
donor to donate blood.
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.
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
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
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
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
• 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
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
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
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)
4. Medical Examination4. Medical Examination
• Blood test for:
• Hemoglobin
• Blood pressure
• Pulse
• General physical examination
5. Blood Donation Procedure5. Blood Donation Procedure
Remember!Remember!
The Donor Must ….
 have had good rest /
sleep
 have had light meal
 be mentally prepared
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
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.
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
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
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
Thank you
1 sur 19

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Bonor selection criteria 1

  • 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