If the donor does not recover in a short time, call for medical aid.
Cardiac or respiratory difficulties.
(a) Call for medical aid and/or an emergency care unit immediately.
(b) If the donor is in cardiac arrest, begin CPR immediately and
continue until medical aid and/or an emergency care unit arrives.
The nature and treatment of all reactions should be recorded on the donor's
record or a special incident form. This should include a notation as to
whether the donor should be accepted or rejected as a donor in the future.
c. Emergency Supplies. Supplies and drugs selected by the medical director
should be readily available. A suggested list is given below. Some of these should be
at the donor bleeding station. Others may not be necessary if the hospital emergency
room or similar facility is nearby.
Oropharyngeal airway, plastic or hard rubber.
Oxygen and mask.
Administration sets for:
(a) Intravenous fluids.
Needle, sterile, both 20-gauge 2-inch and 25-gauge 3/4-inch.
Sodium chloride injection USP (normal saline).
Hypodermic syringes, sterile, 1 or 2 ml.
Emesis basin or equivalent.
(9) Emergency drugs. Drugs are seldom required to treat a donor who has
had a reaction. If the medical director wishes to have such drugs available, the kind
and amount to be kept on hand must be specified in writing. Suggested drug
classifications for consideration are: vasopressors, cardiac stimulants, coronary
vasodilators, anticonvulsants, sedatives, bronchodilators, and antiemetics.
(10) A tray of sterile instruments and materials for treatment of minor
lacerations, and so forth, may be useful, especially if the bleeding facility is not in a hospital.