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, 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 Edi
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tion
MULTIPLEhCHOICE
1. WhichhofhthehfollowinghagencieshadministershthehClinicalhLaboratoryhImprovementh
Amendments?
a. AABB
b. CentershforhMedicarehandhMedicaidhServices
c. OSHA
d. FoodhandhDrughAdministration
ANS:h B
ThehCentershforhMedicarehandhMedicaidhServiceshadministershCLIA,hMedicare,hMedicaid,handh
HIPAA.
DIF: Levelh1 REF:h h p.h3
2. Ahlaboratoryhtechnologisthdecidedhshehwouldhlikehtohbringhherhlabhcoathhomehforhlaunderinghb
ecausehithhadhtoohmanyhwrinkleshwhenhreturnedhbyhthehlaboratory’shlaundryhservice.hIshthishpr
acticehacceptable?
a. Yes,hifhshehusesh10%hbleach
b. Yes,hifhshehclearshithwithhherhsupervisor
c. Yes,hashlonghashshehremoveshthehcoathandhdoeshnothwearhithhome
d. No,hbecausehthehlaboratoryhishahbiosafetyhlevelh2,handhlabhcoatshmayhnothbehr
emoved
ANS:h D
Methodshofhtransportinghthehlabhcoathandhthehriskhofhcontaminationhdohnothpermithhealthhcarehwor
kershtohbringhlabhcoatshhomehforhcleaning.
DIF: Levelh2 REF:h h p.h14
3. Personalhprotectivehequipmenthincludes:
a. safetyhglasses.
b. splashhbarriers.
c. masks.
d. Allhofhthehabove
ANS:h D
Safetyhglasses,hsplashhbarriers,handhmasksharehtypeshofhpersonalhprotectivehdevices.
DIF: Levelh1 REF:h h p.h14
4. Athwhathpointhinhthehemploymenthprocesshshouldhsafetyhtraininghtakehplace?
a. Duringhorientationhandhtraining
b. Followinghlabhtraininghwhenhemployeesharehmorehfamiliarhwithhtheirhr
esponsibilities
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, c. Followinghthehemployees’hfirsthevaluation
d. Beforehindependenthworkhishpermittedhandhannuallyhthereafter
ANS:h D
ThehOccupationhSafetyhandhHealthhAdministrationhrequireshsafetyhtraininghbeforehindependenthw
orkhishpermittedhandhannuallyhthereafter.
DIF: Levelh1 REF:h h p.h17
5. Inhsafetyhtraining,hemployeeshmusthbecomehfamiliarhwithhallhofhthehfollowinghexcept:
a. taskshthathhavehanhinfectioushrisk.
b. limitshofhprotectivehclothinghandhequipment.
c. thehappropriatehactionhtohtakehifhexposurehoccurs.
d. howhtohperformhcardiopulmonaryhresuscitationhonhahdonorhorhotherhemployee.
ANS:h D
ThehOccupationalhSafetyhandhHealthhAdministrationhrequirementshincludehallhofhthosehlistedhexc
epthcardiopulmonaryhresuscitation.
DIF: Levelh1 REF:h h p.h13
6. Bloodhirradiatorshrequirehallhofhthehfollowinghsafetyhprocedureshexcept:
a. properhtraining.
b. thaththehuserhhavehahdegreehinhradiology.
c. equipmenthleakhdetection.
d. personalhprotectivehequipment.
ANS:h B
Bloodhbankhandhtransfusionhservicehtechnologistshrequirehtraininghbuthnothahdegreehtohusehahblood
hirradiator.
DIF: Levelh2 REF:h h p.h16
7. Whichhofhthehfollowinghishtruehregardinghgoodhmanufacturinghpracticesh(GMPs)?
a. GMPsharehlegalhrequirementshestablishedhbyhthehFoodhandhDrughAdministration.
b. GMPsharehoptionalhguidelineshwrittenhbyhthehAABB.
c. GMPsharehrequiredhonlyhbyhpharmaceuticalhcompanies.
d. GMPsharehparthofhthehqualityhcontrolhrequirementshforhbloodhproducts.
ANS:h A
GoodhmanufacturinghpracticesharehrequirementshestablishedhbyhthehFoodhandhDrughAdministratio
n.
DIF: Levelh1 REF:h h p.h5
8. Whichhofhthehfollowinghishanhexamplehofhanhunacceptablehrecord-keepinghprocedure?
a. Usinghdittoshinhcolumnshtohsavehtime
b. Recordinghthehdatehandhinitialshnexthtohahcorrection
c. Nothdeletinghthehoriginalhentryhwhenhmakinghahcorrection
d. Alwayshusinghpermanenthinkhonhallhrecords
ANS:h A
Allhrecordshmusthbehclearlyhwritten.hDittosharehunacceptable.
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, DIF: Levelh1 REF:h h p.h7
9. Ahtechnologisthinhtraininghnoticedhthaththehpersonhtraininghherhhadhnothrecordedhthehresultshofhaht
est.hTohbehhelpful,hshehcarefullyhrecordedhthehresultshshehsawhathahlaterhtime,husinghthehtechnolog
ist’shinitials.hIshthishanhacceptablehprocedure?
a. Yes;hallhresultshmusthbehrecordedhregardlesshofhwhohdidhthehtest.
b. No;hshehshouldhhavehbroughththeherrorhtohthehtechnologist’shattention.
c. Yes;hbecausehshehusedhthehotherhtechnologist’shinitials.
d. Yes;hashlonghashshehrecordshthehresulthinhpencil.
ANS:h B
Thishishanhexamplehofhpoorhrecordhkeeping;hresultshmusthbehrecordedhwhenhthehtesthishperformed
handhbyhthehpersonhdoinghthehtest.
DIF: Levelh3 REF:h h p.h8
10. Unacceptablehqualityhcontrolhresultshforhthehantiglobulinhtesthperformedhinhtesthtubeshmayhbehn
oticedhif:
a. preventivehmaintenancehhashnothbeenhperformedhonhthehcellhwasher.
b. thehtechnologisthperforminghthehtesthwashneverhtrained.
c. thehreagentshusedhwerehimproperlyhstored.
d. Allhofhthehabove
ANS:h D
Training,hequipmenthmaintenance,handhreagenthqualityhcanhaffecthqualityhcontrol.
DIF: Levelh2 REF:h h p.h5
11. Allhofhthehfollowingharehtruehregardinghcompetencyhtestinghexcept:
a. ithmusthbehperformedhfollowinghtraining.
b. ithmusthbehperformedhonhanhannualhbasis.
c. ithishrequiredhonlyhifhthehtechnologisthhashnohexperience.
d. retraininghishrequiredhifhtherehishahfailurehinhcompetencyhtesting.
ANS:h C
Allhemployeeshmusthhavehcompetencyhtestinghfollowinghtraininghandhannuallyhthereafter.hIfhthere
hishahfailurehinhcompetencyhtesting,hretraininghishrequired.
DIF: Levelh2 REF:h h p.h10
12. Whichhofhthehfollowinghorganizationsharehinvolvedhinhthehregulationhofhbloodhbanks?
a. ThehJointhCommission
b. AABB
c. CollegehofhAmericanhPathologists
d. FoodhandhDrughAdministration
ANS:h D
ThehFoodhandhDrughAdministrationhregulateshbloodhbanks,hwhereashthehotherhorganizationsharehi
nvolvedhinhaccreditation.
DIF: Levelh1 REF:h h p.h2
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