SOP on PreDonation Information and Counseling

Question 1

Counseling of blood donors is essential in attaining the primary objective of BSF – _______

Answer 1

to provide adequate safe blood supply

Question 2

Flow Chart of Stages in Donor Counseling Stage

Answer 2

Stage 1 Pre-donation Information

Stage 2 Pre-donation Counseling

Stage 3 Physical Examination, Selection.

Stage 4 Blood Donation and Testing

Stage 5 Post-donation Information and/ or Counseling
Or
5 Positive/Equivocal Post-donation Counseling

Question 3

– written or oral information given to potential donors before the donation to enable them to come up with an informed decision about blood donation

 need for adequate safe
blood
 TTIs and how these can be avoided
 alternative testing centers for TTIs for at-risk groups
 procedure for confidentiality in information management
 other relevant information that will enable person to decide whether to donate or not

Answer 3

Pre-donation information

Question 4

– advice provided to potential donors in privacy before blood donation is collected

 at-risk factors related to TTI  the need to stay uninfected if one is currently uninfected  encouragement to self-defer if with risk history or potential donor needs to be tested
 information on how test results can be received
 securing informed consent if donor is suitable

Answer 4

Pre-donation counseling

Question 5

When to counsel (pre-donation)

As a routine step in donor selection for every donor at each donation

Deferral of donor (2)

Answer 5

 temporary  permanent

Question 6

Purpose of Pre-donation Information and Counseling

To increase donors awareness of VBD, risk factors related to TTIs, window period …..

To encourage self deferral (2)

To promote healthy lifestyle and regular blood donation among TTI - sero negative donors

Answer 6

 By voluntary self exclusion
 By CUE

Question 7

Potential Benefits

Improved blood safety
Reduce wastage of blood units Reduce wastage of materials used in collection and testing Reduce prevalence of TTIs in the donor population

Question 8

Steps in the Procedure

1. Using the communication script (_______) inform potential donors on the following: (9)

Answer 8

SOP 02.1 Annex 1

1. daily blood needs of the region,
2. who can donate, who cannot donate - high risk individuals
3. window period
4. blood donation process
5. potential donation-related adverse reaction
6. donation intervals
7. confidential unit exclusion
8. privileges of blood donors
9. pre-donation instructions in preparation for blood donation

Question 9

Steps in the Procedure
9. pre-donation instructions

1. Recall history of donor’s travel outside place of residence within the country and outside the country
2. Illnesses, history of medical consultation within past 6 months and medications taken
3. No fatty foods 1 day prior to MBD and on the day of MBD
4. Adequate rest – 6 to 8 hours sleep
5. Hydration – 8 to 10 glasses of water; no alcohol, minimize coffee and caffeinated beverages
6. Full non-fat breakfast at least 2 hours before blood collection
7. valid ID with picture, full name and date of birth

Question 10

Steps in the Procedure
2. After every discussion point, ask potential donor if he/she has any question. Refer to Frequently Asked Questions for the standard answer to these questions (SOP 02.1 Annex 2).
3. After all the questions have been answered, distribute information materials on VBD – (2)

Answer 10

DOH It for Life and Safe Blood Starts with You and Me

Question 11

Predonation counseling takes place before donation and after donor fills in the ______

Quality donor care throughout the process (6)

Answer 11

donor history questionnaire (DHQ)

 Suitable, safe facilities
 Standard operating procedures (SOPs)
 Well-trained staff
 Sensitivity and good communication skills
 Donor confidentiality and privacy
 Two-way communication

Question 12

Steps in the Procedure
4. Go through the completed DHQ with the donor, especially questions 10 – 13. If the donor has not read the ___(2), he cannot proceed with the donation process.
5. Explain the procedure for CUE
6. Review the content of the informed consent, and remind the donor that he is free to back out from donating blood 7. Give instructions for post donation self-care

Answer 12

DOH It for Life, and Safe Blood Starts with You and Me

Question 13

Key points To attain adequate safe blood, effective predonation information and discussion are vital and mandatory activities of the BSFs

____(2) enables potential donors to assess their suitability to donate blood and to defer themselves if appropriate

_____(2) must be trained to enable them to do effective blood donor information and counseling

Answer 13

Pre-donation information and counseling

BSF Staff and volunteers