DONOR SCREENING

AND
DONOR
MANAGEMENT
 TYPES OF
DONATION
3 TYPES OF DONATION
1. Autologous donation
- donors donate for own use

4 types:
a.preoperative collection
b.acute normovolemic hemodilution
c.intraoperative collection
d.postoperative collection
 TYPES OF
DONATION
3 TYPES OF DONATION
2. Directed donation
- donated blood is directed to a patient other than self

3 categories of directed donors

a.voluntary, non-renumerated blood donors
b.family or replacement blood donors
c.professional/paid/commercial blood donors
 TYPES OF
DONATION
3 TYPES OF DONATION
3. Pheresis donation
- donation of specific blood component while returning
the remaining whole blood components back to the
patient

Blood components
a. Plateletpheresis
b. Plasmapheresis
c. Leukopheresis
d. Double RBC pheresis
e. Stem cell pheresis
 DONOR
SELECTION
QUALIFICATIONS OF DONORS:
1. Appears to be in good health
2. Age
3. Body weight
4. Pulse rate
5. Blood pressure
6. Hemoglobin and hematocrit
7. Temperature
8. Volume of blood to be drawn
9. Volume of anticoagulant needed
10. Presence of skin lesions
 DONOR
SELECTION
DONOR PROCESSING

1. ABO/Rh
2. Antibody screen
3. HbsAg
4. Anti-HBc
5. Anti-HCV
6. Anti-HIV ½
7. Anti-HTLV I/II
8. West Nile Virus RNA
9. Syphilis
10. Chagas’ disease
DONOR RECORD RETENTION
TIME (YEARS)
Donor ABO/Rh 10
Donor antibody screen 10
Informed consent for donation 10
Medical director approval for donation interval 5
Physical examination 10
Medical history information 10
Identification number of donor unit 10
Viral maker testing results 10
Quarantine of donor unit 10
Repeat testing of donor blood 10
ID of donor processing technologist 10
Platelet count for frequent platelet pheresis 10
Sedimenting agnet of leukapheresis 10
Notification of abnormal results 10/indefinite
 DONOR
SELECTION
CAUSES OF PERMANENT DEFERRAL OF BLOOD DONORS
1. High risk history for AIDS
- men who had sex with another man
- hemophiliacs
- IV drug abusers
- persons who have engaged in sex for money or drugs
2. Confirmed positive test for HIV, hepatitis B, hepatitis C and HTLV
3. Symptoms of viral hepatitis after age 11 or jaundice of
unknown origin
4. Use of prohibited drugs (past or present)
5. STI (past or present)
 DONOR
SELECTION
CAUSES OF PERMANENT DEFERRAL OF BLOOD DONORS
6. Unexplained weight loss of more than 5 kg over 6 months
7. Chronic alcoholism
8. Autoimmune disorders
9. Malignant tumors
10. Hematologic malignancies
11. Chronic cardiopulmonary disorders
12. Liver or renal diseases
13. Serious abnormal bleeding tendencies
14. Intake of tegison (treatment for psoriasis)
15. History of babesiosis and Chagas’ disease
 DONOR
SELECTION
CAUSES OF TEMPORARY DEFERRAL OF BLOOD DONORS

1. Previous donation
2. Pregnancy
3. Major operation including dental surgery and transfusion
of blood components
4. Acute febrile illness
5. Malaria (diagnosed or treated)
6. Past exposure to a close household contact with hepatitis
7. Past exposure to unhygienic skin piercing, tattooing,
earholding, needle puncture, etc.
8. Recent alcohol intake
 DONOR
SELECTION
CAUSES OF TEMPORARY DEFERRAL OF BLOOD DONORS

9. Skin lesions at venipuncture site

10. Vaccine shots
11. Intake of antibiotics other than TB drugs
12. Intake of TB drugs
13. Anti-fungal drugs
14. Allergenic drugs such as penicillin and aspirin
15. Oral corticosteroids
16. Anti-acne drugs
 DONOR MANAGEMENT

LIGHT HEADEDNESS/WEAKNESS/TINGLING
SENSATION/PALPITATIONS

Cause: anxiety and hypoglycemia

Management:
a. Reassuring conversation
b. Elevate donor’s feet at 45⁰ angle for a few minutes then
lower to 20º angle
c. Apply cold, wet towels to neck and forehead
d. Discontinue donation
 DONOR MANAGEMENT

FAINTING

Cause: anxiety and hypoglycemia

Management:
a. Discontinue donation
b. Position donor in a place protected from a possible fall
c. If necessary, administer glucose solution
 DONOR MANAGEMENT

CONVULSION

Cause: anxiety and underlying diseases

Management:
a. Discontinue donation
b. Elevate feet
c. Maintain airway
d. Restrain gently to prevent injury
e. Reassure after recovering consciousness
f. Inform about possible involuntary loss of control of urine or
stool during convulsions
 DONOR MANAGEMENT

CARDIOPULMONARY EMERGENCY

Cause: underlying diseases

Management:
a. Ventilation
b. CPR
c. Transfer donor to emergency medical facility
 DONOR MANAGEMENT

HEMATOMA

Cause: very fragile veins, unskilled phlebotomist or uncooperative

donor
Management:
a. Discontinue donation if large
b. Apply pressure to site for at least 5 minutes
c. Apply cold packs
d. Reassure donor
 DONOR MANAGEMENT

JET-LIKE BLEEDING WITH BRIGHT RED BLOOD

Cause: inadvertent puncture of artery when deep vein puncture is

attempted
Management:
a. Discontinue immediately
b. Apply firm pressure at the puncture site for at least 10 minutes
c. Apply dressing on site
d. Follow-up donor for additional care if necessary
 DONOR MANAGEMENT

SHOOTING PAIN FOLLOWED BY NUMBNESS AND TINGLING IN

THE FOREARM

Cause: inadvertent puncture of the median nerve or cutaneous

branches
Management:
a. Reassurance of the patient
b. Apply support to arm