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Physical Assessment of Donors

You are here : Home/ Blood Bank Zone/ Donor selection and Blood collection/ 4. Physical Assessment of Donors

4. Physical Assessment of Donors

A brief clinical examination of the blood donor should be done by a medical oficer to ascertain his fitness to donate blood.

1. General appearance

Only persons in good health should be accepted as donors.

2. Age

Donors should be between the age of 18-55 years.

3. haemoglobln

The haemoglobin should be > 12.5 gldl in both males and females.

4. Haematocrlt

The haematocrit should be > 38%

5. Weight of donors

Donors weighing 45 kg can donate 350 ml of blood and those more than 55 kg may donate 450 ml blood.

6. Blood pressure

The systolic blood pressure should be between 100-150 mm Hg and the diastolic pressure between 60-100 mm Hg.

7. Oral temperature

This must not exceed 37.5�C. This is important to rule out a low grade fever which may be the presenting feature of several infectious diseases.

8. Pulse

Pulse should be between 60-90 beats per minute, good volume and regular.

9. SkIn

The skin at the venepuncture site must be clear. Check for multiple needle marks to rule out an intravenous drug addict or a professional blood donor.

10. Lymph nodes

A through examination should be done to detect presence of lymphadenopathy. this may be indicative of any underlying infection/malignancy.

11. Systemic examination

The cardiovascular system, the respiratory system and the abdominal examination should be within normal limits.

The donor must have had light meals before donation and adequate hydration helps in smooth collection of blood and plasma.

The record of physical examination and medical history must be signed by the medical officer. If the donor is deferred/rejected the reason must also be recorded.

The donor selection programme must be monitored continuously to ensure that it is working smoothly. This will help in achieving a safe and adequate blood supply in your transfusion centre.

Donor Records

A complete information about the donor should be recorded, sufficient enough for calling back a donor and tracing of any donated blood unit. The following records should be maintained by each L transfusion centre.

* Donor records
* Medical history and examination record
* Donor deferral record
* Donor adverse reaction record
* Donor blood collection record
* Donor laboratory test-serology & markers of infection record.
* Quality control records of donor selection and blood collection
* Regular and rare donor panel record
The records should be maintained for a period of 5 years.

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