Collection Staff Training Double Red Cell Donation This

Collection Staff Training Double Red Cell Donation This training material is a template which Blood centers can use to help draft their training material. COL-COPY-000884(AA)

Agenda § What a double red cell blood donation IS and IS NOT § Why double red cell donation is important to our blood center and the Patients and Donors you serve § Why some types are more important for double red cell blood donation § Donating double red cells § Benefits to Donors § Donor Conversion § Who do you ask § How do you ask 2 © Haemonetics Corporation

Double Red Cell Donations § Two Units of RBCs collected from one donor (one needle, one arm) § Donors keep their own platelets and plasma and get additional saline compensation to make up for blood volume loss § Millions of these procedures have been performed to date § Safe, effective and efficient § A double red cell donation is actually less total volume blood loss than a whole blood donation. 2 RBC Donation Whole Blood Donation § Red Cell’s Only § Red Cell’s, Plasma & Platelets § Volume 400 ml § Volume 500 ml § Saline Return N/A (approximately 12 oz) 3 © Haemonetics Corporation (approximately 16 oz)

Double Red Cell Devices Our Blood Center uses the Haemonetics MCS/8150 automated red cell device to collect double red cells. Some blood centers refer to double red cell donation as red cell apheresis. Haemonetics – MCS/8150 4 © Haemonetics Corporation

Principle of Operation 1: Fill Bowl or Centrifuge Red Cell Storage Bag 5 © Haemonetics Corporation Plasma/Platelet Storage Bag 500 ml of Saline

Principle of Operation 2: Collect (temporarily hold) Plasma Bowl or Centrifuge Plasma/Platelet Storage Bag 6 © Haemonetics Corporation

Principle of Operation 3: Collect Red Cells (Return Plasma) Bowl or Centrifuge Red Cell Storage Bag Plasma/Platelet Storage Bag 7 © Haemonetics Corporation 500 ml of Saline

What a Double Red Cell Donation is NOT… A Less Safe Way to Donate Blood Double Red Cell blood donation uses a “closed environment” and a donors blood does not come in contact with a previous donors blood or is it exposed to the external environment. The “kit” is packaged sterile and is disposed of after each donation. Haemonetics double red cell kit 8 © Haemonetics Corporation

Safety Initiatives for Young Donors 9 © Haemonetics Corporation

Exercise Tolerance After Donation §“No difference has been found in the post-donation exercise tolerance between a 2 RBC collection when compared to a whole blood donation. ” Smith et al. Transfusion 1996; 36: 674 -80 10 © Haemonetics Corporation

Know The Facts of Automated Collection Donor Safety § 2 RBC – Total amount of blood removed is less than WB § Automated RBC and WB are both safe for first time donors 11 © Haemonetics Corporation

What a Double Red Cell Donation is NOT… Double the Amount of Blood A double red cell donation is actually less total volume blood loss than a whole blood donation. The donor donates two transfusable units of red cells (≈200 ml each) instead of donating a unit of whole blood (500 ml) which is made up of red cells, platelets and plasma. 2 RBC Donation § Red Cell’s Only § Volume <400 ml § Saline Return 500 ml 12 © Haemonetics Corporation Whole Blood Donation § Red Cell’s, Plasma & Platelets § Volume 500 ml § Saline Return N/A

Why “Double” Red Cells are important to our patients… § Hospitals transfuse red cells more than any other blood component: § About 65% of all transfusions are red cell transfusions. Red Cells uses? Trauma and Surgery Our blood center only collects the following types of blood for “Double” Red Cell Donation: O+, O-, A- and B- 13 © Haemonetics Corporation

Blood Types “Special” Blood Types for “Double” Red Cell’s (O+, O-, A- & B-) Percent of Population by ABO type 14 © Haemonetics Corporation Your Blood Type You Can Give To % Able to Receive. O+ O+, A+, B+ & AB+ 84% O- All Types 100% B+ B+ and AB+ 12% B- B+, B-, AB+ & AB- 15% A+ A+ & AB+ 37% A- A-, A+, AB- & AB+ 44% AB+ 3% AB- & AB+ 4%

Blood Donor Math Why is it so important to convert type O- donors? § § § If a city has a population of 100, 000 people 5% of the population will donate blood Resulting in 5, 000 Donors Of the 5, 000 donors 7% have type O- blood Therefore, 350 type O- donors are meeting the emergency, universal type transfusion needs of 100, 000 people We need to make the most of each donor visit! 15 © Haemonetics Corporation

Double Red Donation – Blood Donor Benefits § § § 16 Life saving impact with their donation Smaller Needle Convenience (Donate every 112 days instead of 56) Less telerecruitment calls Less Total Volume © Haemonetics Corporation

Donor Conversion Who should you ask and how should you ask? Starting the drive off right… It is important to convert donors at the beginning of the drive if there are none scheduled 17

Selecting Donors § People who have done it before are easiest § Ask each donor if they know their blood type, if they are the “right blood type” (O+, O-, A-, B-), ask them if they are signed up for to donate red cells. § Men who have the right blood type (O+/-, A- and B-) § You can just say something like: “Your special blood type makes you an important candidate for a red cell donation. ” Or “At this time, the largest need that hospitals have for your blood type is your red cells, will you please help us out and donate red cells today? ” § Because women have to weigh more and be taller, you will need to approach them with the requirements § You can just say something like: “The criteria for women is: 5’ 3”* and 150 lbs. If you meet those 2 criteria, we would love to have you for a red cell donation” 18 *according to L. 1 Software MCS+ 8150 © Haemonetics Corporation

If you recruit first time donors, make a list of things you might say… 19 § Your blood type may be important to the patients we serve for a donation of red blood cells § Instead of collecting 500 ml of whole blood (all 3 components) we collect <400 ml of just your red blood cells § Millions of these donations have been made § You get credit for 2 donations and donate ½ as often © Haemonetics Corporation

If using Anti- A screening, be prepared to discuss the results with the donor? 20 § This screen shows that you have type A blood § Today we would like to ask you to donate whole blood but your blood will be tested in our lab to see if it is a negative type. If it is A-, we will ask you to donate red cells next time. § We do not see if it is a positive or negative type § We transfuse more type O, B- and A- red cells and use this donation type to increase our inventory of those types. § We also need an ample supply of plasma and platelets which we will get from whole blood donations © Haemonetics Corporation

Donor Conversion Educate & Motivate the Donor, then ASK… § A Two-Unit Red Cell Donation is less blood than a regular whole blood donation and a smaller needle is used. So how would you like to try it? § Our hospitals greatest need for their patients is red cells and because you have one of the blood types most needed, you can make the greatest impact by donating just your red cells. So can you help us today? These types of true statements can demonstrate the importance of red cell donations, making the donor more likely to agree when you ask! 21 © Haemonetics Corporation

Why Do People Say No to Double Red Cell Donation? § Don’t want to get anything back – “It’s not safe” § Take twice as much blood out of me § Time If we educate our donors, time will become less of an issue You need to think about what to say when people have concerns. 22 © Haemonetics Corporation

Offset the TIME Issue Donor: “I don’t think I have enough time. ” Collection Staff: “How much time were you planning on spending while donating blood today? ” § This allows you to help the donor decide if they do or do not have the time to donate double red cells. § If there is no one on the double red cell bed and the donor told us they were planning on an hour donating, do they have enough time? 23 © Haemonetics Corporation

Offset the TIME Issue § What our hospitals and patients need § Fast-track them to the front of the Health History line (if your blood center allows you to) § Potentially less time in the canteen § Fewer visits to donate blood § Fewer telemarketing calls § Point out the convenience of donating at work (mobile drives) § Turn beds quickly and efficiently (team work) Donor Conversion means making sure donors are educated 24 © Haemonetics Corporation

Just ASK… § The ASK is important. Don’t assume they don’t have time. § According to a recent study, participants indicated that “being asked” was a major motivator for selecting automation. § Two thirds of the respondents who had been asked to donate on an automated system had done so. 25 © Haemonetics Corporation

Review of Specific Ways to Ask… § Your blood type is special to us for collection of red blood cells. We offer a donation option that allows you to donate only red cells instead of whole blood. May I ask you a couple of questions to see if you are eligible? § I’d like to offer you another donation option based on your special blood type. Do you mind if we talk about eligibility requirements? § Would you be interested in a more convenient way to optimize your donation by donating red cells instead of whole blood? Can we talk about eligibility? 26 © Haemonetics Corporation

Conclusion § There are several misconceptions that donors have about double red cell donation, it is our job to educate them. § Having someone donate double red cells as soon as the drive begins, “jump starts” collections for the rest of the day. § The majority of people who donate want to help. Most of them will say yes to “double” red cell donation if asked. § To have a successful “double red cell” program you need to ask people to participate and the way you ask is very important. § It takes longer for a “double” red cell donation so it is important to prepare the donor for that extra time. 27 © Haemonetics Corporation

Donor Conversion Scenarios 1. B- Donor – Bad experience last time they donated, “felt queasy”. 2. O+ Donor/Male – Never donated 2 RBC’s before. 3. A- Donor – “Doesn’t think they have enough time”, remembers someone saying it takes longer, but that’s it. 4. O- Donor – doesn’t want to donate 2 units of blood, “I don’t think I have enough to donate two units”. 5. O+ Donor – Doesn’t want anything back, “You can take my blood, but I don’t want anything back, especially if it goes through some machine”. 6. A+ Donor – Donated double reds before and liked it. Signed up for a 2 RBC appointment. 28 © Haemonetics Corporation

Double Red Cell Guide Blood Center Logo Here What is Double Red Cell Donation An automated blood donation where two patient doses of red cells are collected in a single donation (one needle, one arm) Donors keep their own platelets and plasma and get additional saline compensation to make up for blood volume loss Why is Double Red Cell Donation Important Hospitals transfuse red cells more than any other blood component, about 65% of all transfusions are red cell transfusion. Red Cells are used for patients in need of life saving blood. Is Double Red Cell Donation Safe Total Volume Blood Loss Whole Blood Donation Approximately 500 ml “Double” Red Cell Donation Approximately 400 ml Saline Received 500 ml A “double” red cell donation is actually less total volume blood loss than a whole blood donation Percent of population by ABO blood types… Height/Weight Requirements Haemonetics (MCS / 8150) Men - 5’ 1” and 130 lbs. Women - 5’ 3”* and 150 lbs. Days Between Donations Double Red Cell - 112 days Whole Blood 56 days Double Red Cell donation is a safe alternative to donating whole blood. A single use sterile collection set is used for each donor and the donors blood never comes in contact with a previous donors blood or the machine, Millions of double red cell donations given since the early 1990’s *according to L. 1 Software standards of the MCS+ 8150 Highlighted types are currently being recruited for “Double” Red Cell donation

Component Therapy Blood Center Logo Here § Whole Blood is not normally what is transfused to patients. § The whole blood you donate is separated into its different components – primarily Red Blood Cells, Plasma and Platelets Plasma & Platelets Red Blood 30 © Haemonetics Corporation

Component Therapy - Transfusions of specific blood components are given to patients to deal with a specific medical problem 31 § Red Cells transport oxygen from the lungs to cells of the body and helps transport carbon dioxide from the body cells to the lungs § Platelets are essential in maintaining hemostasis – they prevent the loss of blood from the body by patching damage § Plasma carries antibodies that assists in immunity § Plasma also plays a role in clotting as it is rich in important clotting factors © Haemonetics Corporation

Different ways to ask… COMMON APPROACH § Want to Give Doubles? § You don’t have time to do doubles today, do you? BETTER APPROACH Hospitals/Patients have a real need for your type of blood. Can you help out our Hospitals and Patients by donating red cells today? I’d like to offer you another option for your donation based on your special blood type. Would you be interested in making the most of your blood donation? SEE THE DIFFERENCE? 32 © Haemonetics Corporation