Adapting AABB Donor Regulation at KCBB

Why? Blood safety starts by bleeding safe Blood donors “Safe Blood starts with me” BTS need to Implement adequate donor selection criteria to insure Blood supply safety BTS need also to insure donor safety

Balance Safety Vs Stock

What we do? KCBB is AABB Accredited since 1989 We comply with AABB donor regulations Donor selection and donor care policies are derived from AABB regulations

What we do? Donor registration Donor education Donor selection: – DHQ – Medical checkup Donor care

Registration AABB Standards require that the donor be linked to the donor records (photo ID) Required information: Name (first, last, MI) Date and time of donation Address Telephone Gender Age (date of birth) – allogeneic donors must be at least 17 years of age

Education Donors must also be given education material about blood donation Educational material include: Before you donate Your first donation TTI (HIV,HBV,HCV) Post donation instructions

DHQ Derived from AABB which is based on FDA regulations

DHQ Why ask questions? Asking questions helps determine the overall suitability of the donor; from this, the donor will be: Accepted Temporarily deferred Permanently deferred

AABB DHQ

Two pages 48 questions We modified it: – Compressed and combined some question – Currently 1 page with 32 questions – Added questions – Available in 4 different languages

Medical check up General Appearance Weight (47 Kg) Temperature (less than 37.5) Pulse ( ) Blood Pressure: –Systolic ≤180 mm Hg –Diastolic ≤100 mm Hg Hemoglobin (≥12.5 g/dL) Skin Lesion

bpm 110 lbs °F 37.5°C    12.5 g/dL 38% In summary….

Informed consent Before donation, a donor must provide informed consent If for any reason a donor doesn’t think their blood is safe to donate, there must be a mean for confidential unit exclusion It is all kept confidential….

Donor selection criteria Periodically reviewed and updated by: Head of donation unit KCBB scientific and clinical committee Quality Management department During AABB inspection

comparison Age : 18 (17 with a parent approval) Weight: 50 Kgs Hemoglobin: – Male: 13.5 – Female: 12.5

Malaria A vector-borne disease caused by protozoan parasites (genus Plasmodium) Occurs in numerous regions of the world Anopheles mosquito

Malaria 3 year deferral if the donor becomes asymptomatic after infection 3 year deferral after the immigrant/citizen departs from the endemic area 12-month deferral if a person travels to an endemic area and shows no symptoms on return

Malaria We test for Malaria Test all coming from endemic areas Test all with recent history of travel to Malarie endemic area Currently working on developing a new policy

future Introduce barcoded sticker system for confedential unit exclusion Malaria testing policy vCJD deferral policy to be revisited Abbreviated questionnaire for regular donors Improve our internal audit and AABB regulation implementation system

Thank you Appreciation for my team: – Physicians Wafa’a, Ranya, Ranya, Hala. Marwa, Ayat, Nabeel, Osama and Mohammad – Nursing staff – Clerks

Keep your blood donors smiling