Blood Donor Selection Criteria .pptx

The Donor Selection Criteria slide is a bold step in helping professionals understand the various stages of strict scrutiny an individual needs to be subjected to in order to regarded a qualified donor for donate blood.
In this presentation, we will also spend some time going through the various World Health Organization(WHO) donor selection criteria and finally there are links for additional resources you can click to visit.

1. Donor selection Presentation By GAMOR KWAME DICKSON 1

2. Outline of presentation Introduction Types of blood donors Steps in selection of blood donors Purpose of donor selection Donor informed consent WHO Criteria for donor selection 2

3. introduction The primary responsibility of a blood transfusion service is to provide a safe, sufficient and timely supply of blood and blood products. It should build and maintain a pool of safe, voluntary non-remunerated blood donors and take all necessary steps to ensure that the products derived from donated blood are efficacious for the recipient, with a minimal risk of any infection that could be transmitted through transfusion. 3

4. Types of blood donors Voluntary blood donors Family replacement blood donors Paid blood donors Autologous donors Apheresis donors 4

5. Steps in selection of blood donors Donor registration Medical history Physical examination Laboratory testing 5

6. Donor registration The following information must be carefully recorded to enable the Transfusion centre to contact the donor, if required, at a later date. Donation date and time Name of the donor Age Gender Occupation Address and contact 6

7. Medical history Certain aspects in the history may make a donor unfit for donation temporarily or permanently. Causes of permanent deferral of donors HIV antibody positive Cardiovascular disease/heart disorders: myocardial infarction, angina Patients who have undergone open heart surgery Malignant diseases Abnormal bleeding tendency ETC 7

8. Causes of temporal deferral of donors Conditions Period of deferral Major surgery 1 year Minor surgery 6months Dental surgery 1 month Transfusion with components 1 year Malaria 3 months Pregnancy 6months Lactation Till the baby is weaned etc 8

9. Physical examination After the history all donors must be examined carefully to ensure their physical fitness. The following criteria must be met : Age 18-65 years Weight- more than 60kg to donate 450ml blood. Blood pressure must be normal .(100/80 – 140/89 mmHg) Pulse : between 80-100/min, regular. Venipuncture site must be free of any lesion. Systemic examination: Heart, Lungs: normal. Per abdomen: no organomegaly detected. Interval between donation must be 14 weeks. 9

10. Laboratory testing Certain laboratory tests are performed on donors prior to collection of blood . Hemoglobin : To be fit for donation the Hb must be greater than 12.5g/dl . ABO and Rh grouping must be done on all donors . Transfusion transmitted infections 10

11. purpose of donor care and selection Protect donor health and safety by collecting blood only from health individuals. Ensure patient safety by collecting blood only from donors whose donations, when transfused, will be safe for the recipients. Identify any factors that might make an individual unsuitable as a donor, either temporarily or permanently. 11

12. Reduce the unnecessary deferral of safe and healthy donors. Ensure the quality of blood products derived from whole blood and apheresis donations. Minimize the wastage of resources resulting from the collection of unsuitable donations. NOTE: All prospective blood donors should therefore be assessed for their suitability to donate blood, on each occasion of donation. 12

13. Donor informed consent For consent to a procedure to be legally valid the donor must as a matter of good principle have been told the nature and purpose of the procedure as well as being warned of any substantial or unusual adverse event risk. Informed consent must be obtained by a trained person, fully conversant with the procedure . A consent form must be signed by each donor before donation . 13 Source: Personal Gallery

14. Who Criteria for donor selection Only individuals in good health should be accepted as blood donors . AGE The usual lower age limit for blood donation is 18 years. The usual upper age limit for blood donation is 65 years. DONOR APPEARANCE AND INSPECTION Prospective donors should be accepted only if they appear to be in good health and comply with donor selection criteria 14

15. MINOR ILLNESSES Defer individuals with a history of recent infection: defer for 14 days following full recovery and cessation of any therapy, including antibiotics WEIGHT Prospective donors of whole blood donations should weigh at least 50 kg to donate 350 ml and more than 50 kg to donate 450 ml 15

16. VITAL SIGNS Pulse: A normal pulse rate of 60–100 per minute and a regular rhythm are indicators of good health. Blood pressure ( BP) : A normal blood pressure (systolic 120–129 mmHg, diastolic 80–89 mmHg) is generally regarded as an indicator of good health NB: If blood pressure is used as a selection criterion for blood donation, arbitrary acceptable limits of systolic BP of 100–140 mmHg and arbitrary acceptable limits of diastolic BP of 60–90 mmHg are suggested 16

17. DONOR IRON STATUS Haemoglobin Screening A haemoglobin level of not less than 12.0 g/dl for females and not less than 13.0 g/dl for males as the threshold. FREQUENCY OF DONATION The minimum interval between donations of whole blood should be 12 weeks for males and 16 weeks for females. 17

18. FLUID INTAKE AND FOOD The BTS should consider providing 500 ml drinking water to donors before donation to minimize the risk of vasovagal reactions. GENDER Females should be defer during the following: Pregnancy, Lactation and Menstruation 18

19. REFERENCES Joint UKBTS Professional Advisory Committee’s (JPAC) Donor Selection Guidelines . Available at www.transfusionguidelines.org Oswald , I. (1964). GUIDELINES ON ASSESSING DONOR SUITABILITY FOR BLOOD DONATION. Bmj , 1 (5396), 1497–1497. https://doi.org/10.1136/bmj.1.5396.1497-b Services, T., & Advisory, P. (2020). Chapter 3: Care and selection of whole blood and component donors (including donors of pre- deposit autologous blood ) 3.1: 1–15 . 19

20. Thank you 20