BASIC & APPLIED CONCEPTS OF BLOOD BANKING ANDTRANSFUSI
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ON PRACTICES 4TH EDITION
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PaulaYR.YHoward
,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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MULTIPLEYCHOICE
1. WhichYofYtheYfollowingYagenciesYadministersYtheYClinicalYLaboratoryYImproveme
ntYAmendments?
a. AABB
b. CentersYforYMedicareYandYMedicaidYServices
c. OSHA
d. FoodYandYDrugYAdministration
ANS:Y B
TheYCentersYforYMedicareYandYMedicaidYServicesYadministersYCLIA,YMedicare,YMedicaid,YandY
HIPAA.
DIF: LevelY1 REF:YYp.Y3
2. AYlaboratoryYtechnologistYdecidedYsheYwouldYlikeYtoYbringYherYlabYcoatYhomeYforYlaunderi
ngYbecauseYitYhadYtooYmanyYwrinklesYwhenYreturnedYbyYtheYlaboratory’sYlaundryYservice.Y Is
YthisY
practiceYacceptable?
a. Yes,YifYsheYusesY10%Ybleach
b. Yes,YifYsheYclearsYitYwithYherYsupervisor
c. Yes,YasYlongYasYsheYremovesYtheYcoatYandYdoesYnotYwearYitYhome
d. No,YbecauseYtheYlaboratoryYisYaYbiosafetyYlevelY2,YandYlabYcoatsYmayYnotY
beYremoved
ANS:Y D
MethodsYofYtransportingYtheYlabYcoatYandYtheYriskYofYcontaminationYdoYnotYpermitYhealthYca
reYworkersYtoYbringYlabYcoatsYhomeYforYcleaning.
DIF: LevelY2 REF:Y p.Y14
3. PersonalYprotectiveYequipmentYincludes:
a. safetyYglasses.
b. splashYbarriers.
c. masks.
d. AllYofYtheYabove
ANS:Y D
SafetyYglasses,YsplashYbarriers,YandYmasksYareYtypesYofYpersonalYprotectiveYdevices.
DIF: LevelY1 REF:Y p.Y14
4. AtYwhatYpointYinYtheYemploymentYprocessYshouldYsafetyYtrainingYtakeYplace?
a. DuringYorientationYandYtraining
b. FollowingYlabYtrainingYwhenYemployeesYareYmoreYfamiliarYwithYthe
irYresponsibilities
, c. FollowingYtheYemployees’YfirstYevaluation
d. BeforeYindependentYworkYisYpermittedYandYannuallyYthereafter
ANS:Y D
TheYOccupationYSafetyYandYHealthYAdministrationYrequiresYsafetyYtrainingYbeforeYindependentYw
orkYisYpermittedYandYannuallyYthereafter.
DIF: LevelY1 REF:Y p.Y17
5. InYsafetyYtraining,YemployeesYmustYbecomeYfamiliarYwithYallYofYtheYfollowingYexcept:
a. tasksYthatYhaveYanYinfectiousYrisk.
b. limitsYofYprotectiveYclothingYandYequipment.
c. theYappropriateYactionYtoYtakeYifYexposureYoccurs.
d. howYtoYperformYcardiopulmonaryYresuscitationYonYaYdonorYorYotherYemployee.
ANS:Y D
TheYOccupationalYSafetyYandYHealthYAdministrationYrequirementsYincludeYallYofYthoseYliste
dYexceptYcardiopulmonaryYresuscitation.
DIF: LevelY1 REF:Y p.Y13
6. BloodYirradiatorsYrequireYallYofYtheYfollowingYsafetyYproceduresY except:
a. properYtraining.
b. thatYtheYuserYhaveYaYdegreeYinYradiology.
c. equipmentYleakYdetection.
d. personalYprotectiveYequipment.
ANS:Y B
BloodYbankYandYtransfusionYserviceYtechnologistsYrequireYtrainingYbutYnotYaYdegreeYtoYuseYa
bloodYirradiator.
Y
DIF: LevelY2 REF:Y p.Y16
7. WhichYofYtheYfollowingYisYtrueYregardingYgoodYmanufacturingYpracticesY(GMPs)?
a. GMPsYareYlegalYrequirementsYestablishedYbyYtheYFoodYandYDrugYAdministration.
b. GMPsYareYoptionalYguidelinesYwrittenYbyYtheYAABB.
c. GMPsYareYrequiredYonlyYbyYpharmaceuticalYcompanies.
d. GMPsYareYpartYofYtheYqualityYcontrolYrequirementsYforYbloodYproducts.
ANS:Y A
GoodYmanufacturingYpracticesYareYrequirementsYestablishedYbyYtheYFoodYandYDru
gYAdministration.
DIF: LevelY1 REF:YYp.Y5
8. WhichYofYtheYfollowingYisYanYexampleYofYanYunacceptableYrecord-keepingYprocedure?
a. UsingYdittosYinYcolumnsYtoYsaveYtime
b. RecordingYtheYdateYandYinitialsYnextYtoYaYcorrection
c. NotYdeletingYtheYoriginalYentryYwhenYmakingYaYcorrection
d. AlwaysYusingYpermanentYinkYonYallYrecords
ANS:Y A
AllYrecordsYmustYbeYclearlyYwritten.YDittosYareYunacceptable.
, DIF: LevelY1 REF:YYp.Y7
9. AYtechnologistYinYtrainingYnoticedYthatYtheYpersonYtrainingYherYhadYnotYrecordedYtheYresultsYo
fYaYtest.YToYbeYhelpful,YsheYcarefullyYrecordedYtheYresultsYsheYsawYatYaYlaterYtime,YusingYtheYt
echnologist’sYinitials.YIsYthisYanYacceptableYprocedure?
a. Yes;YallYresultsYmustYbeYrecordedYregardlessYofYwhoYdidYtheYtest.
b. No;YsheYshouldYhaveYbroughtYtheYerrorYtoYtheYtechnologist’sYattention.
c. Yes;YbecauseYsheYusedYtheYotherYtechnologist’sYinitials.
d. Yes;YasYlongYasYsheYrecordsYtheYresultYinYpencil.
ANS:Y B
ThisYisYanYexampleYofYpoorYrecordYkeeping;YresultsYmustYbeYrecordedYwhenYtheYtest
YisY
performedYandYbyYtheYpersonYdoingYtheYtest.
DIF: LevelY3 REF:YYp.Y8
10. UnacceptableYqualityYcontrolYresultsYforYtheYantiglobulinYtestYperformedYinYtestYtubesYmayY
beYnoticedYif:
a. preventiveYmaintenanceYhasYnotYbeenYperformedYonYtheYcellYwasher.
b. theYtechnologistYperformingYtheYtestYwasYneverYtrained.
c. theYreagentsYusedYwereYimproperlyYstored.
d. AllYofYtheYabove
ANS:Y D
Training,YequipmentYmaintenance,YandYreagentYqualityYcanYaffectYqualityYcontrol.
DIF: LevelY2 REF:YYp.Y5
11. AllYofYtheYfollowingYareYtrueYregardingYcompetencyYtestingYexcept:
a. itYmustYbeYperformedYfollowingYtraining.
b. itYmustYbeYperformedYonYanYannualYbasis.
c. itYisYrequiredYonlyYifYtheYtechnologistYhasYnoYexperience.
d. retrainingYisYrequiredYifYthereYisYaYfailureYinYcompetencyYtesting.
ANS:Y C
AllYemployeesYmustYhaveYcompetencyYtestingYfollowingYtrainingYandYannuallyYthereafter.Y
IfYthereYisYaYfailureYinYcompetencyYtesting,YretrainingYisYrequired.
DIF: LevelY2 REF:Y p.Y10
12. WhichYofYtheYfollowingYorganizationsYareYinvolvedYinYtheYregulationYofYbloodYbanks?
a. TheYJointYCommission
b. AABB
c. CollegeYofYAmericanYPathologists
d. FoodYandYDrugYAdministration
ANS:Y D
TheYFoodYandYDrugYAdministrationYregulatesYbloodYbanks,YwhereasYtheYotherYorganizationsYa
reYinvolvedYinYaccreditation.
DIF: LevelY1 REF:YYp.Y2