BASICm&mAPPLIEDmCONCEPTSmOFmBLOODmBANKINGmANDmTRANSFUS
IONmPRACTICESm4THmEDITION
PaulamR.mHoward
,Chapterm01:mQualitymAssurancemandmRegulationmofmthemBloodmIndustrymandmSafetymI
ssuesminmthemBloodmBank
Howard:mBasicm&mAppliedmConceptsmofmBloodmBankingmandmTransfusionmPractices,
m4thmEdition
MULTIPLEmCHOICE
1. WhichmofmthemfollowingmagenciesmadministersmthemClinicalmLaboratorymImprove
mentmAmendments?
a. AABB
b. CentersmformMedicaremandmMedicaidmServices
c. OSHA
d. FoodmandmDrugmAdministration
ANS:m B
ThemCentersmformMedicaremandmMedicaidmServicesmadministersmCLIA,mMedicare,mMedicaid,
mandmHIPAA.
DIF: Levelm1 REF:m m p.m3
2. Amlaboratorymtechnologistmdecidedmshemwouldmlikemtombringmhermlabmcoatmhomemformlau
nderingmbecausemitmhadmtoommanymwrinklesmwhenmreturnedmbymthemlaboratory’smlaundry
mservice. mIsmthismpracticemacceptable?
a. Yes,mifmshemusesm10%mbleach
b. Yes,mifmshemclearsmitmwithmhermsupervisor
c. Yes,masmlongmasmshemremovesmthemcoatmandmdoesmnotmwearmitmhome
d. No,mbecausemthemlaboratorymismambiosafetymlevelm2,mandmlabmcoatsmmay
mnotmbemremoved
ANS:m D
Methodsmofmtransportingmthemlabmcoatmandmthemriskmofmcontaminationmdomnotmpermitmhealt
hmcaremworkersmtombringmlabmcoatsmhomemformcleaning.
DIF: Levelm2 REF:m m p.m14
3. Personalmprotectivemequipmentmincludes:
a. safetymglasses.
b. splashmbarriers.
c. masks.
d. Allmofmthemabove
ANS:m D
Safetymglasses,msplashmbarriers,mandmmasksmaremtypesmofmpersonalmprotectivemdevices.
DIF: Levelm1 REF:m m p.m14
4. Atmwhatmpointminmthememploymentmprocessmshouldmsafetymtrainingmtakemplace?
a. Duringmorientationmandmtraining
b. Followingmlabmtrainingmwhenmemployeesmaremmoremfamiliarmwithm
theirmresponsibilities
, c. Followingmthememployees’mfirstmevaluation
d. Beforemindependentmworkmismpermittedmandmannuallymthereafter
ANS:m D
ThemOccupationmSafetymandmHealthmAdministrationmrequiresmsafetymtrainingmbeforemindepen
dentmworkmismpermittedmandmannuallymthereafter.
DIF: Levelm1 REF:m m p.m17
5. Inmsafetymtraining,memployeesmmustmbecomemfamiliarmwithmallmofmthemfollowingm except:
a. tasksmthatmhavemanminfectiousmrisk.
b. limitsmofmprotectivemclothingmandmequipment.
c. themappropriatemactionmtomtakemifmexposuremoccurs.
d. howmtomperformmcardiopulmonarymresuscitationmonmamdonormormothermemployee.
ANS:m D
ThemOccupationalmSafetymandmHealthmAdministrationmrequirementsmincludemallmofmthosemli
stedmexceptmcardiopulmonarymresuscitation.
DIF: Levelm1 REF:m m p.m13
6. Bloodmirradiatorsmrequiremallmofmthemfollowingmsafetymproceduresmexcept:
a. propermtraining.
b. thatmthemusermhavemamdegreeminmradiology.
c. equipmentmleakmdetection.
d. personalmprotectivemequipment.
ANS:m B
Bloodmbankmandmtransfusionmservicemtechnologistsmrequiremtrainingmbutmnotmamdegreemtomu
semambloodmirradiator.
DIF: Levelm2 REF:m m p.m16
7. Whichmofmthemfollowingmismtruemregardingmgoodmmanufacturingmpracticesm(GMPs)?
a. GMPsmaremlegalmrequirementsmestablishedmbymthemFoodmandmDrugmAdministration.
b. GMPsmaremoptionalmguidelinesmwrittenmbymthemAABB.
c. GMPsmaremrequiredmonlymbympharmaceuticalmcompanies.
d. GMPsmarempartmofmthemqualitymcontrolmrequirementsmformbloodmproducts.
ANS:m A
GoodmmanufacturingmpracticesmaremrequirementsmestablishedmbymthemFoodmandmDrugmAdmi
nistration.
DIF: Levelm1 REF:m m p.m5
8. Whichmofmthemfollowingmismanmexamplemofmanmunacceptablemrecord-keepingmprocedure?
a. Usingmdittosminmcolumnsmtomsavemtime
b. Recordingmthemdatemandminitialsmnextmtomamcorrection
c. Notmdeletingmthemoriginalmentrymwhenmmakingmamcorrection
d. Alwaysmusingmpermanentminkmonmallmrecords
ANS:m A
Allmrecordsmmustmbemclearlymwritten.mDittosmaremunacceptable.
, DIF: Levelm1 REF:m m p.m7
9. Amtechnologistminmtrainingmnoticedmthatmthempersonmtrainingmhermhadmnotmrecordedmthemresu
ltsmofmamtest.mTombemhelpful,mshemcarefullymrecordedmthemresultsmshemsawmatmamlatermtime,m
usingmthemtechnologist’sminitials.mIsmthismanmacceptablemprocedure?
a. Yes;mallmresultsmmustmbemrecordedmregardlessmofmwhomdidmthemtest.
b. No;mshemshouldmhavembroughtmthemerrormtomthemtechnologist’smattention.
c. Yes;mbecausemshemusedmthemothermtechnologist’sminitials.
d. Yes;masmlongmasmshemrecordsmthemresultminmpencil.
ANS:m B
Thismismanmexamplemofmpoormrecordmkeeping;mresultsmmustmbemrecordedmwhenmthemtestmism
performedmandmbymthempersonmdoingmthemtest.
DIF: Levelm3 REF:m m p.m8
10. Unacceptablemqualitymcontrolmresultsmformthemantiglobulinmtestmperformedminmtestmtubesm
maymbemnoticedmif:
a.preventivemmaintenancemhasmnotmbeenmperformedmonmthemcellmwasher.
b.themtechnologistmperformingmthemtestmwasmnevermtrained.
c.themreagentsmusedmweremimproperlymstored.
d.Allmofmthemabove
ANS:m D
Training,mequipmentmmaintenance,mandmreagentmqualitymcanmaffectmqualitymcontrol.
DIF: Levelm2 REF:m m p.m5
11. Allmofmthemfollowingmaremtruemregardingmcompetencymtestingmexcept:
a. itmmustmbemperformedmfollowingmtraining.
b. itmmustmbemperformedmonmanmannualmbasis.
c. itmismrequiredmonlymifmthemtechnologistmhasmnomexperience.
d. retrainingmismrequiredmifmtheremismamfailureminmcompetencymtesting.
ANS:m C
Allmemployeesmmustmhavemcompetencymtestingmfollowingmtrainingmandmannuallymthereafter.
mIfmtheremis mamfailureminmcompetencymtesting,mretrainingmis mrequired.
DIF: Levelm2 REF:m m p.m10
12. Whichmofmthemfollowingmorganizationsmareminvolvedminmthemregulationmofmbloodmbanks?
a. ThemJointmCommission
b. AABB
c. CollegemofmAmericanmPathologists
d. FoodmandmDrugmAdministration
ANS:m D
ThemFoodmandmDrugmAdministrationmregulatesmbloodmbanks,mwhereasmthemothermorganizatio
nsmareminvolvedminmaccreditation.
DIF: Levelm1 REF:m m p.m2