Page 7 - Protokol Penyiapan Plasma Konvalesen

DAFTAR ISI

SAMBUTAN .................................................................................................................................... i
KATA PENGANTAR ..................................................................................................................... iii
TIM PENYUSUN ............................................................................................................................ iv
DAFTAR ISI ................................................................................................................................... v
BAB I PENDAHULUAN ............................................................................................................ 1
A. Latar Belakang ............................................................................................................. 1
B. Persyaratan .................................................................................................................. 1
C. Bagan Alur Penyiapan Plasma Konvalesen Untuk Terapi COVID-19 ........................... 3
D. Kemungkinan Risiko Serta Ketidaknyamanan Pada Donor ........................................... 5
E. Kerahasiaan .................................................................................................................. 5
F. Pembiayaan ................................................................................................................... 5
G. Partisipasi Dan Penolakan Donor .................................................................................. 5
H. Regulasi........................................................................................................................ 5

BAB II REKRUTMEN CALON DONOR PLASMA KONVALESEN ..................................... 6
A. Alur Rekruitment Donor Untuk Pemeriksaan Plasma Konvalesen Untuk
Terapi COVID-19 ......................................................................................................... 6
B. SPO Rekrutmen Calon Donor Plasma Konvalesen Untuk Terapi COVID-19 ............... 8
C. Formulir Penilaian Calon Donor Plasma Konvalesen .................................................... 13
D. Formulir Informed Consent untuk Donor Plasma Konvalesen ....................................... 15

BAB III SELEKSI DONOR PLASMA KONVALESEN ............................................................. 18

A. SPO Seleksi Calon Donor Plasma Konvelesen Untuk Terapi COVID-19 ...................... 18
B. Formulir Kuisioner dan Informed Consent Donor ........................................................ 25
C. Formulir Skrining COVID-19 untuk Pendonor Darah ................................................... 26
D. Formulir Pengiriman Sampel Plasma Konvalesen ......................................................... 27
E. IK Pemeriksaan Kesehatan ............................................................................................ 28
F. IK Pemeriksaan Golongan Darah ABO dan Rhesus Metode Paper Slide ....................... 31
G. IK Pemeriksaan IMLTD CHLIA 4 Parameter (HIV,HCV,HBV, dan Sifilis) dan
CHLIA IgG Sars Cov 2 Dengan Abbot Architect i2000 ................................................ 34
H. IK Pemeriksaan NAT Dengan Panther System.............................................................. 38
I. IK Pemeriksaan Konfirmasi dan Skrining Antibodi Golongan Darah Donor ................... 45
J. IK Pemeriksaan Hematologi Pra Donasi Plasma Konvalesen ......................................... 51

BAB IV PENGAMBILAN DARAH PLASMAFERESIS ............................................................ 57
A. SPO Pengambilan Plasma Konvalesen Metode Aferesis Untuk Terapi COVID-19 ....... 57
B. SPO Pengambilan Darah Aferesis ................................................................................. 63
C. IK Mesin Aferesis Trima Accel..................................................................................... 74
D. IK Mesin Aferesis Haemonetics.................................................................................... 87
E. IK Mesin Aferesis Amicore ........................................................................................... 97
F. IK Mesin Aferesis Com.tec ........................................................................................... 108
G. Pengambilan Darah Aferesis Gagal ............................................................................... 115
H. Formulir Kuesioner dan Informed Consent Donor di UDD ........................................... 118
I. Check List Peralatan Pengambilan Darah Aferesis ......................................................... 119

v