Current through Register Vol. 24-24, December 15, 2024
A milk bank must screen a milk donor consistent with the
requirements of this section in order to register with the department.
(1) A milk bank must screen a milk donor
prior to their first milk donation including, but not limited to:
(a) A donor must be screened verbally or in
writing and provided educational materials. Screenings must be conducted in the
language in which the donor is most comfortable communicating whenever
possible. Educational materials provided to milk donors must also be written in
the language of the milk donor's choice.
(b) A milk bank must serologically screen a
potential milk donor for human immunodeficiency virus (HIV)-1 and -2, human
T-lymphotropic virus (HTLV)-1 and -2, hepatitis C, hepatitis B, and
syphilis.
(c) As part of the
screening process, a milk bank must instruct a milk donor about situations in
which they must temporarily or permanently discontinue donation and report such
situations to the milk bank.
(2) A milk bank must prohibit a milk donor
from donating milk temporarily or permanently if any of the following
situations apply. The milk donor:
(a) Consumes
any product that contains tobacco or nicotine within 30 days of milk
donation;
(b) Consumes any product
that contains cannabis or cannabidiol (CBD) at any time if they wish to donate
milk;
(c) Consumes recreational
drugs at any time if they wish to donate milk;
(d) Is at risk of developing
Creutzfeldt-Jakob disease (CJD) or must defer travel related to CJD risk. A
person who is at risk of developing CJD is not eligible to donate milk under
this chapter;
(e) Receives a
positive serological test result for HIV-1 or -2, HTLV-1 or -2, hepatitis B or
C, or syphilis. The milk donor may donate milk after receiving a negative
serological test for any of these viruses;
(f) Uses medications which are determined by
a medical advisory council or a medical director qualified in pharmacology to
be contra-indicated during lactation;
(g) Has received a blood transfusion within
the last 90 days;
(h) Is at risk for
contracting a bloodborne illness;
(i) Has undergone any procedure within the
last six months using nonsterile needles, equipment, or dyes (e.g., piercings,
tattoos, acupuncture, permanent makeup, microblading, or
microneedling);
(j) Has undergone
an organ or tissue transplant within the past 90 days. If the donor is
receiving immunosuppressive therapy, a medical advisory board or medical
director must determine if the donor is eligible to donate milk;
(k) Practices a vegan diet and does not
supplement their diet with vitamin B-12 (cobalamin);
(l) Has consumed one unit of alcohol within
six hours (360 minutes) of milk expression for donation. If a milk donor has
consumed two units of alcohol, then the donor must wait a total of 12 hours
(720 minutes) prior to milk expression for donation. Daily alcohol intake may
require permanent suspension of milk donation to ensure donor milk
safety.
(3) A milk bank
must communicate with each milk donor at least every two months during the
donation period to update changes in the donor's health, medical status,
medications, tobacco use, and recreational drug use.
(4) All information pertaining to donor
screening, including written and verbal communication with donors, comply with
the Washington state's Uniform Health Care Information Act (chapter 70.02 RCW)
and applicable federal health care information privacy laws.
