BASIC & APPLIED CONCEPTS OF BLOOD BANKING ANDTRANSFUSIO
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N PRACTICES 4TH EDITION
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PaulauR.uHoward
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issuesi
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n the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
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Edition
MULTIPLEuCHOICE
1. WhichuofutheufollowinguagenciesuadministersutheuClinicaluLaboratoryuImprovementu
Amendments?
a. AABB
b. CentersuforuMedicareuanduMedicaiduServices
c. OSHA
d. FooduanduDruguAdministration
ANS:u B
TheuCentersuforuMedicareuanduMedicaiduServicesuadministersuCLIA,uMedicare,uMedicaid,uanduHIP
AA.
DIF: Levelu1 REF:uup.u3
2. Aulaboratoryutechnologistudecidedusheuwouldulikeutoubringuherulabucoatuhomeuforulaunderingub
ecauseuituhadutooumanyuwrinklesuwhenureturnedubyutheulaboratory’sulaundryuservice.uIsuthisupr
acticeuacceptable?
a. Yes,uifusheuusesu10%ubleach
b. Yes,uifusheuclearsuituwithuherusupervisor
c. Yes,uasulonguasusheuremovesutheucoatuandudoesunotuwearuituhome
d. No,ubecauseutheulaboratoryuisuaubiosafetyulevelu2,uandulabucoatsumayunotubeur
emoved
ANS:u D
Methodsuofutransportingutheulabucoatuandutheuriskuofucontaminationudounotupermituhealthucareu
workersutoubringulabucoatsuhomeuforucleaning.
DIF: Levelu2 REF:u p.u14
3. Personaluprotectiveuequipmentuincludes:
a. safetyuglasses.
b. splashubarriers.
c. masks.
d. Alluofutheuabove
ANS:u D
Safetyuglasses,usplashubarriers,uandumasksuareutypesuofupersonaluprotectiveudevices.
DIF: Levelu1 REF:u p.u14
4. Atuwhatupointuinutheuemploymentuprocessushouldusafetyutrainingutakeuplace?
a. Duringuorientationuandutraining
b. Followingulabutraininguwhenuemployeesuareumoreufamiliaruwithutheirur
esponsibilities
, c. Followingutheuemployees’ufirstuevaluation
d. Beforeuindependentuworkuisupermitteduanduannuallyuthereafter
ANS:u D
TheuOccupationuSafetyuanduHealthuAdministrationurequiresusafetyutrainingubeforeuindependentuwor
kuisupermitteduanduannuallyuthereafter.
DIF: Levelu1 REF:u p.u17
5. Inusafetyutraining,uemployeesumustubecomeufamiliaruwithualluofutheufollowinguexcept:
a. tasksuthatuhaveuanuinfectiousurisk.
b. limitsuofuprotectiveuclothinguanduequipment.
c. theuappropriateuactionutoutakeuifuexposureuoccurs.
d. howutouperformucardiopulmonaryuresuscitationuonuaudonoruoruotheruemployee.
ANS:u D
TheuOccupationaluSafetyuanduHealthuAdministrationurequirementsuincludeualluofuthoseulistedue
xceptucardiopulmonaryuresuscitation.
DIF: Levelu1 REF:u p.u13
6. Blooduirradiatorsurequireualluofutheufollowingusafetyuproceduresu except:
a. properutraining.
b. thatutheuuseruhaveuaudegreeuinuradiology.
c. equipmentuleakudetection.
d. personaluprotectiveuequipment.
ANS:u B
Bloodubankuandutransfusionuserviceutechnologistsurequireutrainingubutunotuaudegreeutouuseuaublo
oduirradiator.
DIF: Levelu2 REF:u p.u16
7. Whichuofutheufollowinguisutrueuregardingugoodumanufacturingupracticesu(GMPs)?
a. GMPsuareulegalurequirementsuestablishedubyutheuFooduanduDruguAdministration.
b. GMPsuareuoptionaluguidelinesuwrittenubyutheuAABB.
c. GMPsuareurequireduonlyubyupharmaceuticalucompanies.
d. GMPsuareupartuofutheuqualityucontrolurequirementsuforublooduproducts.
ANS:u A
GoodumanufacturingupracticesuareurequirementsuestablishedubyutheuFooduanduDrugu
Administration.
DIF: Levelu1 REF:uup.u5
8. Whichuofutheufollowinguisuanuexampleuofuanuunacceptableurecord-keepinguprocedure?
a. Usingudittosuinucolumnsutousaveutime
b. Recordingutheudateuanduinitialsunextutouaucorrection
c. Notudeletingutheuoriginaluentryuwhenumakinguaucorrection
d. Alwaysuusingupermanentuinkuonuallurecords
ANS:u A
Allurecordsumustubeuclearlyuwritten.uDittosuareuunacceptable.
, DIF: Levelu1 REF:uup.u7
9. Autechnologistuinutrainingunoticeduthatutheupersonutraininguheruhadunoturecordedutheuresultsuofuaute
st.uToubeuhelpful,usheucarefullyurecordedutheuresultsusheusawuatuaulaterutime,uusingutheutechnolog
ist’suinitials.uIsuthisuanuacceptableuprocedure?
a. Yes;ualluresultsumustubeurecordeduregardlessuofuwhoudidutheutest.
b. No;usheushoulduhaveubroughtutheuerrorutoutheutechnologist’suattention.
c. Yes;ubecauseusheuusedutheuotherutechnologist’suinitials.
d. Yes;uasulonguasusheurecordsutheuresultuinupencil.
ANS:u B
Thisuisuanuexampleuofupoorurecordukeeping;uresultsumustubeurecordeduwhenutheutestuisup
erformeduandubyutheupersonudoingutheutest.
DIF: Levelu3 REF:uup.u8
10. Unacceptableuqualityucontroluresultsuforutheuantiglobulinutestuperformeduinutestutubesumayubeun
oticeduif:
a. preventiveumaintenanceuhasunotubeenuperformeduonutheucelluwasher.
b. theutechnologistuperformingutheutestuwasuneverutrained.
c. theureagentsuuseduwereuimproperlyustored.
d. Alluofutheuabove
ANS:u D
Training,uequipmentumaintenance,uandureagentuqualityucanuaffectuqualityucontrol.
DIF: Levelu2 REF:uup.u5
11. Alluofutheufollowinguareutrueuregardingucompetencyutestinguexcept:
a. itumustubeuperformedufollowingutraining.
b. itumustubeuperformeduonuanuannualubasis.
c. ituisurequireduonlyuifutheutechnologistuhasunouexperience.
d. retraininguisurequireduifuthereuisuaufailureuinucompetencyutesting.
ANS:u C
Alluemployeesumustuhaveucompetencyutestingufollowingutraininguanduannuallyuthereafter.uIfut
hereuisuaufailureuinucompetencyutesting,uretraininguisurequired.
DIF: Levelu2 REF:u p.u10
12. Whichuofutheufollowinguorganizationsuareuinvolveduinutheuregulationuofubloodubanks?
a. TheuJointuCommission
b. AABB
c. CollegeuofuAmericanuPathologists
d. FooduanduDruguAdministration
ANS:u D
TheuFooduanduDruguAdministrationuregulatesubloodubanks,uwhereasutheuotheruorganizationsuareui
nvolveduinuaccreditation.
DIF: Levelu1 REF:uup.u2