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Sometimes friends, relatives or parents ask
if they can donated blood for a specific
patient. This is called a directed donation.
Puget Sound Blood Center offers directed
donations as a medical service when ordered
by a physician. If you are considering directed
donations, there are several issues you
should take into account.
There is no medical or scientific evidence
that blood from directed donors is safer than
blood from volunteer, community donors. In
fact, some evidence suggests that blood from
directed donors is less safe, in part because
directed donors may feel pressure to donate
and may fail to completely disclose their
health or social history for fear of exposing
aspects of their lives that they may want to
keep private.
Certain adverse effects may be more likely to
occur if blood relatives are used as donors.
- Immunologic reactions due to undetected antibodies can occur when blood is transfused from mothers to their children.
- Transfusion from blood relatives may increase immune system impairment.
- Risk of graft-versus-host disease, a fatal transfusion complication, is higher with transfusion from a blood relative, despite the fact that blood from all directed donors is irradiated to help prevent this complication.
- If you can’t store your own blood for
surgery, community volunteers are the
safest source of blood for transfusion.
Donor screening procedures and
laboratory testing nearly eliminate the
risk of infectious disease transmission.
Also, keep in mind that:
- because of the additional clerical and
administrative tasks involved with directed
donations, a processing fee will be collected
for each directed donor unit. Many
insurance policies do not cover this fee.
- directed donations are not available
for emergency transfusion. To ensure
availability, there should be four weekdays
between the donation and scheduled
transfusion in King County, and six weekdays
in hospitals outside King County.
- directed donations not used by the designated
patient will be discarded. They will
not be made available to other patients.
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Transfusion: What You Should Know
PDF: 1MB
If you have questions contact your physician, or call the Puget Sound Blood Center Transfusion Information Line, at 206-292-1840. |