CSL (Donor Floor) Actual Exam Study
Questions with Accurate Answers |
Brand New Version
1. What makes a label unsuitable? - ANSWER Wrinkled, illegible, barcode
doesn't scan.
2. What are you looking for when verifying a set up? - ANSWER All tubing is
properly positioned. Set up is free of kinks and occlusions (blockage). And
Bottle is hanging freely.
3. What are you looking for to confirm a donors identity? - ANSWER Donor
photo and name.
4. True or False Donor is hearing impaired d and does not read lips. Donor may
only donate from the non writing arm. - ANSWER Communicate in writing
(True).
5. 5 moments of handwashing - ANSWER 1. Before touching patient
2. Before aseptic procedure
3. After body fluid exposure
4. After touching patient
5. After touching patient surroundings
+ when visibly soiled, at start of working, before/after eating or smoking
6. When to disinfect hands - ANSWER 1. When hands are clean and dry
2. Before handling a patient
, 3. Before and after gloving
4. Before touching equipment
7. Handwashing technique - ANSWER 1. Wet hands all over
2. Apply soap
3. Palm to palm
4. On top with fingers interlaced
5. Palm to palm with fingers interlaced
6. Back of fingers with interlocked fingers
7. Thumbs
8. Rotational rubbing of palm
9. Rinse
Dry with towel and use foot lift for bin
8. Equipment for fluid IV - ANSWER 1. T connector
2. Giving set
3. Fluid bag
4. Bucket
5. Incontinence sheet
6. Artery forceps
7. 2ml syringe
8. 50ml syringe
9. Actions required for RBC overrun with no alarm - ANSWER No alarm-
perform investigation. Document exception. If due to tech
error/environmental factors, do not remove. (If unknown, Why no alarm?
Remove from service.) If there is an alarm, document the alarm. Document
the cell loss-the amount and exception.
10.What would qualified a solution to be defective? (Saline) - ANSWER
Cloudiness, Discoloration, and Leaks.
,11.What is hemolysis? - ANSWER Breakdown of RBC's where the contents of
the cell are released.
12.How do your determine the amount of cell loss in RBC overrun? Should
donation continue if RBC overrun occurs with cell loss in unit? - ANSWER
Color of cells in bottle (Amber or dark Red), total mls of unit, and color of
effluent line. Discontinue process immediately.
13.How do you handle a "Screeching Bowl" - ANSWER DO NOT return cells:
log on defective soft goods if due to defect.
If fluid spill remove from service, document the alarm/exception if
applicable and perform all required cleaning PLUS weekly cleaning, Irrigate
centrifuge with approved cleaner if blood in bag, apply silicone grease to O-
Ring, spin dry 45 minutes.
14.What are signs/symptoms of a Vasovagal (Hypovolemia/Syncope)
Reaction? - ANSWER Diaphoresis,(sweat a lot due to side effect of drug)
emesis nausea, epigastric distress. restlessness, thirst confusion. loss of
consciousness
Also: may include sweating, dizziness confusion, nausea, paleness, the
donor may also report pain.
Treatment: adjusting and/or removing the needle to remove the pain.
15.What is a Hypotensive/Hypovolemic reaction? Response? - ANSWER The
body thinks it is losing too much blood and focuses on taking care of the
most important organs. Symptoms may include paleness, weakness, nausea,
vomiting, convulsions/seizures, confusion, and warmth. Treatment: elevate
the legs, returning blood cells, applying ice packs providing and if needed
hold a emesis bag and fanning the donor.
16.What are the signs /symptoms of Hypersensitivity {Allergic) reaction?
Response? - ANSWER Itching, Hives, Redness, tightening of the
, esophagus. etc./ Clean VP site with soap and water. Epi-pen if severe. Have
MSA present.
17.What are signs/symptoms of Citrate Reaction? Response? - ANSWER
Metallic taste, tingling in extremities, muscles twitching, epigastric distress,
convulsions, flexing of muscles/toes. etc. Response-Slow pump speed, donor
should recover. If symptoms persist, stop pumps-have MSA present.
18.What are the signs/symptoms of arterial puncture? - ANSWER Bright
pulsating blood in the tubing, constant high return during return. /STOP
donation, remove needle, have donor apply firm pressure to VP site, raise
arm and sustain pressure for 20 minutes, once bleeding has stopped, apply
bandage
19.Infiltration/Hematoma - ANSWER An infiltration occurs when fluid, (like
Saline solution) goes into the tissues. A bruise occurs when blood leaks from
a vein into the tissues under the skin.
Treatment: remove the needle and apply ice pack. (ice pack must be
wrapped with paper towel 1st ensuring that it is not directly touching the
skin).
IV fluid setup - ANSWER 1. Open fluid bag package
2. Open giving set
3. Press clip on giving set to close fluid line
4. Turn off fluid flow by sliding wheel down to thinnest part of cassette
5. Open fluid bag by twisting upper winged lever
6. Insert spiked end of giving set into the fluid bag via winged entry port
7. Place bag on drip stand and make sure free end stays sterile
8. Squeeze transparent drip chamber until 1.5cm fluid inside
9. Start flow by releasing clip and rolling wheel upwards
Questions with Accurate Answers |
Brand New Version
1. What makes a label unsuitable? - ANSWER Wrinkled, illegible, barcode
doesn't scan.
2. What are you looking for when verifying a set up? - ANSWER All tubing is
properly positioned. Set up is free of kinks and occlusions (blockage). And
Bottle is hanging freely.
3. What are you looking for to confirm a donors identity? - ANSWER Donor
photo and name.
4. True or False Donor is hearing impaired d and does not read lips. Donor may
only donate from the non writing arm. - ANSWER Communicate in writing
(True).
5. 5 moments of handwashing - ANSWER 1. Before touching patient
2. Before aseptic procedure
3. After body fluid exposure
4. After touching patient
5. After touching patient surroundings
+ when visibly soiled, at start of working, before/after eating or smoking
6. When to disinfect hands - ANSWER 1. When hands are clean and dry
2. Before handling a patient
, 3. Before and after gloving
4. Before touching equipment
7. Handwashing technique - ANSWER 1. Wet hands all over
2. Apply soap
3. Palm to palm
4. On top with fingers interlaced
5. Palm to palm with fingers interlaced
6. Back of fingers with interlocked fingers
7. Thumbs
8. Rotational rubbing of palm
9. Rinse
Dry with towel and use foot lift for bin
8. Equipment for fluid IV - ANSWER 1. T connector
2. Giving set
3. Fluid bag
4. Bucket
5. Incontinence sheet
6. Artery forceps
7. 2ml syringe
8. 50ml syringe
9. Actions required for RBC overrun with no alarm - ANSWER No alarm-
perform investigation. Document exception. If due to tech
error/environmental factors, do not remove. (If unknown, Why no alarm?
Remove from service.) If there is an alarm, document the alarm. Document
the cell loss-the amount and exception.
10.What would qualified a solution to be defective? (Saline) - ANSWER
Cloudiness, Discoloration, and Leaks.
,11.What is hemolysis? - ANSWER Breakdown of RBC's where the contents of
the cell are released.
12.How do your determine the amount of cell loss in RBC overrun? Should
donation continue if RBC overrun occurs with cell loss in unit? - ANSWER
Color of cells in bottle (Amber or dark Red), total mls of unit, and color of
effluent line. Discontinue process immediately.
13.How do you handle a "Screeching Bowl" - ANSWER DO NOT return cells:
log on defective soft goods if due to defect.
If fluid spill remove from service, document the alarm/exception if
applicable and perform all required cleaning PLUS weekly cleaning, Irrigate
centrifuge with approved cleaner if blood in bag, apply silicone grease to O-
Ring, spin dry 45 minutes.
14.What are signs/symptoms of a Vasovagal (Hypovolemia/Syncope)
Reaction? - ANSWER Diaphoresis,(sweat a lot due to side effect of drug)
emesis nausea, epigastric distress. restlessness, thirst confusion. loss of
consciousness
Also: may include sweating, dizziness confusion, nausea, paleness, the
donor may also report pain.
Treatment: adjusting and/or removing the needle to remove the pain.
15.What is a Hypotensive/Hypovolemic reaction? Response? - ANSWER The
body thinks it is losing too much blood and focuses on taking care of the
most important organs. Symptoms may include paleness, weakness, nausea,
vomiting, convulsions/seizures, confusion, and warmth. Treatment: elevate
the legs, returning blood cells, applying ice packs providing and if needed
hold a emesis bag and fanning the donor.
16.What are the signs /symptoms of Hypersensitivity {Allergic) reaction?
Response? - ANSWER Itching, Hives, Redness, tightening of the
, esophagus. etc./ Clean VP site with soap and water. Epi-pen if severe. Have
MSA present.
17.What are signs/symptoms of Citrate Reaction? Response? - ANSWER
Metallic taste, tingling in extremities, muscles twitching, epigastric distress,
convulsions, flexing of muscles/toes. etc. Response-Slow pump speed, donor
should recover. If symptoms persist, stop pumps-have MSA present.
18.What are the signs/symptoms of arterial puncture? - ANSWER Bright
pulsating blood in the tubing, constant high return during return. /STOP
donation, remove needle, have donor apply firm pressure to VP site, raise
arm and sustain pressure for 20 minutes, once bleeding has stopped, apply
bandage
19.Infiltration/Hematoma - ANSWER An infiltration occurs when fluid, (like
Saline solution) goes into the tissues. A bruise occurs when blood leaks from
a vein into the tissues under the skin.
Treatment: remove the needle and apply ice pack. (ice pack must be
wrapped with paper towel 1st ensuring that it is not directly touching the
skin).
IV fluid setup - ANSWER 1. Open fluid bag package
2. Open giving set
3. Press clip on giving set to close fluid line
4. Turn off fluid flow by sliding wheel down to thinnest part of cassette
5. Open fluid bag by twisting upper winged lever
6. Insert spiked end of giving set into the fluid bag via winged entry port
7. Place bag on drip stand and make sure free end stays sterile
8. Squeeze transparent drip chamber until 1.5cm fluid inside
9. Start flow by releasing clip and rolling wheel upwards
