Global Advisory Panel on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies

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Blood Donation Process (Presentation)
Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Blood Donation Process A presentation for the Nepal Red Cross Society National Blood Transfusion Service Ms Emily Tonks On behalf of GAP and Hong Kong Red Cross 26th August 2014 Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Purpose and Outcomes of Workshop  Clarify the steps in the blood donation process  Clarify the importance of standard operating procedures  Identify opportunities for improvements in your own centres Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Steps in donation process 1. 2. 3. 4. Reception/Registration (pre-donation information) Donor medical questionnaire completed Donor interview Health assessment (including Haemoglobin check and donor’s informed consent) 5. Donation 6. Post donation care and counselling (including treatment of adverse reactions) Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Donor Reception 1. Greet and welcome the donor 2. Check donor history Donor may have donated too recently or may have been told never to donate blood 3. Make sure that the donor has had food and fluids in the last 4 hours 4. Pre-donation information Explain the blood donation process 5. Give the donor a Blood Donor Form and Health Questionnaire to complete 6. Direct the donor to the waiting area to be seen by interviewing staff for the confidential interview. Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Donor questionnaire  Easy for donor to complete  No confusing questions  Gathers all relevant information on donor health and background  Relevant to the local population (local language)  Answers are discussed in donor interview Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Example of donor questionnaire (WHO) Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Example of donor questionnaire (WHO) Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Donor Interview  Make sure donor is comfortable – privacy  Start by identifying the donor  Complete the Health Questionnaire with the donor if not already completed.  Check that the donor understands the question and explain they must answer honestly  Compare donor questionnaire/information with historical records Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Donor Interview  Donor to read the declaration statement (or staff read the declaration statement to donor) and sign and date  Fingerprint is acceptable if donor cannot sign If a donor cannot donate blood temporarily or permanently, explain the reason to the donor Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Donor Interview DONOR SELECTION GUIDELINES  National criteria for blood donor selection should be based on: • • • • • National/local epidemiological data on infectious diseases Nutritional and health status of the general population Local customs Health and safety outcomes – donors and recipients International best practice Should be reviewed regularly REF: WHO/IFRC Pre-donation counselling and donor selection Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Group Activity 1 - Handbook  Use of the Blood Donor Selection Guidelines Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Why do we have Donor Selection Guidelines  To make sure that it is safe for the donor to donate blood  To reduce the risk of transfusion-transmissible infection (TTI) or other adverse effects to blood recipients  To protect blood service staff  To build trust in the safety of the blood service Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Donor Health Screen Appearance • Donor must look well and not under the influence of drugs/alcohol Age • 18 – 60 years Weight • Min: 45kg (for 350ml collection) or >60kg (for 450ml collection) Blood Pressure (Nepal SOP) • Systolic: 110-160 mmHg • Diastolic: 70-96 mmHg Haemoglobin (Nepal SOP) • 12.0 g/dl (minimum) WHO Recommendations BP Systolic: 100-140 mmHg BP Diastolic: 60-90 mmHg Male Hb: 13.0 g/dl Female Hb: 12.0 g/dl Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Whole Blood Collection  Importance of PPE (personal protective equipment) and hygiene: • Always wear gloves • Iodine and alcohol swab to venepuncture site • Hand washing after procedure • Appropriate disposal of needles and equipment Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Whole Blood Collection Adverse reactions  Vasovagal episodes (fainting) and bruises/ haematomas at the venepuncture site are the most common  Staff should provide first aid and reassurance to donors  Serious reactions may require further medical treatment or referral Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation care Post donation donor care Donor to remain in chair for at least 5 minutes Donor to remain in refreshment area for at least 10 minutes • • Encourage donor to drink fluids Instruct donor to drink adequate fluid during the day following donation, and avoid strenuous exercise or lifting anything heavy for 4 hours. Instruct the donor to report any adverse reaction that may occur after leaving the centre • • • Provide the donor with a phone number for reporting adverse reactions Attend to donor adverse reactions if required Report all donor adverse events Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Reception/ Registration Donor questionnaire completed Donor interview Health assessment Donation Post donation donor care Post-donation information  Tell donor if they feel dizzy, lightheaded, sweating, nausea, yawning or feel hot, they should lie down with their feet elevated and drink plenty of water  Any bruising to the needle site will resolve  Ask donor to call if they become unwell in the 7 days following donation  Remind donor they will be contacted if their screening tests are abnormal  Give a leaflet of post donation instructions to the donor  Thank the donor – encourage them to come back in 12 weeks time to donate again. Post donation care Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Resources WHO Blood Donor Selection Guidelines on Assessing Donor Suitability for Blood Donation www.who.int/bloodsafety/publications/bts_guideline_donor_suitability/en/ Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Where to from here  Update Standard Operating Procedures  Staff training Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Questions Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies Acknowledgements  Hong Kong Red Cross  Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies  AABB  WHO/IFRC – • Pre-donation Counselling and Donor Selection (Donor 5.2) • Post-donation Counselling (DP 5.6) • Post-donation Counselling (Donor 5.7) • Blood Donor Selection – Guidelines on Assessing Donor Suitability for Blood Donation • Blood Donor Counselling – Implementation Guidelines

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