Basic & Applied Concepts Of Blood Banking And Transfusion Practices 5th Edition, (2020)
By Paula R. Howard
All Chapters 1-16| 7 Units| Updated Version With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,PART I: QUALITY AND SAFETY ISSUES _____________________________________________ 3
Chapter 01: Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank ______ 3
PART II: FOUNDATIONS: BASIC SCIENCES AND REAGENTS ____________________________ 18
Chapter 02: Immunology: Basic Principles And Applications In The Blood Bank ________________________ 18
Chapter 03: Blood Banking Reagents: Overview And Applications ___________________________________ 33
Chapter 04: Genetic Principles In Blood Banking __________________________________________________ 47
PART III: OVERVIEW OF THE MAJOR BLOOD GROUPS _______________________________ 60
Chapter 05: ABO And H Blood Group Systems And Secretor Status __________________________________ 60
Chapter 06: Rh Blood Group System ___________________________________________________________ 72
Chapter 07: Other Red Cell Blood Group Systems, Human Leukocyte Antigens, And Platelet Antigens _____ 85
PART IV: ESSENTIALS OF PRETRANSFUSION TESTING ________________________________ 97
Chapter 08: Antibody Detection And Identification _______________________________________________ 97
Chapter 09: Compatibility Testing ____________________________________________________________ 112
Chapter 10: Blood Bank Automation For Transfusion Services _____________________________________ 127
PART V: CLINICAL CONSIDERATIONS IN IMMUNOHEMATOLOGY _____________________ 133
Chapter 11: Adverse Complications Of Transfusions _____________________________________________ 133
Chapter 12: Hemolytic Disease Of The Fetus And Newborn ________________________________________ 146
PART VI: BLOOD COLLECTING AND TESTING ______________________________________ 162
Chapter 13: Donor Selection And Phlebotomy __________________________________________________ 162
Chapter 14: Testing Of Donor Blood ___________________________________________________________ 174
PART VII: BLOOD COMPONENT PREPARATION AND TRANSFUSION THERAPY ___________ 187
Chapter 15: Blood Component Preparation And Therapy _________________________________________ 187
Chapter 16: Transfusion Therapy In Selected Patients ____________________________________________ 197
,PART I: QUALITY AND SAFETY ISSUES
Chapter 01: Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank
Paula R. Howard: Basic & Applied Concepts Of Blood Banking And Transfusion Practices 5th Edition, (2020) Test Bank
MULTIPLE CHOICE
1. Biosafety Levels Determine:
A. On What Floor Certain Infectious Disease Testing Can Be Performed.
B. The Degree Of Risk For Certain Areas Of A Health Care Facility To Exposure To
Infectious Diseases.
C. The Amount Of Ventilation Required In A Transfusion Service.
D. How Many Biohazardous Waste Containers A Laboratory Must Have.
ANS: B
OSHA defines biosafety levels based on the potential exposure to infectious materials in
different areas of a healthcare facility.
A: While the location of certain tests might be influenced by biosafety concerns,
biosafety levels primarily deal with the risk of exposure rather than specific floor
locations.
C: Ventilation requirements are important in labs, but they are not the primary focus of
biosafety levels, which mainly address risks from infectious materials.
D: The number of biohazardous waste containers is not directly determined by biosafety
levels but by the amount and type of waste generated.
DIF: Level 1
2. A Laboratory Technologist Decided She Would Like To Bring Her Lab Coat Home
For Laundering Because It Had Too Many Wrinkles When It Was Returned By The
Laboratory’s Laundry Service. Is This Practice Acceptable?
A. Yes, If She Uses 10% Bleach
B. Yes, If She Clears It With Her Supervisor
,C. Yes, As Long As She Removes The Coat And Does Not Wear It Home
D. No, Because The Laboratory Is A Biosafety Level 2, And Lab Coats May Not Be
Removed
ANS: D
Bringing lab coats home for laundering is not acceptable in a biosafety level 2 laboratory,
as it poses a risk of contamination during transport.
A: Using bleach may help disinfect, but the practice of removing a lab coat from the
laboratory introduces a contamination risk.
B: Clearance from a supervisor is not sufficient to mitigate the risks involved in taking
contaminated items outside the controlled environment of the lab.
C: Even if the coat is not worn home, removing it for laundering poses a risk of exposure
to infectious material.
DIF: Level 2
3. Personal Protective Equipment Includes:
A. Safety Glasses.
B. Splash Barriers.
C. Masks.
D. All Of The Above
ANS: D
Personal protective equipment (PPE) encompasses safety glasses, splash barriers, and
masks, all of which protect the individual from infectious materials.
A: Safety glasses are a form of PPE, but this choice alone does not encompass all of the
protective equipment required.
B: Splash barriers are important for preventing exposure but are only one example of
PPE.
C: Masks protect against airborne infections but do not cover the full range of PPE.
DIF: Level 1
,4. At What Point In The Employment Process Should Safety Training Take Place?
A. During Orientation And Training
B. Following Lab Training When Employees Are More Familiar With Their
Responsibilities
C. Following The Employees’ First Evaluation
D. Before Independent Work Is Permitted And Annually Thereafter
ANS: D
OSHA mandates that safety training occur before independent work begins and continue
annually to ensure ongoing compliance and safety.
A: Orientation is important but doesn't address the requirement for specific safety
training before independent work begins.
B: Safety training should occur prior to lab training to prevent any unsafe work practices.
C: Safety training should be completed before an employee's first evaluation to ensure
they are fully equipped to work safely.
DIF: Level 1
5. In Safety Training, Employees Must Become Familiar With All Of The Following
Except:
A. Tasks That Have An Infectious Risk.
B. Limits Of Protective Clothing And Equipment.
C. The Appropriate Action To Take If Exposure Occurs.
D. How To Perform Cardiopulmonary Resuscitation On A Donor Or Other Employee.
ANS: D
OSHA safety training requires familiarity with tasks that involve infectious risks,
protective equipment, and exposure actions, but CPR is not a specific requirement for
safety training in this context.
A: Understanding the tasks with infectious risks is crucial for safe practices in the
laboratory.
B: Knowledge of the limits of PPE helps prevent inappropriate or insufficient protection.
, C: Knowing how to handle exposure situations is vital for minimizing health risks.
DIF: Level 1
6. Blood Irradiators Require All Of The Following Safety Procedures Except:
A. Proper Training.
B. That The User Have A Degree In Radiology.
C. Equipment Leak Detection.
D. Personal Protective Equipment.
ANS: B
Users of blood irradiators must be trained, but they do not need a degree in radiology to
operate the equipment safely.
A: Proper training is necessary to safely handle blood irradiators and minimize radiation
exposure.
C: Equipment leak detection is crucial to prevent exposure to radiation.
D: Personal protective equipment is required to ensure safety when handling irradiators.
DIF: Level 2
7. Which Of The Following Is True Regarding Good Manufacturing Practices (GMPS)?
A. GMPS Are Legal Requirements Established By The Food And Drug Administration.
B. GMPS Are Optional Guidelines Written By The AABB.
C. GMPS Are Required Only By Pharmaceutical Companies.
D. GMPS Are Part Of The Quality Control Requirements For Blood Products.
ANS: A
GMPs are legal regulations established by the FDA to ensure the safety, quality, and
efficacy of products, including blood products.
B: GMPs are not optional but legally required; the AABB provides guidelines but does
not establish them.
C: GMPs apply to a wide range of industries, not just pharmaceuticals.