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What are the four donor classifications?
- Acceptable
- Permanently Deferred
- Temporarily Deferred
- Further Evaluation Required
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What level is the pH maintained in a donor unit?
7.1 – 7.5
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What mild medications are acceptable?
- Vitamins
- Hormones
- Birth Control
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What is the deferral time for CJD?
Permanent
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What is the deferral time for tattoo or ear piercing?
12 months
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What is the ideal pH for a donor unit?
7.4 – 7.5
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What can you do to minimize donor reactions?
- Calm the donor
- Divert attention
- Show self-confidence
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What is the purpose of apheresis?
Removal or collection of components for Transfusion and treatment of patient’s disease
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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
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What information is included on the Donor Record?
Date, Name, SSN, Address, Telephone #, Sex, Age, Consent
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What is the time delay for Heavy equipment operator to return to work?
12 hours
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While performing donor screening what must occur?
Physical examination and detailed medical history
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What organization coordinates blood programs for different military branches?
Armed Services Blood Program
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What is the shelf life of Cryoprecipitate?
12 months
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Where should thermometers be placed in the Blood Bank refrigerator?
Top and bottom
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In the Blood Bank, what information needs to be checked for each reagent used?
Lot number and expiration date
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What is the acceptable temperature range for the Blood Bank refrigerator?
1o - 6oC
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What is the temperature range for “Room Temperature”?
-
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What organization ensures adequate supplies of blood and blood products are available to all Navy MTFs?
Navy Blood Program
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When a fatality due to transfusion has occurred, when must CBER be notified?
Within 7 days
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What is the most common error in the Blood Bank?
Transcription Error
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What is the most common deficiency during an FDA inspection?
Recordkeeping violations
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What is the record retention time for outdated SOPs?
5 years
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What must you do if you accidentally mislabel and ship units and then transfuse them?
Notify the FDA
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Records of blood received from another facility must be kept for how long?
Indefinitely
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How long must records be kept which identify donors positive for HIV or HTLV I/III?
Indefinitely
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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)
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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
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What solution are thermometers kept in when measuring temperature in refrigerators?
10% glycerol with water
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During donor phlebotomy, what pressure must the BP cuff be maintained at?
40 – 60 mm Hg
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How long must donors report a post-donation hepatitis infection?
Within 6 months
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What is the maximum body temperature for a donor?
99.5 degrees F
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What is maximum systolic pressure for a donor?
180 mm Hg
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What is the acceptable pulse for donor?
50 – 100 BPM
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What is produced from a “light spin”?
Platelet Rich Plasma
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Why are donors screened? (2 reasons)
- Protect the donor
- Protect the patient
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What is the minimum weight for blood donation?
110 lbs
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What is the shelf life of blood preserved with CPD?
21 days
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A patient develops an antibody to himself. What type of antibody is this?
Autoantibody
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What type of antibodies are Kell, Kidd, Duffy, M, N, and S?
Alloantibodies
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What is the minimum hemoglobin concentration to donate blood?
12.5 g/dl
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The blood drop floats in the Copper Sulfate test. Is the donor acceptable?
No
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The blood drop does not sink or float. Is the donor acceptable?
Yes
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What is the first thing to do when a donor faints during collection?
Stop the procedure
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How long must a donor wait to donate blood following a recent donation?
8 weeks
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After blood donation, how long does it take for the donor to replace donated blood?
24 hours
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How long must a donor wait following plasma donation?
72 hours
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How long must a donor wait following immunization with live vaccine?
2 weeks
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What is the function of phosphate as a preservative?
Prevents decrease of pH
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How many doses of dextrose and adenine are in NUTRICELL?
2
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How often should temperature graphs be changed in the blood bank?
Weekly
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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
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what happens to RBC and plasma as it approches its exiration date for:
sodium:
potassium:
Hgb:
ammonium:
- Sodium
- RBC: increase, plasma: decrease
- potassium
- RBC: decrease, plasma: increase
- Hgb
- RBC: decrease, plasma: increase
- Ammonium
- RBC: decrease, plasma: increase
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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
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What are 3 phases and temperatures of a crossmatch?
- Immediate Spin, room temperature
- 37 degree incubation
- Coombs phase at 37 degrees
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How long must one wait if they have a blood transfusion?
12 months
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What is the deferral period for someone who has been to a malarial endemic country?
12 months
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What is given to a laboratory for an FDA finding or observation? (this is bad)
Form 483
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Why are records reviewed prior to transfusion?
To verify ABO/Rh
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What agency approves all reagents used in the laboratory?
FDA
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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
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how long are records on donor ID information, medical history, consent and interpretations of test for disease markers retained?
indefinate
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how long are records on blood and blood components received from outside sources retained?
indefinate
-
how long are records kept when no dating period is set for component?
indefinate
-
how long are records kept for final disposition of each unit or component?
indefinate
-
how long are deferral letters kept?
indefinate
-
how long are patient notification letters kept?
indefinate
-
how long are signature/initial logs kept?
indefinate
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how long are transfusion records kept?
indefinate
-
how long are donor ABO/Rh, blood typing difficulties, and adverse reaction logs kept?
5 years
-
how long are patient ABO/Rh, compatibility testing results, and therapeutic procedure logs kept?
5 years
-
how long are records kept on superseded procedures, manuals, and publications?
5 years
-
how long are records kept on storage temperatures, inspection of blood and blood components?
5 years
-
how long are records kept on component, reagent, and equipment QC?
5 years
-
how long are records kept on documentation of staff qualification, training, and competency?
5 years
-
how long are removed procedures from SOPs maintained?
five years
-
What is used to calibrate thermometers in the blood bank?
NIST Thermometer (National Institute of Standards and Technology)
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What can a donor use during the collection process to exclude his unit from being processed?
Donor Exclusion Card
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How long does the copper sulfate test take?
15 seconds
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What type of test is the copper sulfate test (qualitative or quantitative)?
Qualitative
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What is the deferral period for a donor who was released from a mental hospital?
12 months
-
What type of test is the copper sulfate test (qualitative or quantitative)?
Qualitative
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How soon after donation must a unit of blood be processed to make Fresh Frozen Plasma?
8 hours
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What is the most common donor reaction?
Fainting
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What is the shelf life of ADSOL?
42 days
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What is the deferrment period for Chagas Disease of Babesiosis?
Permanent
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How soon must de-glyced blood be transfused?
Within 24 hours
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What is the purpose of rejuvenation?
Restore 2,3 DPG and ATP to normal levels
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You have gonorrhea. When can you donate blood?
12 months
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At a blood drive, how long must a phlebotomist scrub his hands?
30 seconds
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What is the code series for biologics in 21 CFR?
Series 600
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What is the minimum hemoglobin level for autologous donation?
11.0 g/dl
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