Module 2- Pre and Post Donations Counselling and Donor selection
Session Objectives
At the end of the session the participant will know how to
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Select a potential donor.
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Identify high risk donor.
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Give Pre donation counseling.
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Give Post donation counseling.
Preparation required and equipments needed
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Handout (HO)
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PowerPoint (PPT) presentation
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Activity sheet
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Question box
Time allotted – 3 hours
Session Contents
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Donor selection
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Pre-donation counseling
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Self exclusion and deferral
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Confidential unit exclusion
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Post donation counseling and referral.
Training Tools
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Hand Outs
PPT Presentation
Activity sheet
Question box
Methodology
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Lecture using the PPT presentation.
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Role Play
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Questioning.
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Ask the group if they have any questions and remind them of the question box.
Session Instructions
Explain
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Explain the need and aims of counseling in a blood bank using slide 2 and 3
Discuss the advantages of donor counseling by using slide 4
Ask the participants to list out the checklist for a counsellor during counseling by using slide 5
and debrief
Brief the stages of counseling using the charts shown in the module number 2.
Explain the pre-donation counseling using slide 7,8 and 9
Discuss assurance given to the donor by the cousnellor using slide 10.
Conduct Activity-1 through role play by using slide 11
Explain the ethical responsibilities as a counselor using slide 12.
Brief what is self exclusion and self deferral using slide 13
Explain the importance of education on safe blood donation by using slide 14
Introduce post-donation counseling by using slide 15
Discuss the instructions to be given after the donation using slide 16
Explain the steps to be followed during deferral using slide 17.
Conduct activity -3 on post-donation counseling for donors who test positive for HIV using slide
18 and 19
Explain what is Confidential Unit Exclusion using slide 20
Explain the need for confirmatory tests
Activity :1
Role play on pre-donation counselling
Divide the group into triads—a counsellor, a client and an observer. Conduct role plays as per
guidelines.
Using guidelines presented in the introduction of the manual on conducting role-plays, ask the
participants conduct role-plays on pre-donation counseling session
1. Give a handout in a format used in the blood banks during pre-donation counselling. (Page
number --)
2. Provide the observer with the sheets on issues covered in a blood bank through pre-donation
counselling session. Ask them to note down their observations of the counselling session.
3. Debrief
a) Ask the observers to discuss their observations.
b) Discuss what additional information is provided in a blood donation counselling session apart
form the information about ICTC.
Activity Sheet
Guidelines for the observer
The observer should note if the following issues were included during pre-donation counselling
of donors:
1. One unit of donated blood can help save the lives of more than one person.
2. Trauma victims, cancer patients and those with inherited blood disorders require most of
the donated blood.
3. There is no substitute for blood and only source is human blood.
4. People who are anaemic cannot donate blood. However, they should undergo treatment
for anaemia and can donate blood once the haemoglobin is within the normal range.
5. Whole blood donation can be made safely at an interval of 3 months if the donor has no
risk of
anaemia, particularly iron deficiency anaemia. Repeated blood donation at this
interval does not cause any sort of weakness. As premenopausal women are more prone
to iron deficiency, their donation interval is usually longer.
6. There is absolutely no risk of acquiring AIDS or any other disease (such as hepatitis B
and C) from donating blood.
7. An individual can safely donate blood from the age of 18–60 years without any risk to
their health.
8. The donor is examined before donation for his/her suitability to give blood.
9. The donor must know that he/she needs to be healthy and screened for blood donation.
10. Donating blood does not take a long time. The actual blood collection procedure takes
about 8-10 minutes.
11. Individuals who have suffered or suffer from hepatitis B, hepatitis C or AIDS should not
donate blood.
12. As a blood donor, it is your responsibility to ensure that the blood you donate is safe and
not likely to transmit any infection you may be carrying. To ensure good donor selection,
you will be asked a few questions in confidence about your lifestyle and your sexual
history. The purpose of asking these questions is to select a healthy and safe donor for
needy and sick patients, and to collect blood which is safe and unlikely to transmit any
infection. You must answer these questions as correctly as possible, because we know
that you want to help rather than harm a patient in real need.
13. Please enroll yourself as a voluntary donor. You can either donate blood at a blood centre
or at any of the mobile donor sessions organized by the blood donation service.
Activity –2: Post donation counseling for a donor who tests Positive.
1) A donor who donates blood tests positive for HIV. He has to be referred to ICTC for
confirmation tests and follow-up. Counsellor has to follow all the steps in Post HIV test
counselling and refer.
The participant who plays the role of the observer should assess the role play under two heads.
Knowledge
1. Briefs the donor about Transfusion
2.
3.
4.
5.
6.
Transmitted Infections and about HIV
and how it is transmitted
Assesses risk profile of the donor
Asks about previous history of sexually
transmitted infections (STIs)
Asks
about
history
of
blood
transfusion(s)
Explains the five mandatory tests
performed
Makes appropriate referrals for patient
Skills
1)
Uses culturally appropriate greeting gestures
that convey respect and caring
2)
Offers seat (if available)
3)
Uses appropriate body language and tone of voice
4)
Provides comfortable, trusting atmosphere
for patients to ask questions
5)
Responds to questions and concerns appropriately
6)
Begins with less intimidating or less sensitive issues
7)
Maintains patient privacy and confidentiality
8)
Looks at patient when speaking and maintains
eye contact
9)
Has attentive body language and facial expressions
10) Uses occasional nonverbal gestures, such
as nods or touch, to acknowledge patient
11) Uses verbal cues such as “yes” or “OK”
12) Uses open-ended questions to elicit information and
asks relevant questions
13) Waits for answers rather than speaking immediately
14) Reflects statements back to patient for confirmation
Pretest Counseling Checklist
26) Introduces self & asks patient to introduce self
27) Assures patient of confidentiality
28) Lets client know that some personal questions
may be asked, but this is only to help counsel
the client more effectively
Post-donation Counseling Checklist
29) Introduces self to patient
30) Asks patient to introduce self
31) Assures patient of confidentiality
32) Reviews briefly information discussed
during pretest counseling
a) The mandatory tests performed
during blood donation:
b) What is an HIV-antibody test
c) What are the possible results and their
implications
33) Assesses donors readiness for results and Gives the
results in a simple and clear manner
Ask the observer to present his observation and discuss.