Donation Process and Testing Flashcards
If a donor comes in with a sore throat and fever, how long should their deferral be?
72 hours
If a donor is under the influence, unable to give consent, or excessively nervous, how long should ther deferral be?
1 day (minimum)
Why might a donor currently taking an antibiotic be deferred 24-72 hours?
They may have a bacterial infection transmissible by blood
Is it okay for an individual to donate if they are taking a prophylactic antibiotic?
yes
If a person is currently being treated for a viral infection how long is their deferral?
two weeks (with or without symptoms)
If a donor is being treated for a fungal infection, how long is their deferral?
1 month after treatment has ended
What is the one exception from a deferral for viral treatment?
herpes treatment (Acyclovir)
If a donor is being treated for a parasitic infection, how long is their deferral?
1 week following cessation of therapy and symptoms resolve
The FDA has compiled a Medication Deferral list that includes medications that may cause…
birth defects, are higher risk of transmitting Creutzfeldt-Jakob disease, or affect platelet function
If a donor has taken aspirin within the last 48 hours is there a deferral for whole blood?
No
Why is an apheresis donor deferred if they have taken aspirin within the last 48 hours?
Aspirin irreversibly inactivates platelets
How often can a donor donate whole blood?
every 8 weeks
What is the main reason for waiting 8 weeks between whole blood donations?
to reaccumulate iron storage (RBCs are typically replaced within 4 weeks)
How often can a donor donate platelets?
every 2 weeks
How often can a donor donate plasma?
every 2 days
If a person received a killed vaccine (influenza, HepA, HepB, tetanus, rabies, etc.) do they need to be deferred?
no
What is the deferral for a donor who has gotten a smallpox vaccine?
8 weeks
What is the deferral for a donor who has received a Varicella Zoster or Shingles vaccine?
4 weeks
What is the deferral is a donor has gotten an allergy shot?
3 days
When asking if a patient has come into contact with someone who has had a smallpox vaccination, what does the term “contact” refer to?
touching the vaccination site or the scab that forms; as well as touching any clothing, towels, and bedding that have touched an unbandaged vaccination area
If a donor donates a double unit of red cells, how long do they need to wait until they can donate again?
16 weeks (8 weeks for every unit)
How long is a deferral for a donor who received a blood transfusion?
1 year
What is the deferral for a donor who has a transplant of an organ, hand, face, bone marrow, HPCs, dura mater, and xenotransplants?
permanently deferred
If a donor had an allogeneic tissue graft, how long is the deferral?
1 year
How long is a deferral if a donor has come into contact with someone else’s blood or needle stick?
1 year, unless it was from sexual contact then no deferral is warranted.
The term “sexual contact” refers to…
vaginal, oral, and anal sex regardless of whether or not protection was used.
Why must a donor be deferred for 1 year if they had sexual contact with someone with HIV/AIDS or has tested positive for HIV/AIDS within the last 12 months?
Waiting a year will allow the viral load to build up to detectable levels if the donor has acquired the virus.
What is considered the “high risk” activity group and how long is the deferral?
sexual contact with a prostitute or anyone else that takes money, drugs, or other payment for sex. Sexual contact with anyone who has ever used needles to take drugs or steroids or anything not prescribed by their doctor.
12 month deferral
Why is there a 12 month deferral for male donors who had sexual contact with another male or a female donor who has had sexual contact with a male who had sexual contact with another male?
Risk of HIV and other infectious diseases
Hepatitis A, B, or symptomatic C will warrant how long of a deferral?
12 months
Asymptomatic Hepatitis C warrants how long of a deferral?
There is no deferral
Tattoos and piercings warrant how long of a deferral?
12 months
If a donor was in juvenile detention, lockup, jail, or prison, for more than 72 consecutive hours, how long are they deferred?
12 months
Can a peson who has been treated with syphilis or gonorrhea donate?
yes, 1 year from the date treatment was completed
What is the deferral time for Malaria?
1 year
A donor who spent 5 years or more in Europe from 1980-present is permanently deferred due to…
possible risk of variant Creutzfeldt-Jakob disease
Leishmaniasis may be found in which donors?
Military or nonmilitary personnel stationed in Iraq
Deferred for 1 year
If a donor received a blood transfusion in the United Kingdom or France, how long of a deferral is warranted?
indefinite deferral
How long is a female deferred after delivery or termination of a pregnancy?
6 months
TRUE OR FALSE: A donoe that has ever had a positive test for HIV/AID and/or used needles to take drugs, steroids, or anything not prescribed by their doctor are deferred for….
permanently
What Hgb levels are needed in order to donate?
Male
Female
Male: >12.5
Female: >13
In order to donate, the donor’s pulse must be between how many beats per minute and regular?
50-100 bpm
What is the required blood pressure to donate?
> 90/50 and <180/100
A temperature that exceeds …. is not suitable for donation.
99.5 degrees
What is the minimum weight requirement for donating whole blood?
110 pounds
What is the minimum weight requirement for an apheresis donation?
120 pounds
What is the minimum age an individual can donate?
17 years (16 years with parents’ consent)
When whole blood units are spun on a hard spin, they separate into which components?
red cells and plasma
FFP must be processed within hours after collection?
8 hours
Why is a dimple (or any other marker) used when freezing FFP?
It assure that the product didn’t thaw during storage or transport.
How long can FFP be stored?
1 year at -20 to -30 degrees C
A single donor apheresis platelet is equivalent to how many whole blood units?
5-6
Apheresis platelets can be stored at room temperature up to how many days?
5 days with constant agitation
All donor units are tested for…. (9 things)
- ABO/Rh
- Ab screen
- HIV 1/2 and Group O
- Hep C
- Hep B ( Core and surface Ag)
- HTLV
- Syphilis
- West Nile Virus
- Zika Virus (currently experimental)
TRUE OR FALSE: CMV is tested for as need.
TRUE. tested for immunocompromised patients
TRUE OR FALSE: Chagas is tested on every donor unit, every time.
FALSE: It’s tested for one-time for each donor
TRUE OR FALSE: Apheresis samples get cultured.
TRUE
In order to be considered leukoreduced, units must contain less than…
<5x10^6 WBCs
Annually, how many pints of blood are transfused?
15 million
How many people entering a hospital will need a blood transfusion?
1 in 7