BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND TRANSFUSI
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ON PRACTICES 4TH EDITION
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PaulamR.mHoward
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issue
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s in the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4t
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h Edition
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MULTIPLEmCHOICE
1. WhichmofmthemfollowingmagenciesmadministersmthemClinicalmLaboratorymImproveme
ntmAmendments?
a. AABB
b. CentersmformMedicaremandmMedicaidmServices
c. OSHA
d. FoodmandmDrugmAdministration
ANS:m B
ThemCentersmformMedicaremandmMedicaidmServicesmadministersmCLIA,mMedicare,mMedicaid,man
dmHIPAA.
DIF: Levelm1 REF:m m p.m3
2. Amlaboratorymtechnologistmdecidedmshemwouldmlikemtombringmhermlabmcoatmhomemformlaunderi
ngmbecausemitmhadmtoommanymwrinklesmwhenmreturnedmbymthemlaboratory’smlaundrymservice.m
Ismthismpracticemacceptable?
a. Yes,mifmshemusesm10%mbleach
b. Yes,mifmshemclearsmitmwithmhermsupervisor
c. Yes,masmlongmasmshemremovesmthemcoatmandmdoesmnotmwearmitmhome
d. No,mbecausemthemlaboratorymismambiosafetymlevelm2,mandmlabmcoatsmmaymnotm
bemremoved
ANS:m D
Methodsmofmtransportingmthemlabmcoatmandmthemriskmofmcontaminationmdomnotmpermitmhealthmcar
emworkersmtombringmlabmcoatsmhomemformcleaning.
DIF: Levelm2 REF:m m p.m14
3. Personalmprotectivemequipmentmincludes:
a. safetymglasses.
b. splashmbarriers.
c. masks.
d. Allmofmthemabove
ANS:m D
Safetymglasses,msplashmbarriers,mandmmasksmaremtypesmofmpersonalmprotectivemdevices.
DIF: Levelm1 REF:m m p.m14
4. Atmwhatmpointminmthememploymentmprocessmshouldmsafetymtrainingmtakemplace?
a. Duringmorientationmandmtraining
b. Followingmlabmtrainingmwhenmemployeesmaremmoremfamiliarmwithmthe
irmresponsibilities
, c. Followingmthememployees’mfirstmevaluation
d. Beforemindependentmworkmismpermittedmandmannuallymthereafter
ANS:m D
ThemOccupationmSafetymandmHealthmAdministrationmrequiresmsafetymtrainingmbeforemindependen
tmworkmismpermittedmandmannuallymthereafter.
DIF: Levelm1 REF:m m p.m17
5. Inmsafetymtraining,memployeesmmustmbecomemfamiliarmwithmallmofmthemfollowingm except:
a. tasksmthatmhavemanminfectiousmrisk.
b. limitsmofmprotectivemclothingmandmequipment.
c. themappropriatemactionmtomtakemifmexposuremoccurs.
d. howmtomperformmcardiopulmonarymresuscitationmonmamdonormormothermemployee.
ANS:m D
ThemOccupationalmSafetymandmHealthmAdministrationmrequirementsmincludemallmofmthosemlisted
mexceptmcardiopulmonarymresuscitation.
DIF: Levelm1 REF:m m p.m13
6. Bloodmirradiatorsmrequiremallmofmthemfollowingmsafetymproceduresmexcept:
a. propermtraining.
b. thatmthemusermhavemamdegreeminmradiology.
c. equipmentmleakmdetection.
d. personalmprotectivemequipment.
ANS:m B
Bloodmbankmandmtransfusionmservicemtechnologistsmrequiremtrainingmbutmnotmamdegreemtomusemam
bloodmirradiator.
DIF: Levelm2 REF:m m p.m16
7. Whichmofmthemfollowingmismtruemregardingmgoodmmanufacturingmpracticesm(GMPs)?
a. GMPsmaremlegalmrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
b. GMPsmaremoptionalmguidelinesmwrittenmbymthemAABB.
c. GMPsmaremrequiredmonlymbympharmaceuticalmcompanies.
d. GMPsmarempartmofmthemqualitymcontrolmrequirementsmformbloodmproducts.
ANS:m A
GoodmmanufacturingmpracticesmaremrequirementsmestablishedmbymthemFoodmandmDrugmAdminist
ration.
DIF: Levelm1 REF:m m p.m5
8. Whichmofmthemfollowingmismanmexamplemofmanmunacceptablemrecord-keepingmprocedure?
a. Usingmdittosminmcolumnsmtomsavemtime
b. Recordingmthemdatemandminitialsmnextmtomamcorrection
c. Notmdeletingmthemoriginalmentrymwhenmmakingmamcorrection
d. Alwaysmusingmpermanentminkmonmallmrecords
ANS:m A
Allmrecordsmmustmbemclearlymwritten.mDittosmaremunacceptable.
, DIF: Levelm1 REF:m m p.m7
9. Amtechnologistminmtrainingmnoticedmthatmthempersonmtrainingmhermhadmnotmrecordedmthemresultsmo
fmamtest.mTombemhelpful,mshemcarefullymrecordedmthemresultsmshemsawmatmamlatermtime,musingmthemt
echnologist’sminitials.mIsmthismanmacceptablemprocedure?
a. Yes;mallmresultsmmustmbemrecordedmregardlessmofmwhomdidmthemtest.
b. No;mshemshouldmhavembroughtmthemerrormtomthemtechnologist’smattention.
c. Yes;mbecausemshemusedmthemothermtechnologist’sminitials.
d. Yes;masmlongmasmshemrecordsmthemresultminmpencil.
ANS:m B
Thismismanmexamplemofmpoormrecordmkeeping;mresultsmmustmbemrecordedmwhenmthemtestmismperfo
rmedmandmbymthempersonmdoingmthemtest.
DIF: Levelm3 REF:m m p.m8
10. Unacceptablemqualitymcontrolmresultsmformthemantiglobulinmtestmperformedminmtestmtubesmmaym
bemnoticedmif:
a. preventivemmaintenancemhasmnotmbeenmperformedmonmthemcellmwasher.
b. themtechnologistmperformingmthemtestmwasmnevermtrained.
c. themreagentsmusedmweremimproperlymstored.
d. Allmofmthemabove
ANS:m D
Training,mequipmentmmaintenance,mandmreagentmqualitymcanmaffectmqualitymcontrol.
DIF: Levelm2 REF:m m p.m5
11. Allmofmthemfollowingmaremtruemregardingmcompetencymtestingm except:
a. itmmustmbemperformedmfollowingmtraining.
b. itmmustmbemperformedmonmanmannualmbasis.
c. itmismrequiredmonlymifmthemtechnologistmhasmnomexperience.
d. retrainingmismrequiredmifmtheremismamfailureminmcompetencymtesting.
ANS:m C
Allmemployeesmmustmhavemcompetencymtestingmfollowingmtrainingmandmannuallymthereafter.mIfm
theremismamfailureminmcompetencymtesting,mretrainingmismrequired.
DIF: Levelm2 REF:m m p.m10
12. Whichmofmthemfollowingmorganizationsmareminvolvedminmthemregulationmofmbloodmbanks?
a. ThemJointmCommission
b. AABB
c. CollegemofmAmericanmPathologists
d. FoodmandmDrugmAdministration
ANS:m D
ThemFoodmandmDrugmAdministrationmregulatesmbloodmbanks,mwhereasmthemothermorganizationsma
reminvolvedminmaccreditation.
DIF: Levelm1 REF:m m p.m2