Criteria for donor selection SOP

Ministry of Health
Ibra Hospital
Document Title Criteria for donor selection (SOP)
Document Type Procedure (SOP)
Directorate/Institution North Sharqiah / Ibra Hospital
Targeted Group Ibra Hospital Laboratory Staff
Document Author Mr. Hisham Said Aziz AL Sheheimi
Designation Lab Technician ''B''
Document Reviewer 1. Mr. Abdullah Said Al ghazi.

Designation 1. Senior Laboratory Consultant.

Release Date
Review Frequency Three years

Version Description Review Date

Validated by Approved by
Name Raiya Obaid AL Hajri Name Dr. Ahmed Al Jabri
Designation Quality Managment & Patient Designation Hospital Director
Safety officer
Signature Signature

Date Date

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Criteria for donor selection SOP

Table of Contents

1. Introduction 4

2. Scope 4

3. Purpose 4

4. Definitions 4

5. Policy 5

6. Procedure 6

7. Responsibilities 8

8. References 9

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Criteria for donor selection SOP

i. Acronyms:

AHF Antihaemophilic factor

APTT Activated partial thromboplastin time
CBB Central blood bank
CPDA-1 Citrate Phosphate Dextrose Adenine Solution
DCDQD Department of Control & Development of Quality Document
DCT Direct antiglobulin test
DGHS Directorate General of Health Services
DGQAC Director General of Quality Assurance Centre
DIC Disseminated intravascular coagulation
DMS Document Management System
DN Document Number
DO Document Owner
DT Document Type
EDTA Ethylelene diamine tetra actetic acid
FFP Fresh Frozen Plasma
HB Hemoglobin
HBV Hepatitis B virus
HCT Haematocrit
HCV Hepatitis C virus
HDN Haemolytic disease of the newborn
HIV Human immunodeficiency virus
HQ Head Quarter
IA Institutions Acronym
IAT/ICT Indirct antiglobulin (coombs)test
ITP Idiopathic autoimmune thrombocytopenic purpura
MoH Ministry of Health
P&P Policy & Procedure
PC Platelet concentrates
PRBC Packed red blood cells
QC Quality control
QM&PS Quality Management & Patient Safety
SAGM Saline, Adenine, Glucose and Manitol
TA-GVHD Transfusion associated graft‐versus‐host disease
TRALI Transfusion related acute lung injury
TTIs Transfusion transmissible infections
TTP Thrombotic thrombocytopenic purpura
Vers Version Number

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Criteria for donor selection SOP

1. Introduction

Ibra hospital blood transfusion center have a primary duty to provide blood of the best
possible quality and safety for the patient receiving it. The secondary role is to care of
donor and to ensure the act of blood donation does not cause harm. The first step to
ensure the safety of the blood and blood components depends on effective donor
selection.

2. Scope

Standard Operating procedure applies to laboratory technologists and medical officer,

with regard to follow these steps in blood donor selection and blood collection.

3. Purpose
3.1 To ensure that blood donors are selected in a safe and effective manner that protects
the volunteer from any harm.
3.2 To ensure that the blood is collected in a safe manner that protected the patient or the
recipient from any ill-effects through transmission of disease or drugs by blood
transfusion.
3.3 To ensure that each donor must be clearly and uniquely identified so that a specific can
be traced through the entire process and after that recalled.

4. Definitions
4.1 Family or family replacement donors: A donor who gives blood when it is
required by a member of the donor’s family or community. The first is where the
family donates the same quantity of blood as that given to their relative.The
second is known “directed donation” where a donor specifically request that their
blood is given to a named patient.
4.2 Commercial or professional donors: A donor who receive money or in other
rewards, which can be exchanged for money for the blood that they donate. This
type of donation is not practiced is Oman by law.

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Criteria for donor selection SOP

4.3 Voluntary non-remunerated donors: A donor who gives blood, plasma or other
blood components freely voluntarily without receiving payment in the form of
money or a substitute for money. These are the safest low-risk donors. The
following items are not normally considered as payment or a substitute for money:
4.3.1 Small token of recognition or appreciation, such as badges or certificates,
which have no commercial value.
4.3.2 Reimbursement of the direct costs of travel.
4.3.3 Light refreshments immediately before, during or after donation.
4.4 Regular donor: A donor who has given blood at least three times, and continuous
to donate blood at least once a year.
4.5 Permanent deferral: Donor who is rejected and never accepted to donate.
4.6 Temporary deferral: Donor who is postponed to donate this time and he can
donate after recovery.

5. Policy:
The following is the policy of the donation unit, Central Blood Bank, Department of Blood
services.
5.1 The commercial or professional blood donation is not practiced in Oman by law. All staff
must welcome and greet the donor.
5.2 All staff should always be smart and clean in appearance and maintain a high of personal
hygiene.
5.3 The privacy and confidentiality must be ensured.
5.4 The area should be clean, organized and well lit.
5.5 The blood donation record is a permanent and legal record.
5.6 Documentation policy:
5.6.1 All information should be written clearly and legibly.
5.6.2 Only objective facts should be documented,
5.6.3 Documentation should be done concurrently with the procedure.
5.6.4 Keep records in a safe place where only authorized staff have access to them.

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Criteria for donor selection SOP

6. Procedure:
6.1 Stages of Donor Selection and Blood collection:
6.1.1 Pre donation (Registration- Medical History- Physical Examination-Donor
consent).
6.1.2 During donation (Blood and test sample collection).
6.1.3 Post donation (preparation of donated blood bag for laboratory release-post
donation care and instruction).

6.2 Registration:
6.2.1 Blood donor registration start by filling of blood donation form.
6.2.2 Donor ID proof (Resident/ Labor/driving licenses) is mandatory.
6.2.3 Blood donor registration form must be filled by the donor or with the help of
blood bank staff. This must be on the same day of actual donation.
6.2.4 Check the donor status in the computer system (Active or Inactive).
6.2.5 If active check the date of previous blood donation. (˃ 3 months accept).

6.3 Criteria for donor selection:

6.3.1 General Donor assessment:
6.3.1.1 Accept only voluntary / replacement non-remunerated blood donors.
6.3.1.2 Should not have donated blood within the last 3 months.
6.3.1.3 Should be between 18-60 years.
6.3.1.4 Should not be less than 50 kgs.
6.3.1.5 Temperature should be normal.
6.3.1.6 Should be free from acute illnesses.
6.3.1.7 Should be free from any skin disease at the site of phlebotomy.
6.3.1.8 Should not have had alcohol within the last 24 hours.
6.3.1.9 Should not have had any antibiotics within the last 48 hours.
6.3.1.10 If the donor has had aspirin within the last 1 week, then donors unit
should not be used to make platelet concentrates.
6.3.1.11 Should not have any skin punctures / scar on arm/ forearm indicative
of a professional blood donor / narcotic addiction.

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Criteria for donor selection SOP

6.3.1.12 The following policies for temporary and permanent deferral based
on history are followed.
6.4 Temporary deferral:
6.4.1 Table: Deferment of blood donation

CONDITIONS PERIOD OF DEFERMENT

(1) (2)

(a) Abortions 6 months

(b) History of Blood transfusion 12 months

(c) Surgery 12 months

(d) Typhoid 12 months after recovery

(e) History of Malaria and duly treated 3 months (endemic),

3 years (non endemic area)

(f) Tattoo 6 months

(h) Breast feeding 12 months after delivery

(i) Immunization (Cholera, 15 days

Typhoid, Diphtheria, Tetanus,

Plague, Gamma globulin)

(j) Rabies vaccination 1 year after vaccination

(k) History of Hepatitis in family or close contact. 12 months

(l) Immunoglobulin 12 months

Single episode of High risk behavior 12 months

6.5 Permanent Deferral:

No person shall donate blood and no blood bank shall draw blood from a person, suffering
from any of the diseases mentioned below, namely:

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Criteria for donor selection SOP

6.5.1 Cancer.
6.5.2 Heart disease.
6.5.3 Abnormal bleeding tendencies.
6.5.4 Multiple exposures.
6.5.5 Unexplained weight loss.
6.5.6 Diabetes.
6.5.7 Hypertension.
6.5.8 Hepatitis infection.
6.5.9 Chronic nephritis.
6.5.10 Signs and symptoms, suggestive of AIDS.
6.5.11 Liver diseases.
6.5.12 Active Tuberculosis.
6.5.13 Polycythemia Vera.
6.5.14 Asthma.
6.5.15 Epilepsy.
6.5.16 Leprosy.
6.5.17 Schizophrenia.
6.5.18 Endocrine disorders – Except those euthyroid on medication and OCPs.
6.5.19 International donors coming from areas endemic for certain diseases should be
deferred.

7. Responsibilities:
7.1 Laboratory Technician is responsible to check all donor selection criteria were met.
7.2 The medical officer is responsible for approving the donation.

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9. References:
Title of book/ journal/ articles/ Website Author Year of Page
publication
Technical Manual of the American Association of blood Roback J.
2011
banks 17th edition,2011. D. et al.
Modern Blood Baking &Transfusion, 5th edition New Harmenin
2008
Delhi Jaypee Bros.2008 g D.
AABB – Guidelines- Technical manual 7th ed. 2011. Roback J.
2011
D. et al.
Guidelines for the Blood Transfusion services in the Norfolk D. 2001
UK. 5th Edition 2001
Technical Manual on Blood Banking 2014- MoH Oman MoH
2014
– 3 rd Edition Oman
WHO Transfusion Medicine Technical Manual -1991 WHO 1991
WHO-Blood donor selection-Guidelines on Assessing
WHO 2012
donor suitability for blood donation (2012)

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