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ORDER OF THE MINISTRY OF HEALTH OF THE KYRGYZ REPUBLIC

of September 22, 2015 No. 544

About approval of Rules of physical examination of the donor before giving (donation) blood and its components, Nomenclatures, Rules of procurement, conversion, storage, realization of blood and its components, Storage precautions, blood transfusion, its components and medicines in the organizations of health care, instructions on service of blood, and also primary medical documentation on service of blood

According to the work plan of the Ministry of Health of the Kyrgyz Republic for 2015 and for the purpose of safety of donor blood, prevention of haemo transfusion complications, and also for further improvement and standardization of work of the organizations and divisions of service of blood I order:

1. Approve enclosed:

1) Rules of physical examination of the donor before giving (donation) blood and its components (appendix 1);

2) Nomenclature of blood, its components and medicines of blood (appendix 2);

3) Rules of procurement, conversion, storage, realization of blood and its components (appendix 3);

4) Storage precautions, blood transfusions, its components and medicines in the organizations of health care (appendix 4);

5) Rules of quality control and safety of donor blood and its components (appendix 5);

6) the Instruction for immunization of donors staphylococcal anatoksin and on carrying out plasma exchange for receipt of anti-staphylococcal plasma (appendix 6);

7) the Instruction for determination of blood type by cross method by means of standard erythrocytes and Tsoliklonov (appendix 7);

8) Instruction for determination blood Rhesus factor accessory (appendix 8);

9) the Instruction for application Tsoliklonov anti-And, anti-In and anti-AV of diagnostic blood types of the person of the AVO system, liquid for determination (appendix 9);

10) Instruction for Tsoliklon's application of anti-D of the diagnostic D anti-gene of system, liquid for determination, Rhesus factor (antibodies monoclonal anti-D) (appendix 10);

11) the Instruction for application of anti-D IgM of monoclonal reagent for determination Rhesus factor accessory of blood of the person (Tsoliklona of anti-D Super) (appendix 11);

12) the Instruction on serum research on availability Rhesus factor antibodies (appendix 12);

13) the Instruction for Tsoliklon's application of anti-gene, anti-With monoclonal for determination, From system Rhesus factor on erythrocytes of the person (Tsoliklon anti-With Super) (appendix 13);

14) the Instruction for Tsoliklon Anti-E's application of anti-gene, monoclonal for determination, E systems Rhesus factor on erythrocytes of the person (Tsoliklon Anti-E Super) (appendix 14);

15) the Instruction on the prevention of the post-transfusion complications caused by factors of Kell and c (hr") (appendix 15);

16) Instruction for determination of Kell-faktora by express method (appendix 16);

17) Instruction for determination of immune antibodies of the AVO group system (appendix 17);

18) the Instruction for production of tinned standard erythrocytes and their application in isoserological researches (appendix 18);

19) the Instruction for capture and accounting of the blood received from donors by small doses for preparation of standard erythrocytes (appendix 19);

20) the Instruction on the prevention of incompatibility in case of blood transfusion (appendix 20);

21) the Instruction for filling and maintaining primary medical documentation for the organizations and divisions of service of blood (appendix 21);

22) Samples and the list of forms of primary medical documentation for the organizations and divisions of service of blood (appendix 22).

2.2. To the CEO of RTsK (Karabayev B. B.), directors of the Zhalalabadsky, Osh, Talas, Naryn regional centers of blood (Musayev S. I., Shamshidov O. T., Suynaliyeva A. B., Smanbayeva A. A.), RTsK Batken regional branch (Akmatov A. T.), manager. departments of transfusiology of the Isyk-Kulsky Regional joint hospital (Temiraliyeva N. I.) accept to management and execution of this order "About Approval of Rules of Physical Examination of the Donor before Giving (Donation) Blood and Its Components, Nomenclatures, Rules of Procurement, Conversion, Storage, Realization of Blood and Its Components, Storage Precautions, Blood Transfusion, Its Components and Medicines in the Organizations of Health Care, Instructions on Service of Blood, and also Primary Medical Documentation on Service of Blood".

3. To the heads of the organizations of health care performing storage, safety and transfusion of donor blood, its components and medicines to create in the structure transfusiology office within the provided means and to provide accomplishment "Storage precautions, blood transfusion, its components and medicines in the organizations of health care" (appendix No. 4).

4. Recognize invalid orders of the Ministry of Health of the Kyrgyz Republic of September 8, 2010 as No. 439 "About approval of instructions and primary medical documentation on service of blood", of May 7, 2004 No. 210 "The instruction on application of components of blood".

5. To impose control of execution of this order on the deputy minister A.Dzh. Murzaliyeva.

Minister

T. Batyraliyev

Appendix 1

to the Order of the Ministry of Health of the Kyrgyz Republic of September 22, 2015 No. 544

Rules of physical examination of the donor before giving (donation) blood and its components

1. General provisions

1. These rules of physical examination of the donor before giving (donation) blood and its components (further donors) are developed according to the Law of the Kyrgyz Republic "About donorship of blood and its components", determines procedure for physical examination of the donor before giving (donation) blood and its components in the organizations of health care (OHC) performing procurement of blood and its components (further – the organizations of service of blood) which includes the following stages:

acceptance and accounting of the donor;

physical examination of the donor.

2. Blood donor and its components is the physical person aged from eighteen up to sixty years, last corresponding physical examination and the voluntary willingness which does not have contraindications for blood donation, shown to perform giving (donation) blood and its components for the medical purposes.

3. The blood donor and its components - the physical person which was voluntarily this blood and its components for the medical purposes.

4. On the frequency and frequency rate of giving (donation) of blood and its components donors are subdivided into the following categories:

Primary donors - persons who performed giving (donation) blood and its components for the first time in life.

The donors who performed donation the first time in the current year - persons who took blood test and/or its components the first time in the current year, but not for the first time. Earlier these persons already participated in donorship, but in the current year - the first time. The considered period - year.

Repeated donors - persons who took blood test and/or its components two and more time in the current year. The considered period - year, account of donations from such donors is kept since the beginning of accounting year with accumulating.

5. Giving (donation) blood and its components is subdivided into the following types and types of donorship.

1) by the form giving (donation):

blood donorship;

plasma donorship, including immune;

donorship of blood cells;

2) as giving (donation):

non-paid donors (NPD): non-paid voluntary giving (donation) and autologichny giving (donation);

donor relatives (DR);

paid donors (PD);

Non-paid voluntary giving (donation) blood and its components - giving (donation) allogenny blood and its components performed without receipt of the monetary reward, except for the guarantees, compensations and privileges represented to the donor according to Articles 11, of 12, of 13, of 14, 15 Laws of the Kyrgyz Republic "About donorship of blood and its components".

Autologichny giving (donation) blood and its components - giving (donation) blood and the components taken from one person and intended only for the subsequent autologichny transfusion to the same person.

Donor relatives - persons taking blood test and/or its components for people close to them.

Paid donors - persons taking blood test and/or its components on paid basis.

2. Procedure for acceptance and accounting of the donor

6. Acceptance of donors in the organizations of service of blood is carried out on the basis:

passports with registration - for citizens of the Kyrgyz Republic;

international passports with registration in the Kyrgyz Republic - for foreign citizens;

the military ID or the identity certificate - for the staff of law enforcement agencies;

car driver license;

lists of the organizations certified by the sign and seal of the head - for organized blood donation.

7. After sight documents, stipulated in Item 6, the questionnaire of the blood donor and its components, according to appendix 1, which he fills independently or with the assistance of the medical registrar, and information leaf according to appendix 2 is provided to the donor.

8. The medical registrar carries out reconciliation of data of the donor, with electronic databases about the donors and persons who are not subject to donorship then fills passport part of the electronic or paper donor card in which does mark about verification of information on the donor.

9. Accounting of the donor is performed according to source medical documents based on which the electronic database about donors is created.

10. After giving (donation) blood and its components, the "Certificate of the donor of the Kyrgyz Republic" approved by the head of the organization of service of blood according to appendix 3 is issued to primary donor. Date, dose, donorship type (with indication of non-paid giving or for monetary compensation) and the signature of the doctor is as a witness brought. The duplicate instead of the lost certificate of the donor is issued based on the written application of the donor.

11. After blood donation the donor is exempted from work this day and additional day of rest at the rate of the 8-hour working day which is paid for average earnings is provided to it. The reference confirming blood extraction and provision of additional day of rest for presentation on place of employment or studies (form 402/at) is issued to the donor.

After plazmadacha the donor is exempted from work this day, and after the eighth consecutive plazmadacha additional day of rest at the rate of the 8-hour working day which is paid for average earnings is provided to it. The reference confirming capture of plasma and provision of additional day of rest for presentation on place of employment or studies (form 402/at) is issued to the donor.

To the donor discharged of donorship for one of the following reasons: to data of electronic base, the questionnaire of the blood donor and its components, preliminary laboratory survey and medical examination, the certificate of inspection with indication of the spent time for provision on place of employment is issued (form 401/at).

12. If the donor does not take blood test within 2 years, maps are transferred to archive of the organization where 5 years remain. If the donor showed willingness again to give blood, the donor card is taken from archive for registration of blood donation and stored in registry.

If the donor does not visit the organization within 7 years or is struck off the register on medical contraindications, on it "The accounting card of the donor" which is subject to storage on achievement of 75 years by the donor is filled in. In case of removal of the donor from accounting in the donor card and in accounting card of the donor entry of the reason is made and the general result of shelter - plazmadach for the entire period of donorship is summed up.

13. In case of blood procurement the mobile team in the organizations, organizations, the companies, military units allows filling of accounting documentation of donors based on the lists constituted and approved by the health worker or the employee of personnel service of the organization where departure is organized.

3. Procedure for physical examination of the donor

14. Before each giving (donation) blood and its components to the donor preliminary immunohematologic blood test on anti-genes of A, B, D, Kell, determination of level of hemoglobin is conducted.

Further screening of donor blood is carried out after blood donation from test tubes - "companions" on the following indicators:

determination of blood type of the AB0 system by cross method;

determination of anti-gene of the D Rhesus factor system (in case of its absence - determination of anti-genes of C, D sl. and E Rhesus factor systems);

determination of anti-gene To at donors of eritrotsitsoderzhashchy components of blood;

determination incomplete Rhesus factor of antibodies at all blood donors;

alloantitet determination of antieritrotsitarny irregular;

research on anti-gene antibody to VICh-1, VICh-2 by IFA method;

research on superficial anti-gene of virus of hepatitis B by IFA method;

research on antibodies to hepatitis virus With the IFA method;

research on syphilis one of methods or their combination (microreaction, RPGA or IFA);

research on brucellosis by method of reaction of Heddelson.

to the donors living in regions, endemic on malaria, blood test on malaria by method of thick drop and thin dab is conducted.

Additional researches are conducted taking into account epidemiological situation in the region in coordination with the local organizations of health care and the centers of Gossanepidnadzor.

1) the Research on hemoglobin.

If the level of hemoglobin is lower than regulation, the donor is discharged of donorship for 1 month.

If hemoglobin level in case of repeated inspection in 1 month remains below regulation, the donor is discharged of donorship for 3 months and goes for inspection at the place of residence. The issue of further donorship is resolved komissionno.

2) Research of blood types of the AB0 system.

The AB0 system blood type at the donor is determined twice: from capillary blood - tsoliklonama and from blue blood - cross method (standard erythrocytes of blood types 0, And 1, In and tsoliklonam anti-And, anti-In, anti-AV) in case of each blood donation. Standard erythrocytes of A1 are prepared with caption not lower than 1:64. For refining of the hardly determined blood types it is necessary to use tsoliklona anti-А1 and Asl. (see appendix 5 to the order MZ KR from 22. 09.2015 years No. 544).

If results of recheck of blood type from test tubes - "companions" after blood donation do not match results of determination before blood donation or marking on test tube, eritrotsitny weight is rejected, plasma is used in the production purposes.

3) Research Rhesus factor accessory.

The Rhesus factor accessory is determined twice: from finger and from vein tsoliklony anti-D-super reaction of agglutination to the planes in case of each blood donation (see appendix 5 to the order MZ KR of 22.09.2015 No. 544).

All donors are examined on availability incomplete Rhesus factor antibodies by the following methods: 10% solution gelatin, or indirect breakdown of Koombs. If in blood of donors come to light Rhesus factor antibody, the eritrotsitny weight and plasma is rejected.

Determination of antieritrotsitarny irregular alloantitet 4) in serum of samples of donor blood it is given in appendix 5 to the order MZ KR from 22. 09. 2015 No. 544.

5) Fenotipirovany blood on other anti-genes it is given in appendix 4 to the order MZ KR of 22.09.2015 No. 544.

6) Researches of donor blood on infectious markers.

The laboratory research of samples of donor blood on infectious markers is obligatory: human immunodeficiency virus 1, 2 types (further - VICh-1, 2), VGV, VGS, syphilis (see appendix 5 to the order MZ KR of 22.09.2015 No. 544).

a) Concerning antibodies to VICh-1, 2.

In case of receipt of positive result on HIV the portion of blood is rejected and utilized.

The sample of this serum repeatedly is twice tested.

- In case of receipt of positive result in 2kh - holes (three positive of 3kh – statements in IFA) the sample is regarded as initially - jet (positive). In the donor card the entry "IFA Seropozitiv" is made. The sample is subject to the direction for carrying out confirmatory research and statement of the laboratory diagnosis in referens - laboratories of diagnosis of HIV – infection of RTs "AIDS" (RLDV). The donor is discharged of donorship is termless.

- In case of receipt of negative result in both holes, or in one hole doubtful or positive, and in other hole negative, the sample is regarded as uncertain (doubtful). The sample is subject to the direction for carrying out confirmatory research and statement of the laboratory diagnosis in referens - laboratories of diagnosis of HIV – infection of RTs "AIDS" (RLDV). In the donor card and in the accompanying direction the entry "Repeat in 6 Months" is made. In case of repeated appearance of the donor after this term, the admission of the donor to blood donation is performed only in case of negative control analysis result from RTs "AIDS" (RLDV).

b) Concerning markers of VGV, VGS and syphilis.

In case of obtaining in case of screening (primary) research of sample of donor blood of positive or doubtful result on VGV, VGS and syphilis, two repeated researches in the same test system (according to the instruction to test system), for reproduction of positive result or exception of technical mistake are conducted.

- In case of receipt of positive result in 2kh – holes (three positive of 3kh – statements in IFA) the sample is regarded as initially - jet (positive). In the donor card entry depending on result is made: "Positive IFA HBsAg", "positive IFA VGS" or "IFA syphilis positive". The portion of blood is rejected and utilized. The donor is discharged of donorship is termless.

- In case of receipt of negative result in both holes, or in one hole doubtful or positive (the result is higher than OP Crete.), and in other hole negative, the sample is regarded as uncertain (doubtful). The portion of blood is rejected and utilized. In the donor card and in the accompanying direction the entry "Repeat in 6 Months" is made. In case of repeated appearance of the donor after this term, the admission of the donor to blood donation is performed only in case of negative control analysis result

The list of the researched infectious markers can be expanded according to epidemiological indications the decision of authorized body in the field of health care and the centers of Gossanepidnadzor.

7) Blood test on brucellosis:

In the presence of positive reaction of Heddelson blood is rejected and utilized. In the donor card the entry "brucellosis positive" is made.

In case of the following appearance on blood donation the donor at first is examined on brucellosis. If Heddelson's reaction positive, the donor is discharged of donorship and the repeated research in 10 days is conducted.

If in 10 days repeated reaction of Heddelson positive, the donor goes to the infectiologist at the place of residence. The issue of further donorship is resolved komissionno.

8) Blood test on malaria:

In the presence of positive reaction, the portion of blood is rejected and utilized. In the donor card the entry "malaria positive" is made.

The donor is discharged of donorship is termless. Data are reported to the authorities of Gossanepidnadzor, the donor goes to the infectiologist at the place of residence.

15. Blood sampling of the donor for laboratory researches on haemo inoculable infections is carried out in day of giving (donation) of blood and its components.

16. Physical examination of the donor, branch or the admission and determination of type of giving (donation) of blood and its components are performed by the doctor-transfuziolog or the therapist of the organization of service of blood (further – the doctor).

17. Physical examination of the donor includes:

1) data analysis of preliminary laboratory researches;

2) the analysis of the questionnaire of the blood donor and its components, collection of the anamnesis and holding confidential conversation with the donor regarding detection of risk factors (information of the questionnaire can be added with the answers of donors received in the course of the interview);

3) assessment of general condition at the moment by means of holding interview and certain methods of fizikalny inspection (temperature measurement, growth and body weight, the arterial pressure, rhythm and pulse rate).

18. In case of suspicion on availability or detection of risk factors and according to clinical indications the amount of physical examination can be expanded at the discretion of the doctor performing the admission to giving (donation) blood and its components using additional methods fizikalny (survey of integuments and visible mucous, auskultation, percussion, palpation), laboratory inspection or consultation of the specialist.

19. When carrying out physical examination the doctor is guided by criteria of the admission of donors to blood donation for allogenny transfusions and regulations of indicators of laboratory researches, according to appendix 4 and criteria of permanent and temporary branch from donorship of blood and its components, according to appendices 5 and 6.

20. In case of aberration of indicators of laboratory researches the donor is taken away from giving (donation) blood and its components for a period of one month, according to appendix 4.

21. In the presence of contraindications the doctor explains to the donor the branch reason from giving (donation) blood and its components and directs the donor to consultation to other specialists in the residence or in the place of attachment.

22. The reason of branch is registered in electronic databases about the donors and persons who are not subject to blood donorship and in the donor card.

23. Before giving (donation) blood and its components the doctor-transfuziolog conducting physical examination informs the donor of information provided to the donor according to appendix 7.

24. In the absence of contraindications to donorship the doctor determines type and amount of giving (donation) of blood and its components, at the same time is guided by the following criteria:

1) the minimum intervals between the different types of giving (donations) of blood and its components determined according to appendix 8;

2) in the most admissible amounts of giving (donations) of blood and its components which make:

Standard blood donation (donation of whole blood) of 450 ml +-10%, without the blood taken for analyses (to 20 ml). Persons, with body weight less than 50 kg and below 150 cm in height are allowed to donorship in individual procedure according to the decision of the doctor-transfuziologa. The amount of donation of blood at them shall not exceed 12% of the amount of the circulating blood (ACB) which makes body weight % 6,5-7.

For plasma the maximum amount of the taken-away plasma makes no more than 600 ml and shall not exceed 16% of settlement total amount of the circulating blood.

3) requirement of the medical organizations for blood components;

4) the voluntary informed consent of the donor on giving (donation) blood and its components.

25. Additional requirements to physical examination of all regular donors (once a year).

1) fluorographic inspection of bodies of thorax;

2) electrocardiogram (for donors 40 years are more senior).

26. In addition to the inspection specified in Item 29, additional types of laboratory inspection depending on types of giving (donation) of blood and its components are established.

27. In case of each giving (donation) at the donor of plasma content of general protein in blood serum is in addition determined:

1) if the level of protein is lower than regulation, the donor repeatedly is examined within 5 days. If protein level in case of repeated inspection remains below regulation, the donor is taken away from donorship for 10 days.

2) if protein level in case of repeated inspection in 10 days is lower than regulation, the donor is discharged of donorship and goes for inspection at the place of residence. The issue of further donorship is resolved komissionno.

28. Before each giving (donation) at the donor of platelets the level of platelets is in addition determined.

29. Control laboratory researches at the repeated donor of plasma and blood cells in the course of repeated dachas (donations) of plasma and blood cells are conducted at least 1 time in 3 months, at the blood donor at least once a year and include:

1) composition of peripheral blood (hemoglobin (gematokrit), erythrocytes, leukocytes, platelets, speed of subsidence of erythrocytes and leykotsitarny formula);

2) general protein and proteinaceous fractions.

Besides, for repeated donors the general analysis of urine is carried out once a year.

30. If procurement of components of blood with use of automatic separators is supposed, at the donor time of fibrillation or AChVT is in addition determined.

Appendix 1

to Rules of physical examination of the donor before giving (donation) blood and its components

Standard questionnaire of the donor

Full name донора_______________________________________________________

Age (complete number of years) _________________________ Paul _____________

Address: (registration, place of the actual accommodation) ______________________

____________________________________________________________________

No. of payment order

Questions

Answers

1. General state of health and epidemiological environment


1.

Whether good you have general health?


2.

Whether you had a rest tonight?


3.

Whether removal of teeth was made for the last 14 days?


4.

Whether took alcohol in the last 48 hours?


5.

Whether were carried out to you for the last 12 months of inoculation? If "yes", then specify what:


6.

Whether you asked for medical care in the last 6 months?


7.

To you poured for the last the 6th month (reasonablly if the minimum term of quarantine storage of plasma is also 4 months) donor blood or its components?


8.

To you performed surgeries for the last 6 months (including cosmetology?)


9.

Whether you for the last 2 weeks accepted medicines, including aspirin or antibiotics, and also growth hormones?


10.

Whether did you for the last the 6th month intravenous or intramuscular injections?


11.

Whether did you for the last 6 months acupuncture, tattoos, piercing?


12.

Whether you had cases of unmotivated rise in temperature, loss of weight, faints, night sweats?


13.

Whether you had malaria, tuberculosis, brucellosis, syphilis?


14.

Whether your work or hobby with danger to the life or people around is connected (vehicle control, stay in high-rise or underwater conditions, work with power supply networks under high tension and so on)?


15.

You are informed of information on AIDS (HIV infection) and viral hepatitises?


16.

Whether you did drugs intravenously?


2. Whether you had ever serious diseases, such as:


17.

Heart trouble, high or low arterial pressure?


18.

Heavy allergy, bronchial asthma?


19.

Spasms or diseases of nervous system?


20.

Chronic diseases, such, how, diabetes or oncological diseases?


3. Whether were at you:


21.

Departure abroad for the last 3 years? Call the country.


22.

Whether you sometime took blood test as the donor?


23.

Whether there were branches from giving blood?


4. In addition for women:


24.

Whether you are pregnant now and whether there was pregnancy for the last 6 months?


25.

Whether you nurse?


26.

Term of the last periods? (specify date)


I correctly answered all questions of the questionnaire and I am fully aware of the importance of this information for my health and health of the patient to which the transfusion (transfusion) of the components and medicines received from the blood test (plasma) taken by me will be made.

I confirm that I give blood or its components voluntarily, without coercion and my blood or its components can be used for the medical purposes.

I agree to the fact that my blood will be surveyed on HIV, syphilis, hepatitises B and C and other infections.

I understand that laboratory researches of my blood are conducted only for the purpose of safety of patients.

I am informed that for concealment of data on availability at me of HIV infection, viral hepatitises, venereal diseases, I am subject to criminal liability ( article 117-118 UK KR of 1997).

Date _______________

Signature ____________

Appendix 2

to Rules of physical examination of the donor before giving (donation) blood and its components

Information leaf

Dear donor!

In case of satisfactory condition of your health the blood test taken by you can help and even to save life the patient needing blood transfusion. Though all blood is exposed in the Center of blood to the most strict inspection to exclude availability of viruses, however, some of them, such as HIV or virus of hepatitis, it is not always possible to find in early stage of infection. If you were exposed to risk of infection, then your blood can be disease carrier and do harm to patients to whom it will be poured. Therefore it is very important to read attentively information and to answer frankly questions of the offered questionnaire, and to answer also most truthfully questions of the doctor who will have talk with you. You can be sure that all information provided by you belongs to the category of confidential and is used only for the purpose of safety of blood transfusion. Results of inspection of your blood will be reported only to you in case of presentation of the identity document. In case of positive analysis result on virus availability, information is transferred also to the relevant medical organizations of the city. Perhaps, you will be invited to further inspection that is extremely important for your health.

Dear donor!

If your desire is inspection on AIDS, address to the Center for fight and prevention AIDS or to the district doctor, but do not take donor blood test. At any stage you can report to personnel about the desire to refuse giving blood or that your blood cannot be used for transfusion to the patient.

Duration of the procedure of registration and implementation of giving blood averages 30 minutes. Before giving blood will offer you tea with cookies.

At all stages of preliminary survey and blood sampling disposable consumable materials are used.

We thank you for your readiness to take blood test for the people needing it!

 

Recommendations to the donor after giving blood:

No. of payment order

What should be done upon termination of giving blood

What should not be done after giving blood

1.

After removal of needle from vein and imposing of bandage it is necessary to bend hand in elbow and to keep it in the bent provision of 5-10 minutes

It is not necessary to smoke and take alcoholic beverages within 2 hours

2.

Plentiful drink and rest of at least 10 minutes in the center of blood, and also the use of bigger amount of liquid, than usually, within the next few 24 hours after giving blood is recommended

It is not necessary to be engaged in the activities requiring considerable physical efforts within 8 hours

3.

In case of feeling sick immediately to report about it to any of health workers of the center of blood, do not leave the center of blood without the permission of medical personnel

It is not necessary to lift weights and to make the actions connected with physical activity by hand from which blood sampling, within 12 hours was made

 

Appendix 3

to Rules of physical examination of the donor before giving (donation) blood and its components

Form

Certificate of the donor of the Kyrgyz Republic

Face

1. Surname ____________________
2. Name, middle name ____________________

The place for stamp
with mark of group and Rhesus factor - accessories


___________________________

(signature of the donor)

___________________________

Really in case of presentation of the passport

Signature of the director of the Central Committee ______________________

Back

Mark about giving blood

Date

Dose

Giving blood

The organization which took blood

Signature of the doctor

Gratuitously

Personnel







 

Appendix 4

to Rules of physical examination of the donor before giving (donation) blood and to its components

Regulations of indicators of laboratory researches

No. of payment order

Indicators

Limits of fluctuations

Research methods *

1.

Hemoglobin

Men at least 130 grams/litre (further – g/l),

Women - at least 120 g/l

Colorimetric methods, automatic analyzers

2.

Gematokrit

Men - 0,40-0,48

Women - 0,36-0,42

Centrifugal methods

3.

Quantity of erythrocytes

Men - 4,0-5,5 h1012/litre

Women - (3,7-4,7) h1012/litre

Calculation in the automatic counter or Goryaev's camera

4.

SOE

Men no more than 10 millimeters an hour (further - mm/hour)

Women no more than 15 mm/hour

Panchenkov's micromethod, automatic analyzers

5.

Quantity of platelets

At least 180Õ320Õ109/litre

Calculation in Goryaev's camera, calculation in the painted blood dab, calculation in the automatic counter

6.

Quantity of leukocytes

4,0 – 9, 0 x 109/litre

Calculation in the automatic counter or in Goryaev's camera

7.

Retikulotsita

2-10%

Calculation in the painted dab, automatic hematologic analyzers

8.

General protein of serum of blood

At least 65 g/l

Biuretovy method

9.

Proteinaceous fractions of serum of blood:

% 53,9-62,1 albumine

% 46,1 37,9-globulins:

a1 – globulins - % 2,7-5,1

a2 – globulins - % 7,4-10,2

b – globulins - % 11,7-15,3

g – globulins - % 15,6-21,4

Elektroforetichesky method

10

Bleeding time

2-5 minutes

Dyyuk's method

11

Fibrillation time

5-10 minutes

Li-Whyte's method

Note: When using other techniques of carrying out kliniko-biochemical researches of samples of blood of donors of regulation of indicators are specified in the instructions corresponding to the used techniques.

Appendix 5

to Rules of physical examination of the donor before giving (donation) blood and its components

Criteria of permanent branch from donorship of blood and its components (absolute contraindications to donorship)

Condition or disease, and also diagnostic and medical procedures

Criteria

Infectious diseases

AIDS and Carriage of VICh-1/2-infektsii, virus of the T-cellular leukosis of the person of I/II, viruses of hepatitis B and C, positive result on the researches HbsAg and antibodies to hepatitis C virus, syphilis, tuberculosis, brucellosis, sypny typhus, tulyaremiya, leprosy.

Parasitic

Echinococcosis, alveokokkoz, toxoplasmosis, tripanosomoz, filyartioz, Risht's disease, leyshmanioz, malaria.

Somatic diseases

Malignant new growths, blood diseases, organic diseases of TsNS, total absence of hearing and speech, total absence of sight, mental diseases, drug addiction, alcoholism, epilepsy.

Cardiovascular diseases

The hypertension of II-III stage, coronary heart trouble, the atherosclerosis, atherosclerotic cardiosclerosis, endocarditis, myocarditis, heart diseases obliterating endarteriit.

Persons who in the anamnesis have heart diseases, especially diseases of coronary arteries, stenocardia, heavy violations of warm rhythm, tserebrovaskulyarny violations, thrombembolia of arteries or recidivous venous thrombosis (see also Hypertensia).

Diseases of respiratory organs

Bronchial asthma, emphysema of lungs, obstructive bronchitis, diffusion pneumosclerosis in decompensation stage.

Diseases of digestive organs

Stomach ulcer of stomach and duodenum, anatsidny gastritis, chronic diseases of liver, kalkulezny cholecystitis, holangit, cirrhosis.

Diseases of kidneys and urinary tract

Diffusion and focal damages of kidneys, urolithic disease.

Radiation sickness

Persons who received radiation.

Diseases of endocrine system

In case of the expressed violation of functions and metabolism.

Diabetes – if the donor receives insulin.

Diseases of LOR - bodies

Empiyema of additional bosoms of nose, antritis, ozen.

Eye diseases

Parenchymatous keratit, trachoma, high miopiya (6 dioptries and more), the residual phenomena of uveit (Irit, iridotsiklit, horioretinit).

Skin diseases

Widespread diseases of skin of inflammatory and infectious nature. Generalized psoriasis, eritrodermiya, eczema. Sikoz, system red wolf cub, bubbly dermatosis, vitiligo, fungal damages of skin (trichophytia, epidermofitiya, favus, microsporia), pustulous diseases of skin (piodermiya, furunkulez).

Osteomyelitis

Sharp, chronic.

Surgeries

Resection and removals of bodies (stomach, kidney, gall bladder, ovary, uterus, eyes, parts of body).

Organ and tissue transplantation.

Oncological diseases / malignant new growths

Persons who have malignant new growth or which transferred oncological disease in the past. In certain cases the doctor responsible for the admission of donors to blood donation, can make exception of this rule.

Kreyttsfelda-Jacob's disease

All persons who ever received treatment by extracts or extracts from human hypophysis, person which they replaced firm brain cover or cornea, and also faces at which the family anamnesis specifies the increased risk of disease of Kreyttsfelda-Jacob or other inoculable spongy encephalopathy.

Note: The family anamnesis of BKYa specifies the increased risk of BKYa at the potential donor, except for the following cases: (a) at the sick family member the BKYa alternative form (in BKYa), but not BKYa; (b) the sick family member has no genetic relationship with the potential donor; (c) the patient - the family member was infected with BKYa in the yatrogenny way; (d) the potential donor was examined on polymorphism of the gene coding protein of PrPc, and the analysis did not reveal aberrations.

Medicines

Any use of drugs in the injection way.

Persons belonging to risk group

The addicts, prostitutes, homosexuals exempted faces from detention centers.

Health workers

Having contact with blood by the nature of activities.

Ksenotransplantation

All recipients.

 

Appendix 6

to Rules of physical examination of the donor before giving (donation) blood and its components

Criteria of temporary branch from donorship of blood and its components (relative contraindications)

Name

Branch term

1.

Factors of infection with haemo inoculable diseases:

1.1.

Transfusion of blood and its components

6 months

1.2.

Transactions (including abortion)

6 months

1.3.

Drawing tattoo, piercing, acupuncture

6 months

1.4.

Stay in foreign business trip lasting more than 2 months

6 months

1.5.

Stay in the countries of tropical and subtropical climate, endemic on malaria (Africa, Asia, South and Central America) more than 3 months

3 years

1.6.

Contact with sick hepatitises A, E

3 months

1.7.

Contact with sick hepatitises B, C

6 months

2.

The postponed diseases:

2.1.

Typhoid after recovery and complete clinical inspection in the absence of the expressed functional frustration

1 year

2.2.

Quinsy, flu, SARS

1 month after recovery

2.3.

Other infectious diseases

6 months after recovery

2.4.

Extraction of tooth

10 days

2.5.

Sharp and chronic inflammatory processes in aggravation stage, irrespective of their localization

1 month after knocking over of the sharp period

2.6.

Allergic diseases in aggravation stage

1 month after removal of aggravation

3.

Pregnancy period

1 year after the delivery

4.

Lactation period

3 months after the termination of lactation, but not earlier than in 1 year after the delivery

5.

Periods period

5 days after the termination

6.

Inoculations:

6.1.

Inoculation the killed vaccines (hepatitis B, tetanus, diphtheria, whooping cough, typhus, paratyphus, cholera, flu) and anatoksina

10 days

6.2.

Inoculation live vaccines (brucellosis, plague, smallpox, rubella, tulyaremiya, poliomyelitis, vaccine BTsZh), introduction of antitetanic serum (in the absence of the expressed inflammatory phenomena on the place of injection)

1 month

6.4.

Rage inoculation

1 year

7.

Acceptance of medicines:

7.1.

Antibiotics

2 weeks after the end of acceptance

7.2.

Analgetiki, salycylates

3 days after the end of acceptance

8.

Alcohol intake

2 days

Note: In the presence at the donor of the diseases which did not enter this list, the issue of donorship is resolved by the doctor-transfuziologom, if necessary - after consultation with the specialist of the corresponding profile.

 

Appendix 7

to Rules of physical examination of the donor before giving (donation) blood and its components

Information provided to the donor

Before giving (donation) blood and its components the donor is informed on the following questions:

1. About the procedure of giving (donation) of blood and its components, and also need of use of components of blood for treatment of patients.

2. About the purposes of laboratory inspection of donors, importance of receipt of reliable data of the anamnesis, and also the importance of the voluntary informed consent on giving (donation) blood and its components.

3. About the possible temporary collateral reactions connected with giving (donation) blood and its components.

4. About the right of the donor to refuse giving (donation) blood and its components prior to procedure or at any time the procedure of giving (donation) that will not entail any negative consequences for the donor.

5. About guarantee of confidentiality of personal data of the donor and his right to be informed about results of inspection.

6. That detection of antibodies to HIV of 1,2 and markers to viral hepatitises B and C and other transfusion infections will lead to permanent discharge from donorship, to destruction of the prepared blood and its components and obligatory transfer of this information in the relevant organizations of health care.

7. About need of restriction of the physical and psychoemotional activities connected with dangerous types of activity within 24 hours after giving (donation) blood and its components.

8. About the infections which are transmitted with blood and its components.

9. About clinical signs of HIV infection and ways of its transfer.

Appendix 8

to Rules of physical examination of the donor before giving (donation) blood and its components

Minimum intervals between different types of giving (donations) of blood and its components

No. of payment order

Initial procedure

Subsequent procedure

Giving (donation) whole blood

Plasma exchange single

Plasma exchange double or hardware plasma exchange

Trombotsitaferez

1.

Giving (donation) whole blood

60 days

30 days

30 days

30 days

2.

Plasma exchange single

7 days

7 days

7 days

7 days

3.

Plasma exchange double or hardware plasma exchange

14 days

14 days

14 days

14 days

4.

Trombotsitaferez

14 days

14 days

14 days

14 days

Note:

For donors of plasma (including immune) - procurement of plasma shall not exceed 10 liters a year taking into account anticoagulant. After each 10 consecutive dachas (donations) of plasma or platelets rest for one month is provided to the donor.

The interval between procedures in exceptional circumstances (in the absence of the donor with necessary blood type) can be reduced at the discretion of the doctor conducting physical examination of the donor.

The procedure of plasma exchange with unfortunate return of erythrocytes to the donor on intervals between different types of dachas (donations) of blood and its components is equated to giving (donation) whole blood.

Blood procurement by small doses is carried out not more often than 3 times a week in volume of 10-30 milliliters of whole blood.

The maximum frequency of giving (donation) of blood for donors of men - 5 standard doses a year, for donors of women - 4 standard doses a year.

Appendix 2

to the Order of the Ministry of Health of the Kyrgyz Republic of September 22, 2015 No. 544

Nomenclature of blood, its components and medicines of blood

No. of payment order

Name

1. Blood

1

Blood integral

2

Blood integral leykofiltrovanny

3

Blood integral leykofiltrovanny, for exchange transfusion

5

Blood integral leykofiltrovanny, with reduced amount of plasma, for exchange transfusion

2. Blood components

6

Eritrotsitny weight

7

Eritrotsitny weight with remote leykotrombotsitny layer

8

Eritrotsitny weight leykofiltrovanny

9

Eritrotsitny weight with remote leykotrombotsitarny layer for transfusion by the newborn and to babies (small amounts)

10

Eritrotsitny weight with remote leykotrombotsitarny layer for transfusion by the newborn and to babies (small amounts) in additional solution

11

Eritrotsitny weight leykofiltrovanny for transfusion by the newborn and to babies (small amounts)

12

Eritrotsitny weight leykofiltrovanny for transfusion by the newborn and to babies (small amounts), in additional solution

13

Eritrotsitny suspension

14

Eritrotsitny suspension with remote leykotrombotsitny layer

15

Eritrotsitny suspension leykofiltrovanny

16

The erythrocytes washed

17

Erythrocytes the washed leykofiltrovanny

18

The erythrocytes washed in additional solution

19

The erythrocytes washed leykofiltrovanny in additional solution

20

The plasma refrigerated

21

Plasma freshly frozen

22

Plasma freshly frozen karantinizirovanny

23

Plasma freshly frozen leykofiltrovanny

24

Plasma freshly frozen leykofiltrovanny, karantinizirovanny

25

Plasma freshly frozen aferezny

26

Plasma freshly frozen aferezny, karantinizirovanny

27

Plasma freshly frozen aferezny, leykofiltrovanny

28

Plasma freshly frozen aferezny, leykofiltrovanny, karantinizirovanny

29

Plasma freshly frozen immune

30

Plasma freshly frozen aferezny, immune

31

Plasma freshly frozen aferezny, immune, karantinizirovanny

32

Plasma freshly frozen aferezny, immune, leykofiltrovanny

33

Plasma freshly frozen aferezny, immune, leykofiltrovanny, karantinizirovanny

34

Kriopretsipitat

35

Kriopretsipitat leykofiltrovanny

36

The platelets recovered from dose of whole blood

37

The platelets recovered from dose of whole blood leykofiltrovanny

38

The platelets recovered, pulirovanny

39

The platelets recovered, pulirovanny, leykofiltrovanny

40

Platelets aferezny

41

Platelets are aferezny leykofiltrovanny

3. Blood medicines

42

Solution of albumine of 5%

43

Solution of albumine of 10%

44

Solution of albumine of 20%

45

Immunoglobulin of the person normal liquid

46

Immunoglobulin anti-staphylococcal liquid

47

Immunoglobulin anti-Rhesus factor

 

Appendix 3

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