Test Bank for Basic and Applied Concepts of Blood Banking and Transfusion Practices 5th Edition by Howard

Chapter 01: Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank

Howard: Basic & Applied Concepts of Blood Banking and Transfusion Practices, 5th Edition

MULTIPLE CHOICE

1.         Biosafety levels determine:

a.        on what floor certain infectious disease testing can be performed.

b.        the degree of risk for certain areas of a health care facility to exposure to infectious diseases.

c.        the amount of ventilation required in a transfusion service.

d.        how many biohazardous waste containers a laboratory must have.

ANS: B

OSHA defines biosafety levels based on potential exposure to infectious material.

DIF: Level 1

2.         A laboratory technologist decided she would like to bring her lab coat home for laundering because it had too many wrinkles when it was returned by the laboratory’s laundry service. Is this practice acceptable? a.     Yes, if she uses 10% bleach

b.        Yes, if she clears it with her supervisor

c.        Yes, as long as she removes the coat and does not wear it home

d.        No, because the laboratory is a biosafety level 2, and lab coats may not be removed

ANS: D

Methods of transporting the lab coat and the risk of contamination do not permit health care workers to bring lab coats home for cleaning.

DIF: Level 2

2.         ANS: A    DIF: Level 1

3.         ANS: E     DIF: Level 1

4.         ANS: D    DIF: Level 1

5.         ANS: C     DIF: Level 1

Match the following descriptions with the appropriate terms. a.   The CAP survey is an example

b.        Systematic evaluations to determine whether procedures are being followed

c.        Testing to determine the accuracy and precision of reagents and equipment

d.        Process of standardizing an instrument against a known value

e.        Removal of products from the market that might compromise the safety of the recipient

f.         Degree to which a measurement represents the true value

g.        Establishing that a specific process produces an expected result

h.        Evaluation of an employee’s ability to perform a specific skill

i.          Investigation and identification of the factors that contributed to an error

j.          Maximizes the duration of equipment and increases the reliability of the equipment

k.        System to plan and implement changes to prevent problems

6.         Root cause analysis

7.         Recall

8.         Accuracy

9.         Validation

10.     Calibration

11.     Quality control

12.     Proficiency test

13.     Competency assessment

14.     Change control

15.     Audit

16.     Preventive maintenance

6.         ANS: I      DIF: Level 1

7.         ANS: E     DIF: Level 1

8.         ANS: F     DIF: Level 1

9.         ANS: G    DIF: Level 1

10.     ANS: D    DIF: Level 1

11.     ANS: C     DIF: Level 1

12.     ANS: A    DIF: Level 1

13.     ANS: H    DIF: Level 1

14.     ANS: K    DIF: Level 1

15.     ANS: B     DIF: Level 1

16.     ANS: J      DIF: Level 1

TRUE/FALSE

1.      The Occupation Safety and Health Administration does not require the routine use of gloves by phlebotomists working with healthy prescreened donors or changing gloves between donors.

ANS: T

Because the risk of exposure is minimal with blood donors, the Occupation Safety and Health Administration (OSHA) does not require gloves, or if gloves are worn, OSHA does not require that they be changed between donors.

DIF: Level 1

2.      All accidents, even minor ones, must be reported to a supervisor.

ANS: T

The Occupational Safety and Health Administration, workers’ compensation, and other regulatory agencies require reporting all accidents, and an investigation to avoid other injuries is mandatory.

DIF: Level 1

3.      Quality control is the same as quality assurance.

ANS: F

Quality control is performed on reagents and equipment; quality assurance is a system to ensure safe and effective products.

DIF: Level 1