POST-DONATION COUNSELING for Blood Donors Flashcards
______- advice given in directing the judgment of another • professionally/expertly assisting another in his judgment or decision/choice
• Blood Donor Counseling • Counseling pertaining to making the ______ in donating blood
Counseling
correct choice
2 basic elements of successful blood donation counseling:
• Motivation dependent- voluntary?
50%: knowledgeable, skillful and influential counselor
• 50%: mentally competent counseling subject (blood donor) subservient to the counseling process
2 Essentials in Blood Donor Counseling ?
• Through blood donor and blood unit selection
• Extract/collect information from the blood donor
• Significantly requires donor’s participation,
cooperation & receptiveness
• Protection of blood donor’s rights
• Safety of donor and recipient
3 Caveat in Blood Donation
– The blood donation must not harm the donor
– The blood collected must not harm the recipient
The Blood Donation MUST NOT be a cause in the spread of HIV!!
____- Essential part of achieving the primary goal of providing adequate and safe blood and blood products.
Counseling necessary _____ blood donation.
COUNSELING
before and after
______ - Should be closely linked and well coordinated
________-Priming with information
• Guiding the person’s choice to donate or self-defer
• Deferral: temporary or permanent
________- • Psychological and emotional support regarding events that should have been primed during the pre-donation stage
• Evaluates the achievement of the 2 major pre-donation objectives
Blood Donor Counseling:
Pre-donation & Post-donation
Pre-donation counseling
Post –donation counseling
Post-donation Counseling
Psychological and emotional support after the actual blood donation experience
o Boost successful or positive experiences
• Instill sense of responsibility of his final correct choice to have his donated blood transfused
o CUE
Major Components: Post-donation Counseling
- Post-donation instructions: donor care
- Administering the Confidential Unit Exclusion (CUE)
- Follow through for successful blood donations
- Addressing issues on unit qualification based on TTI criteria (3)
TTI qualified donated blood unit
TTI disqualified donated blood unit: reactive or positive
The current controversy
Major Component 1:
POST-DONATION INSTRUCTIONS
No smoking
Drink more than the usual amount of fluids (______); no alcoholic drinks _____
Avoid lifting heavy weights, strenuous or risky activities for
Leaving the dressing on the puncture site for a minimum of ____
Applying pressure for _____ on the venipuncture site, in case of recurrence of bleeding
Lying down with legs elevated when feeling dizzy or lightheaded.
3-4 hours after
> 8 to 10 glasses/day
in next 24 hours
24 to 48 hours
four hours;
2 – 5 minutes
Major Component 2:
ADMINISTER THE CUE
oCUE: confidential unit exclusion
oDonor’s decision for exclusion of his donated unit from transfusion
Unit is disposed even when the TTI testing are all NR
oRequirements:
CUE system must be well explained to the donor over the
Instill sense of responsibility on the donor recipient’s safety
Assure donor’s right to confidentiality
Provide post-donation care services when sought (2)
Counseling services
Referral services
____- Form that is detachable or separate from the DHQ
oShould bear the donation identifier (3)
oMay use the bar coded donation identifier
THE CUE
oSerial no. and segment no., date of donation
Major Component 3:
Follow through for Successful Blood Donations
Build up the community’s voluntary blood donor base
Thanking & recognizing the blood donor
Reinforcing healthy lifestyle
Upholding TTI and health risk protection
Promoting regular voluntary blood donation
Recruiting others to donate bloodBlood unit qualification by TTI testing criteria
TTI qualified donated blood unit
o Boost the sense of fulfillment
Promote regular voluntary blood donation
Encourage to recruit others o Inspire to keep a healthy & risk protected lifestyle
Major Component 4:
Addressing issues on TTI Testing Qualifications
TTI disqualified donated blood unit: (2)
– Offering options for continued care for infected donors, families and contact/s: referral to appropriate health facilities
o Those with HIV infection: counseled to accept referral to the ______
o Those with hepatitis B and hepatitis C are encouraged to enroll themselves in ___
o Counseled regarding ____
o Strongly advised ______
reactive or positive
HIV Action Core Team (HACT).
the Liver Study Group
transmission precautions
not to donate blood again
Major Component 4:
Addressing issues on TTI Testing Qualifications
Blood unit qualification by TTI testing criteria
TTI qualified donated blood unit
o Boost the sense of fulfillment
Promote regular voluntary blood donation
Encourage to recruit others
o Inspire to keep a healthy & risk protected lifestyle
Major Component 4:
Addressing issues on TTI Testing Disqualifications Issues
______- Prevents repeat disqualified donations
People with TTI risks may donate to monitor their infection status
Part of donor care referred for management Donor’s right?
Increase risk of ______
_______- Prevents abuse of the BD testing system for purposes of monitoring infection status usually by high risk individuals
Disadvantage?
•No printed or written TTI testing results be issued. (Manual of Standards of BSF: Sec 6.2.10)
•Only individuals free of TTI risks shall donate
Informing donor of testing results
window period donations
Not informing donor of testing results
Repeat disqualified donations
POST-DONATION COUNSELING Techniques
• highly confidential and individualized face-toface counseling provided by a _____
• should take place as soon as possible after a positive (by confirmatory test in ____) result is reliably obtained
• Should be done in a way that will help the donor cope with the psychological impact of a confirmed positive result.
skilled counselor
RITM
POST-DONATION COUNSELING • Involves the following:
– Giving the donor enough time to grasp the information – Giving the donor enough time and opportunity to ask questions
– Helping the donor cope with the emotional and practical impact of a confirmed positive result especially for HIV
POST-DONATION COUNSELING • May involve the following:
– recognizing and managing acute psychological reactions to the disclosure of _________
Only by _____ who have received specific training
HIV infection
BSF Staff
4 Major Components: Post-donation Counseling
Major Component 1:
POST-DONATION INSTRUCTIONS
Major Component 2:
ADMINISTER THE CUE
Major Component 3:
Follow through for Successful Blood Donations
Major Component 4:
Addressing issues on TTI Testing Qualifications
