Page 119 - JSOM Fall 2018

APPENDIX B Unscreened Donor Procedures 33
When an emergency situation does not allow complete donor assessment according to the Joint Trauma System Whole Blood
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Transfusion Clinical Practice Guidelines, the following rapid donor screen may be used. Relaxing the donor acceptance criteria
will increase the risk of transfusion­transmitted disease. The decision is a risk­benefit analysis.
Primary Triage (question as a group)
Serial Question Yes No Action
1 Do you want to give blood? Disqualify if NO
2 Have you given blood before? If YES, consider early selection
3 In the past 48 hours, have you taken aspirin, motrin, or other If YES, donor priority is after those who
NSAID? answer NO

Secondary Triage (question potential donors individually)
Serial Question Yes No Action
4 Are you unwell now? Disqualify if YES
New fever/diarrhea/vomiting
Chronic medical condition and not well
5 Have you ever had cancer, heart problems, bleeding conditions, Disqualify if YES
or lung disease?
6 Have you had a blood transfusion or blood products in the Disqualify if YES
last year? Accept after 1 year
7 Are you living with hepatitis B or C, HIV/AIDS, OR living with Disqualify if YES
anyone with these conditions?
8 Have you ever been refused as a donor or told not to donate Disqualify if YES
blood? (A past history of treated anemia may be acceptable)
9 Male donors only: Have you ever had sex with another male? Disqualify if YES
10 Have you ever used needles to take drugs, steroids, or anything Disqualify if YES
not prescribed by your doctor?
11 Are you currently pregnant or breastfeeding? Disqualify if YES
12 Conduct a physical examination. Check: temperature/rash/ Disqualify any potentially unwell donor or
malnutrition/pallor/jaundice/cyanosis/shortness of breath/ donors with very difficult veins
intoxication from alcohol or drugs/veins
13 Have you ever had Malaria, Chagas, or Babesiosis? Disqualify if YES
14 Have you ever received money, drugs, or other payment of sex? Disqualify if YES

Risk Triage (question potential donors individually)
Score Questions Subtotal Notes
Blood donation history
1 Regular donor Optimum
2 Previous donor
3 Nondonor
Veins and body weight
1 Good lateral (outer) vein Optimum
2 Poor or difficult vein
3 <60kg
Travel
1 No travel in the countries below in the last 6 months Optimum
2 South America
4 Asia and Africa
Lifestyle
1 Sex with one partner Optimum
3 Sex with multiple partners but protected
— Sex with a sex worker or in exchange for money/drugs Avoid for 12 months
Serious medical conditions
1 None Optimum
3 Past or present serious medical conditions but managed and well
3 Untreated current medical conditions but well
TOTAL
Add up score and record total: Lowest score = Lowest risk.
Use point­of­care test for transfusion transmitted infections. Eliminate and counsel any positives.
Blood type donor and recipient and document results.

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