WELCOME MESSAGE FROM ANDY KELLY CHIEF EXECUTIVE On behalf of the Irish Blood Transfusion Service I would like to welcome you to our clinic. You have taken the first step in a very important journey. Your donation could mean that a child goes home healthy to their family, it could be the difference between life and death. Thousands of donations are needed every single week in Ireland and it’s people like you who make it all possible. We hope you have a pleasant experience here today. Be sure to read through all the important information in this folder, and if you have any questions at all, don’t hesitate to ask one of our clinic staff. Chief Executive TABLE OF CONTENTS BLOOD DONATION INFORMATION BLOOD SAFETY INFORMATION DEFERRAL INFORMATION DONORS WHO WERE BORN OUTSIDE OF IRELAND/UK HAEMOGLOBIN AND IRON DISEASE INFORMATION ■ vCJD AND BLOOD DONATION - FAQs ■ WEST NILE VIRUS AND GIVING BLOOD ■ SIMIAN FOAMY VIRUS - FAQs MEASURING YOUR BLOOD PRESSURE ABOUT US WHAT WE BELIEVE IN OUR PROMISE TO YOU COMMUNICATIONS RECIPIENT AND DONOR STORIES WHAT YOU CAN DO GAA PARTNERSHIP BLOOD GROUP INFORMATION MESSAGE FROM DR. IAN FRANKLIN (MEDICAL DIRECTOR, IBTS) 90 e ys u tim yo n ca of re e m co ng th da le fo e be ck ba Th d an ve gi ag Please read this information carefully ai n Please read this information carefully BLOOD DONATION INFORMATION Please read this information carefully today. You will be asked to sign that you have read and understood the contents. THE DONATION PROCESS Registration When you volunteer to give blood you will be asked to register with the Irish Blood Transfusion Service (IBTS). We ask you for your name, address, date of birth, telephone numbers and e-mail address. This information is entered on the IBTS computerised donor database and is used by us to communicate with you (e.g. to send invitation letters / texts / e-mails to future blood donor clinics). Information related to you and your blood donations is stored securely on the database. If you have given blood before and you are on our database, you will be asked to confirm that your details are correct. lifestyle questionnaire and that all the information you provided is true and accurate to the best of your knowledge, • that you read / listened to and understood the Blood Safety Information and this information (the Blood Donation Information) and that to the best of your knowledge you are not at risk of any of the infections listed nor of transmitting these infections, • that you understood the nature of the donation process and the risks involved in giving blood – see section entitled Possible Complications of Giving Blood, • that you had an opportunity to ask questions and had satisfactory answers to any questions that you asked and to give consent: Medical Screening • to proceed with the donation process, Each time you attend to give blood you will be asked about specific aspects of your medical history and asked to fill in a health and lifestyle questionnaire. We ask that you read the questionnaire and information provided thoroughly. Your complete honesty and accuracy in answering all the questions is essential for your own safety and for that of the patients who will receive your blood. All the information you give us will be treated in the strictest confidence. New donors, or donors who have not given blood in the past two years, will be interviewed by a doctor or nurse in an area that provides as much privacy as the setting allows. • for your blood to be tested for HIV, hepatitis and other infectious agents and for a small sample of your blood to be stored – see section entitled Testing Blood Donations, • for your blood to be used for the benefit of patients, this may be by direct transfusion to a patient, or indirectly as described – see sections entitled Using Blood for Research and Development and Use of Plasma You will be asked to declare: • that you read / listened to, understood and completed the health and PAGE 1 OF 8 BT 353-4 July 2013 • that if you develop any illness after donating, you will immediately phone one of the doctors at the National Blood Centre, Dublin on 01 4322800 or the Munster Regional Transfusion Centre, Cork on 021 4807400 as this illness may have consequences for the patients who will receive your blood. It is not unusual that either temporarily or indefinitely for medical or other reasons it may not be possible to accept a donation from you. In these circumstances we will explain the reason(s) for our decision to you. We may ask your permission to contact your General Practitioner (GP) for further details which will help us decide if you can give blood. You can read more about this in the Deferral Information section. What if I Change My Mind? If you are accepted for donation but decide, for whatever reason, that you would rather not do so, you can change your mind and leave the clinic at any time. We will not put any pressure on you to donate. We simply ask that you return your questionnaire to a member of our staff. If you have already donated and you have doubts about whether your blood should be used for patients please talk to a doctor or nurse at the clinic. If you have left the clinic please phone Dublin on 01 4322800, or Cork on 021 4807400 as soon as possible and ask to speak with a doctor. There is a doctor on call 24 hours a day. Please do not leave a message on our Infoline as this is not manned 24/7 and the information you give us may mean that your blood is not suitable for patients and has to be recalled from the hospital immediately. Haemoglobin Testing Haemoglobin (Hb) is a protein that contains iron and is found in red blood PAGE 2 OF 8 cells. It carries oxygen around the body and gives blood its red colour. Hb levels vary from person to person and men usually have higher levels than women. Hb levels are often slightly lower in the summer months. We test a small drop of blood from your finger to make sure that your Hb is at the level we require before you give blood and that you are not anaemic (i.e. that your Hb is not low). Red cells (containing Hb and iron) are removed when you give blood, causing a temporary drop in your Hb level. The minimum Hb levels needed before giving blood take this drop into consideration. Giving blood too often can lead to low levels of iron in your body (iron deficiency). This can occur because every unit of blood contains between 200 and 250 mgs of iron. Iron deficiency does not always cause symptoms. In some people it may be associated with tiredness, impaired concentration or poor work performance. Continued loss of iron can cause anaemia. If you do not pass the Hb test today we will advise you how long you should wait before trying to give blood again. We will also advise you if you should visit your GP. If you were not able to give blood in the past because your Hb level was not high enough, we may advise that you attempt to donate no more than once or twice a year. Giving Blood After the medical screening process, you will be shown to one of the donation beds. A pressure cuff will be put around your upper arm to make the veins more prominent and the area will be cleaned with antiseptic. A doctor, nurse or specially trained donor attendant will insert a needle that is attached to a blood bag. A new sterile blood bag is used for every donor. It is never reused. Your blood will flow through this needle into the blood bag that is kept out of sight below BT 353-4 July 2013 Please read this information carefully and to agree: Please read this information carefully the level of the bed. You will be asked to open and close your hand to ensure smooth and consistent blood flow. Blood samples are collected in tubes at the time of donation so that we can test them in our laboratory. A member of staff will keep a close eye on you and on the blood bag to make sure that everything is going well. Most people fill the blood bag in 8 to 15 minutes. It holds 470 mls of blood (under a pint). If, for any reason, the blood flow is slow, it may be necessary to stop the donation early. If you experience any pain or discomfort or feel unwell during the donation, you must tell our clinic staff immediately. In the interests of your health the donation will be stopped. When the donation is completed, the needle will be carefully removed from your arm and a dressing applied. We ask you to press firmly and directly on the needle site for at least 3 minutes after the needle is removed, keeping your arm straight. Please don’t pick up your bags or put on your coat during this time. This is important in helping to prevent bruising. Resting You will be advised to rest for a short period before going to the canteen area where you will be offered a drink and light refreshments. We advise that you remain in the blood donor clinic for at least 15 minutes after your donation to make sure that you are feeling well. Possible Complications of Giving Blood For the majority of people the process of giving blood is a very simple and troublefree experience. However, problems sometimes arise during or after a donation. We outline some complications of giving blood here, so that if they occur, you will know what to do. PAGE 3 OF 8 Let one of our staff know immediately if you feel faint or unwell during or after your donation or if you have pain, discomfort or altered sensation in your arm, hand or fingers, when the needle is inserted, during the donation or after the needle is removed. We will stop the donation immediately and will care for you until you feel better. We ask that you do not leave the clinic until we advise that it is safe for you to do so. Bruising Bruising may develop due to seepage of blood from the vein into the tissues of the arm. It can look very dramatic but is usually harmless. Bruising may appear some way from the donation site (on the back of the arm or near the wrist), may not start until a day or two after the donation and may go through the colours of the rainbow. Most bruises are not painful and fade within 7 to 10 days. Sometimes bruising may take a few weeks to disappear completely. If a bruise develops during the donation the procedure will be stopped. On occasion the bruising may worsen and become painful. Very occasionally a bruise may become infected and you may need treatment with antibiotics. To minimise the risk of bruising, we ask you to tell us if you have pain or discomfort when the needle is inserted, during the donation or after it is removed. You must also press firmly on the needle site for at least 3 minutes after the needle is removed keeping your arm straight. We ask all donors to limit the use of their donation arm for the first 15 minutes after giving blood and ideally to avoid using the arm for heavy work or exercise for the rest of the day. If you do develop a bruise during or after donating we recommend that you avoid heavy lifting and strenuous exercise for at least a few days until the bruise is improving. For example, do not go to the gym or lift heavy shopping bags, as BT 353-4 July 2013 If you experience any of the following after donating you should contact us in Dublin on 01 4322800 or Cork 021 4807400 or contact your GP: • severe pain in your arm, hand or fingers, • numbness or persistent ‘pins and needles’ or altered sensation in your arm, hand or fingers, • swelling that is large or increasing in size, • change in colour (pale or blue colour) of the hand or fingers, • swelling of the hand or fingers, • painful redness or inflammation. Bleeding from the needle site If this happens immediately after giving blood: Fainting / feeling weak or lightheaded Some donors feel faint during or after giving blood. This may be due to anxiety, fatigue, dehydration or loss of blood volume. It is important that you relax and drink plenty of cold, non-alcoholic liquids before and after you donate. If you feel faint, weak or light-headed during or after your donation please let one of our staff know immediately. Reducing the risk of fainting Before giving blood we advise that you: • get a good night’s sleep, • drink plenty of cold, non-alcoholic liquids in the 24 hours before donating - especially in warm weather, • drink half a litre of water at the clinic in the 30 minutes just before donating – this will help to prevent fainting, • eat savoury food and/or salty snacks the night before donation and at the clinic, • eat something substantial in the 3 hours before you donate, • lift your arm above your shoulder and press on the needle site, • tell us if you have low blood pressure or feel faint or dizzy when you stand up suddenly, • sit down and ask for assistance from our staff. • let us know if you are very anxious so that we can help you feel at ease. You can avoid bleeding by pressing firmly on the needle site after the needle is taken out and by limiting the use of your donation arm for 15 minutes after giving blood. Be careful when eating and drinking and when putting on your coat after donating. Please leave the plaster in place until the next day. This is to prevent the donation site from becoming infected. PAGE 4 OF 8 During giving blood we advise that you: • wear loose, comfortable clothing, • tense your leg and buttock muscles tightly for 5 seconds, then gradually release the hold over the next 10 seconds, • or cross and uncross your legs, • repeat these exercises whilst you are on the donation bed - during and immediately after your donation – as they will help reduce the risk of fainting, BT 353-4 July 2013 Please read this information carefully doing so could aggravate the bruising. However, normal gentle movements are very beneficial and should be continued. Cold compresses can be useful within the first 24 hours. Do not apply heat within the first 24 hours as this could make the bruising much worse. Please read this information carefully • do not stand up too quickly – a member of staff will escort you to the refreshment area After giving blood we advise that you: • stay in our clinic for at least 15 minutes after donating, • have some light refreshments in our canteen during this time, • do not smoke for at least an hour, • stay sitting or lying for approximately 30 minutes or until you feel well again, • whilst sitting or lying down tense your leg and buttock muscles tightly for 5 seconds, then gradually release the hold over the next 10 seconds, • or cross and uncross your legs, • repeat these exercises until you feel better – as they will help you recover from your faint, • drink plenty of non-alcoholic liquids, • make sure that when you get up you do so slowly, • avoid alcoholic drinks for at least 6 hours, • if you still feel faint, lie down again, • do not have a hot bath or shower on the day you donate, • do not use a sauna or steam room on the day you donate, • avoid standing for long periods especially in poorly ventilated areas – such as standing in a long queue or on crowded public transport, • avoid strenuous exercise until the next day – such as jogging, running, swimming or going to the gym, • avoid any activity that may present a hazard to you or others if you were to become weak or light-headed. If you are involved in a hazardous occupation or hobby such as operating heavy machinery or mountaineering, you should defer the activity until the next day or sometimes longer. Please check with us, so that we can advise you appropriately if this applies to you. If you feel faint after leaving the clinic: • you should sit or lie down straight away (on the ground if necessary) to avoid falling and injuring yourself, • put your head between your knees for a few minutes, • lie down if you need to, raise your feet and rest them on a chair if you can, PAGE 5 OF 8 • have a cold non-alcoholic drink when you feel well enough to do so, • do not drive for at least 6 hours after you have recovered because there is a risk that you may faint again whilst you are driving, • if you feel faint whilst driving, slow down and stop the car as soon as it is safe to do so. Remain in the car and lay your seat as flat as possible. It is recommended that you do not get out of the car as fainting beside a road can be hazardous. Do not attempt to drive again. Call 999 for an ambulance. If you lose consciousness (pass out) after donating please contact us on the above numbers for further advice as soon as possible. We generally advise that donors who lose consciousness after they leave the blood donor clinic, do not donate again, in the interests of their own safety. Uncommon risks of donating blood Nerve Injury / Nerve irritation / Pain Please tell us immediately if you have pain, discomfort or altered sensation in your arm, hand or fingers, when the needle is inserted, during the donation or after the needle is removed. Very infrequently, insertion or removal of the needle may cause irritation or injury of a nerve in your arm. Pain, discomfort BT 353-4 July 2013 The risk of a delayed faint will be greatly reduced by following the steps outlined above to reduce the risk of fainting. If you have a problem after donating and need to seek urgent attention from a doctor or hospital, please let us know as soon as possible as we would like to hear the outcome. We are also required to record the incident and other less serious incidents and report them with your details to our insurance company. Tendon Injury / Pain On rare occasions a needle may come into contact with a tendon and cause a sharp pain when the needle is inserted. Tell us immediately if you experience any pain or discomfort when the needle is inserted and we will stop the donation. If you become unwell after donating Arterial Puncture Rarely, the needle may inadvertently be inserted into an artery. If this happens the needle will be removed immediately and you will be given immediate treatment and appropriate advice. Fast / irregular pulse or tightness in the chest Very rarely a donor may develop a faster than normal or irregular pulse or a sensation of tightness in the chest, during or after a donation. This is not necessarily caused by the donation. If this happens while giving blood, tell us immediately. Serious Complications resulting in injury or hospitalisation We collect around 150,000 donations of blood every year. About once or twice a year a donor may need to be admitted to hospital as a result of a complication of giving blood. This could occur if for example a donor faints and bangs his / her head resulting in an injury. Serious injuries can occur if a donor faints after he / she has left the blood donor clinic. This is called a ‘delayed faint.’ PAGE 6 OF 8 If you become unwell or develop any illness after donating it is essential that you talk to a doctor at the National Blood Centre on 01 4322800 or the Munster Regional Transfusion Centre on 021 4807400 as soon as possible. This is because an illness may have consequences for the patients who will receive your blood. There is a doctor on call 24 hours a day who will advise you and will decide if your blood is suitable to give to patients. Please do not e-mail us or leave a message on our Infoline as these are not manned 24/7 and the information you give us may mean your blood is not suitable for patients and has to be recalled from the hospital immediately. Testing Blood Donations Certain tests are performed on every donation, no matter how many times you have given blood. Currently the mandatory tests are those for HIV, hepatitis B, hepatitis C, HTLV (a virus carried in the blood) and syphilis. If your blood gives a positive result for any of these tests your donation will be discarded and you will not be eligible to donate again. We will write and inform you and ask that you attend for further confirmatory tests and advice. BT 353-4 July 2013 Please read this information carefully or altered sensation in your arm, hand or fingers may indicate that a nerve has been injured. These symptoms may also occur if a collection of blood under the skin (bruise) is pressing on a nerve. Tell us immediately if you have any of these symptoms and we will stop the donation and give you appropriate advice. If these symptoms occur after you have left the blood donor clinic, you should contact us on the above numbers or contact your GP. Please read this information carefully The IBTS is legally bound to inform the Public Health Service if your tests confirm that you are positive for HIV, hepatitis B, hepatitis C or syphilis. We are obliged to forward your personal details including your name and address and the results of your blood tests. have not been used within their shelf life, for laboratory work, education and training, or for research and development within the IBTS, the Health Service or the Universities / Institutes of Technology. The IBTS does not receive any payment for this service. Your blood is also tested to determine your blood group. In addition supplementary tests may be carried out on selected donations for example to meet the special needs of certain patients such as babies. These extra tests include more detailed blood grouping, a test for sickle cell trait and, very occasionally, tests for other relevant proteins in the blood. We will notify you of any results that may affect your health. The range of blood tests carried out by the IBTS is under regular review and other tests may be introduced in the future. We freeze a small sample of your blood and retain it indefinitely. This is done in case it becomes necessary to carry out additional tests at a later date. As part of our commitment to a high quality service, on occasion donations that are within their shelf life are used for validation / quality assurance purposes within the IBTS. This could happen for example when a new blood pack or filter is introduced to ensure that it meets all the required standards. Another example would be where donated blood or blood samples are used to validate test kits and equipment and in the assessment of a new blood screening test. These samples may also be used to provide information for donors on the risk of screening positive in a new test, or to provide estimates of the rate of other infections in the population. If part of a donation or samples is used for these purposes, we will ensure, where appropriate, that you cannot be identified so that there is no link between any personal identifiable data and the sample (unlinked, anonymised testing) and that approval from an ethics committee is obtained where necessary. False Positive Reactions on our Screening Tests We have to carry out a range of screening tests on each donation. In a small percentage of donors, the donor’s blood gives a false positive reaction on our tests. This means that although the screening test is reactive, additional testing shows that the result is not of any significance for the donor’s health. You will be informed of such false reactions if they occur. While there are no health implications for the donor we are unable to use the blood for patients. Using Blood for Research and Development We would like donors to know that, on occasion, their blood may be used for purposes other than direct transfusion to patients. We sometimes use parts of donations that are not given to patients such as white cells, or donations that PAGE 7 OF 8 Using blood in all of the above ways is of benefit to patients. By signing the Donor Declaration on the health and lifestyle questionnaire you are giving consent to proceed with the donation and that your donation may be used for any of the purposes outlined above. We would also like our donors to know that at times their blood is not used. This may happen if the donation was not a complete donation or if the donation is not used before its expiry date. Use of Plasma The IBTS believes that it is important that donors know how their blood donations BT 353-4 July 2013 Plasma from Irish donors has not been given to patients since 2001, because of a risk of transmitting vCJD. Some of it can be used in other ways that indirectly benefit patients, for example in ethically approved medical research, quality control or for teaching purposes. The IBTS has agreed to supply waste plasma (currently disposed of at a cost) to the manufacturing sector for use in preparing healthcare related laboratory tests. IBTS and all blood services rely on commercial tests to ensure safe blood, and IBTS considers that this use of waste parts of donations is appropriate. From time to time other surplus material such as that left over after testing blood samples may also be supplied. The IBTS receives payment from this collaboration which helps to offset some IBTS costs and is therefore of benefit to the health service. Data Protection The IBTS holds donor details, donation details and test results on a secure computerised database. This database is used by the IBTS to communicate with donors and to record their donation details, including all blood sample test results. It is also used for the proper and necessary administration of the IBTS. All the information held is treated in the strictest confidence. PAGE 8 OF 8 This information may also be used for research in order to improve our knowledge about the blood donor population, and for clinical audit, to assess and improve the quality of our service. Wherever possible, all such information will be anonymised. All information and data that is processed by the IBTS is in accordance with the provisions of the Data Protection Acts. You have a right of access to your donor records. However, the IBTS is legally bound under the relevant European Union Directives that relate to blood donation, to maintain your records, including the health and lifestyle questionnaires that you completed when you donated, on file for a minimum of 30 years. If you want to access your records, contact Donor Services, Dublin on 01 4322800 or Cork on 021 4807400. Further Information If you have a question at any time you can phone our Infoline on 1850 731 137. This is open Monday to Friday from 9 a.m. to 5 p.m. You can also visit our website on www.giveblood.ie or email us at contactus@ibts.ie. Details of our clinics are available on our website. If you need any information or have a query while you are at the blood donor clinic please speak with a member of our clinic staff. BT 353-4 July 2013 Please read this information carefully may be used, including what happens to surplus / waste components from the processing of their life saving gift. Please read this information carefully BLOOD SAFETY INFORMATION KEEP BLOOD TRANSFUSIONS SAFE Help us to keep blood transfusions safe by reading this before you give blood. It will help you decide if you should give blood. • Sex with anyone with Haemophilia or other blood clotting disorder who has ever been treated with Clotting Factor Concentrates* Please read carefully • If you are female: Sex with a male who has ever had oral or anal sex with another male with or without a condom or other form of protection. A doctor or nurse is here to speak with you if you have any concerns about giving blood. Each blood donation is tested for infections that can be passed on by blood transfusions. These infections may not always show up on testing in the early stages. This is why we must take great care in donor selection and why you must not give blood to see if you are infected. If you give blood to see if you are infected you are putting patients’ lives at risk. Thank you for coming to give blood. Your gift could save someone’s life. You must NOT give blood for at least 12 months after you last had: • Sex with anyone who has: - HIV - Hepatitis B - Hepatitis C All the above apply even if a condom or other form of protection was used. You must NOT give blood for at least 12 months after: • You last snorted cocaine or any non-prescribed drug • You left prison. You must NOT give blood if: • You think you need a test for HIV or hepatitis. You must NEVER give blood if: • You or your partner have HIV • You, your partner or close household contacts have hepatitis B or C* • Sex with anyone who has ever been given money or drugs for sex • You have ever received money or drugs for sex • Sex with anyone who has ever injected or who has been injected with nonprescribed drugs, even once or a long time ago. This includes body-building drugs • You have ever injected, or have been injected with, non-prescribed drugs; even once or a long time ago. This includes body building drugs • Sex with anyone who may ever have had sex in parts of the world where HIV is very common. This includes Africa and South East Asia* • You are a male who has ever had oral or anal sex with another male, even if a condom or other form of protection was used. All the above apply even if a condom or other form of protection was used. * There are exceptions so please speak to a doctor or nurse. PAGE 1 OF 2 BT 136-9 July 2013 If you do, you risk infecting other people. You can get a confidential test for HIV or hepatitis from clinics for sexually transmitted infections. Who can I talk to? If you are worried about HIV or hepatitis, there are several people you can talk to such as the Clinic Doctor or Nurse, or your GP. You can also talk in confidence with a doctor by phoning the National Blood Centre (01) 432 2800 or the Munster Regional Transfusion Centre (021) 480 7400. EARLY STAGE INFECTION MAY NOT ALWAYS SHOW UP ON TESTING, SO WE MUST TAKE GREAT CARE IN DONOR SELECTION PAGE 2 OF 2 BT 136-9 July 2013 Please read this information carefully NEVER give blood to get a test for HIV or hepatitis: Please read this information carefully DEFERRAL INFORMATION Thank you for attending the Clinic. You may not be able to donate today for the following reasons: REASONS EXCLUDED FROM DONATING FOR Under 18 years of age Until 18th Birthday Minimum Weight: 50kgs (7st, 12lbs) Unless minimum weight is reached Maximum Weight on Mobile Clinic Beds: 120kgs (20st, 6lbs) Unless under the maximum weight Cold Until Recovered Uncomplicated dental filling or scaling 24 Hours Dental extraction One Week Flu - following full recovery from symptoms Two Weeks Contact with infectious diseases (where you have not previously been infected) e.g. chicken pox, mumps, measles, German measles Four Weeks Surgical Procedure Two – Six Months Visit to a Tropical Area Three Months Endoscopy Four Months Acupuncture – some cases only – Please ask Four Months Ear, face or body piercing, tattooing Four Months Visit to a Malarial Area Twelve Months Have been pregnant or had a baby Twelve Months Angina / Heart Attack Indefinite Cancer Indefinite Chronic Fatigue Syndrome / M.E. Indefinite 65 years of age and over, if one never donated before Indefinite A blood transfusion since 01 January 1980 in the Republic of Ireland or ever outside the ROI (other than an autologous transfusion) Indefinite MSM - Men who have ever had sex with men Indefinite Intravenous Drug Usage - even once or a long time ago Indefinite Spent 1 year or more in the UK* between the years 1980-1996 including living, working, or on holidays. Indefinite *(England, Wales, Scotland, Nth Ireland, the Channel Islands, the Isle of Man) When you become eligible to donate please return to donate as blood is always needed. PAGE 1 OF 1 BT 309-15 Mar 2012 Thank you very much for attending to donate blood. We appreciate your effort very much. Please read this leaflet carefully before you go in for your interview. If you have any questions please ask the Doctor or Nurse. Can I donate Blood today? There are many reasons why you may not be eligible to donate blood today, for example you may have a cold or sore throat or you may have had a tattoo recently. (Please see deferral information earlier). We will tell you if you are eligible to donate blood. If you are not eligible we will tell you how long you have to wait before you can donate. If I am eligible to donate will you take a unit of blood from me today? No. If you are eligible to donate we will take blood samples from you today. We will check your blood group and will test your blood for HIV, hepatitis B, hepatitis C, Syphilis and HTLV (a virus that is carried in the blood). If I am eligible to donate why won’t you take a unit of blood from me today? On the 9th of April 2006 we introduced a policy whereby donors who were born outside of Ireland/the United Kingdom would only have blood samples taken on the first occasion they were eligible to donate. Why did you introduce this policy? The population in Ireland is changing as people from different countries come to PAGE 1 OF 2 live in Ireland. Medical research shows that people from some countries have a higher rate of some infections such as hepatitis B than people who are born in Ireland/the United Kingdom. We therefore introduced this policy to keep blood as safe as possible for the patients who receive it. Will you write to me if my blood tests positive for one of the above infections? Yes we will. We will invite you to attend to discuss the test results with one of our Doctors. Will you let anyone else know if my blood tests positive for an infection? Yes. We are obliged by law to inform the Public Health Authorities if any donor tests positive for HIV, hepatitis B, hepatitis C or syphilis. We are obliged to forward their personal details including their name and address and the results of their blood tests. When will I be able to donate a unit of blood? If you give blood samples today, you have to wait 90 days before you donate a unit of blood. If all your blood tests are negative we will invite you to donate blood when we are next in your area thereafter. BT 366-4 July 2013 Please read this information carefully INFORMATION FOR NEW DONORS WHO WERE BORN OUTSIDE OF IRELAND/THE UNITED KINGDOM Please read this information carefully Will you let me know my blood group? Yes. We will send you a Blood Donor Card after you donate your first unit of blood. This card tells you your blood group and unique Donor Number. Please sign the back of the card and bring it with you each time you come to donate. Do I have to answer the questions on the questionnaire every time I donate? Yes you do. It is very important that you read the questionnaire carefully every time you attend to donate. This is in case your circumstances have changed from the last time you donated. Do you test my blood every time I donate? Yes. We check all donors’ blood for HIV, hepatitis B, hepatitis C, HTLV and syphilis every time they donate, no matter how many times they have given blood. Each blood donation is tested for infections that can be passed on by blood transfusions. These infections may not always show up on testing in the early stages. This is why we must take great care in donor selection and why you must not give blood to see if you are infected. If you do, you are putting patients’ lives at risk. How often can I donate blood? You can donate blood every 90 days if you are feeling fit and healthy unless we have advised you not to donate. What if I change my mind? If you are eligible to donate but decide, for whatever reason, that you would rather not do so, you can change your mind and leave the clinic at any time. Why should I not give blood if I think I need a test for HIV or hepatitis? You must NEVER give blood to get a test for HIV or hepatitis. If you do, you risk infecting other people. You can get a confidential test for HIV or hepatitis from your GP or from clinics for sexually transmitted infections. THANK YOU VERY MUCH FOR ATTENDING TO DONATE BLOOD. WE APPRECIATE YOUR EFFORT VERY MUCH. PAGE 2 OF 2 BT 366-4 July 2013 HAEMOGLOBIN AND IRON Frequently Asked Questions What is Haemoglobin? Haemoglobin, or ‘Hb’, is a protein that contains iron and is found in red blood cells. It carries oxygen around the body and gives blood its red colour. Haemoglobin levels vary from person to person and men usually have higher levels than women. Hb levels are often slightly lower in the summer months. Each time you come to donate your haemoglobin level is checked. Why is my Hb measured before each donation? At the Irish Blood Transfusion Service (IBTS), the health of our donors and recipients is a priority. The Hb (the fingerprick) test is performed to ensure that it is safe for you to donate blood and also that there are sufficient red cells in the donation for the person receiving your blood. This test is a screening test. It is a reliable test but it is not as accurate as a test done using blood from a vein in your arm and on occasion the fingerprick test may under or overestimate the amount of Hb. Red cells (containing Hb) are removed when you give blood, causing a temporary drop in the Hb level. The minimum Hb levels needed before giving blood take into consideration the expected drop in Hb. What causes low Hb? There are a number of possible reasons, including: • Normal variation – for some individuals a slightly low Hb level is normal and not the result of any health problem • Lack of iron which is required to make new red cells • A deficiency in vitamin B12 or folate • Conditions causing blood loss, including blood donation • Other health problems What is IRON and where do I get it from? Iron is a mineral nutrient that your body needs to function normally. It is a vital part of haemoglobin. Your body obtains iron from your diet. Iron is mainly used for making new red cells. The remaining iron is stored and used at times when there is an increased need for iron such as with growth, in pregnancy or blood loss. The term iron deficiency is used when these stores have been used up. Is it possible to have normal haemoglobin but low iron? Yes. This is because in early iron deficiency there is often enough iron circulating in your red cells to keep your haemoglobin level normal. What are the effects of low iron levels? Iron deficiency does not always cause symptoms. In some individuals it may be associated with tiredness, impaired concentration or poor work performance. If you feel you may be low in iron, you should consult your GP. Continued iron loss will affect the production of haemoglobin. If haemoglobin levels fall below the normal range, this is called anaemia. Iron deficiency is a common cause of low Hb PAGE 1 OF 2 BT 569 - April 2013 Who is at risk of iron deficiency? The chance of developing iron deficiency is higher in donors who: • Have low iron stores before donation – stores are generally lower in women of child bearing age and young donors • Have a diet low in iron • Have medical conditions or surgery which reduce the amount of iron the body can absorb • Have non-donation related blood loss • Make frequent donations over a long period Iron deficiency may be the result of more than one cause. What can I do to boost my iron levels? You should eat a well balanced diet. A healthy, iron-enriched diet is important for all donors, other than those with Haemochromatosis. Due to monthly blood losses, women need more dietary iron than men. Although iron is found in many foods, some sources of iron are better absorbed by the body than others. The iron in red meat is absorbed up to seven times more easily than the iron in vegetables, cereals, fruits and nuts. If you are a vegetarian, or your diet does not contain meat or fish, extra care is needed to ensure it isn’t lacking in iron. A well planned vegetarian diet should include iron-rich foods such as those mentioned in the above list. Vitamin C helps the body to absorb more iron so to get the most from the food that you eat, have vitamin C rich foods with meals, e.g. a fruit juice drink with your breakfast cereal or green vegetables with meat. Avoid drinking tea, coffee or cocoa just before, with or immediately after meals as this may reduce the absorption of iron from foods. For further information visit www.bordbia.ie Do I need to take iron tablets? You should not take iron tablets unless advised to do so by your GP or other doctor. If you have been prescribed iron because of iron deficiency we recommend that you do not donate blood for at least 12 months after you started taking iron. This is to allow time for your iron stores to recover. Please note that we will not accept a donation from you while you are on iron tablets. When can I donate again? Unfortunately as you did not pass the Haemoglobin test today you will not be eligible to donate for between 3 - 12 months depending on your actual result. This is to allow your Hb to reach the level required for you to donate. We will advise you of the next time you may be able to donate. Good sources of iron include: -Lean red meat (beef, pork, lamb) -Nuts, including peanut butter -Chicken & turkey, particularly the dark meat -Wholegrains, including brown rice -Oily fish – mackerel, sardines, salmon and shellfish -Eggs -Tofu -Bread, especially wholemeal or brown bread -Breakfast cereals fortified with iron -Leafy green vegetables - curly kale, broccoli, spinach, -Pulses & beans, canned baked beans, chickpeas and lentils -Dried fruit, particularly apricots, raisins and prunes PAGE 2 OF 2 BT 569 - April 2013 vCJD and Blood Donation Frequently Asked Questions Q. What is variant Creutzfeldt-Jakob Disease (vCJD)? vCJD is the human form of Bovine Spongiform Encephalopathy (BSE). It was first reported in the United Kingdom (UK) in 1996. It is thought to be contracted by eating bovine meat products infected with an abnormal prion protein. This is generally accepted as being the same agent that causes BSE. Q. What are the risks associated with contracting vCJD? The main risk associated with contracting vCJD is dietary exposure to meat or meat products infected with BSE. This could have occurred through residing in the UK in the years 1980 to 1996, or from consuming infected meat or meat products in Ireland, either imported from the UK or from Irish sources, before all control measures were in place. The National CJD Advisory Group commissioned research on vCJD risk in the Republic of Ireland. This concluded that the likelihood of future cases occurring in Ireland from the above sources is extremely small. Other possible risks include: •Receiving a blood transfusion from a donor who was well at the time he/she donated but later developed vCJD •Having certain operations where instruments are used that were previously used on a patient who later went on to develop vCJD. This is a possible risk even if the instruments used are thoroughly cleaned and sterilised after surgery. PAGE 1 OF 3 Q. How many cases of vCJD have there been in the UK or elsewhere? To date there have been 210 cases of vCJD worldwide, 4 of which were due to blood transfusion, the rest were probably caused by eating contaminated meat products. 170 of these cases were in the UK, 25 in France and 4 in Ireland. Q. Are people who lived in the UK between 1980 and 1996 at risk of contracting vCJD? The risk of contracting vCJD through travelling and living in the UK in this period is considered to be low. It should be noted that in the UK where tens of millions of people were potentially exposed to vCJD through eating infected food, there have only been 170 cases of the disease to date. Q. What is significant about residence in the UK in the period 1980 to 1996? This period covers the epidemic of BSE in cattle in the UK that occurred in the years 1980 to 1996. The first cases of BSE in cattle in the UK were reported in 1986. Scientists believe the incubation period for the disease in cattle is about five years, so BSE most likely first appeared in cattle around 1980. It is thought that BSE occurred in cattle that were fed meat and bone meal from other animals. The UK introduced a ban on feeding meat and bone meal to cattle in 1988, and subsequently introduced a series of measures to reduce the risk of humans being exposed to infection. These measures have been fully implemented since 1996. BT 323-6 Jan 2010 Q. What areas in the UK are included for the purposes of this deferral policy? The areas are Northern Ireland, England, Scotland, Wales, the Channel Islands and the Isle of Man. Q. What is the relevant period? The relevant period is the sum total of all time spent in the above areas between 1 January 1980 and 31 December 1996, including brief trips, weekend visits, attending college, holidays, work or periods of residence. Q. What else has the IBTS done to reduce the risk of transmission of vCJD by blood transfusion? Since the first cases of vCJD were reported in the UK in 1996, the IBTS has taken a number of precautionary steps including: • From November 1999 the removal of most of the white cells from blood (white cells are considered by experts to be a potential source of infection) • The National Blood Users Group issued guidance to all doctors in January 2001, setting out best practice for blood usage in surgical patients • From April 2001, people who spent 5 years or more in the UK between 1 January 1980 and 31 December 1996 were excluded from donating blood • From October 2002 people who had previously received blood transfusions outside the Republic of Ireland were excluded from donating blood in Ireland • The importation of plasma from BSE free countries • From May 2004 people who had spent 3 years or more in the UK between 1 January 1980 and 31 December 1996 were excluded from donating • From May 2004 people who had received blood transfusions in the Republic of Ireland (other than autologous transfusions) since 1 PAGE 2 OF 3 January 1980 were excluded from donating • From November 2004 people who had spent 1 year or more in the UK between 1 January 1980 and 31 December 1996 were excluded from donating blood • From November 2004 people who had certain operations in the UK since 1 January 1980 were excluded from donating. These include neurosurgery, eye surgery, laser eye treatment, appendectomy, tonsillectomy, adenoidectomy, splenectomy and lymph node biopsy • From October 2006 people who had root canal treatment in the UK since 1 January 1980 were excluded from donating unless their dentist had used only single use disposable files and reamers. Q. Why did the IBTS exclude people who had received blood transfusions in Ireland? This was introduced as a precautionary measure in May 2004 in response to the first transmission of vCJD by blood transfusion in the UK. The donor was well at the time of donation but later developed vCJD. Q. I received a blood transfusion in the Republic of Ireland since January 1980. Does this mean I could develop vCJD? On the available evidence, the risk to patients from blood and blood components in the Republic of Ireland is extremely small and may be zero. This risk is far outweighed by the potential medical consequences of not receiving blood when it is required. Q. Can blood donors get vCJD by donating blood? No absolutely not. The materials used for every donation are new, sterile and disposable and are used only once. Giving blood carries no risk of catching vCJD. BT 323-6 Jan 2010 Q. Is there a test for vCJD? There is no blood test available for the disease at present and while there are a number of companies working on developing a test, it will be a few years before one will be available. So there is no way of screening blood donations for the presence of vCJD at present. 323-5 October 2007 Q. How can I help? We each have a one in four chance of needing a blood transfusion in our lifetime. The IBTS must collect 3,000 units of blood every week to meet patients’ needs. So we are asking you if you can PAGE 3 OF 3 continue to donate, to donate regularly and to encourage others to become blood donors. Every donation saves lives and your donation is needed now more than ever. Q. I can no longer donate as a result of these measures. Will I ever be eligible to donate again? If you are excluded from donating because of these measures we would like to say thank you for your valuable support over the years. As new scientific evidence emerges we will review our decision. If we reverse our decision in the light of new evidence we will get back in touch with you. BT 323-6 Jan 2010 WEST NILE VIRUS AND GIVING BLOOD West Nile Virus (WNV) is an infection in birds, which can occasionally be transmitted to humans via the bites of certain mosquitoes. Normally the infected person will not show signs of the illness. Sometimes the individual may have mild flu-like symptoms and, in a few cases, it can develop into a more severe illness. If a person is infected, the virus will be present in his/her blood. If this blood is transfused the patient may go on to develop WNV infection. West Nile Virus Infection is geographically widespread, including North America and some countries in Europe. In the last few years the number of countries affected in Europe has increased. The following countries / areas are now considered to be at risk for WNV: Albania, Bulgaria, Canada, Cuba, Greece, Hungary, Israel, Italy, Macedonia (former Yugoslav Republic of Macedonia), Mexico, Romania, Russia, Sardinia, Tunisia, Turkey, Ukraine and the USA. Please note that this list may change – up-to-date information is available at clinic – please ask a member of staff. Depending on the time of year and the availability of a test for WNV we either ask you to wait 4 weeks after you left the area at-risk of WNV, or take a donation from you and test your blood for the virus, to make sure that your blood is not infected. PAGE 1 OF 1 If you have been to an area at-risk of WNV, please tell us so that we can advise you if you can donate today or if you have to wait for 4 weeks after you left the area. If you have been unwell during your visit anywhere abroad or since your return home, please let us know. We will recommend that you visit your GP for advice. If you have been diagnosed as having WNV Infection or have symptoms of WNV Infection, you cannot donate for 6 months after you have made a full recovery. This is a precaution to make sure that the virus is not still in your blood even though you feel well. As WNV is transmitted by mosquitoes, the at-risk areas change according to the seasons. Sometimes cases of WNV Infection are reported in areas where they have not occurred before. As the areas at-risk of WNV change over time and with the seasons, we advise that you ask us for further information if you have been abroad recently. We would also like to point out that some countries / states at risk of WNV are also tropical such as Cuba, Mexico and Hawaii and you will therefore have to wait 3 months before you can donate blood. If you need any further information please ask a member of staff at the blood donor clinic or contact our Donor Services Helpline at 1850 731 137 BT 310-13 July 2013 SIMIAN FOAMY VIRUS FREQUENTLY ASKED QUESTIONS Q What is Simian Foamy Virus (SFV)? Simian Foamy Virus (SFV) is a type of retrovirus that is commonly found in non human primates such as monkeys, chimpanzees, baboons and macaques. About 70 to 90% of non human primates born in captivity have SFV. To date, SFVs have not been known to cause any diseases either in humans or in animals. People and animals who have SFV have not displayed any symptoms or become ill. Retroviruses have RNA, rather than DNA, as their genetic material. When a retrovirus infects a cell, it is incorporated into the cell’s DNA. This ultimately leads to the production of more copies of the virus. Q. Can SFV be transmitted from person to person through blood? The precise mode of transmission of SFV is not fully understood. However there is no evidence that SFV can be transmitted from one person to another. Blood samples taken from spouses of workers in the United States and Canada who had SFV showed no evidence of infection with SFV. This suggests that transmission of SFV through sexual or less intimate contact does not occur easily. As with other types of retroviruses, it is possible for the virus to be spread through body fluid contact, including contact with infected blood and saliva. A study undertaken recently by the Public Health Agency of Canada showed that SFV can be transmitted from one monkey to another by blood transfusion. There is no evidence to date that SFV can be transmitted by PAGE 1 OF 2 blood transfusion in humans, although the number of human cases studied is small. Q. If there is no documented health risk associated with receiving blood from a donor who has SFV, why is the IBTS introducing a donor deferral? In light of uncertainty regarding health effects associated with SFV and the potential risk posed by other as yet unidentified simian viruses, the IBTS is taking precautionary measures to protect Ireland’s blood supply. Q. What does this mean to me as a donor? All donors who report having taken care of or handled non human primates or their body fluids on a regular basis, even if this was in the past, will now be asked not to donate blood. This will mainly affect people who handle non human primates or their body fluids as part of their work, such as workers in zoos, veterinary surgeons, workers in research institutions or people who keep monkeys or other non human primates as pets. We are also asking people who have ever been bitten by non human primates not to donate. Q. What does this mean for Ireland’s blood supply? Deferral of donors who have been exposed to non human primates or their body fluids should have minimal impact on the blood supply. Q. Do people become ill who have SFV? So far nobody who has tested positive for SFV has become ill. Some people have been followed up for 20 years but others have acquired the virus recently and have only been followed up for 2 years to date. BT 382-2 Jan 2010 Q. Could people contract SFV when visiting zoos that have monkeys? There is no evidence to indicate that humans can acquire SFV through casual contact, i.e. being in the same room or building as SFV affected monkeys or other non human primates. However, SFV can be acquired through bites or scratches from affected animals or by indirect contact with affected animals’ blood, saliva or other body fluids. Q. Are people who keep New World monkeys as pets at risk? Based on current available information, people who keep New World monkeys as pets are not at risk of SFV because these monkeys are not known to transmit this virus to humans. PAGE 2 OF 2 However, if pet owners are bitten or scratched, they should follow standard first aid precautions. As with other animals, other infections are possible. Any sign of infection, or if the animal is ill, should prompt medical consultation. Even if your pet monkey is a New World monkey we ask that you do not donate blood as a precautionary measure. Q. Can I be tested for SFV? No, not at present. Currently there is no standard test available for SFV. Only specialised research laboratories carry out testing for SFV and they do so for research purposes only. BT 382-2 Jan 2010 m be ns we ed r ne y er ev ek we 00 tio do na nu lo od e of b 30 Th MEASURING YOUR BLOOD PRESSURE Every year the IBTS lost thousands of donations because of “high blood pressure” in blood donors. Most of these donors did not have high blood pressure at all, at least not in the sense of needing treatment for blood pressure. As a consequence many of them were put to unnecessary trouble and anxiety. Therefore we no longer measure donors’ blood pressure as part of our screening process. Over the years, several good, careful studies conducted in the UK and in the USA have revealed that: • A high or low blood pressure, in someone who is well, does not make a difference when that person donates blood. They are at no extra risk for fainting, bruising or other adverse events from donating. We now know that measuring blood pressure at the blood donation clinic: • isn’t necessary (it doesn’t make the donation process any safer) • isn’t the best way to check blood pressure • causes thousands of donations to be lost unnecessarily every year • Most people who have high blood pressure at blood donation clinics are only showing a normal response to mild anxiety or stress, and do not need any further treatment or follow up. • causes unnecessary hassle, upset, and expense for thousands of people • A blood donation clinic is not a good place to test someone’s blood pressure to see if they are at increased risk of having heart disease or a stroke at some point in their future. So when you come to donate we won’t measure your blood pressure. We’ll be happy to answer any questions you have about it, and we’ll provide you with advice on how you can best look after your blood pressure for your health’s sake. • causes lots of delays, and slows down clinics for everyone, for no good reason. The Irish Heart Foundation recommends that if you are over 30, you should have your blood pressure checked every two or three years. PAGE 1 OF 2 BT 449-3 July 2013 MEASURING BLOOD PRESSURE FREQUENTLY ASKED QUESTIONS You checked my husband’s / wife’s / friend’s blood pressure and found it was high. Their GP confirmed this and started him/her on treatment, so the check at the clinic does work – it can detect high blood pressure in some donors. That’s true – we have undoubtedly helped many people by making an early diagnosis of high blood pressure. On the other hand, we’ve almost certainly missed minor degrees of high blood pressure in many more. This is because the cut off levels we’ve used for accepting someone for donation are higher than the levels at which doctors would now begin treatment. Also, we’ve caused a lot of upset and even expense to thousands of donors whose “high blood pressure” wasn’t the type associated with increased heart disease or stroke – it was just a normal response to mild stress and anxiety. If you’re not going to measure my blood pressure, how will I get it checked instead? You should have your blood pressure checked by your GP. This will mean that you’ll get the check done in a way that will minimise the chance of getting a falsely high reading, but will make sure you get proper repeat testing if the first reading is high and proper advice and treatment if it’s persistently high. What about low blood pressure – I’ve always had low blood pressure; does this mean I can donate now? Yes, you can donate. Having a low blood pressure is a normal state in many people. It doesn’t mean that you’ve a PAGE 2 OF 2 bigger risk of fainting or having any other adverse event after donating. Some people develop low blood pressure as part of an illness, but if you’re well and healthy then having a lower-than-average blood pressure reading is probably just your normal, healthy state. Why can’t you just measure it anyway – you’ve always done it before and it’s done me no harm, and anyway after all the trouble people go to, and the effort they make, to donate blood, isn’t it the least you can do? We would go on measuring it if that’s all there was to it. However from time to time we may well let someone through the net who has a minor degree of high blood pressure whose measurement needs to be repeated and followed up properly by his or her doctor. This could be you – we only measure blood pressure in one arm instead of both, we don’t do it in a truly quiet environment, and most of all, we take the donation at a level that is significantly higher than a GP would accept before testing you further or starting you on treatment. Thousands of donors are turned away unnecessarily every year because their blood pressure is high. This doesn’t mean anything other than they are a little anxious or stressed (it’s the resting level of blood pressure that’s important for your long-term health). This often causes donors upset and expense in unnecessary visits to their GP. It also causes unnecessary slowing down in the donation clinics. Measuring blood pressure doesn’t make any difference to the chances of fainting or bruising or other adverse events after you donate. BT 449-3 July 2013 ABOUT US We are responsible for the collection, processing, testing and distribution of blood and blood components in Ireland. We also offer advice, information and assistance, as well as providing research and training in this crucial area. Most importantly, we seek to maintain a sustainable blood supply by encouraging you, the public to make these essential donations. Where to find us National Headquarters National Blood Centre James’s Street Dublin 8 Tel: (01) 4322800 Fax: (01) 4322930 Donor line: 1850 731 137 Munster Regional Transfusion Centre St. Finbarr’s Hospital Douglas Road, Cork Tel: (021) 4807400 Fax: (021) 4313014 Ardee Centre John Street Ardee, Co. Louth Tel: (041) 6859994 Fax: (041) 6859996 Carlow Centre Kernanstown Industrial Estate Hackettstown Road, Carlow Tel: (059) 9132125 or (059) 9132127 Fax: (059) 9132163 D’Olier Street Blood Donation Clinic 2nd Floor 2-5 D’Olier Street Dublin 2 Tel: (01) 4745000 Limerick Centre Carrig House Cloghkeating Avenue Raheen Business Park Limerick Tel: (061) 306980 Fax: (061) 306981 Stillorgan Blood Donation Clinic 6, Old Dublin Road Stillorgan Co. Dublin Tel: 1850 808 808 Tuam Centre Unit 49 N17 Business Park Tuam Co. Galway Tel: (093) 70832 Fax: (093) 70587 WHAT WE BELIEVE IN The IBTS is constantly evolving and improving our services to cater for your changing needs. That’s why we have put together a set of values, that help us to remain true to our core beliefs. Excellence in service Learning We will always strive to bring you an excellent, quality service. This means: We are committed to ongoing organisational learning, including professional and personal development and research. This means: Anticipating and responding to your needs Putting you first Adopting a can-do attitude Being flexible Being professional Always trying to do better Respect We will treat everyone with consideration and respect. This means: Being courteous Listening Valuing each person’s contribution Discouraging disrespectful behaviour in a constructive way Dealing with people face-to-face when possible Being punctual Being aware of how our behaviour impacts on others and changing it when necessary Honesty We will always be honest and open. This means: Being transparent in our dealings Being truthful Following through on what we say we’ll do Sharing information when appropriate Supporting and valuing continuous learning Sharing that learning Actively finding new ways of carrying out our work Promoting personal development Mentoring and developing staff Supporting learning through constructive feedback Accountability We hold ourselves accountable to the highest professional, personal and public standards. This means: Always observing these standards Assessing ourselves against them Taking responsibility for our actions Operating efficiently and effectively Giving and accepting feedback in a positive way Team work We will always strive to work together in a positive and constructive manner. This means: Promoting teamwork Encouraging good working relationships Working cross-functionally to get work done Developing team players Establishing clear roles and goals for and within teams OUR PROMISE TO YOU We will care for you in a confidential and professional manner and our staff will always be friendly and helpful. If you cannot be accepted for donation for any reason, our staff will tell you why. We will ensure, based on information supplied by you, that you are fit and healthy before we take your donation. All staff caring for you will wear a visible name badge. All donations will be collected with sterile disposable equipment. Any clinic you visit will be clean and comfortable. You will experience as little delay as possible during your visit. You will find clear and comprehensible information about our service. We will respond directly to you within ten working days of a complaint being lodged by you about our donor services. All blood samples are tested for specific transmissible diseases. You will be contacted and informed of any results which may affect your health. We will also offer counselling when necessary. COMMUNICATIONS The IBTS may communicate with you for a number of different purposes Donating We know you have a busy life so we’ll remind you the next time you’re due to donate by sending you a letter/text message/email. We may also text you if we have a requirement for your particular blood group and to say thank you after your visit. Opting in to receive text messages or emails implies you are happy for the IBTS to communicate with you both in relation to donating and for marketing/information purposes until such times as you choose to opt out or until your consent expires as per the Data Protection Act. Information and Marketing Data Protection We would like to keep in touch with you and provide you with relevant information from time to time and let you know about different campaigns and initiatives that are happening via email, but we will only do so with your consent. The information we use to contact you will be taken from our secure IBTS database. The IBTS is committed to protecting the security of your personal information. We use a variety of security technologies and procedures to help protect data from unauthorised access, alteration, use, disclosure, accidental loss or destruction. For more information on our data protection policy please also see our website: www.giveblood.ie Social Media Join us on Facebook and Twitter for more clinic updates, interesting facts and for answers to any queries you may have. Text Messages/Email We will only contact you via text or email where you have given your express consent. You have the option to opt out of receiving email or text communications at any time either by following the directions in the email to opt out, by contacting us on our LoCall number below, or you can let us know the next time you come to a clinic. FOR MORE INFORMATION LoCall: 1850 731 137 RECIPIENT AND DONOR STORIES As blood donors you take time out of your day to give a precious gift that costs nothing but time. Here are a few real stories from people whose lives have been changed for the better because of the time you took to give blood. Hilary’s Story Grainne’s Story “I’m Hilary and I’m 32. I and my husband Mick are married almost a year now and what a year it has been. On the 5th February this year I was brought by ambulance to the A&E of Tallaght hospital with abdominal pains. It transpired that I had an ischemic bowel and had all but approx 90cm of my small intestine removed. It was a real emergency touch and go situation and there was no time for scans/tests etc as my vital observations were deteriorating so rapidly. While surgery was being performed I received 13 units of blood and I later received an additional 4 units in the initial weeks of my recovery (my hospital stay totalled 15 weeks!) “In my case the IBTS and its donors generosity not only saved one life, it saved three. Nearly 17 years ago when I gave birth to my first child, I suffered from AFLP (Acute Fatty Liver of Pregnancy). Having received 17 units of blood means that there are 17 people out there who gave blood and have helped save my life. Without them I wouldn’t be writing my story and I wouldn’t be celebrating my first wedding anniversary later on this month. I am constantly grateful to the IBTS and encourage anyone who can to donate.” As a result of my illness/ordeal my entire family have made an effort to make more regular routine blood donations. We all now realise the impact of blood donation. I am just sorry I didn’t make more of an effort to donate blood myself before this all happened.” This led to liver and kidney failure along with other complications. This also meant that after an emergency C section, my blood was unable to clot. I received 70 units of A neg blood and platelets. In fact I drained the blood bank. My son will be 17 in November. I had two other children subsequently. Today, we are all healthy and happy. Three of us would not be here without the generosity of strangers. Siobhan’s Story Louise’s Story “First off I am terrified of needles. Absolutely hate them. My grandmother was diagnosed with lung cancer just before my wedding last year. The hospital said it was caught early and they were optimistic that they could cure her. This was in January. Unfortunately she died in September. All through the months between the diagnosis and her dying, she went through so much. Between blood transfusions, chemo, radiotherapy, she kept such a brave face. “My first baby was born with a disease called Neonatal Alloimmune Thrombocytopenia (NAIT) and had 2 brain bleeds; he also required platelet* transfusions and IVIG therapy. (NAIT is when I produce antibodies because my body thinks his platelets are a virus basically - it only happens when I am pregnant as I have antibodies to the father’s platelet type). When she died, my husband went and donated blood for the first time in her memory. It took me a couple of months after he donated to pluck up the courage to donate also. I felt that if my wonderful nanny could go through all that pain, and also receive blood from wonderful donors then I could pluck up the courage to take a half an hour to donate blood and hopefully help someone else who would benefit from it. The first time I couldn’t donate as I was in the middle of doing exams so I was told to wait until the stress of exams was over. The next time the clinic came around I donated and I felt great. I am waiting for them to come back now to my town and I will be donating again.” * Platelets are small cells present in the blood of all healthy people. IBTS collect Platelet Donations from specific donor types. Ask at the clinic for more information. I then went on to have 2 more pregnancies with NAIT babies, and I received IVIG from 20 weeks with my pregnancies, without that I would have more than likely lost my babies to brain haemorrhages. I am so grateful to those thousands of people who donate platelets because I’d have lost 3 children without them. It is because of the precious time that people took out of their lives that I now have three healthy children to look after”. WHAT YOU CAN DO You now know how much more you get when you give blood, so why not encourage your friends, family and colleagues to experience it too? What you can tell them An easy way to encourage people to give blood is to simply talk about your experience and help put their fears to rest. It’s also good to have a few facts at the ready, as a lot of people are still unsure about the importance of their donation. Why we give blood 3,000 donations are needed every week. 1 in 4 of us will need a transfusion at some point in our lives. One single donation can help the recovery of two patients in hospital. Social Media Another great way to promote us is to join our Facebook group – we already have almost 50,000 fans. Just log on to www. facebook.com/giveblood to get started or on Twitter search for us at giveblood_ie or Giveplatelets. Join our growing online community for interaction, facts and more. Check the blood supply As blood only has a shelf life of 35 days, it’s best to check on our website how many days blood supply we have. That way, depending on blood stock levels, you can decide when’s best to donate blood or you could download our App to your mobile phone. THE IBTS AND THE GAA PARTNERSHIP On June 16th 2012 it was agreed at the Coiste Bainistí/Ard Chomhairle meeting that a partnership between the GAA and the Irish Blood Transfusion Service would be established. we believe the GAA community is key in helping us in our continued mission of maintaining a safe and sustainable blood supply, whilst building a community spirit around blood donation. Our aim is to make giving blood as informed and easy as possible for those involved in the GAA community. With similar attributes like community spirit, pro-social commitment and volunteerism, The IBTS collects blood at 260 venues nationally and wishes to link GAA clubs to these venues with a view to making it easier for those interested in giving blood by providing information on how this can be done. BLOOD GROUP INFORMATION There are eight blood groups. What blood group you are will determine to which patient your blood can be given. Blood is in constant demand, but sometimes we have very pressing needs for specific blood groups. At these times we may make an extra effort to contact you to ask you to donate. On occasions we also have too much of one type of blood and may ask you to consider skipping a clinic to save you time and not waste your contribution. In such cases we will notify you. In the absence of any contact please assume we need your blood. O Negative blood donors If you are an O Negative Blood Donor, you should know that your blood is particularly important, as it can be used for any patient, no matter what blood type they are. O Negative blood can make the difference between life and death in emergency situations, where a person’s blood type is unknown or unavailable. It is also regularly used to save the lives of premature and even unborn babies. You are eligible to give blood every 90 days, please mark it in your diary – after all, yours is the only blood that can be used universally. Blood groups are hereditary so someone in your family might be O Neg too. Please encourage them to become a donor also. Blood group compatibility chart GIVERS R E C E I V E R S Blood group frequency chart 2% 5% 2% 1% 8% 9% 47% 26% THANK YOU MESSAGE DR. IAN FRANKLIN MEDICAL DIRECTOR You have done something amazing today – You have inspired hope where it is needed most. You get to be the reason a family is reunited, the reason another breath is taken. You have given the most valuable gift there is and for that we thank you. If this is your first time to give blood we hope that you’ll make a habit of it and commit to giving blood on a regular basis. By doing so, you can become part of something that’s bigger than all of us, but which needs every one of us. Medical Director