Attachment 5-Donor Education Materials

Attachment 5.4_2007 Donor Ed materials 1-2.pdf

Investigating the Cause of Post Donation Information Errors in Donor Screening Process

Attachment 5-Donor Education Materials

OMB: 0925-0617

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Blood Donor Educational Materials:
MAKING YOUR BLOOD DONATION SAFE
Thank you for coming in today! This information
sheet explains how YOU can help us make the
donation process safe for yourself and patients who
might receive your blood. PLEASE READ THIS
INFORMATION BEFORE YOU DONATE! If you
have any questions now or anytime during the
screening process, please ask blood center staff.
ACCURACY AND HONESTY ARE ESSENTIAL!
Your complete honesty in answering all questions is
very important for the safety of patients who receive
your blood. All information you provide is
confidential.
DONATION PROCESS:
To determine if you are eligible to donate we will:
-Ask questions about health, travel, and medicines
-Ask questions to see if you might be at risk for
hepatitis, HIV, or AIDs
- Take your blood pressure, temperature and pulse
- Take a small blood sample to make sure you are not
anemic
If you are able to donate we will:
- Cleanse your arm with an antiseptic. (If you are
allergic to Iodine, please tell us!)
-Use a new, sterile, disposable needle to collect your
blood
DONOR ELIGIBILITY – SPECIFIC INFORMATION
Why we ask questions about sexual contact:
Sexual contact may cause contagious diseases like
HIV to get into the bloodstream and be spread
through transfusions to someone else.
Definition of “sexual contact”:
The words “have sexual contact with” and “sex” are
used in some of the questions we will ask you, and
apply to any of the activities below, whether or not a
condom or other protection was used:
1. Vaginal sex (contact between penis and vagina)
2. Oral sex (mouth or tongue on someone’s vagina,
penis, or anus)
3. Anal sex (contact between penis and anus)
HIV/AIDS RISK BEHAVIORS AND SYMPTOMS
AIDS is caused by HIV. HIV is spread mainly through
sexual contact with an infected person OR by sharing
needles or syringes used for injecting drugs.

DO NOT DONATE IF YOU:
-Have AIDS or have ever had a positive HIV test
-Have ever used needles to take drugs, steroids,
or anything not prescribed by your doctor
- Are a male who has had sexual contact with
another male, even once, since 1977
- Have ever taken money, drugs or other payment
for sex since 1977
- Have had sexual contact in the past 12 months
with anyone described above
- Have had syphilis or gonorrhea in the past 12
months
- In the last 12 months have been in juvenile
detention, lockup, jail or prison for more than 72
hours
-Have any of the following conditions that can be
signs or symptoms of HIV/AIDS:
•Unexplained weight loss or night sweats
•Blue or purple spots in your mouth or skin
•Swollen lymph nodes for more than one month
•White spots or unusual sores in your mouth
•Cough that won’t go away or shortness of breath
•Diarrhea that won’t go away
•Fever of more than 100.5 oF for more than 10 days

Remember that you CAN give HIV to someone else
through blood transfusions even if you feel well and
have a negative HIV test. This is because tests
cannot detect infections for a period of time after a
person is exposed to HIV. If you think you may be
at risk for HIV/AIDS or want an HIV/AIDS test,
please ask for information about other testing
facilities. PLEASE DO NOT DONATE TO GET AN
HIV TEST!
Travel to or birth in other countries
Blood donor tests may not be available for some
contagious diseases that are found only in certain
countries. If you were born in, have lived in, or visited
certain countries, you may not be eligible to donate.
What happens after your donation:
To protect patients, your blood is tested for hepatitis
B and C, HIV, certain other viruses, and syphilis. If
your blood tests positive it will not be given to a
patient. You will be notified about test results that
may disqualify you from donating in the future.
Please do not donate to get tested for HIV,
hepatitis, or any other infections!
Thank you for donating blood today!
(Donor Center Name)
(Telephone Number)

v. 1.2

eff. February 2007


File Typeapplication/pdf
File TitleMicrosoft Word - Educational materials v.1.2 02-15-2007.doc
Authorboss
File Modified2007-02-16
File Created2007-02-16

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