exercise2- austin community college（exercise2——奥斯汀社区学院）.doc

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