Pre DonationCounseling
Pre DonationCounseling
Information
and
Counseling
Milagros M. Viacrucis, MD MPH
Davao Blood Center
Core topics
Flow Chart of Stage in Blood Donor Counseling
Definitions
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Blood Donor Counseling
Counseling of blood donors is essential in
attaining the primary objective of BSF – to
provide not only adequate but also safe blood
supply
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When to counsel (pre-donation)
As a routine step in donor selection for every
donor at each donation
Deferral of donor
temporary
permanent
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Stages in Donor Counselling
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Definition (1)
Pre-donation information – 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
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Definition (2)
Pre-donation counseling – advice provided to potential
donors in privacy before blood donation is collected
at-risk factors related to TTI
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Purpose of Pre-donation
Information and Counseling
To increase donors awareness of VBD, risk factors
related to TTIs, window period …..
To encourage self deferral
By voluntary self exclusion
By CUE
To promote healthy lifestyle and regular blood
donation among TTI - sero negative donors
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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
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Predonation counselling
Predonation counseling takes place before donation
and after donor fills in the donor history
questionnaire (DHQ)
Quality donor care throughout the process
Suitable, safe facilities
Standard operating procedures (SOPs)
Well-trained staff
Sensitivity and good communication skills
Donor confidentiality and privacy
Two-way communication
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Steps in the Procedure
1. Using the communication script (SOP 02.1 Annex 1)
inform potential donors on the following:
1.1 daily blood needs of the region,
1.2 who can donate, who cannot donate
- high risk individuals
1.3 window period
1.4 blood donation process
1.5 potential donation-related advrse reactions
1.6 donation intervals
1.7 confidential unit exclusion
1.8 privileges of blood donors
1.9 pre-donation instructions in preparation for blood donation
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Steps in the Procedure
1.9 pre-donation instructions
1.9.1 Recall history of donor’s travel outside place of residence
within the country and outside the country
1.9.2 Illnesses, history of medical consultation within past 6
months and medications taken
1.9.3 No fatty foods 1 day prior to MBD and on the day of MBD
1.9.4 Adequate rest – 6 to 8 hours sleep
1.9.5 Hydration – 8 to 10 glasses of water; no alcohol, minimize
coffee and caffeinated beverages
1.9.6 Full non-fat breakfast at least 2 hours before blood
collection
1.9.7 valid ID with picture, full name and date of birth
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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 – DOH It
for Life and Safe Blood Starts with You and Me
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Steps in the Procedure
4. Go through the completed DHQ with the donor,
especially questions 10 – 13. If the donor has not
read the DOH It for Life, and Safe Blood Starts
with You and Me, 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
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Steps in the Procedure
4. Go through the completed DHQ with the donor,
especially questions 10 – 13. If the donor has not
read the DOH It for Life, and Safe Blood Starts
with You and Me, 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
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Key points
To attain adequate safe blood, effective pre-
donation information and discussion are vital and
mandatory activities of the BSFs
Pre-donation information and counseling enables
potential donors to assess their suitability to donate
blood and to defer themselves if appropriate
BSF Staff and volunteers must be trained to enable
them to do effective blood donor information and
counseling
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