BASIC & APPLIED CONCEPTS OF BLOOD BANKING AND
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TRANSFUSION PRACTICES 4TH EDITION
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Paula iR. iHoward
,Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues
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in the Blood Bank
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Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 4th
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Edition
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MULTIPLE iCHOICE
1. Which iof ithe ifollowing iagencies iadministers ithe iClinical iLaboratory iImprovement
i Amendments?
a. AABB
b. Centers ifor iMedicare iand iMedicaid iServices
c. OSHA
d. Food iand iDrug iAdministration
ANS: i B
The iCenters ifor iMedicare iand iMedicaid iServices iadministers iCLIA, iMedicare, iMedicaid, iand
iHIPAA.
DIF: Level i1 REF: i i p. i3
2. A ilaboratory itechnologist idecided ishe iwould ilike ito ibring iher ilab icoat ihome ifor
ilaundering ibecause iit ihad itoo imany iwrinkles iwhen ireturned iby ithe ilaboratory’s ilaundry
iservice. iIs ithis ipractice iacceptable?
a. Yes, iif ishe iuses i10% ibleach
b. Yes, iif ishe iclears iit iwith iher isupervisor
c. Yes, ias ilong ias ishe iremoves ithe icoat iand idoes inot iwear iit ihome
d. No, ibecause ithe ilaboratory iis ia ibiosafety ilevel i2, iand ilab icoats imay inot
ibe iremoved
ANS: i D
Methods iof itransporting ithe ilab icoat iand ithe irisk iof icontamination ido inot ipermit ihealth icare
iworkers ito ibring ilab icoats ihome ifor icleaning.
DIF: Level i2 REF: i i p. i14
3. Personal iprotective iequipment iincludes:
a. safety iglasses.
b. splash ibarriers.
c. masks.
d. All iof ithe iabove
ANS: i D
Safety iglasses, isplash ibarriers, iand imasks iare itypes iof ipersonal iprotective idevices.
DIF: Level i1 REF: i i p. i14
4. At iwhat ipoint iin ithe iemployment iprocess ishould isafety itraining itake iplace?
a. During iorientation iand itraining
b. Following ilab itraining iwhen iemployees iare imore ifamiliar iwith itheir
i responsibilities
, c. Following ithe iemployees’ ifirst ievaluation
d. Before iindependent iwork iis ipermitted iand iannually ithereafter
ANS: i D
The iOccupation iSafety iand iHealth iAdministration irequires isafety itraining ibefore iindependent
iwork iis ipermitted iand iannually ithereafter.
DIF: Level i1 REF: i i p. i17
5. In isafety itraining, iemployees imust ibecome ifamiliar iwith iall iof ithe ifollowing i except:
a. tasks ithat ihave ian iinfectious irisk.
b. limits iof iprotective iclothing iand iequipment.
c. the iappropriate iaction ito itake iif iexposure ioccurs.
d. how ito iperform icardiopulmonary iresuscitation ion ia idonor ior iother iemployee.
ANS: i D
The iOccupational iSafety iand iHealth iAdministration irequirements iinclude iall iof ithose ilisted
iexcept icardiopulmonary iresuscitation.
DIF: Level i1 REF: i i p. i13
6. Blood iirradiators irequire iall iof ithe ifollowing isafety iprocedures iexcept:
a. proper itraining.
b. that ithe iuser ihave ia idegree iin iradiology.
c. equipment ileak idetection.
d. personal iprotective iequipment.
ANS: i B
Blood ibank iand itransfusion iservice itechnologists irequire itraining ibut inot ia idegree ito iuse ia
iblood iirradiator.
DIF: Level i2 REF: i i p. i16
7. Which iof ithe ifollowing iis itrue iregarding igood imanufacturing ipractices i(GMPs)?
a. GMPs iare ilegal irequirements iestablished iby ithe iFood iand iDrug iAdministration.
b. GMPs iare ioptional iguidelines iwritten iby ithe iAABB.
c. GMPs iare irequired ionly iby ipharmaceutical icompanies.
d. GMPs iare ipart iof ithe iquality icontrol irequirements ifor iblood iproducts.
ANS: i A
Good imanufacturing ipractices iare irequirements iestablished iby ithe iFood iand iDrug
iAdministration.
DIF: Level i1 REF: i i p. i5
8. Which iof ithe ifollowing iis ian iexample iof ian iunacceptable irecord-keeping iprocedure?
a. Using idittos iin icolumns ito isave itime
b. Recording ithe idate iand iinitials inext ito ia icorrection
c. Not ideleting ithe ioriginal ientry iwhen imaking ia icorrection
d. Always iusing ipermanent iink ion iall irecords
ANS: i A
All irecords imust ibe iclearly iwritten. iDittos iare iunacceptable.
, DIF: Level i1 REF: i i p. i7
9. A itechnologist iin itraining inoticed ithat ithe iperson itraining iher ihad inot irecorded ithe iresults iof
ia itest. iTo ibe ihelpful, ishe icarefully irecorded ithe iresults ishe isaw iat ia ilater itime, iusing ithe
itechnologist’s iinitials. iIs ithis ian iacceptable iprocedure?
a. Yes; iall iresults imust ibe irecorded iregardless iof iwho idid ithe itest.
b. No; ishe ishould ihave ibrought ithe ierror ito ithe itechnologist’s iattention.
c. Yes; ibecause ishe iused ithe iother itechnologist’s iinitials.
d. Yes; ias ilong ias ishe irecords ithe iresult iin ipencil.
ANS: i B
This iis ian iexample iof ipoor irecord ikeeping; iresults imust ibe irecorded iwhen ithe itest iis
iperformed iand iby ithe iperson idoing ithe itest.
DIF: Level i3 REF: i i p. i8
10. Unacceptable iquality icontrol iresults ifor ithe iantiglobulin itest iperformed iin itest itubes imay
be inoticed iif:
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a. preventive imaintenance ihas inot ibeen iperformed ion ithe icell iwasher.
b. the itechnologist iperforming ithe itest iwas inever itrained.
c. the ireagents iused iwere iimproperly istored.
d. All iof ithe iabove
ANS: i D
Training, iequipment imaintenance, iand ireagent iquality ican iaffect iquality icontrol.
DIF: Level i2 REF: i i p. i5
11. All iof ithe ifollowing iare itrue iregarding icompetency itesting iexcept:
a. it imust ibe iperformed ifollowing itraining.
b. it imust ibe iperformed ion ian iannual ibasis.
c. it iis irequired ionly iif ithe itechnologist ihas ino iexperience.
d. retraining iis irequired iif ithere iis ia ifailure iin icompetency itesting.
ANS: i C
All iemployees imust ihave icompetency itesting ifollowing itraining iand iannually ithereafter. iIf
ithere iis ia ifailure iin icompetency itesting, iretraining iis irequired.
DIF: Level i2 REF: i i p. i10
12. Which iof ithe ifollowing iorganizations iare iinvolved iin ithe iregulation iof iblood ibanks?
a. The iJoint iCommission
b. AABB
c. College iof iAmerican iPathologists
d. Food iand iDrug iAdministration
ANS: i D
The iFood iand iDrug iAdministration iregulates iblood ibanks, iwhereas ithe iother iorganizations iare
iinvolved iin iaccreditation.
DIF: Level i1 REF: i i p. i2