BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND TRANSFUSION
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PRACTICES 4TH EDITION
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PaulanR.nHoward
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues i
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n the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th E
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dition
MULTIPLEnCHOICE
1. WhichnofnthenfollowingnagenciesnadministersnthenClinicalnLaboratorynImprovementn
n
Amendments?
a. AABB
b. CentersnfornMedicarenandnMedicaidnServices
c. OSHA
d. FoodnandnDrugnAdministration
ANS:n B
ThenCentersnfornMedicarenandnMedicaidnServicesnadministersnCLIA,nMedicare,nMedicaid,nandnHI
PAA.
DIF: Leveln1 REF:n n p.n3
2. Anlaboratoryntechnologistndecidednshenwouldnlikentonbringnhernlabncoatnhomenfornlaunderingnb
ecausenitnhadntoonmanynwrinklesnwhennreturnednbynthenlaboratory’snlaundrynservice.nIsnthisnpr
acticenacceptable?
a. Yes,nifnshenusesn10%nbleach
b. Yes,nifnshenclearsnitnwithnhernsupervisor
c. Yes,nasnlongnasnshenremovesnthencoatnandndoesnnotnwearnitnhome
d. No,nbecausenthenlaboratorynisnanbiosafetynleveln2,nandnlabncoatsnmaynnotnbenr
emoved
ANS:n D
Methodsnofntransportingnthenlabncoatnandnthenrisknofncontaminationndonnotnpermitnhealthncarenw
orkersntonbringnlabncoatsnhomenforncleaning.
DIF: Leveln2 REF:n n p.n14
3. Personalnprotectivenequipmentnincludes:
a. safetynglasses.
b. splashnbarriers.
c. masks.
d. Allnofnthenabove
ANS:n D
Safetynglasses,nsplashnbarriers,nandnmasksnarentypesnofnpersonalnprotectivendevices.
DIF: Leveln1 REF:n n p.n14
4. Atnwhatnpointninnthenemploymentnprocessnshouldnsafetyntrainingntakenplace?
a. Duringnorientationnandntraining
b. Followingnlabntrainingnwhennemployeesnarenmorenfamiliarnwithntheirnr
esponsibilities
, c. Followingnthenemployees’nfirstnevaluation
d. Beforenindependentnworknisnpermittednandnannuallynthereafter
ANS:n D
ThenOccupationnSafetynandnHealthnAdministrationnrequiresnsafetyntrainingnbeforenindependentnwo
rknisnpermittednandnannuallynthereafter.
DIF: Leveln1 REF:n n p.n17
5. Innsafetyntraining,nemployeesnmustnbecomenfamiliarnwithnallnofnthenfollowingn except:
a. tasksnthatnhavenanninfectiousnrisk.
b. limitsnofnprotectivenclothingnandnequipment.
c. thenappropriatenactionntontakenifnexposurenoccurs.
d. howntonperformncardiopulmonarynresuscitationnonnandonornornothernemployee.
ANS:n D
ThenOccupationalnSafetynandnHealthnAdministrationnrequirementsnincludenallnofnthosenlistednex
ceptncardiopulmonarynresuscitation.
DIF: Leveln1 REF:n n p.n13
6. Bloodnirradiatorsnrequirenallnofnthenfollowingnsafetynproceduresn except:
a. properntraining.
b. thatnthenusernhavenandegreeninnradiology.
c. equipmentnleakndetection.
d. personalnprotectivenequipment.
ANS:n B
Bloodnbanknandntransfusionnservicentechnologistsnrequirentrainingnbutnnotnandegreentonusenanbloo
dnirradiator.
DIF: Leveln2 REF:n n p.n16
7. Whichnofnthenfollowingnisntruenregardingngoodnmanufacturingnpracticesn(GMPs)?
a. GMPsnarenlegalnrequirementsnestablishednbynthenFoodnandnDrugnAdministration.
b. GMPsnarenoptionalnguidelinesnwrittennbynthenAABB.
c. GMPsnarenrequirednonlynbynpharmaceuticalncompanies.
d. GMPsnarenpartnofnthenqualityncontrolnrequirementsnfornbloodnproducts.
ANS:n A
GoodnmanufacturingnpracticesnarenrequirementsnestablishednbynthenFoodnandnDrugnAdministrat
ion.
DIF: Leveln1 REF:n n p.n5
8. Whichnofnthenfollowingnisnannexamplenofnannunacceptablenrecord-keepingnprocedure?
a. Usingndittosninncolumnsntonsaventime
b. Recordingnthendatenandninitialsnnextntonancorrection
c. Notndeletingnthenoriginalnentrynwhennmakingnancorrection
d. Alwaysnusingnpermanentninknonnallnrecords
ANS:n A
Allnrecordsnmustnbenclearlynwritten.nDittosnarenunacceptable.
, DIF: Leveln1 REF:n n p.n7
9. Antechnologistninntrainingnnoticednthatnthenpersonntrainingnhernhadnnotnrecordednthenresultsnofnant
est.nTonbenhelpful,nshencarefullynrecordednthenresultsnshensawnatnanlaterntime,nusingnthentechnolog
ist’sninitials.nIsnthisnannacceptablenprocedure?
a. Yes;nallnresultsnmustnbenrecordednregardlessnofnwhondidnthentest.
b. No;nshenshouldnhavenbroughtnthenerrorntonthentechnologist’snattention.
c. Yes;nbecausenshenusednthenotherntechnologist’sninitials.
d. Yes;nasnlongnasnshenrecordsnthenresultninnpencil.
ANS:n B
Thisnisnannexamplenofnpoornrecordnkeeping;nresultsnmustnbenrecordednwhennthentestnisnperformed
nandnbynthenpersonndoingnthentest.
DIF: Leveln3 REF:n n p.n8
10. Unacceptablenqualityncontrolnresultsnfornthenantiglobulinntestnperformedninntestntubesnmaynbenn
oticednif:
a. preventivenmaintenancenhasnnotnbeennperformednonnthencellnwasher.
b. thentechnologistnperformingnthentestnwasnneverntrained.
c. thenreagentsnusednwerenimproperlynstored.
d. Allnofnthenabove
ANS:n D
Training,nequipmentnmaintenance,nandnreagentnqualityncannaffectnqualityncontrol.
DIF: Leveln2 REF:n n p.n5
11. Allnofnthenfollowingnarentruenregardingncompetencyntestingn except:
a. itnmustnbenperformednfollowingntraining.
b. itnmustnbenperformednonnannannualnbasis.
c. itnisnrequirednonlynifnthentechnologistnhasnnonexperience.
d. retrainingnisnrequirednifntherenisnanfailureninncompetencyntesting.
ANS:n C
Allnemployeesnmustnhavencompetencyntestingnfollowingntrainingnandnannuallynthereafter.nIfnthe
renisnanfailureninncompetencyntesting,nretrainingnisnrequired.
DIF: Leveln2 REF:n n p.n10
12. Whichnofnthenfollowingnorganizationsnareninvolvedninnthenregulationnofnbloodnbanks?
a. ThenJointnCommission
b. AABB
c. CollegenofnAmericannPathologists
d. FoodnandnDrugnAdministration
ANS:n D
ThenFoodnandnDrugnAdministrationnregulatesnbloodnbanks,nwhereasnthenothernorganizationsnarenin
volvedninnaccreditation.
DIF: Leveln1 REF:n n p.n2