An important part of issuing blood products includes

Adequately identifying the transfusion recipient

Frozen within 8 hours of collection

Once suitability requirements are met label the product with

Appropriate ABO and Rh type, Expiration date

Who inspects the unit for abnormal appearance & verifies all required transfusion forms and labels are complete?

The individual in the blood bank issuing or delivering the blood product

Irradiation renders donor _____ nonfunctional and protects against _____

Lymphocytes, graft-versus-host disease

(Pg201) A patient who is immunosuppressed (e.g., bone marrow transplant recipient) may require

Irradiation of all cellular products

A standard BLDREP contains

Disposition of blood products in the last 24 hours, Amount of blood products required within the next 24-48 hours, Current blood inventory

What could cause a positive DAT?

Warm and cold autoantibodies, Delayed hemolytic transfusion reaction, A disease state, Immune reaction to a drug

Prospective donor is unable to donate blood for a limited period of time

Severe reactions include

All symptoms of mild and moderate reactions

Permanent deferrals include

Donors diagnosed with hepatitis after age 11, Donors with relatives diagnosed with Crueztfeldt-Jakob Dieases (CJD), Persons w/ clinical evidence of HIV orhospitlization for AIDS

Stem cell pheresis is used to treat

Thalassemia, Aplastic and sickle cell anemia, Leukemia and breast cancer solid tumors

What is used to replace incompatible plasma in the apheresis unit?

Sterile connecting device, sterile saline

A blood product may be issued for transfusion when

A computer crossmatch has no discrepencies

If donor is allergic to iodine

Chlorhexidine gluconate, Isopropyl alcohol

Reference laboratory services include resolution of the following:

Positive DAT and transfusion reactions, ABO and Rh discrepancies, antibody identification, Warm and cold autoantibodies

Stored at 4°C with a shelf life dependent on the type of anticoagulant in the collection bag

Red Blood Cells (RBCs/packed RBCs)

A blood bank laboratory is defined as a facility involved in

Collection, storage, processing and distribution, Distribution of human blood and blood products for transfusion

Routine testing may include

Type and crossmatch, Cord blood studies, Prenatal evaluation & Postpartum evaluation, Type and Screen

Two methods that use Membrane Technology methodology

Continuous flow centrifugation, Intermitten flow centrifugation

Blood components may be acquired in-house or from all external sources including

The American Red Cross, Other regional blood centers

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Unit 5 Lesson 1 (Part 1)

98 termsStudBud Administration36 plays

Unit 5: Donor Operations and Transfusion Therapy Lesson 1: Donor Screening and Component Preparation Part 1

Flashcards98 cardsFPractice quizPHost liveL

Questions 98

Answers

1
Syncope, nausea or vomitting, hyperventilation, muscle spasms, sweating, dizziness
Severe reactions
Moderate reactions
Mild reactions
2
An important part of issuing blood products includes
Adequately identifying the recipients phone number
Verifying the recipients health insurance policy
Adequately identifying the transfusion recipient
Verifying the recipients home address
3
Stem cell pheresis is the selective collection of what cells?
Mononuclear
Hypersegmented
Polynucelear
Polyclonal
4
FFP
Frozen 24 hours after collection
Frozen within 8 hours of collection
Frozen for 24 hours
Frozen after 8 hours but within 24 hours of collection
5
Once suitability requirements are met label the product with
Appropriate ABO and Rh type
Telegraph number of requesting facility
Expiration date
Social security number of donor
6
One who donates blood for use of others (recipients)
None of the above
Directed Donor
Autogenic Donor
Allogeneic Donor
7
Who inspects the unit for abnormal appearance & verifies all required transfusion forms and labels are complete?
The nurse
The individual in the blood bank issuing or delivering the blood product
The individual donating the blood product
The medical officer
8
Irradiation renders donor _____ nonfunctional and protects against _____
Leukocytes, syphilis
Lymphocytes, graft-versus-host disease
Neutrophils, mesothelioma
Leukocytes, graft-versus-host disease
9
One who donates blood for his own use (donor-recipients)
None of the above
Autogenic Donor
Allogeneic Donor
Directed Donor
10
Stored at 20-24°C with a shelf life of 5 days from collection date
Red Blood Cells (RBCs)
Fresh Frozen Plasma (FFP)
Liquid Plasma
Platelets
11
(Pg201) A patient who is immunosuppressed (e.g., bone marrow transplant recipient) may require
Fresh frozen plasma
Irradiation of all cellular products
Aliquots of all cellular products
Washed RBCs
12
A standard BLDREP contains
Disposition of blood products in the last 24 hours
Amount of blood products required within the next 24-48 hours
Provides information on the receiver of the blood products
Current blood inventory
13
Nucleic acid amplification testing (NAT) is being used to detect
HIV-1
HDFN
HCV
H1N1
14
What could cause a positive DAT?
Warm and cold autoantibodies
Delayed hemolytic transfusion reaction
A disease state
Immune reaction to a drug
15
Donors are deferred for 16 weeks follwoing succesful completion
Leukapheresis
Double RBC pheresis
Stem cell pheresis
Plasmapheresis
16
Temporary deferral
Eligible to donate autologous blood
Donor won't be able to donate blood until the current requirement changes
Prospective donor is unable to donate blood for a limited period of time
Donor will never be eligible to donate for someone else
17
BLDSHIPREP provides info on the receiver, blood products, shippers address & POC, ship schedule and type of shipment
False
True
18
Viable T cells from donor enter patient’s circulation and mount an attack against patient cells and tissues.
Babesiosis
Chagas' disease
Graft-versus-host disease
Hemolytic disease
19
Severe reactions include
All symptoms of mild and moderate reactions
All symptoms of mild reactions
20
Permanent deferrals include
Donors diagnosed with hepatitis before age 11
Donors diagnosed with hepatitis after age 11
Donors with relatives diagnosed with Crueztfeldt-Jakob Dieases (CJD)
Persons w/ clinical evidence of HIV orhospitlization for AIDS
21
A procdeure used to collect specific blood components while returning the remaining whole blood components to pt/donor
Leukapheresis
Plateletpheresis
Plasmapheresis
Apheresis
22
The problem-solving section
Reference laboratory
Main laboratory
23
Stem cell pheresis is used to treat
Hypertension
Thalassemia
Aplastic and sickle cell anemia
Leukemia and breast cancer solid tumors
24
Collection of hematopoietic progenitor cells (HPCs), either allogeneic or autologous
Plasmapheresis
Double RBC pheresis
Stem cell pheresis
Plateletpheresis
25
What is used to replace incompatible plasma in the apheresis unit?
Sterile connecting device, sterile water
Reusable drinking straw, sterile saline
Beer bong, sterile saline
Sterile connecting device, sterile saline
26
In Rh discrepencies problems in Rh typing may occur because of certain clinical conditions or
Inherited characteristics
Acquired characteristics
27
The only effective method of collecting leukocytes, specifically, granulocytes
Plasmapheresis
Plateletpheresis
Apheresis
Leukapheresis
28
If a donor answers yes to having chagas or babesiosis what would be their status?
Permanent deferral
Temporary deferral
Indefinite deferral
Acceptable donation
29
Membrane Technology methodology uses ______ to separate blood into components based on their ____
Centrifugal force, density
Revolutions per minute, density
Filtration rate, volume
Centrifugal force, volume
30
What is the acceptable interval of donation for pheresis procedures (platelets, plasma, granulocytes)?
72 hours
48 hours
96 hours
24 hours
31
Regulating agency
AABB
FDA
JCS
ASBPO
32
A blood product may be issued for transfusion when
Type and screen has no discrepencies
A computer blood type and screen yields no discrepencies
A computer crossmatch has no discrepencies
Blood typing yields results
33
A patient who is deficient in IgA may require
A permission slip
Washed RBCs
Fresh frozen plasma
Cryoprecipitate
34
Reduced blood flow to the brain leading to shock symptoms, marked depletion of carbon dioxide causing hyperventilation
Moderate reactions
Mild reactions
Severe reactions
35
What is the acceptable interval of donation for allogenic whole blood?
4 weeks/28 days
6 weeks/42 days
8 weeks/56 days
10 weeks/70 days
36
Storage for platelets include
Continuous centrifugation
Intermitten centrifugation
Thawing
Continuous agitation
37
If donor is allergic to iodine
"Well that's too damn bad... keep digging"
Chlorhexidine gluconate
Isopropyl alcohol
Hydrochloric acid
38
What is the age requirement for allogenic donations?
16 years
17 years
18 years
21 years
39
A joint operation that requires coordination among military Services (Army, Navy, Air force) and the unified commands
JCS
AABB
ASBPO
FDA
40
Reference laboratory services include resolution of the following:
Positive DAT and transfusion reactions
Clerical errors
ABO and Rh discrepancies, antibody identification
Warm and cold autoantibodies
41
Stored at 4°C with a shelf life dependent on the type of anticoagulant in the collection bag
Red Blood Cells Leukoreduced
Platelets
Liquid Plasma
Red Blood Cells (RBCs/packed RBCs)
42
If a donor got a tattoo recently what would be their status?
Temporary deferral
Permanent deferral
Acceptable donation
Indefinite deferral
43
Patient care centered
Main laboratory
Reference laboratory
44
A blood bank laboratory is defined as a facility involved in
Collection, storage, processing and distribution
Distribution of human blood and blood products for transfusion
Manufacturing, storage, distribution and transfusion
Distribution of donor organs and blood products for transfusion
45
Routine testing may include
Type and crossmatch
Cord blood studies
Prenatal evaluation & Postpartum evaluation
Type and Screen
46
Two methods that use Membrane Technology methodology
None of the above
Rapid flow centrifugation
Continuous flow centrifugation
Intermitten flow centrifugation
47
Review pages 206-209 (True)
False
True
48
Review pages 222-225 to include treatments for reactions (True)
False
True
49
Unit collected under the same requirements as allogeneic donors, except the unit collected is for a specific pt
Directed Donor
Autogenic Donor
Allogeneic Donor
None of the above
50
Potent __ may cause discrepancies in ABO tests, (+) DAT result & may mask clinically significant alloantibodies
ABO discrepencies
Warm Autoantibodies
Transfusion Reactions
Cold Autoantibodies
51
Blood components may be acquired in-house or from all external sources including
Mail-in donations
Manufacturing plant
The American Red Cross
Other regional blood centers
52
Which of the following is true regarding storage and shelf life of whole blood/pRBCs?
1-6 C ACD, CPD, CPDA-1 21days. CP2D 35days
1-6 C ACD, CPD, CP2D and CPDA-1 35days
1-6 C ACD, CPD, CP2D 21days. CPDA-1 35days
1-6 C ACD, CPD, CP2D and CPDA-1 21days
53
Permanent deferral
Donor won't be able to donate blood until the current requirement changes
Donor will never be eligible to donate for someone else
Eligible to donate autologous blood
May result from previous donations
54
Warm autoantibodies may cause a positive DAT but have no effect on clinically significant alloantibodies
True
False
55
What are some ways that a hospital blood bank can receive blood products?
Collecting and processing within the hospital
Amazon
Contracting a manufacturing plant
Contracting a blood center
56
The primary mission of the main laboratory
Customer care
Patient care
Customer satisfaction
Fast service
57
Accrediting organization
AABB
JCS
FDA
ASBPO
58
Loss of consciuosness, decreased pulse rate, hyperventilation, fall in systolic pressure to 60 m Hg
Mild reactions
Severe reactions
Moderate reactions
59
Moderate reactions include
All symptoms of mild reactions
All symptoms of severe reactions
60
Stored at 1-6°C with a shelf life of 4 days after initial 24-hour post-thaw period has elapsed
Thawed Plasma
Liquid Plasma
Red Blood Cells Irradiated
Rh (D) Immune Globulin (RhoGam)
61
CBER inspects blood establishments, monitors reports of
Harassment
Adverse clinical events
Accidents
Errors
62
The patient's full name is required as well as date of birth OR
Patient room number
Medical record number
Patient location
Mother's maiden name
63
If a donor takes peroxicam, aspirin, or anything with asprin in it 4 days prior, what would be their status?
Temporary deferral
Permanent deferral
Acceptable donation
Indefinite deferral
64
Sterile connecting devices are also used for
Pooling blood components
Connecting additive solution to RBC unit
Washing Red blood cells
Adding an in-line filter for leukocyte reduction
65
For plateletpheresis donors taking feldene and aspirin are deferred for
48 hours
7 days
24 hours
14 days
66
Stored at 1-6°C with a shelf life of 24 hours
Red Blood Cells (RBCs/packed RBCs)
Red Blood Cells Irradiated
Red Blood Cells Leukoreduced
Red Blood Cells Aliquots
67
Primarily used in collecting source plasma which is further manufactured into plasma derivatives.
Leukapheresis
Plateletpheresis
Stem cell pheresis
Plasmapheresis
68
Resolving all inconsistencies between forward and reverse grouping prevents
Antibody identification
Positive DAT
Rh discrepancies
ABO discrepancies
69
If a donor's father received a bovine beef insulin injection while stationed in Europe in 1995 what is their status?
Temporary deferral
Permanent deferral
Indefinite deferral
Acceptable donation
70
Stored at -18°C with a shelf life of 1 year from collection
Cryoprecipitate
Liquid Plasma
PF24
Fresh Frozen Plasma (FFP)
71
The ASBP collects, processes, stores, distributes, and transfuses blood for service members only during times of war
True
False
72
(Pg 210) Develops and enforces quality standards
AABB
FDA
CBER
ASBPO
73
Blood diseases that call for Indefinite deferral includes
Hemophilia, von Willebrand’s disease, sickle cell anemia
Hemophilia, syphilis, gonorrhea, thalassemia
Human immunodeficiency virus, von Willebrand’s disease, sickle cell anemia
Thalassemia, Kaposi’s sarcoma, polycythemia
74
What is the age limit for allogenic donations?
60 years
No upper age limit
55 years
95 years
75
If a donor takes their last dose of Soriatane 4 years prior what would be their status?
Acceptable donation
Permanent deferral
Indefinite deferral
Temporary deferral
76
Iodine should be used to scrub venipuncture area at least ___ in all directions
2 cm
4 cm
4 in.
2 in.
77
A blood report (BLDREP) is submitted daily to the BSU via
NIPRNET
SIPRNET
Immediate message
Encrypted message
78
Quality control requires monthly hematocrit tests where 75% of the samples must yield a HCT of 80% or less.
Red Blood Cells Irradiated
Red Blood Cells/Packed RBCs
Red Blood Cells Aliquots
Red Blood Cells Leukoreduced
79
Medical history questionnaire is developed and revised by
AABB and FDA
ASBP
FDA
ASBP and AABB
80
Stored at 1-6°C with a shelf life based on manufacturer's label
Rh (D) Immune Globulin (RhoGam)
Red Blood Cells Irradiated
Red Blood Cells Leukoreduced
Thawed Plasma
81
Any adverse reactions to transfusion which must be investigated to determine if the reaction is antibody-mediated
ABO Discrepancies
Warm Autoantibodies
Transfusion Reactions
Rh discrepencies
82
If the donor is a blood relative, the blood unit must be ______ to prevent graft-versus-host disease
Kept on ice
Irradtiated
Protected from light
Washed
83
Blood bank labs typically function as a unit of a larger organization like hospital department or community blood center
False
True
84
Indefinite deferral
Prospective donor is unable to donate blood for a limited period of time
Donor won't be able to donate blood until the current requirement changes
Donor will never be eligible to donate for someone else
Unable to donate blood for someone else for an unspecified period of time
85
Stored at 1-6°C with a shelf life of 28 days
Red Blood Cells Irradiated
Red Blood Cells (RBCs/packed RBCs)
Red Blood Cells Leukoreduced
Red Blood Cells Aliquots
86
Blood banks with collection facilities can collect their own units of whole blood to be separated into
Packed Red Blood Cells (pRBC)
Cryoprecipitate
Platelets
Fresh Frozen Plasma (FFP) and FP24
87
For plateletpheresis donors taking Plavix or Ticlid are deferred for
14 days
24 hours
7 days
48 hours
88
PF24
Frozen for 24 hours
Frozen within 8 hours
Frozen after 24 hours
Frozen after 8 hours but within 24 hours
89
Distinct areas of the blood bank include the main laboratory and
Donor labeling and product marketing
Reference lab (special bench)
Donor processing and product labeling
Component preparation & storage
90
Indefinite deferral includes
Donors who spent 6 months or more in the UK from 1990 -early 2000s
Donors diagnosed with ertain blood diseases
Donors who spent 6 months or more in the UK from 1980-1996
History of cancer, leukemia, lymphoma w/exception of basal &squamous cancer
91
A patient sample require a minimum of how many identifiers for testing?
1
3
2
4
92
Aseptic technique for blood collection includes using iodine for at a minimum of
90 seconds
60 seconds
20 seconds
30 seconds
93
(+) antibody screen w/(-) auto-control/DAT result indicates possible alloantibody immunization via transfusion/pregnancy
ABO discrepencies
Antibody identification
Rh discrepencies
Positive DAT
94
BLDREP contains the amount of blood expiring and estimated amount of blood products required in the next ____
2 days
7 days
5 days
14 days
95
May be the result of an immune reaction to drugs, a disease state, or a delayed hemolytic transfusion reaction
Antibody identification
Rh discrepencies
Positive DAT
ABO discrepencies
96
The blood bank that receives the blood products is required to do what to each RBC containing product?
Label the ABO products
Reconfirm the labeled ABO
Reconfirm Rh type of all Rh negative units
Quarantine ABO products
97
Temporary deferral include
Donors who have taken Accutane or Proscar.
Donors diagnosed with hepatitis before age 11
Donors taking antibiotics for an infection or prophyylaxis
Donors with recent surgeries that required blood product transfusion
98
The larger organization (ie hospital) that blood bank laboratories work under determine the following?
Hours of operation, Facilities required, Equipment and screening questions
Hours of operation, Accredidation, Equipment and personnel
Hours of operation, Overriding donation intervals, Equipment and personnel
Hours of operation, Facilities required, Equipment and personnel

Unit 5 Lesson 1 (Part 1) Flashcards | StudBud