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Download MBBS Transfusion Medicine and Blood Bank Presentations 3 Donor Screening And Vbd Camps Lecture Notes

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) 1st Year, 2nd Year, 3rd Year and Final year Transfusion Medicine and Blood Bank 3 Donor Screening And Vbd Camps PPT-Powerpoint Presentations and lecture notes

This post was last modified on 08 April 2022

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VOLUNTARY BLOOD DONATION CAMPS

SOURCE OF BLOOD

?Blood Donor

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?Value Blood Donor as VIP
?Should meet defined Donor Selection criteria
BLOOD DONATION

Cornerstone of safe and adequate blood supply :

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? Motivation

? Recruitment

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? Retention of voluntary , non-remunerated blood donors

TYPES OF BLOOD

DONORS

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1. Voluntary Non Remunerated Donors

2. Replacement Donors

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3. Allogeneic Donors


4. Autologous Blood Donors

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5. Apheresis Donors

6. Directed Donors

7. Professional Donors

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DONOR SELECTION

?Registration, Demographic information and Consent

of the donor

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?Medical history

?Physical examination

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?Laboratory tests

STAGES OF BLOOD DONOR SCREENING

1. Pre-Donation information

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2. Pre-Donation counselling
3. Donor Questionnaire and medical examination
4. Counselling during Blood Donation
5. Post-donation counselling
Donor Information

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Donor be informed about blood donation and safety

Mandatory testing for HIV, HCV, HBV, Syphilis & Malaria

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(he/she should indicate on the donor registration card, whether

he/she wishes to know the report of the testing)

DONOR DEFERAL

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Self Deferral

Temporary Deferral

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Permanent Deferral

8


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PRIVATE INTERVIEW

(High Risk Behaviour)

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?History of multiple sexual partners or sex with Commercial

Sex Workers- defer permanently

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?High risk donors such as long route drivers, jail inmates,

homosexuals, I/V drug abusers - defer permanently

INFORMED CONSENT

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The donor has to sign

the consent for blood

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donation on the Donor

Questionnaire form


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Criteria for selection of blood donors

18-65 years

98.4?F

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37?C

100-140 mmHg

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60-90

60-100

bpm

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> 45kg

12.5 g/dL

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Donor Selection Criteria (General)

S.No. PARAMETER

CRITERIA

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1.

Well Being

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?

Good health, mentally alert, physically fit

?

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Not an inmate of jail

?

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Not fasting

?

Differently abled or those with communication

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or sight difficulty- valid consent

2.

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Age (Years)

? 18-65, if First time donor<60

? Apheresis 18-60

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3.

Weight (Kg)

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? 45 ? 350ml

? 55 ? 450ml

? Apheresis- >50kg

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4.

Temperature

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37oC /98.4 F(Afebrile)

5.

Pulse (Beats/ min)

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60-100,Regular

6.

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Blood Pressure(mm Hg) Systolic =100-140 Diastolic = 60-90 with or w/o

medications; No drug alteration in past 28 days
S.No. PARAMETER

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CRITERIA( General)

7.

Haemoglobin (g/dl)

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12.5 & 17.5

8.

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Respiration

? Free from acute respiratory disease

9.

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Last Donation Interval ? For whole blood- 3 months for male &

? 4 months for female

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? 48 hrs- platelet/ plasma apheresis

? 28 days ? if donated whole blood and candidate

for plateletpheresis

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? 12 months ? Bone Marrow Harvest

? 6 months ? Peripheral Blood Stem Cell

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10.

Meal

? Not Fasting; Last meal- Within 4hours

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11.

Alcohol Intake

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? Not regular heavy alcoholic

? No signs of alcohol intoxication

? Not taken heavy alcohol previous night

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13

S.No. PARAMETER

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CRITERIA(General)

12.

Occupation

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Air crew member,LRVD,strenuous worker -24

hours

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13.

Travel and

Not with H/O Endemic Area for diseases

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Residence

14.

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Donor Skin

Phlebotomy site free from scars

15.

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Nonspecific illness- Defer till all symptoms subside and patient is

malaise, pain or

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afebrile

headache

14

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Donor Selection Criteria

S.No.

PARAMETER

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CRITERIA

(Physiological Status for Women)

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16.

Pregnancy or recent Defer for 12 months after delivery

delivery

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17.

Abortion

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Defer for 6 months after abortion

18.

Breast feeding

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Defer for total period of lactation

19.

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Menstruation

Defer for the period of Menstruation

S.No.

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PARAMETER

CRITERIA

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(Surgical Procedures)

20.

Major Surgery

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Defer for 12 months after recovery

21.

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Minor Surgery

Defer for 6 months after recovery

22.

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CABG

Pemanently defer

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23.

Oncosurgery

Pemanently defer

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24.

Received BT

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12 months deferral

25.

Dental Surgery UA

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6 months deferral after recovery

26.

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Tooth Extraction

6 months deferral after extraction

S.No.

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PARAMETER

CRITERIA

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(Liver Diseases and Hepatitis Infection)

27.

Hepatitis

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Known Hepatitis B or C ? Permanently defer

Known A or E ? Defer for 12 months

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Unknown Hepatitis-Permanently defer

28.

Spouse/ partner/ close

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Defer for 12 months

contact of individual

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suffering from hepatitis

29.

At risk for hepatitis-

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Defer for 12 months

tattoos, acupuncture or

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any body piercing by self

of for spouse/partner

30.

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Spouse partner receiving Defer for 12 months

transfusion of blood/

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components

31.

Jaundice

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Accept if attributed to h/o gall-stones, Rh

disease, mononucleosis or in neonatal period

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32.

Chronic Liver Disease/Liver Permanently defer

Failure

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S.No. PARAMETER

CRITERIA

(HIV Infection /AIDS)

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33.

At Risk for HIV Infection

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Permanently defer

(Transgender, MSM,CSW,IVD,MSP )

34.

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Known HIV positive person or

Permanently defer

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spouse/partner of PLHA (Person

living with HIV AIDS)

35.

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Person with symptoms suggestive Permanently defer person having LAP,

of AIDS

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prolonged fever, diarrhea irrespective

of HIV risk or status

S.No. PARAMETER

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CRITERIA

(Sexually Transmitted Infections)

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36.

Syphilis(Genital Sore or generalized

Permanently defer

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skin rashes)

37.

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Gonorrhea

Permanently defer

S.No. PARAMETER

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CRITERIA

(Other Infectious Diseases)

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39.

H/o Measles, Mumps,

Defer for 2 weeks following full recovery

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Chicken Pox

40.

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Malaria

Defer for 3 months following full recovery

41.

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Typhoid

Defer for 12 months following full recovery

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42.

Dengue/ Chikungunya

? Defer for 6 months following full recovery

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? If visit to endemic area- 4 wks following return

if no febrile illness

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43.

Zika virus/ West Nile

? Defer for 4 months following full recovery

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virus

? If visit to endemic area- defer for 4 months

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following return if no febrile illness

44.

Tuberculosis

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Permanent deferral(DCA)

45.

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Leishmaniasis

Permanent deferral

46.

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Leprosy

Permanent deferral
S.No. PARAMETER

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CRITERIA

(Other Infections /

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Diseases/disorders)

47.

Conjunctivitis

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Defer for the period of illness and

continuation of local medication

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48.

Osteomyelitis

Defer for 2 years following completion of

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treatment and cure

49.

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Autoimmune disorders like

Permanently Defer

SLE,Scleroderma,Dermatomyositis,

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Ankylosing spondylitis or severe

RA

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50.

Malignancy

Permanently Defer

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51.

Severe Al ergic Disorders

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Permanently Defer

S.No. PARAMETER

CRITERIA

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(Hematological

Conditions)

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52.

Polycythemia vera

Permanently Defer

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53.

Bleeding disorders and unexplained bleeding Permanently Defer

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tendency

54.

Haemoglobinopathies and red cell enzyme

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Permanently Defer

deficiencies with known h/o hemolysis

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55.

Donors with unexplained delayed fainting and/or Permanently Defer

associated with injury or two consecutive faints

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following a donation

56.

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Recipients of Organ,Stem cel and Tissue

Permanently Defer

transplants

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S.No. PARAMETER

CRITERIA

(Respiratory (Lung) Diseases)

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57.

Cold , flu,cough,sore throat or Acute Defer until al symptoms subside and

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Sinusitis

donor is afebrile

58.

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Chronic Sinusitis

Accept unless on antibiotics

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59.

Asthmatic attack

Permanently Defer

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60.

Asthmatics on steroids

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Permanently Defer

S.No. PARAMETER

CRITERIA

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(Digestive System Diseases)

61.

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Diarrhea (if in preceding week

Defer for 2 weeks after complete

especially if associated with fever

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recovery and last dose of medication

62.

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GI endoscopy

Defer for 12 months
Accept if with acid reflux, mild

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esophageal reflux, GERD, mild hiatus

63.

Acid peptic disease

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hernia
Permanently Defer if symptomatic gastric

ulcer or with recurrent bleed

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S.No. PARAMETER

CRITERIA

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(Cardiovascular Diseases)

64.

Any active symptom (chest pain,

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Permanently Defer

shortness of breath, swel ing on feet)

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65.

Myocardial infarction (Heart attack)

Permanently Defer

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66.

Cardiac medication (Digitalis,

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Permanently Defer

Nitroglycerine)

67.

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Hypertensive heart disease

Permanently Defer

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68.

Coronary artery disease

Permanently Defer

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69.

Angina Pectoris

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Permanently Defer

70.

Rheumatic Heart disease with residual Permanently Defer

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change
S.No. PARAMETER

CRITERIA

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(Kidney disease)

71.

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Acute infection of Kidney

Defer for 6 months after complete recovery and last

(pyelonephritis)

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dose of medication

72.

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Acute infection of

Defer for 2 weeks after complete recovery and last

Bladder(cystitis)/UTI

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dose of medication

73.

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Chronic infection of

Permanently Defer

kidney/kidney

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disease/Renal failure

S.No. PARAMETER

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CRITERIA

(CNS /Psychiatric Diseases)

74.

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Convulsions and epilepsy, Permanently Defer

Schizophrenia

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75.

Migraine

Accept if not severe and frequency is < 1 ep. Per

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week

76.

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Anxiety and Mood D/o

Accept if stable and feeling wel on day of donation

regardless of medication

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S.No. PARAMETER

CRITERIA

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(Endocrine Disorders)

77.

Diabetes Mellitus

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Accept if DM is well controlled by diet or oral hypoglycemic

medication , with no h/o orthostatic hypotension, no h/o

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infection, neuropathy or vascular disease( e.g. peripheral

ulceration)

Defer if medication altered/ dosage adjusted in last 4 weeks

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78.

Multiorgan Involvement Permanently Defer

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as complication of DM

79.

Thyroid disorders

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Accept Benign thyroid disorders if Euthyroid (like

Asymptomatic goiter, h/o Viral Thyroiditis, Auto-immune

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hypothyroidism)

Defer if thyroid status is under investigation or unknown

80.

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Thyrotoxicosis due to

Permanently Defer

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Grave's disease,

Hypo/Hyper thyroid,

H/O Malignant Thyroid

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tumor
S.No.

PARAMETER

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CRITERIA

(Medications)

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81.

Oral contraceptives, Analgesics, Vitamins,

Accept

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Mild sedative and tranquillizers, Allopurinol,

Cholesterol lowering medications

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82.

Salicylates (Aspirin), other NSAIDs

Defer for 3 days if blood is to

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be used for platelet

preparation

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83.

Ketokonazole, Antihelminthic drugs including Defer for 7 days after last

Mebendazole

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dose

84.

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Antibiotics, Ticlopidine, Clopidogrel,

Defer for 2 weeks after last

Piroxicam, Dipyridamole

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dose

85.

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Etrenitate, Acitretin or Isotretinoin (For Acne), ? Defer for 1 month after

Finasteride (For Benign Prostatic Hyperplasia)

last dose

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Dutasteride (For Benign Prostatic

? Defer for 6 months after

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Hyperplasia)

last dose

86.

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Radioactive contrast material

Defer 8 weeks

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S.No. PARAMETER

CRITERIA

(Medications)

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87.

Any medication of unknown nature Defer till details are available

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88.

Oral anti-Diabetic drugs

Accept if there is no alteration of dose

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in last 4 weeks

89.

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Insulin

Permanently Defer

90.

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Anti-arrhythmic, Anti-Convulsions, Permanently Defer

Anti-coagulant, Anti-thyroid drugs,

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Cytotoxic drugs, Cardiac failure

drugs (Digitalis)

91.

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Cortisone

Defer for 7 days after the last

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dose(DCA)
S.No. PARAMETER

CRITERIA

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(Vaccination and Inoculation)

92.

Non live vaccines and Toxoid- Typhoid,

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Defer for 14 days(2weeks)

Cholera, Papilloma-virus, Influenza,

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Meningococcal, Pertussis, Pneumococcal,

Polio injectable, Diphtheria, Tetanus, Plague

93.

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Live attenuated vaccines- Polio (oral),

Defer for 28 days(4 weeks)

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Measles (Rubella), Mumps, Yellow fever,

Japanese Encephalitis, Influenza, Typhoid,

Cholera, Hepatitis A

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94.

Anti-Tetanus serum, anti-venom serum, anti- Defer for 28 days(4 weeks)

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diphtheria serum, anti-Gas Gangrene serum

95.

Anti-rabies vaccination following animal bite, Defer for 1 year

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Hepatitis B immunoglobulin, Immunoglobulins

Brief Physical examination

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?General Examination
?Weight
?Visual inspection of antecubital fossa
?Pulse
?Blood Pressure

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Laboratory Testing

? Hb estimation

? Blood Grouping

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Goal of Blood

VOLUNTARY BLOOD DONATION

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CA M

PSDonation Camp

Aim:

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?To curb the scarcity of blood
?To ensure availability of safe quality blood and other

blood components round the clock and throughout

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the year

?Actively encourage voluntary blood donation and

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gradually eliminate professional donors

?Educating community on beneficial aspects of blood

donation and harmful effect of collecting blood from

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paid donors

?Promote AIDS awareness and education to general

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public
VVo

olunltuarnyt

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b ary

lood B

d l

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ono

atod

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ion rD

ef o

er n

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s t or

o u s

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npaid, non-

remunerated blood donation

Voluntary blood

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donors

New voluntary

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Lapsed voluntary

Regular voluntary

donor

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Donor

donor (3 times

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(Never

(<3 times

donation, last

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donated)

donation, no

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donation prev. yr,

donation previous

once a yr

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year)

donation)

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District Unit

of VBD

Religious

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Indian Red

Voluntary

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Political

Bodies

Cross Society

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Organizations

Bodies

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Voluntary Blood

Donors

Regular

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Blood Donation

Fixed

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Camps

Camps

Dates

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State Blood

Blood Bank

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Transfusion

(Licensed)

Council

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Estimation of Requirement of Blood

Four Approaches

? In relation to hospital beds

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? In relation to total population

? In relation to medical facility available in the region

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? In relation to past blood usage

Source- WHO-BSI/GDBS 2007

Blood donation in camps

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Advantages:
?Voluntary blood donations
?Healthy pool of donors
?Convenient to donors
?Friendly atmosphere

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?Retention of regular donors

Disadvantages:
?Increased tendency of donor reactions
?Inconvenience to blood bank team if outdoors

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Sites for Blood Donation Camp

?Educational institutions
?Offices ,Banks
?Sports associations, fitness club

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?Religious associations

Not in areas with predominantly high risk population

ORGANIZERS

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1. Licensed designated Regional Blood Transfusion Centre
2. Licensed Government Blood Centre
3. Indian Red Cross Society
4. Licenced Blood Centre run by registered voluntary or

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charitable organizations recognized by State or Union

Territory Blood Transfusion Council (BTC)

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Source: DGHS
Organisations involved in holding a blood

donation camp

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Involvement of following partners is essential to hold a blood donation camp:
1. State blood transfusion council
2. Blood Centre
3. Blood donor organisation/NGO
4. Organisers/ Sponsors

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5. Donor motivators/ social workers

NACO 2007: Voluntary Blood Donation Programme

Designated Regional Blood Transfusion Centre

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? Approved and designated by a BTC constituted by a State

Government

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? Licensed and approved by the Licensing Authority and Central

Licence Approving Authority

? To collect, process and distribute blood and its components

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? To fulfill needs of the region

Source: DGHS


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Special Casual Leave

? Grant of special casual leave to govt. servant who donates

blood on that day

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? Applies to maximum four times a year on submission of valid

proof of donation

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Phases of Blood Donation Camp

1. Pre- camp phase
2. Camp phase
3. Post camp phase

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NACO 2007: Voluntary Blood Donation Programme
Camp process flow

Donor registration

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Post donation care

Refreshments

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Medical history &

Phlebotomy

examination

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Donor thanked off

(counsel ing)

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Hemoglobin

Pre- donation

estimation

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Counsel ing

Pre-camp phase

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?Blood Banks provide requirement to Blood donor organisation
?Blood donor organisation co-ordinates with various schools /

colleges/ universities, industries, religious bodies, etc.

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?Date, time and venue are fixed with organisers
?Number of donations required is discussed with organisers
?Blood Donor Organisation liaises with Blood Centre and camp

givers about a mutually convenient date

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?Blood Bank sends written information to SBTC
?Blood Bank official visits site of venue to inspect its

suitability for the camp - A checklist may be provided to

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organiser

?Few days before the camp, NGO/ Social Worker/ Donor

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Motivator can arrange a talk on importance of voluntary

blood donation to the potential donors

?IEC materials on the subject should be provided to

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organisers to be displayed in their working premises

Camp site inspection checklist

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Shall meet following criteria so as to allow proper operation, maintenance

and cleaning :
?Sufficient area
?Hygienic location

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?Continuous and uninterrupted electrical supply for equipments
?Provision for coolers or heaters depending on weather
?Adequate lighting for all the required activities
?Furniture and equipment arranged within the available place
Contd....

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?Reliable communication system to the central office of the Controller/

Organiser of the camp

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?Facilities for medical examination of the donors
?Clean drinking water supply for donors
?Refreshment facilities for donors and staff
?Hand-washing facilities for staff
?Proper disposal of waste

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Written information of camp

?E-Mail to SBTC
?Letter to Medical Superintendent(MS)

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?Letter to PRO for vehicle
Vehicle used for transportation:

?Seating capacity of 8-10 persons
?Provision for carriage of donation goods including

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facilities to conduct a blood donation camp

Personnel Required

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?One Medical Officer and two nurses or phlebotomists for

managing 6-8 donor tables

?Two medico social workers

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?Three blood bank technicians
?Two attendants
Equipment Checklist

For donor screening :

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?Donor questionnaire, pens
?BP apparatus
?Stethoscope
?Weighing device for donors
?Portable Hb meter/copper sulphate.

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?Lancets, cuvettes, cotton swabs, gloves

For blood collection :

?Donor couches

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?Blood collection monitor
?Portable tube sealer
?Plain and EDTA vials
?Test tube stand
?Screens

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?Bedsheet, blankets
?Gloves, spirit, betadine, cotton swabs, adhesive tape,

guaze, band-aids
?Blood bags

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?Stripper for blood tubings
?Transport box with ice packs
?Color coded biomedical waste bags
?Emergency medical kit
?Donor cards, certificates

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For donor refreshment:

?Juices
?Biscuits

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?Water
Camp phase

?The blood bank team arrives at the venue of camp well before

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the time given to donors

?Supervise venue for adequate facilities like space, furniture,

heaters/coolers

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?Inspect pre-donation, donation and post-donation areas as per

standards

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?Liaise with the Organiser and Voluntary Donor Organisation
?IEC materials and banners should be displayed everywhere

?Arrange for inauguration of camp
?The camp should be started on time

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?Screening and medical examination of blood donors by Medical

personnel

?Over-crowding of the area should be prohibited

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?Comfortable and adequate sitting arrangement for blood donors
?Bleeding area should have adequate lighting and proper ventilation.
?Bleeding procedures should be as per standards.
?Provision for donor refreshment.
?Provision for management of donor reactions.

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?Area should be cordoned off from other persons.
?Camp should be completed at the stipulated time.

Waste disposal in camps

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Type of waste

Disposal

Cotton swabs, gauge

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Yellow bins

Lancets, blood bag

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White sharp container

needles

Cuvettes

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1% Hypochlorite

Blood bag tubings

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Yellow bins

Gloves

Red bins

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Paper, wrappers, empty

Black bins

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juice packets
?Before leaving the camp premise, Blood Donors and

Organisers should be appreciated for their gesture.

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?The blood bank team should reach their destination in time.

Incentives

?Incentives like pins, badges and plaques for specified

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number of donations help in repeat donations

?Other incentives or awards, simple and attractive of

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minimal commercial value, are useful in retaining

donors

Post camp phase

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?Medical Director must send letters of appreciation to the

Organiser for arranging the camp.

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?They should be encouraged to organize similar camps on a

regular basis.

?Blood Donors of the camp should receive thank-you letters and

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blood group cards either individually or through their particular

organization.

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?Constant touch with blood donors to be maintained through

birthday cards, anniversary cards, etc.
Government Blood Centre and Indian Red Cross Society

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shall intimate:

?within a period of seven days
?venue where blood camp was held
?details of group wise blood units collected

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?to the licensing Authority and Central Licence Approving

Authority

? Monthly details of camp sent to NACO alongwith other

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details of blood bank

Special ceremonies

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? Annual award ceremonies: to acknowledge and congratulate

people who have donated blood many times or assisted in

promoting the voluntary donations.

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? Widely publicize and invite prominent citizens to address the

donors and organizations/ institutions for their valuable and

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outstanding service to the community.

? Donors, recruiters, institutions and organizations: cups, trophies

and shields for their contributions in voluntary blood donations.

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?Annual award ceremonies held by our department on 14th June and 1st

October

?Poster compet

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Annual it

ion,

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Cam pnukkad

Calendanat

r ak, appreciation to regular donors,

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appreciation to camp organizers

? Should be decided in the start of year

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? Camps should be evenly distributed through out the

year

? Particular months of expected increased demand to

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be taken care of

Mass blood donation camps

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?Very large number of donors
?Should not be encouraged
?Increased wastage of units
?Instead 3-4 blood bank teams can be called at a place if number of donors

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is high

?NACO has passed an addendum that maximum donation units from a

camp should not exceed 500

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REFERENCES

1. The Drugs and Cosmetics Rules, 1945, as corrected up to

30th Nov 2004. Schedule F. Part XII B: Govt. of India. 2004; p

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320-51. Available from

2. Guidelines for blood donor selection and blood donor referral:

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NACO, MoHFW. Govt. of India. 2017 Oct; p 1-29

3. Saran R.K, editor. Transfusion Medicine Technical Manual,

2nd ed. DGHS. MoHFW. Govt. of India. 2003

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4. Fung M.K, Grossman B.J, Hillyer C.D, Westhoff C.M, editors.

Technical Manual, 18th ed. AABB, U.S.A. 2014

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