1. Telerecruitment Training Double Red Cell Donation
This training material is a template which Blood centers can use to help draft their training material.
COL-COPY (AA)

2. Agenda What a double red cell donation IS and IS NOT
Why double red cell donation is important to our blood center, Patients and Donors
Blood Types
Why some types are more important for 2RBC
Donating double red cells
Donor Experience
Benefits to Donors, Patients and our blood center
Donor Conversion
Who do you ask
How do you ask

3. Double Red Cell Devices
Our Blood Center uses the Haemonetics MCS/8150 automated red cell device to collect double red cells.
Some blood centers refer to double red cell donation as red cell apheresis.
This slide shows the MCS+/8150 that is used by the blood center to collect red cells. The test tube on the left represents a unit of whole blood and the test tube on the left represents how that unit of blood is separated into different blood components once it is spun/processed in a centrifuge.
WBC= White blood Cells
RBC= red Blood cells
Haemonetics – MCS/8150
FOR INTERNAL USE ONLY

4. What a Double Red Cell Donation is NOT…
Double the Amount of Blood
A double red cell donation is actually less total volume blood loss than a whole blood donation.
The donor donates two transfusable units of red cells (200ml each) instead of donating a unit of whole blood (500ml) which is made up of red cells, platelets and plasma.
2RBC Donation
Red Cells Only
Volume <400ml
Saline Return 500ml
Whole Blood Donation
Red Cells, Plasma & Platelets
Volume 500ml
Saline Return N/A
The presenter will review the difference between the total volume blood loss between a whole blood donation and a “double” red cell donation emphasizing that the “double” red cell donation is less total volume blood loss and that the donor receives 500ml of saline which may allow donors to “feel better”.

5. Haemonetics double red cell kit
What a Double Red Cell Donation is NOT…
A Less Safe Way to Donate Blood
Double Red Cell Donation uses a “closed environment” and a donors blood does not come in contact with a previous donors blood or is it exposed to the external environment.
The “kit” is packaged sterile and is disposed of after being used one time.
The presenter will discuss how the kit is packaged sterile and disposed of after each use.
Haemonetics double red cell kit

6. Why Double Red Cells are important to our patients…
Hospitals transfuse red cells more than any other blood component:
About 65% of all transfusions are red cell transfusions.
Red Cells uses?
Trauma and Surgery
Our blood center only collects the following types of blood for Double Red Cell Donation:
O+, O-, A- and B-
The presenter will emphasize that most (approximately 65%) of all hospital transfusion are red cell transfusion and that is why it is so important to collect just red cells from certain blood types.
The presenter could also include the following:
“O” means absence of “A” or “:B”- that’s why “O” is the ‘universal donor’. Also, a negative (-) can go to a positive (+), but a positive cannot go to a negative. This is why we are targeting all “Os” and negative blood types.
AB donors are not targeted because so few people can receive their red cells, but they are the universal plasma donor and should be advised and encouraged to continue to donate whole blood or plasma apheresis donation so their plasma can be used.
FOR INTERNAL USE ONLY

7. Percent of Population by ABO type
Blood Types
“Special” Blood Types for Double Red Cell’s (O+, O-, A- & B-)
Your Blood Type
You Can Give To
% Able to Receive. O+
O+, A+, B+ & AB+
84% O-
All Types
100% B+
B+ and AB+
12% B-
B+, B-, AB+ & AB-
15% A+
A+ & AB+
37% A-
A-, A+, AB- & AB+
44%
AB+ 3%
AB-
AB- & AB+ 4%
Presenter will explain to group why the blood center collects specific ABO types and not others.
If you look at the ABO types that are considered “right types” for double red cell donation, you will notice that each type can donate to a higher percentage of the population when compared to the donors ABO type.
O+ is 38% of the population, but can donate to 84% of the population.
A- is 6% of the population, but can donate to 44% of the population.
B- is 2% of the population, but can donate to 15% of the population.
O- is 7% of the population, but can donate to 100% of the population.
Alternatively, A+ is 34% of the population, but only 37% of the population can receive A+ blood.
Percent of Population by ABO type

8. We need to make the most of each donor visit!
Blood Donor Math
Why is it so important to convert type O- donors?
If a city has a population of 100,000 people
5% of the population will donate blood
Resulting in 5,000 Donors
Of the 5,000 donors 7% have type O- blood
Therefore, 350 type O- donors are meeting the emergency,
universal type transfusion needs of 100,000 people
We need to make the most of each donor visit!
This slide shows how important O- donors are to the double red cell program. If we can educate our donors on how important it is for them to make the most of their donation it will help to improve the blood supply for our hospitals and patents.

9. Who can donate 2RBC’s? FEMALE (minimum criteria)
Hematocrit: 40%
Weight: 150 lbs. *
Height: 5’ 3”
MALE (minimum criteria)
Hematocrit: 40%
Weight: 130 lbs. *
Height: 5’ 1”
The presenter should go over the different requirements and then go over how to go about asking a potential donor if they meet the requirements.
Remember, it is never good to ask a potential female donor, “How much do you weigh”, it is best to say, “The requirements for red cell donation are ________ lbs. and _______ tall, do you meet those requirements”.
*according to L.1 software standards on MCS+ 8150

10. Double Red Donation –Blood Donor Benefits
Life saving impact with their donation
Smaller Needle
Convenience + fewer TR calls.
(Donate every 112 days instead of 56)
Less Total Volume
This slide goes over several benefits:
Greatest life saving impact with their donation
Donors want to do what is right for hospitals and patients. If we educate them on what is needed most and why it will help to motivate them to donate what our blood center is asking for.
Smaller Needle
If a donor is afraid of needles, a smaller needle is used for double red cell donation.
Convenience
(Donate every 112 days instead of 56)
If a donor is really “busy” they would only have to donate half as often and provide hospitals and patients with what is needed most.
Fewer TR calls.
Most Experienced Phlebotomists
Although all of the Phlebotomists at our blood center are good, are double red cell operators are the most experiences (fewer “bad” needle sticks).
Less Total Volume
You actually leave more hydrated than when you came in!
Fewer Donor Reactions / Feel Better After Donating
Studies have shown that there are fewer donor complications post donation when compared to WB donation. Not a surprise since you gain fluid volume during the donation process.

11. Double Red Cell Donations
Two Units of RBCs collected from one donor (one needle, one arm)
Donors keep their own plasma and get additional saline compensation to make up for blood volume loss
Millions of these procedures/donations performed to date
A double red cell donation is actually less total volume blood loss than a whole blood donation.
This slide is a general review of what has been discussed to this point.
Double Red Cell donation is a safe, effective way to donate and provides are hospitals and patients with what is most needed while allowing the donor to feel better after their donation when compared to WB donation since they don’t lose any blood volume and the donation takes place over a longer period of time.
2RBC Donation
Red Cell’s Only
Volume <400ml
Saline Return 500ml
Whole Blood Donation
Red Cell’s, Plasma & Platelets
Volume 500ml
Saline Return N/A

12. Who should you ask and how should you ask?
Scheduling 2RBC Donors
Who should you ask and how should you ask?
It is important for our blood center to have the first 2RBC donors of the day scheduled!
The presenter should emphasize how important it is to schedule the first appointment slot of the drive because:
It allows the collections staff to react more easily and recruit another donor at the beginning of the drive if a scheduled donor is a “no show” compared to later in the drive when fewer donors might be present.
It helps recruit other donors when they see a donor already donating double red cells. If a donor sees someone donating double red cells, they are more likely to say yes.

13. Selecting Donors People who have done it before are easiest
You should have access to this information on your screen
Men who have the right blood type (O+/-, A- and B-)
You can just say something like:
“Your special blood type makes you an important candidate for a red cell donation.” Or
“At this time, the greatest need that hospitals have for your blood type is your red cells, can I go ahead and schedule you for a red cell donation?”
Always follow-up and ask if you can schedule them for the first appointment slot of the day
Because women have to weigh more and be taller, you will need to approach them with the requirements
The presenter should emphasize asking donors if the following questions when they approach them:
Do you know your blood type?
Have you ever donated just your red cells (or “double” red cells) before?
If speaking to a woman, the criteria for women is 5’5” and 150#, if you meet those criteria… (if in health history, collection staff will see this on the donors information).

14. Educate the Donor
A Two-Unit Red Cell Donation is less blood volume than a regular whole blood donation
Red cells are the most commonly used blood component
Our hospitals greatest need for their patients is red cells and because you have one of the blood types most needed, you can make the greatest impact by donating just your red cells.
These types of true statements can demonstrate the importance of red cell donations, making the donor more likely to agree when you ask!
These are all true statements that you can use.

15. Why Do People Say No to Double Red Cell Donation?
Time
If we educate our donors, time will become less of an issue
Take twice as much blood out of me
Don’t want to get anything back – “Its not safe”
You need to think about what to say when people have concerns.
The presented will review the two objections previously discussed and then talk about how to address the issue of “not enough time” or “too busy” to donated “double” reds.
The presenter will emphasize that a “double” red cell donation will take varying amounts of time and that they should ask the donor how much time they were planning on spending donating today so they can assess if they can process the donor in the amount of time he/she has communicated.
Now is also a good time for the presenter to pause and ask if anyone has questions.

16. Just ASK… The ASK is important. Don’t assume they don’t have time.
According to a recent study, participants indicated that “being asked” was a major motivator for selecting automation.
Two thirds of the respondents who had been asked to donate on an automated system had done so.
Although TR’s main role is to reschedule existing double red cell donors, it makes a big difference every time they help to convert a new donor to donate double red cells. Remember, it is what hospitals and patients need most.
The presenter will emphasize that it might be difficult at first for new telerecruitment staff to provide all of the information to the donor, but eventually they will feel more comfortable and the must ask each and every donor that is the right type for “double” red cell donation .

17. Good ways to ask…
Hospitals/Patients have a real need for your type of blood.
Can you help us AND our Hospitals/Patients out by donating red cells?
I’d like to offer you another option for your donation based on your special blood type.
See The Difference?
The presenter can use this slide if they want to emphasize the importance of properly educating, motivating and asking a donor to donate “double” red cells.

18. Specific Ways to Ask…
Your blood type is special to us for collection of red blood cells. We offer a donation option that allows you to donate only red cells instead of whole blood. May I ask you a couple of questions to see if you are eligible?
I’d like to offer you another donation option based on your special blood type. Do you mind if we talk about eligibility requirements?
Our hospitals greatest need for their patients is red cells and because you have one of the blood types most needed, you can make the greatest impact by donating just your red cells. Can I ask you a couple questions to see if you meet the eligibility requirements?

19. Conclusion
There are several misconceptions that donors have about double red cell donation, it is our job to educate them.
Having someone donate double red cells as soon as the drive begins, “jump starts” collections for the rest of the day.
The majority of people who donate want to help. Most of them will say yes to double red cell donation if asked.
To have a successful double red cell program you need to ask people to participate and the way you ask is very important.
It takes longer for a double red cell donation so it is important to prepare the donor for that extra time.
FOR INTERNAL USE ONLY