Adapting AABB Donor
Regulation at KCBB
Why?
• Blood safety starts by bleeding safe Blood
donors “Safe Blood starts with me”
• BTS need to Implement adequate donor
selection criteria to insure Blood supply safety
• BTS need also to insure donor safety
Balance
Safety Vs Stock
What we do?
• KCBB is AABB Accredited since 1989
• We comply with AABB donor regulations
• Donor selection and donor care policies are
derived from AABB regulations
What we do?
• Donor registration
• Donor education
• Donor selection:
– DHQ
– Medical checkup
• Donor care
Registration
 AABB Standards require that the donor be linked to
the donor records (photo ID)
 Required information:
 Name (first, last, MI)
 Date and time of donation
 Address
 Telephone
 Gender
 Age (date of birth) – allogeneic donors must be at least 17
years of age
Education
Donors must also be given education
material about blood donation
Educational material include:
Before you donate
Your first donation
TTI (HIV,HBV,HCV)
Post donation instructions
DHQ
Derived from AABB which is based on
FDA regulations
DHQ
Why ask questions?
Asking questions helps determine the
overall suitability of the donor; from this,
the donor will be:
Accepted
Temporarily deferred
Permanently deferred
AABB DHQ
AABB DHQ
• Two pages
• 48 questions
• We modified it:
– Compressed and combined some question
– Currently 1 page with 32 questions
– Added questions
– Available in 4 different languages
Medical check up
•
•
•
•
•
General Appearance
Weight (47 Kg)
Temperature (less than 37.5)
Pulse (50 -100)
Blood Pressure:
– Systolic ≤180 mm Hg
– Diastolic ≤100 mm Hg
• Hemoglobin (≥12.5 g/dL)
• Skin Lesion
In summary….
99.5°
F
37.5°
C
180
100
50-100
bpm
110 lbs



12.5 g/dL
38%
Informed consent
• Before donation, a donor must provide
informed consent
• If for any reason a donor doesn’t think
their blood is safe to donate, there must be
a mean for confidential unit exclusion
• It is all kept confidential….
Donor selection criteria
Periodically reviewed and updated by:
Head of donation unit
KCBB scientific and clinical committee
Quality Management department
During AABB inspection
comparison
• Age : 18 (17 with a parent approval)
• Weight: 50 Kgs
• Hemoglobin:
– Male: 13.5
– Female: 12.5
Malaria
• A vector-borne disease
caused by protozoan
parasites (genus
Plasmodium)
• Occurs in numerous
regions of the world
Anopheles mosquito
Malaria
• 3 year deferral if the donor becomes
asymptomatic after infection
• 3 year deferral after the immigrant/citizen
departs from the endemic area
• 12-month deferral if a person travels to an
endemic area and shows no symptoms on
return
Malaria
• We test for Malaria
• Test all coming from endemic areas
• Test all with recent history of travel to Malarie
endemic area
• Currently working on developing a new policy
future
• Introduce barcoded sticker system for
confedential unit exclusion
• Malaria testing policy
• vCJD deferral policy to be revisited
• Abbreviated questionnaire for regular donors
• Improve our internal audit and AABB
regulation implementation system
Thank you
• Appreciation for my team:
– Physicians
• Wafa’a, Ranya, Ranya, Hala. Marwa, Ayat, Nabeel,
Osama and Mohammad
– Nursing staff
– Clerks
Keep your blood donors smiling