Section 1
Section 2
Section 3
Section 4
Section 5
100

If the donor appears to be under the influence of medications or alcohol

Consult a supervisor if needed to assist with handling the donor. Defer under Physical: General Evaluation Unsatisfactory.

100

If at any time during the interview process you feel the donor does not adequately understand the questions, cannot communicate effectively, or is donating for reasons other than altruistic, voluntary reasons

Do not continue to donation. Defer donor under MO Investigation. Complete Donor Inquiry Record (DIR) with donor's info from SDR, scan to yourself and send to mo@lifesouth.org. Notify supervisor.

100

Donor states their physician recommended donation as treatment for any condition

Defer donor under Therapeutic Order Needed. Advise donor they may be eligible for collection as a Potential Therapeutic Crossover donor. Their physician must complete the Therapeutic Phlebotomy Order and fax it to the medical office.

100

6 important points when completing a staff administered donor interview

1. Escort donor to private interview area with the door shut if applicable.

2. Verify SDR belongs to the donor. If not, investigate.

3. Review IBBIS Donor Comments field. Consider any comments related to medical history as you ask.

4. Read questions word for word. Do not paraphrase, add or remove words in a question. Assess for comprehension.

5. Record donor's response after each question.

6. Use the DIPPM for every unexpected response, even if you know the correct comment.

100

Ask the donor to read the following items, and encourage the donor to ask questions:

1. Donor Educational Materials

2. Acknowledgement and Donor Consent

3. If automation - About Apheresis Blood Collection (explain pertinent points before giving to donor)

4. Research study materials if applicable

5. Medication Deferral List

200

Conditions the donor may mention during the interview process that are not directly related to an FDA required question can be found

Page 2 of DIPPM.1.1

200

If the donor will not sign the Acknowledgement and Donor Consent

Defer the donor under Consent: Donor Refused to Sign

200

If the DIPPM available does not have maps printed in color and it is difficult to determine a donor's risk during the interview process, the technician should

Use a laptop available or computer workstation to pull it up in color.

200

Explain these points to donors when giving them the SDR, Medication Deferral List, Donor Educational Materials, and About Apheresis Blood Collection (if applicable)

1. SDR answers are to be bubbled in fully.

2. If you are unsure of a question, please leave it blank.

3. Ensure the donor understands how to answer the gender specific questions.

4. Emphasize importance of reading the Acknowledgement and Consent when finished with the questions.

5. Medication Deferral List is for the donor to reference when answering medication questions.

6. Donor Educational Material are referenced in a questions and should help the donor understand the process and purpose of some of the interview questions.

7. About Apheresis Blood Collection provides the donor with information about apheresis blood collection.

200

Where should the donor sit when completing the interview?

Private interview room, away from other donors with the door shut (if applicable).

300

If a donor is experiencing usual seasonal allergies or has minor aches and pains that they regularly experience

Accept the donor and indicate either 1, allergies, OK or 1, minor pains, OK.

300

If a bleeding condition or blood disease is not listed in Appendix A39

Accept the donor. You can also call the MD or MO if you have questions about a specific donor's circumstance.

300

If a donor speaks a language besides Spanish or English

Defer the donor

300

What information must be read when a donor is vision-impaired or illiterate?

All text on all documents associated with the donations. This includes the Donor Educational Materials, About Apheresis Blood Collection, Acknowledgement and Donor Consent, etc.

300

The proper way to handle investigating missing questions or clarifying answered questions when the donor is already in the phlebotomy chair

Ask the donor to come back to the private interview room, out of earshot from other donors.
400

When a donor states they take Plavix (clopidogrel) daily, what should be noted on the SDR?

4, Plavix, today's date, OK

6, ASA, OK

Bubble ASA on SDR if offline.

400

If a donor donates platelets only, platelets with a concurrent plasma, or plasma only, they are eligible to donate double red cells in 

3 days

400

If a donor has received the Shingles vaccination they are only eligible if

The donor received the Shingrix shot(s).

400

There are ___ states that do not fully regulate and license tattoo parlors or have only certain counties that regulate within the state.

11
400

If the MD or MO is unavailable to determine a donor's eligibility

Defer the donor, leave a message with the MO (MO Investigation) and complete a Donor Inquiry Record, scan it to yourself and send to mo@lifesouth.org. Inform the donor that the Medical Office will contact the donor concerning his or her eligibility.

500

A bone marrow donor is not eligible for any type of blood donation for

8 weeks

500

If a donor asks what we mean by "symptoms" when answering questions about heart or lung issues, note that we generally mean any of the following:

-Shortness of breath

-Chest pain or discomfort

-Wheezing (making a whistling sound when breathing)

-Repeated episodes of fainting

-Donor requires supplemental oxygen

-Requiring emergency room or doctor's visits for symptoms

500
A donor may be able to donate, regardless of their heart or lung issue if

A donor presents written approval from their doctor and the medical office approves.

500

Residency is defined as

Living in a country for more than 5 years
500

The three questions that a donor may opt out of answering are

Questions 45, 46 and 47.