Page 114 - ATP-P 11th Ed

r. Send donor pilot tubes to a supporting theater Blood Support Detachment for trans-
port via established channels to an FDA-approved DoD reference testing laboratory.
SECTION 1 s. tions (AFI) both mandate that aircrew personnel not fly within 72 hours following
This should be done as soon as feasible.
GROUNDING procedure. Army Regulations (AR) and Air Force Instruc-
blood donation. Office of the Chief of Naval Operations Instructions (OPNAVINST)
prohibit aircrew personnel from being regular blood donors and mandates that air-
crew personnel not participate in flight duties for 4 days following blood donation.
OPNAVINST also mandates that flight personnel in combat or performing ship-
board duties not donate blood for 4 weeks prior to flying and states that the fly-
ing unit commander must approve donations of blood, plasma or bone marrow by
aircrew members (AR 40-8 dtd 16 May 2007, AFI 11-202V3 dtd 10 August 2016,
OPNAVINST 3710.7U dtd 23 November 2009). All other donors should be given
light duty or quarters for at least 72 hours following donation. 38,39
t. Every effort should be made to send all blood collection and administration equip-
ment as well as all blood typing tests and any viral tests performed along with the
patient for retrospective testing and documentation.
2. Perform collection.
a. Clean donor’s arm with povidone-iodine or appropriate alternate antiseptic agent
for at least 1 minute at least 3 inches in diameter from the anticipated site of the
venipuncture.
b. Donor blood should be drawn from an arm vein into an in-date, intact commercial
single unit whole blood collection bag. The bag is 600mL capacity and contains 63mL
of CPD or CPDA-1 anticoagulant and is intended to collect 450mL of blood ± 10%.
Do not overfill the bag as overfilling of the bag could lead to clotting.
c. Place a constricting band tightly around the donor’s arm or alternatively a blood
pressure cuff inflated to 80mmHg.
d. Place a hemostat or pinch the line approximately 6 inches from the needle prior to
removing the needle cap.
Failure to clamp or pinch the line prior to removing the needle cap could allow
air to enter the line and prevent proper negative pressure generation in the collection
bag and could lead to incomplete filling of the bag and contamination.
Do not infuse blood from an incompletely filled collection bag faster than the
time needed to infuse a completely filled collection bag, because this would result
in an increased risk of citrate toxicity.
e. Perform venipuncture. Twist off the needle cover and inspect the needle for barbs
or other defects. Pull the skin taut below the venipuncture site and insert the needle
bevel up at an angle of 30–45°. Pierce the skin with a smooth, quick thrust at the
selected point of entry. When the bevel is completely under the skin, lower the angle

104 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 105