Blood donation and iron levels

Nurses General Nursing

Published

I was at a blood drive yesterday, going through health history, and the time came for the dreaded finger prick iron test. I have iron deficiency anemia (self-induced: I am a vegetarian and don't always eat enough tofu/legumes/spinach/ferrous sulfate supplements/etc) and have been unable to donate a couple of times before due to low iron levels. The collection specialist pricked my finger and the result was 12.2 (I'm assuming this is Hgb - is that correct?). Apparently, the cutoff is 12.5 and so I "failed." The collection specialist asked me if I wanted to try the other hand, stating that the result might be different. I was puzzled, but I agreed to it. He left the room and a different person came in, and she told me to start rubbing my hands together as fast and as hard as I could. She pricked a finger on my other hand, and sure enough, the result was 13.7. I was able to donate a pint (and did so in record time! 5 min 43 sec!), but I'm confused about what test was done, why it was so different on my other hand, and how the increased circulation after rubbing my hands together might have affected the result. Thanks to anyone who can clear this up for me!:idea:

_Erin

I don't think I would want to donate my blood to someone when I'm anemic. I can see how you were caught up in the moment. An email would not be a bad idea. At least you are now aware not to do this in the future.

I ask my tough draws to wash their hands with soap and warm water before a finger stick if at all possible. Dilated peripheral veinules/ capillaries make for quicker, less painful sticks.

Specializes in Post Anesthesia.

You are already only marginaly meeting your own O2 carrying needs with iron/hGb- why in the world are you donating your blood? There are hundreds of ways you can be of service to others if you want to "give back". Giving blood is a silly way of giving to others if you aren't a good candidate. Please for your own sake and the sake of the patients you are caring for- don't become anemic just so you can say you "did your part" An anemic nurse isn't getting the O2 to her/his brain that they need to make good decisions or have the energy to keep up with the demands of good patient care!

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