Blood donationTravancore Medical College Kollam

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Blood donationTravancore Medical College Kollam

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Blood donation Medimission drops of life Dr.T.V.Rao MD:

Blood donation Medimission drops of life Dr.T.V.Rao MD Dr.T.V.Rao MD TMC 1 9/13/2012

BLOOD Facts:

BLOOD Facts Blood flows everywhere through the human body. We cannot live without it. The heart pumps blood to all our body cells, supplying them with oxygen and food. Blood also carries proteins and cell fragments called platelets that let blood clot where there has been an injury. Dr.T.V.Rao MD TMC 2 9/13/2012

Blood components:

Blood components Packed red cells Platelets Fresh Frozen Plasma Frozen plasma Cryoprecipitate Albumin Immunoglobulin's Dr.T.V.Rao MD TMC 3 9/13/2012

Do You Know?:

Do You Know? 450ml of blood can save as many as three lives. Every two seconds , someone in India needs blood. One out of every three of us will need blood in our life time. Even with all of today’s technology, there is no substitute for blood . Someone has to give blood in order for someone to receive blood. Dr.T.V.Rao MD TMC 4 9/13/2012

The Donation Process:

The Donation Process Education Recruitment Selection Donation Dr.T.V.Rao MD TMC 5 9/13/2012

Fact Sheet -1:

Fact Sheet -1 Hospitals predict that the need for blood will increase 5% each year . Approximately only 4% of the eligible population in India donates blood. 75% of donors donate only ONCE per year. If they donated just two times per year there would never be any shortages. Dr.T.V.Rao MD TMC 6 9/13/2012

PowerPoint Presentation:

1 of out 10 hospital patients needs a blood transfusion 4.5 million Indians lives are saved by blood transfusions each year Blood is always needed for, accident victims cancer patients blood disorder patients surgery patients Pre-mature, pre term babies and many others……. Many Reasons to Donate Blood Dr.T.V.Rao MD TMC 7 9/13/2012

Blood Transfusion Safety and the Clinical Laboratory:

Traditionally, blood transfusion practice and blood banking are part of the larger clinical laboratory Involve both laboratory practice and medical care Blood Transfusion Safety and the Clinical Laboratory Dr.T.V.Rao MD TMC 8 9/13/2012

Combined Approach to Blood Donor Screening:

Combined Approach to Blood Donor Screening Blood centers employ a combination of strategies to protect the blood supply, including pre-donation risk deferral questions and laboratory screening tests. Risk deferrals are most effective in localized epidemics. Pre-donation questions are less effective when a behavior or risk is common to most of the population, i.e., heterosexual sex. Therefore, in developing countries there is a heavier reliance on laboratory-based screening methods. Dr.T.V.Rao MD TMC 9 9/13/2012

Procedure for Voluntary Blood Donation:

Procedure for Voluntary Blood Donation Pre-Donation: Donor Screening Donor Eligibility criteria Deferral Criteria (Donor Consent Form) Medical examination Blood Donation: Blood donation procedure Post donation Rest, advice & refreshment Donor Certificate, Donor ID card Dr.T.V.Rao MD TMC 10 9/13/2012

PowerPoint Presentation:

Safe Donor selection involves – Identification of low risk populations Donor education and recruitment Encouraging self deferral based on “Deferral Criteria” Medical Examination before donation Voluntary Non-remunerated Repeat Donor (VNRD) is safest 1. Donor Screening Dr.T.V.Rao MD TMC 11 9/13/2012

2. Donor Eligibility Criteria:

2 . Donor Eligibility Criteria Who can donate? Age: 18 - 60 years Weight : > 45 kgs Hemoglobin level: >12 gms/dl for men and 12.5 gms/dl for women In good health Wt > 45 Kg Dr.T.V.Rao MD TMC 12 9/13/2012

Deferral Criteria Who CANNOT donate? :

D eferral Criteria Who CANNOT donate? Life long 1 year 6 Months Abnormal bleeding disorder Heart, Kidney, Liver Disorder Thyroid disorder Epilepsy, Mental disorders Tuberculosis, Leprosy, Asthma Cancer Insulin dependent diabetics Uncontrolled High BP Surgery Typhoid Dog bite Unexplained weight loss Continuous low grade fever Tattooing or body piercing Dental extraction Root canal treatment Malaria Vaccination Dr.T.V.Rao MD TMC 13 9/13/2012

Deferral Criteria… (Donor Consent Form) :

Deferral Criteria… (Donor Consent Form) Postpone donation for 6 months if you have risk factors for HIV/AIDS , such as.. Having sex with more than one partner without using condom for vaginal, anal or oral sex Intravenous drug abuse Having sex with a person who could have the above risk factors Dr.T.V.Rao MD TMC 14 9/13/2012

:

Female donors cannot donate blood…… During pregnancy After delivery for one year When lactating During menstrual period and for 7 days thereafter Male donors cannot donate blood…… If consumed Alcohol in the previous 24 hours Deferral Criteria… (Donor Consent Form) Dr.T.V.Rao MD TMC 15 9/13/2012

Medical Examination at camp :

Medical Examination at camp Blood test for: Blood grouping Hemoglobin Blood pressure Pulse General physical examination Dr.T.V.Rao MD TMC 16 9/13/2012

Blood Donation Procedure Remember!:

Blood Donation Procedure Remember! The Donor Must …. have had good rest / sleep have had light meal be mentally prepared Dr.T.V.Rao MD TMC 17 9/13/2012

5. Blood Donation Procedure Volume of blood collection :

5. Blood Donation Procedure Volume of blood collection Donor Weight Blood collected Amount Used for 45 kgs -55 kgs 350ml Single bag Whole Blood > 55 kgs 450 ml Double / Triple bag Blood Components Dr.T.V.Rao MD TMC 18 9/13/2012

Testing at Blood Bank for Transfusion Transmissible Infections (TTIs):

Testing at Blood Bank for Transfusion Transmissible Infections (TTIs) Blood collected at the BDC is screened using highest quality screening tests for 6 TTIs HIV 1 HIV 2 Hepatitis B Hepatitis C VDRL (syphilis) Malaria Dr.T.V.Rao MD TMC 19 9/13/2012

Post Donation Advice:

Post Donation Advice Drink lots of fluids for next 24 hours Avoid smoking for one hour & alcohol till after a meal Don’t use elevator to go up immediately after donation as it will make blood rush to your feet & make you dizzy! Avoid highly strenuous exercises & games for a day If you feel dizzy, lie down & put your feet up. You will be alright in 10-20 mins. Remove band-aid after 4 hours. If it bleeds, apply pressure & reapply band-aid. If bruised and painful, apply cold-pack 4 to 5 times for 5 mins each. The bruise is due to blood seeping into the surrounding tissue. It will take a few days to get reabsorbed. If you have any questions, meet camp doctor or the centre collecting the Blood Dr.T.V.Rao MD TMC 20 9/13/2012

Counseling for “Reactive” donors :

Counseling for “Reactive” donors If a blood sample tests positive for any TTI, then…. Tests are repeated in duplicate Complete confidentiality is maintained about the test results only the donor is informed, counseled & encouraged for further testing Referrals to health experts are provided along with follow-ups Dr.T.V.Rao MD TMC 21 9/13/2012

Blood Products / Components & their uses:

Blood Products / Components & their uses Blood collected is screened for TTIs (infections) & IF SAFE , is separated into components & stored for issue to patients. Whole blood For Exchange Transfusion in Babies Accident Victims Complicated Delivery cases Some specific surgeries Blood Components Red Cells (for anemia) Fresh Frozen Plasma (for clotting disorders, burns) Platelets/Platelet rich plasma (for cancer, dengue) Cryoprecipitate (for clotting disorders) Cryo Poor Plasma (for burns) Dr.T.V.Rao MD TMC 22 9/13/2012

What we can do?:

What we can do? Make Blood Donation a HABIT Donate regularly – every 3 months to commemorate special days like birthdays, anniversaries …. Motivate others to donate Refer your friends and relatives Dr.T.V.Rao MD TMC 23 9/13/2012

Relevance of Blood Transfusion Safety Activities:

Relevance of Blood Transfusion Safety Activities Approximately 90 million transfusions worldwide annually 31% of transfusions not screened for HIV, Hepatitis B or Hepatitis C Most laboratory screening lapses occur in developing countries Source: WHO, GDBS 2001 Dr.T.V.Rao MD TMC 24 9/13/2012

Appropriateness of transfusion:

Appropriateness of transfusion May be life-saving May have acute or delayed complications Puts patient at risk unnecessarily ‘ The transfusion of safe blood products to treat any condition leading to significant morbidity or mortality, that cannot be managed by any other means’. Dr.T.V.Rao MD TMC 25 9/13/2012

PowerPoint Presentation:

Our Vision - MEDIMISSION The likely impact of this initiative would be as follows: A) Blood Shortages: This would be a thing of past, there would not be any blood shortage for any patients, anywhere, any time B) Accident victims would have a far better chance of survival through timely medical attention and treatment. This could be extended to cover victims of any sudden health problems anywhere, any time D ) The concept and network could be extended to other healthcare areas also Dr.T.V.Rao MD TMC 26 9/13/2012

Our Mission at Medimission:

Our Mission at Medimission To make “safe” and “economical” blood available to everybody, when and wherever required. - No blood shortage - No cancelled surgery for lack of blood - No emergency appeal to blood donors - Assured Quality of blood - Optimal utilization of available blood Dr.T.V.Rao MD TMC 27 9/13/2012

Do not forget :

Do not forget Dr.T.V.Rao MD TMC 28 9/13/2012

PowerPoint Presentation:

Programme Created By Dr.T.V.Rao MD for Universal Awareness on Facts on Blood Donations and Transfusions and Vision of Our Medimission at Travancore Medical College, Kollam Kerala India Email doctortvrao@gmail.com Dr.T.V.Rao MD TMC 29 9/13/2012

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