189 Something we must be proud of: team improvisation II. Case description: Presentation of the background, challenges, and crisis elements Interview respondents shared the background of the project as follows: On March 16, 2020, the Netherlands had just entered lockdown when one of the project leaders of the group and Sanquin’s management decided that a CCP group must be immediately formed comprising of a representative from every department of the Blood Bank. Table 5.2 Examples of challenges and improvised solutions Step in donation process Examples of challenges Improvised solutions Donor recruitment To obtain more donors for CCP, the PCR requirement was waived, and the public was asked to donate if they had recovered from any symptoms of the virus infection so that Sanquin could test them for antibody levels. Due to this announcement, there was a waiting list of 10,000 eager participants, which obstructed the system and delayed getting the right CCP donors to donate because there was no space for them. New project manager initiated the creation of a digital intake form which the donor could fill out themselves and schedule their own appointment. Donor eligibility and identification – Identifying eligible donors. – Whether female donors would be accepted due to the risk of transfusion-related acute lung injury (TRALI) from human leukocyte antigens (HLA) antibodies from pregnancies. – Partnering with the local municipality for evidence of proven PCR tests (although it was “a lot of administration and frustration”); asking cured hospital employees to donate. – Using social media platforms, state-specific criteria or use specific criteria to screen eligible persons. – Female donors would only donate plasma for fractionation.
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