Blood Bank 8.1 and 8.2 review specific

  1. What are the four donor classifications?
    • Acceptable
    • Permanently Deferred
    • Temporarily Deferred
    • Further Evaluation Required
  2. What level is the pH maintained in a donor unit?
    7.1 – 7.5
  3. What mild medications are acceptable?
    • Vitamins
    • Hormones
    • Birth Control
  4. What is the deferral time for CJD?
  5. What is the deferral time for tattoo or ear piercing?
    12 months
  6. What is the ideal pH for a donor unit?
    7.4 – 7.5
  7. What can you do to minimize donor reactions?
    • Calm the donor
    • Divert attention
    • Show self-confidence
  8. What is the purpose of apheresis?
    Removal or collection of components for Transfusion and treatment of patient’s disease
  9. What is the shipping and arrival temperature of frozen blood, frozen blood products and PRBCs?
    • -40 ͦC for frozen
    • -18 ͦC for FFP and Cryo
    • 1 – 10 ͦC for PRBCs
  10. What information is included on the Donor Record?
    Date, Name, SSN, Address, Telephone #, Sex, Age, Consent
  11. What is the time delay for Heavy equipment operator to return to work?
    12 hours
  12. While performing donor screening what must occur?
    Physical examination and detailed medical history
  13. What organization coordinates blood programs for different military branches?
    Armed Services Blood Program
  14. What is the shelf life of Cryoprecipitate?
    12 months
  15. Where should thermometers be placed in the Blood Bank refrigerator?
    Top and bottom
  16. In the Blood Bank, what information needs to be checked for each reagent used?
    Lot number and expiration date
  17. What is the acceptable temperature range for the Blood Bank refrigerator?
    1o - 6oC
  18. What is the temperature range for “Room Temperature”?
  19. •20o- 24oC
  20. What organization ensures adequate supplies of blood and blood products are available to all Navy MTFs?
    Navy Blood Program
  21. When a fatality due to transfusion has occurred, when must CBER be notified?
    Within 7 days
  22. What is the most common error in the Blood Bank?
    Transcription Error
  23. What is the most common deficiency during an FDA inspection?
    Recordkeeping violations
  24. What is the record retention time for outdated SOPs?
    5 years
  25. What must you do if you accidentally mislabel and ship units and then transfuse them?
    Notify the FDA
  26. Records of blood received from another facility must be kept for how long?
  27. How long must records be kept which identify donors positive for HIV or HTLV I/III?
  28. Know the responsibilities of the Blood Utilization Committee
    • Review usage of blood products
    • reports adverse reactions
    • reports disease transmission
    • reports cases of transfusion associated AIDS to blood collecting facilitiy
    • documented post-transfusion hepatitis must be reported to FDA (CBER)
  29. Know purpose of the Maximum Surgical Blood Ordering Schedule (MSBOS)
    • recommended blood orders based on prior blood use
    • minimize requests for crossmatch
    • guideline to decrease crossmatch to transfusion ratio
  30. What solution are thermometers kept in when measuring temperature in refrigerators?
    10% glycerol with water
  31. During donor phlebotomy, what pressure must the BP cuff be maintained at?
    40 – 60 mm Hg
  32. How long must donors report a post-donation hepatitis infection?
    Within 6 months
  33. What is the maximum body temperature for a donor?
    99.5 degrees F
  34. What is maximum systolic pressure for a donor?
    180 mm Hg
  35. What is the acceptable pulse for donor?
    50 – 100 BPM
  36. What is produced from a “light spin”?
    Platelet Rich Plasma
  37. Why are donors screened? (2 reasons)
    • Protect the donor
    • Protect the patient
  38. What is the minimum weight for blood donation?
    110 lbs
  39. What is the shelf life of blood preserved with CPD?
    21 days
  40. A patient develops an antibody to himself. What type of antibody is this?
  41. What type of antibodies are Kell, Kidd, Duffy, M, N, and S?
  42. What is the minimum hemoglobin concentration to donate blood?
    12.5 g/dl
  43. The blood drop floats in the Copper Sulfate test. Is the donor acceptable?
  44. The blood drop does not sink or float. Is the donor acceptable?
  45. What is the first thing to do when a donor faints during collection?
    Stop the procedure
  46. How long must a donor wait to donate blood following a recent donation?
    8 weeks
  47. After blood donation, how long does it take for the donor to replace donated blood?
    24 hours
  48. How long must a donor wait following plasma donation?
    72 hours
  49. How long must a donor wait following immunization with live vaccine?
    2 weeks
  50. What is the function of phosphate as a preservative?
    Prevents decrease of pH
  51. How many doses of dextrose and adenine are in NUTRICELL?
  52. How often should temperature graphs be changed in the blood bank?
  53. Know what happens to a blood unit as it approaches its expiration date.
    • pH decreases
    • ATP levels decrease
    • 2,3 DPG levels decrease
    • red cell mass
    • hemolysis
    • clots
  54. what happens to RBC and plasma as it approches its exiration date for:
    • Sodium
    • RBC: increase, plasma: decrease
    • potassium
    • RBC: decrease, plasma: increase
    • Hgb
    • RBC: decrease, plasma: increase
    • Ammonium
    • RBC: decrease, plasma: increase
  55. Know the 10 required testing of donor units.
    • ABO/Rh
    • Anitbody screen
    • Syphilis
    • HBsAg
    • HBcAb
    • HCV/NAT
    • HTLV-I/II
    • HIV-1/2
    • HIV antigen
    • WNV
  56. What are 3 phases and temperatures of a crossmatch?
    • Immediate Spin, room temperature
    • 37 degree incubation
    • Coombs phase at 37 degrees
  57. How long must one wait if they have a blood transfusion?
    12 months
  58. What is the deferral period for someone who has been to a malarial endemic country?
    12 months
  59. What is given to a laboratory for an FDA finding or observation? (this is bad)
    Form 483
  60. Why are records reviewed prior to transfusion?
    To verify ABO/Rh
  61. What agency approves all reagents used in the laboratory?
  62. Know the 8 viral markers included in the Look Back Program
    • HIV 1/2
    • HTLV I/II
    • Confirmed Syphilis (FTA-ABS)
    • HBsAg
    • WNV
    • CJD
    • HCV
    • travel to malaria endemic area
  63. how long are records on donor ID information, medical history, consent and interpretations of test for disease markers retained?
  64. how long are records on blood and blood components received from outside sources retained?
  65. how long are records kept when no dating period is set for component?
  66. how long are records kept for final disposition of each unit or component?
  67. how long are deferral letters kept?
  68. how long are patient notification letters kept?
  69. how long are signature/initial logs kept?
  70. how long are transfusion records kept?
  71. how long are donor ABO/Rh, blood typing difficulties, and adverse reaction logs kept?
    5 years
  72. how long are patient ABO/Rh, compatibility testing results, and therapeutic procedure logs kept?
    5 years
  73. how long are records kept on superseded procedures, manuals, and publications?
    5 years
  74. how long are records kept on storage temperatures, inspection of blood and blood components?
    5 years
  75. how long are records kept on component, reagent, and equipment QC?
    5 years
  76. how long are records kept on documentation of staff qualification, training, and competency?
    5 years
  77. how long are removed procedures from SOPs maintained?
    five years
  78. What is used to calibrate thermometers in the blood bank?
    NIST Thermometer (National Institute of Standards and Technology)
  79. What can a donor use during the collection process to exclude his unit from being processed?
    Donor Exclusion Card
  80. How long does the copper sulfate test take?
    15 seconds
  81. What type of test is the copper sulfate test (qualitative or quantitative)?
  82. What is the deferral period for a donor who was released from a mental hospital?
    12 months
  83. What type of test is the copper sulfate test (qualitative or quantitative)?
  84. How soon after donation must a unit of blood be processed to make Fresh Frozen Plasma?
    8 hours
  85. What is the most common donor reaction?
  86. What is the shelf life of ADSOL?
    42 days
  87. What is the deferrment period for Chagas Disease of Babesiosis?
  88. How soon must de-glyced blood be transfused?
    Within 24 hours
  89. What is the purpose of rejuvenation?
    Restore 2,3 DPG and ATP to normal levels
  90. You have gonorrhea. When can you donate blood?
    12 months
  91. At a blood drive, how long must a phlebotomist scrub his hands?
    30 seconds
  92. What is the code series for biologics in 21 CFR?
    Series 600
  93. What is the minimum hemoglobin level for autologous donation?
    11.0 g/dl
Card Set
Blood Bank 8.1 and 8.2 review specific
Review for blood bank 8.1 and 8.2