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Laboratory 2 Donor Physical Examination
Skills: 20 points
Objectives
For each of the following state the acceptable values for blood donation using appropriate units:
Frequency of donation
Pulse
Temperature (Celsius and Fahrenheit)
Weight
Hemoglobin, for both autologous and allogeneic donations
Hematocrit, for both autologous and allogeneic donations
Describe the appearance of an acceptable blood collection site.
Describe the appearance of a site that is unacceptable for blood collection.
State the principle of the copper sulfate screening procedure for hemoglobin.
State the purpose for obtaining informed consent from the blood donor.
List 3 adverse affects of blood donation.
List the advice which must be given to donors concerning post-phlebotomy activities.
Given results of a blood donor’s physical exam evaluate the results and determine whether or not the donor is eligible to donate and defend your decision.
Discussion
A limited physical examination along with a rather detailed medical history must be done on the day of and prior to each blood donation to determine whether giving blood will in any way harm the donor or if transfusion of the donor unit will in any way harm the recipient. In the previous laboratory exercise the potential donor was interviewed and deferrals were made for a variety of reasons, most of which were made to protect the potential recipient of blood. In todays exercise a limited physical examination will be performed on the potential donor to ensure that the donation of a unit of blood will in no way affect the donor’s current health status.
Principle
The health status of the potential donor is evaluated based on the following parameters:
Frequency of Donation
Whole blood or red blood cells 8 weeks
Two unit red cell unit 16 weeks
Plateletpheresis – up to 24 times/year
Plasmapheresis– once every 4 weeks, can be done twice a week
Weight – donor must weigh at least 110 lbs. Donors are not actually weighed, just asked
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