Blood Bank Reception By : Mr. Waggas Elaas

Topic Outline Description Function (including donation for driving license ). Preliminary tests done Equipment and devices Waiting area How to deal with patients Requests forms BB- CR - MLT 408. Lec.2 Mr. Waqqas 2

Reception  The BB reception is the starting point to BB and blood donation; where donors are welcomed; educated, tested and accepted.  Warm welcome to the donor.  Breakfast verification / Arrange breakfast.  Seating arrangements nearby.  Donor directed to registration counter in a sequence. BB- CR - MLT 408. Lec.2 Mr. Waqqas 3

Floor Plan BB- CR - MLT 408. Lec.2 Mr. Waqqas 4

Waiting Area BB- CR - MLT 408. Lec.2 Mr. Waqqas 5

LCD screens Sometimes the BB reception is equipped with screens to entertain donors and also for educational purposes. Necessary information are displayed. BB- CR - MLT 408. Lec.2 Mr. Waqqas 6

How to deal with patients All laboratory technologists and other healthcare personnel collecting or handling specimens must follow established standards, which includes blood and other potentially infectious materials. These standards include wearing appropriate personal protective equipment (PPE) and following all safety rules for all specimens regardless of whether they are identified as being infectious or not. BB- CR - MLT 408. Lec.2 Mr. Waqqas 7

What are personal protective equipment (PPE)?? BB- CR - MLT 408. Lec.2 Mr. Waqqas 8

Remember that: 1. The patient/donor is sick. He’s uncomfortable. He’s frightened. 2. Be nice. Be caring. Keep your promises. 3. Express to the patient/donor what you’re going to do. 4. Seek the assistance of your supervisor or colleagues without making the patient feels. BB- CR - MLT 408. Lec.2 Mr. Waqqas 9

Donor Screening Two goals or purposes for screening –Protect the health of the potential donor –Protect the health of the potential recipient Four outcomes –Acceptance –Temporary deferral –Indefinite deferral –Permanent deferral Three components of screening –Registration –Health history interview –Limited physical examination.

Donor Registration Written materials are given to the donor which explains high risk activities which may make the donor ineligible Donor must be informed and give consent that blood will be used for others unless they are in a special donor category First time donors must provide proof of identification such as ID card, citizen number, address and any other unique information. Repeat donors may be required to show photo ID.

Donor Registration Additional useful information –Name –Address – phone # –Unique donor characteristics Donor must be provided with –HIV high risk activities –Warnings about donor reactions –Tests that will be performed and notification –Post phlebotomy care instructions

Medical Checkup  Weight, BP, hemoglobin measurement & blood grouping.  General check up. (BP, weight)  A few questions… (smoker, diabetic, hypertensive, last time donation) BB- CR - MLT 408. Lec.2 Mr. Waqqas 13

What is this used for? BB- CR - MLT 408. Lec.2 Mr. Waqqas 14

BB- CR - MLT 408. Lec.2 Mr. Waqqas 15 What is this used for?

BB- CR - MLT 408. Lec.2 Mr. Waqqas 16 What is this used for? Name the method used

Medical History Frequency of donation –Whole blood or red blood cells 8 weeks (sometimes 12 wks) –Two unit red cell unit 16 weeks –Plateletpheresis – up to 24 times/year –Plasmapheresis– once every 4 weeks, can be done twice a week

Medical History A thorough history is obtained each time Standardized universal questionnaire is used Questions are asked that are very intimate in nature but are critical in assessing HIV or HBV risks Has donor ever been deferred, if “yes”, why. Medications the donor is taking are present in plasma, may cause deferral Infections the donor has may be passed to recipient, may be cause for deferral

Permanent Deferrals Immoral activities. Used IV drugs even ONCE in lifetime. Taking clotting factors. Hepatitis after age 11. Cancer deferrals vary, some accept after period of being disease free others do not accept. Protozoan diseases such as Chagas disease or Babesiosis Received human pituitary growth hormone. Positive test for: HBsAg, Hepatitis C, HTLV I/II or HIV. Medications like : Tegison

12 Month Deferral Recipient of blood, components or blood products such as coagulation factors Sexually transmitted disease-if acquired indicates safe sex not practiced and donor at risk for HIV and HBV Accupuncture, tattoo, ear piercing Needle stick Rabies vaccine Any intimate sexual relations with HIV or HBV positive, hemophiliacs, drug users or individuals receiving drugs.

Temporary Deferrals Certain immunizations 2 weeks -MMR, yellow fever, oral polio, typhoid 4 weeks -Rubella, Chicken Pox 2 months – small pox Pregnancy Certain medications Proscar/Propecia, Accutane – 1 month Avodart – 6 months Soriatane – 3 years Feldene – no platelet donation for 2 days. Plavix and Ticlid – no platelet donation for 14 days Malaria 3 years West Nile virus 28 days

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

Physical Examination Evaluate general appearance Weight – : > 45 kgs (18 – 60 years) Temperature 37.5 C OR 99.5F Blood pressure –Systolic </= to 180 mm Hg –Diastolic </= 100 mm Hg Hemoglobin and Hematocrit –Allogenic 12.5 g/dL or 38% –Autologous 11.0 g/dL or 33%

Preliminary tests done at BB reception ABO & Rh. Blood Grouping. This is usually done using direct slide method. Why? Hb. This is usually done using simple and quick devices. BB- CR - MLT 408. Lec.2 Mr. Waqqas 24

Blood Donation BB- CR - MLT 408. Lec.2 Mr. Waqqas 25

Refreshment  Nutritious, Light, Non Spicy  Sandwich / Fruit / Fruit salad  Beverage ( non alcoholic/ non carbonated)  Coffee/ Tea/ Juice / Milkshake/ Hot chocolate BB- CR - MLT 408. Lec.2 Mr. Waqqas 26

Gifts and Feedback  A token of appreciation.  Obtaining donor feedback. BB- CR - MLT 408. Lec.2 Mr. Waqqas 27

Donor Card / Reject letter BB- CR - MLT 408. Lec.2 Mr. Waqqas 28

Request Forms BB- CR - MLT 408. Lec.2 Mr. Waqqas 29

Thank U BB- CR - MLT 408. Lec.2 Mr. Waqqas 30