[20] CHAPTER IX LESSON 2 Flashcards
TYPES OF DEFERRAL
Prospective donor is unable to donate blood for a limited period of time
Temporary Deferral
Donor has received a blood transfusion; defer for [?] from date of transfusion.
12 months
Donor received vaccination for yellow fever; defer for [?] from date of vaccination.
2 weeks
Active diseases under the treatment such as cold, flu, tuberculosis, syphilis, infections
Temporary Deferral
curable diseases of the heart, lungs, kidney, liver and gastrointestinal (GI) tract
Temporary Deferral
treatment with antibiotics
Temporary Deferral
An immigrant or refugee coming from an area considered endemic of malaria-
1 year
- provided the donor showed no signs and symptoms of malaria infection with or without antimalarial prophylactic drug therapy.
1 year after departure
- immigrants, refugees, citizens, or persons who have resided in the endemic area for at least 5 consecutive years.
3 years from time of departure
Those who have had a diagnosis of malaria
3 years after becoming asymptomatic
Leishmania risk
-Travel to Iraq in the last
3 years
Leishmania risk
-[?]deferral from last departure
12-month
West Nile Virus (WNV)- [?]deferral from symptoms of headache with fever during defined risk season
120-day
[?] from recovery with a clinical diagnosis or suspicion of WNV
120 days
Tattoo, permanent make-up, ear and body piercings
1 year or 12 months
Sexual contact with a prostitute or other persons in a high-risk group for AIDS
1 year or 12 months
Incarceration in a jail for more than 72 consecutive hours
1 year or 12 months
Transfusion of blood / blood components
1 year or 12 months
Travel to areas endemic for malaria (with or without prophylactic therapy)
1 year or 12 months
Woman received a transfusion during her pregnancy
1 year or 12 months
After hepatitis B immune globulin administration
1 year or 12 months
After therapeutic rabies vaccination, rape victims, health workers with percutaneous exposure to blood or body fluids
1 year or 12 months
Close contact with viral hepatitis
1 year or 12 months
FDA mandates persons who have had sex with any person who is a past or present IV drug user should be deferred for
12 months
deferral from the last date of incarceration
12-month
History of syphilis or gonorrhea: [?] after completion of therapy
12 months
T. pallidum may live for 1 to 5 days in cold storage, at RT, it thrives very well
12 months
Following a delivery of a baby
For six weeks
German measles (rubella) vaccination’
For 1 month
After cessation of the drug isotretinoin (accutane) and finasteride (proscar)
For 1 month
Smallpox vaccination: 14-21 days or until the scab has fallen off
For 1 month
Recent blood donation
For 2 months
: WB donation deferred after hemapheresis
For 48 hours
: Live attenuated vaccine for German measles (rubella)
For 4 weeks
After vaccination with oral polio, measles (rubeola)
For 2 weeks
Mumps or yellow fever
For 2 weeks
Prospective donor is unable to donate blood for someone else for an unspecified period of time due to current regulatory requirements.
Indefinite Deferral
This donor would not be able to donate blood until the current requirement changes.
Indefinite Deferral
Theses donors may be eligible to donate autologous blood.
Indefinite Deferral
Donor states they have lived in England for 1 year in 1989
Indefinite Deferral
History of chagas’ disease or babesiosis
Indefinite Deferral
Received a dura mater graft
Indefinite Deferral
History of cancer, leukemia, or lymphoma
Indefinite Deferral
Insulin from cows (bovine, or beef insulin)
Indefinite Deferral
Prospective donor will never be eligible to donate blood for someone else.
Permanent Deferral
These donors may be eligible to donate autologous blood.
Permanent Deferral
Some permanent deferrals may result from the testing performed on a previous donation.
Permanent Deferral
Donor states that he or she has hepatitis C
Permanent Deferral
High risk history of AIDS
Permanent Deferral
men who have had sex with another man any time since 1977
Permanent Deferral
hemophiliacs
Permanent Deferral
intravenous drug abusers
Permanent Deferral
persons who engaged in sex for money or drugs anytime since 1977
Permanent Deferral
confirmed positive laboratory test for AIDS
Permanent Deferral
symptoms of viral hepatitis after age 15
Permanent Deferral
Positive tests for hepatitis C antibody (HCAb)
Permanent Deferral
Confirmed positive test for human T cell lymphotropic virus (HTLV)
Permanent Deferral
Malignant solid tumors (except for basal cell carcinoma of the skin and carcinoma in situ of the cervix)
Permanent Deferral
Hematologic malignancies
Permanent Deferral
Chemotherapeutic agents administered for malignancy
Permanent Deferral
Chronic cardiopulmonary, liver, or renal disease
Permanent Deferral
Serious abnormal bleeding tendencies
Permanent Deferral
Drug etretinate (Tegison) for the treatment of psoriasis
Permanent Deferral
Growth hormone from human pituitary glands
Permanent Deferral
Prescribed for children with delayed or impaired growth
Growth hormone from human pituitary glands
Hormone- obtained from human pituitary glands.
Growth hormone from human pituitary glands
Causes a rare nervous system condition called “CJD- Creutzfeldt- Jakob Disease”
Growth hormone from human pituitary glands
Toxoids or killed or synthetic viral, bacterial or rickettsial vaccines
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Diphtheria
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Hepatitis A and B
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Influenza
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Lyme disease
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Polio injection (Salk)
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Anthrax
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Cholera
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Paratyphoid
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Rabies
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Rocky mountain spotted fever
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Tetanus or typhoid injection
NO DEFERRAL (Provided that the donor is symptom free and afebrile)
Key records, including dates, times and signatures, to be maintained and retained during the donor selection process
DONOR RECORDS
DONOR RECORDS include:
o Donor registration information
o Completed donor questionnaires and informed consent
o Outcomes of donor interview and assessment
o Donor deferral records
o Unique donation number for each donation
o Donor counselling and follow-up records
o Adverse donor events and reactions
o Donor deferral registry
also enable the previous deferral status of donors to be checked and decisions made on the re-entry of temporarily deferred donors.
Donor deferral records
Is a confidential list of donors who are positive for a transfusiontransmissible infection and who have been permanently deferred
donor deferral registry (DDR) i
is used to monitor the incidence and prevalence of such infections in the donor population and may also assist in identifying areas that require strengthening in the donor selection process.
donor deferral registry (DDR)
Blood banks use various processes to try to prevent infections that can be transmitted by infected blood donation.
EQUIPMENTS/MATERIALS FOR BLOOD CONNECTION
The process for collecting blood from donors is similar to that used for blood sampling; however, a few additional measures are required for collection of donated blood.
EQUIPMENTS/MATERIALS FOR BLOOD CONNECTION
Proper materials and equipment are necessary to ensure patient safety and proper blood collection.
EQUIPMENTS/MATERIALS FOR BLOOD CONNECTION
Such equipment includes blood pressure monitors, scales, donor couches or chairs, blood collection monitors or mixers, blood bag tube sealers, blood transportation boxes and blood bank refrigerators.
EQUIPMENTS/MATERIALS FOR BLOOD CONNECTION
Common blood donation materials and equipment:
makes the donor comfortable during blood collection
Blood donation chair
provides support to the body in various conditions
Blood donation chair
supposedly configured to conform to the new Gold Standard Clinical Pathway for Blood Donation
Blood donation chair
are designed for the collection, processing and storage of whole blood and blood components
Blood bags
help in providing aseptic conditions for the separation of blood components
Blood bags
-Reduces over and under bleeds (QNS units)
Blood Collection Mixer
Provides constant mixing of anticoagulant and blood
Blood Collection Mixer
is a compact equipment to seal the PVC blood bag tubes or sets for cryopreservation
The Blood Bag Tube Sealer
is an essential piece of equipment in the immunohematology department
blood bank refrigerator
provides safe and convenient storage of whole blood, blood components (e.g., blood cells, plasma), and reagents
blood bank refrigerator
ensure freshness and integrity of blood and blood components.
Blood bank refrigerators
is to provide a maintained freezing temperature -30°C or -40°C for safe storage of fresh frozen plasma, red cells, cryoprecipitate and platelet concentrates
plasma freezer
Each unit meets every guidance parameters and requirements for safe storage of blood plasma.
plasma freezer
The platelets (thrombocytes) are stored in
platelet agitator
The main function of the [?] is to store platelet concentrates in continuous horizontal motion at a specified temperature.
platelet agitator
is a device used in blood donation that separates the platelets and returns other portions of the blood to the donor.
Platelet extractor
is equipment designed for rapid and uniform thawing of fresh frozen plasma (FFP) bags at 37°C
Plasma Thawing Bath
This device is made of a stainless steel chamber and equipped with digital temperature controller and a water circulating pump
Plasma Thawing Bath
are used for samples that need a consistent range of temperature
Refrigerated centrifuges
can also achieve speeds of over 30,000 rounds per minute with relative centrifugal force of over 65,000 x g
Refrigerated centrifuges
may come in varying configurations such as the swing bucket, fixed angle or both
Refrigerated centrifuges
The purpose of is to remove plasma, which contains substance that may interfere with antigen-antibody reaction.
Cell washer
Programming flexibility allows the user to customize and save programs for repeated use and its unique features to win over conventional cell washing systems.
Cell washer