Transcript Reception

Blood Bank Reception
By : Mr. Waggas Elaas
Topic Outline
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Description
Function (including donation for driving license ).
Preliminary tests done
Equipment and devices
Waiting area
How to deal with patients
Requests forms
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Waqqas
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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
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Floor Plan
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Waqqas
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Waiting Area
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Waqqas
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LCD screens
• Sometimes the BB reception is equipped
with screens to entertain donors and also
for educational purposes.
• Necessary information are displayed .
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Waqqas
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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.
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Waqqas
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What are personal protective
equipment (PPE)??
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Waqqas
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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.
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Waqqas
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Donor Screening
• Two goals or purposes for screening
– Protect the health of the potential donor
– Protect the health of the potential recipient
• Four outcomes
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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)
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Waqqas
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What is this used for?
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Waqqas
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What is this used for?
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Waqqas
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What is this used for?
Name the method used
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Waqqas
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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
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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
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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.
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Waqqas
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Blood Donation
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Waqqas
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Refreshment
 Nutritious, Light, Non Spicy
Sandwich / Fruit / Fruit salad
 Beverage ( non alcoholic/ non carbonated)
 Coffee/ Tea/ Juice / Milkshake/ Hot chocolate
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Waqqas
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Gifts and Feedback
 A token of appreciation.
Obtaining donor feedback.
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Waqqas
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Donor Card / Reject letter
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Waqqas
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Request Forms
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Waqqas
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Thank U
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Waqqas
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