BASICM&MAPPLIEDMCONCEPTSMOFMBLOODMBANKINGMANDMTRANSFUSIONMPR
ACTICESM5THMEDITION
Paula R. Howard
M M
, Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank Ho
M M M M M M M M M M M M M M M M M
ward: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition
M M M M M M M M M M M M
MULTIPLEMCHOICE
1. BiosafetyMlevelsMdetermine:
a. onMwhatMfloorMcertainMinfectiousMdiseaseMtestingMcanMbeMperformed.
b. theMdegreeMofMriskMforMcertainMareasMofMaMhealthMcareMfacilityMtoMexposur
eMtoMinfectiousMdiseases.
c. theMamountMofMventilationMrequiredMinMaMtransfusionMservice.
d. howMmanyMbiohazardousMwasteMcontainersMaMlaboratoryMmustMhave.
ANS:M B
OSHAMdefinesMbiosafetyMlevelsMbasedMonMpotentialMexposureMtoMinfectiousMmaterial.
DIF: LevelM1
2. AMlaboratoryMtechnologistMdecidedMsheMwouldMlikeMtoMbringMherMlabMcoatMhomeMforMlaunderingMbecauseMitMhadMtooMmanyMwrinkles
MwhenMitMwasMreturnedMbyMtheMlaboratory’sMlaundryMservice.MIsMthisMpracticeMacceptable?
a. Yes,MifMsheMusesM10%Mbleach
b. Yes,MifMsheMclearsMitMwithMherMsupervisor
c. Yes,MasMlongMasMsheMremovesMtheMcoatMandMdoesMnotMwearMitMhome
d. No,MbecauseMtheMlaboratoryMisMaMbiosafetyMlevelM2,MandMlabMcoatsMmayMno
tMbeMremoved
ANS:M D
MethodsMofMtransportingMtheMlabMcoatMandMtheMriskMofMcontaminationMdoMnotMpermitMhealthMcareMworkersMtoMbringMlabMcoatsMhomeMforM
cleaning.
DIF: LevelM2
3. PersonalMprotectiveMequipmentMincludes:
a. safetyMglasses.
b. splashMbarriers.
c. masks.
d. AllMofMtheMabove
ANS:M D
SafetyMglasses,MsplashMbarriers,MandMmasksMareMtypesMofMpersonalMprotectiveMdevices.
DIF: LevelM1
4. AtMwhatMpointMinMtheMemploymentMprocessMshouldMsafetyMtrainingMtakeMplace?
a. DuringMorientationMandMtraining
b. FollowingMlabMtrainingMwhenMemployeesMareMmoreMfamiliarMwithMth
eirMresponsibilities
c. FollowingMtheMemployees’MfirstMevaluation
d. BeforeMindependentMworkMisMpermittedMandMannuallyMthereafter
ANS:M D
TheMOccupationMSafetyMandMHealthMAdministrationMrequiresMsafetyMtrainingMbeforeMindependentMworkMisMpermittedMandMannuallyMt
hereafter.
DIF: LevelM1
5. InMsafetyMtraining,MemployeesMmustMbecomeMfamiliarMwithMallMofMtheMfollowingMexcept:
a. tasksMthatMhaveManMinfectiousMrisk.
b. limitsMofMprotectiveMclothingMandMequipment.
c. theMappropriateMactionMtoMtakeMifMexposureMoccurs.
d. howMtoMperformMcardiopulmonaryMresuscitationMonMaMdonorMorMotherMemployee.
ANS:M D
TheMOccupationalMSafetyMandMHealthMAdministrationMrequirementsMincludeMallMofMthoseMlistedMexceptMcardiopulmonaryMresuscitation.
DIF: LevelM1
6. BloodMirradiatorsMrequireMallMofMtheMfollowingMsafetyMproceduresM except:
a. properMtraining.
b. thatMtheMuserMhaveMaMdegreeMinMradiology.
c. equipmentMleakMdetection.
d. personalMprotectiveMequipment.
ANS:M B
BloodMbankMandMtransfusionMserviceMtechnologistsMrequireMtrainingMbutMnotMaMdegreeMtoMuseMaMbloodMirradiator.
DIF: LevelM2
CopyrightM©M2021,MElsevierMInc.MAllMrightsMreserv 1
ed.
, 7. WhichMofMtheMfollowingMisMtrueMregardingMgoodMmanufacturingMpracticesM(GMPs)?
a. GMPsMareMlegalMrequirementsMestablishedMbyMtheMFoodMandMDrugMAdministration.
b. GMPsMareMoptionalMguidelinesMwrittenMbyMtheMAABB.
c. GMPsMareMrequiredMonlyMbyMpharmaceuticalMcompanies.
d. GMPsMareMpartMofMtheMqualityMcontrolMrequirementsMforMbloodMproducts.
ANS:M A
GoodMmanufacturingMpracticesMareMrequirementsMestablishedMbyMtheMFoodMandMDrugMAdministration.
DIF: LevelM1
8. WhichMofMtheMfollowingMisManMexampleMofManMunacceptableMrecord-keepingMprocedure?
a. UsingMdittosMinMcolumnsMtoMsaveMtime
b. RecordingMtheMdateMandMinitialsMnextMtoMaMcorrection
c. NotMdeletingMtheMoriginalMentryMwhenMmakingMaMcorrection
d. AlwaysMusingMpermanentMinkMonMallMrecords
ANS:M A
AllMrecordsMmustMbeMclearlyMwritten.MDittosMareMunacceptable.
DIF: LevelM1
9. AMtechnologistMinMtrainingMnoticedMthatMtheMpersonMtrainingMherMhadMnotMrecordedMtheMresultsMofMaMtest.MToMbeMhelpful,MsheMca
refullyMrecordedMtheMresultsMsheMsawMatMaMlaterMtime,MusingMtheMtechnologist’sMinitials.MIsMthisManMacceptableMprocedure?
a. Yes;MallMresultsMmustMbeMrecordedMregardlessMofMwhoMdidMtheMtest.
b. No;MsheMshouldMhaveMbroughtMtheMerrorMtoMtheMtechnologist’sMattention.
c. Yes;MbecauseMsheMusedMtheMotherMtechnologist’sMinitials.
d. Yes;MasMlongMasMsheMrecordsMtheMresultMinMpencil.
ANS:M B
ThisMisManMexampleMofMpoorMrecordMkeeping;MresultsMmustMbeMrecordedMwhenMtheMtestMisMperformedMandMbyMtheMpersonMdoingMtheMtest.
DIF: LevelM3
10. UnacceptableMqualityMcontrolMresultsMforMtheMantiglobulinMtestMperformedMinMtestMtubesMmayMbeMnoticedMif:
a. preventiveMmaintenanceMhasMnotMbeenMperformedMonMtheMcellMwasher.
b. theMtechnologistMperformingMtheMtestMwasMneverMtrained.
c. theMreagentsMusedMwereMimproperlyMstored.
d. AllMofMtheMabove
ANS:M D
Training,MequipmentMmaintenance,MandMreagentMqualityMcanMaffectMqualityMcontrol.
DIF: LevelM2
11. AllMofMtheMfollowingMareMtrueMregardingMcompetencyMtestingM except:
a. itMmustMbeMperformedMfollowingMtraining.
b. itMmustMbeMperformedMonManMannualMbasis.
c. itMisMrequiredMonlyMifMtheMtechnologistMhasMnoMexperience.
d. retrainingMisMrequiredMifMthereMisMaMfailureMinMcompetencyMtesting.
ANS:M C
AllMemployeesMmustMhaveMcompetencyMtestingMfollowingMtrainingMandMannuallyMthereafter.MIfMthereMisMaMfailureMinMcompetencyMtesting,
MretrainingMisMrequired.
DIF: LevelM2
12. WhichMofMtheMfollowingMorganizationsMareMinvolvedMinMtheMregulationMofMbloodMbanks?
a. TheMJointMCommission
b. AABB
c. CollegeMofMAmericanMPathologists
d. FoodMandMDrugMAdministration
ANS:M D
TheMFoodMandMDrugMAdministrationMregulatesMbloodMbanks,MwhereasMtheMotherMorganizationsMareMinvolvedMinMaccreditation.
DIF: LevelM1
13. AllMofMtheMfollowingMareMresponsibilitiesMofMtheMqualityMassuranceMdepartmentMofMaMbloodMbankM except:
a. performingMinternalMaudits.
b. performingMqualityMcontrol.
c. reviewingMstandardMoperatingMprocedures.
d. reviewingMandMapprovingMtrainingMprograms.
ANS:M B
QualityMcontrolMisMperformedMinMtheMlaboratory,MnotMbyMtheMqualityMassuranceMdepartment.
DIF: LevelM2
CopyrightM©M2021,MElsevierMInc.MAllMrightsMreserv 2
ed.
, 14. TheMstandardMoperatingMprocedureMisMaMdocumentMthat:
a. helpsMachieveMconsistencyMofMresults.
b. mayMbeMsubstitutedMwithMpackageMinserts.
c. isMnecessaryMonlyMforMtrainingMnewMemployees.
d. mustMbeMveryMdetailedMtoMbeMaccurate.
ANS:M A
StandardMoperatingMproceduresMareMwrittenMproceduresMthatMhelpMachieveMconsistencyMandMshouldMbeMclearMandMconcise.
DIF: LevelM2
15. EmployeeMtrainingMtakesMplace:
a. afterMhiringMandMfollowingMimplementationMofMnewMprocedures.
b. followingMcompetencyMassessment.
c. onlyMforMnewMinexperiencedMemployees.
d. asMproceduresMareMvalidated.
ANS:M A
TrainingMoccursMwithMallMnewMemployeesMregardlessMofMtheirMexperienceMandMfollowingMimplementationMofMnewMprocedures.
DIF: LevelM1
16. PlansMthatMprovideMtheMframeworkMforMestablishingMqualityMassuranceMinManMorganizationMare:
a. currentMgoodMmanufacturingMpractices.
b. standardMoperatingMprocedures.
c. changeMcontrolMplan.
d. continuousMqualityMimprovementMplan.
ANS:M D
TheMtotalMqualityMmanagementMorMcontinuousMqualityMimprovementMplanMareMpartMofMtheMqualityMassuranceMprogramMinManMorganizatio
n.
DIF: LevelM1
17. AMfacilityMdoesMnotMvalidateMaMrefrigeratorMbeforeMuse.MWhatMisMaMpotentialMoutcome?
a. TheMfacilityMisMinMviolationMofMcurrentMgoodMmanufacturingMpracticesMandMcould
MbeMcitedMbyMtheMFoodMandMDrugMAdministration.
b. TheMfacilityMisMinMcomplianceMifMtheMequipmentMfunctionsMproperly.
c. TheMfacilityMisMinMcomplianceMifMtheMbloodMproductsMstoredMinMitMareMnotMtransfused.
d. TheMfacilityMisMinMviolationMofMAABBMandMmayMnoMlongerMbeMmembers.
ANS:M A
ValidationMofMequipmentMisMaMcurrentMgoodMmanufacturingMpractice,MwhichMisMaMlegalMrequirementMestablishedMbyMtheMFoodMandMDrugM
Administration.
DIF: LevelM2
MULTIPLEMRESPONSE
1. InMaMroutineMauditMofMaMfacilitiesMbloodMcollectionMarea,MtheMqualityMassuranceMdepartmentMfoundMthatMtheMbloodMbagsMusedMo
nMthatMparticularMdayMhadMexpired.MWhatMisMtheMappropriateMcourseMofMaction?M(SelectMallMthatMapply.)
a. InitiateMaMrootMcauseManalysisMandMquarantineMtheMbloodMcollectedMinMtheMexpi
redMbags.
b. NotifyMtheMFDAMsinceMtheMexpiredMbagsMwereMdistributed.
c. ChangeMtheMexpirationMdateMonMtheMbagsMtoMavoidMlegalMissues.
d. FireMtheMdonorMroomMsupervisor,MandMdiscardMtheMbloodMcollectedMinMtheMexpi
redMbags.
ANS:M A,MB
AMrootMcauseManalysisMwillMdetermineMtheMfactorsMthatMcontributedMtoMtheMerrorMandMresultMinMaMplanMtoMpreventMfurtherMerrors.
DIF: LevelM3
2. SeveralMunitsMwereMreleasedMtoMaMhospitalMbyMmistakeMbeforeMallMviralMmarkerMtestingMwasMcompleted.MWhatMisMtheMappropriateM
courseMofMaction?M(SelectMallMthatMapply.)
a. TheMerrorMisMreportable,MandMtheMFoodMandMDrugMAdministrationMmustMbeMcontacted.
b. CallMtheMhospitalMandMrequestMaMquarantineMofMtheMremainingMproductsMinMinventory.
c. PerformMaMrootMcauseManalysisMand,MifMtheMunitsMareMfoundMtoMbeMnegative,Mrepor
tMtheMtestMresultMtoMtheMhospital.
d. RecallMonlyMtheMunitsMthatMareMpositiveMforMviralMmarkers.
ANS:M A,MB
ReleaseMofMuntestedMunitsMisMaMreportableMerrorMtoMtheMFoodMandMDrugMAdministrationMandMtheMhospitalMmustMbeMnotifiedMtoMquara
ntineManyMremainingMproductsMpendingMcompletionMofMtestMresults.
DIF: LevelM3
CopyrightM©M2021,MElsevierMInc.MAllMrightsMreserv 3
ed.