The overall responsibility for applying the policies for the selection and care of tissue donors lies with the tissue bank designated clinician, who must have relevant clinical experience and will be familiar with the various legal statutes and relevant documents which apply to tissue banking (see Chapter 19). The tissue bank designated clinician must consult with relevant specialist advisors as appropriate.
The designated clinician will rely on procedures and documentation that enable the appropriate medical and behavioural history to be acquired, to prevent microbial infection and transmission of disease (including malignant or neurodegenerative disease) to the recipient. Decisions on donor assessment should be consistent with JPAC Donor Selection Guidelines.1
Tissues must be procured, transported, processed, stored and distributed according to the requirements stated in these guidelines (the Red Book).
Procedures must be in place to document a complete audit trail from donor to recipient. Tissue banks must ensure that tissues can be traced from the donor to the point of issue. It is the responsibility of the hospital to document the fate of the tissue from its receipt to its use or discard. This will ensure that the audit trail can be followed in both directions. Clinicians caring for the recipients of tissues associated with risks identified following the issue of tissue must be informed where pertinent. Mechanisms should be in place to ensure that confidentiality is maximised.
UK Blood Transfusion Services tissue banks may collect tissues from donors referred to them by a third party such as a donor transplant coordinator or another tissue bank and may also refer donors to other tissue banking agencies such as a cornea or research bank. Whenever information regarding donor medical and behavioural history and/or consent for donation is obtained by, or on behalf of, a third party this must be subject to a written agreement between the parties involved. The agreement must specify what information is required regarding the medical and behavioural history of the donor and consent for donation, the standards for obtaining this information and the responsibilities of both parties in ensuring that the information is accurate and properly documented. The information should, as a minimum, be provided in accordance with the guidance in this document and the current JPAC Donor Selection Guidelines.1 It is the responsibility of the designated clinician to determine the bank’s policy for the referral of donors.