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

RRSCCDonor RecruitmentDonor RetentionDonor SelectionBlood CollectionDonor 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

ProcessingScreening

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- transmittedinfection 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 testingWeight

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 yearbe treated for Malaria in the past three monthshave had any immunizations in the last one monthhave had any dental treatmenthave taken Aspirin in the past 72 hourshave diabetes, heart disease or high BP, cancer, blood

clotting problem or blood diseasehave TB, bronchial asthma or allergic disorder, liver

disease, kidney disease, fits or fainting

Donor should be in good healthAge -18 - 60 yearsHaemoglobin - not less than 12.5 g/dLPulse - between 50 and 100/minute with no irregularitiesBlood Pressure -Systolic 100-180 mm Hg and Diastolic 50 - 100

mm HgTemperature - NormalBody weight - ≥ 45 kgs. ( for 350 ml.) ≥ 60 kgs. ( for 450 ml. )Both male and female can donate bloodSkin 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 monthsDonated blood – 3 months. Tooth extraction/manipulation–3 daysReceived blood or blood component

transfusion – 1yrAspirin – 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 surgeryHypertensionEndocrine :diabetes, hyperthyroidismMalignancyHigh risk group donors for HIV infection

PermanentlyChronic renal failureChronic liver disease Stomach ulcer Bleeding tendencies Severe allergic disorder, AsthmaMedications : anticoagulants, , immuno -

suppressives, cardiac medications.

Acceptable criteriaDonor 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 atmosphereCourteous and trained staffCare and Comfort ConfidentialityCounselingConstant feed backContinuous efforts