A Series of Unsuitable Events (reactions)
Donor is having a Citrate Reaction...what treat do you perform and document?
-Evaluate for Solution Switch
-Temporarily pause/slow rate of reinfusion.
-IF symptoms worsen then end return
-Potentially return cells, remove needle.
-If numbness/tingling do not stop then call MSA and document a DAE
If a donor experiences a cell loss are we allowed to move them to another location?
No.
While preparing the donor to donate/disconnecting the donor, he/she tells you that they recently had a medical procedure done (ER visit, surgery, blood drawn, etc.) What are the next steps that you should take?
-Call MSA or direct the donor to MSA.
-Inform Management/QA/Processing tech so that unit can be quarantined.
Alarms that occur outside of the donation procedure must be document on what?
What is Instrument Event (IE) Log
While performing bay monitoring, you notice that donor L. Brown is wearing sunglasses and chewing gum...He states that his glasses are prescription...what are the next steps that you would take?
-Verify that a prescription glasses note in documented in the donor profile.
-Call MSA if no note is found and if donor refuses to take them off.
-Have him spit out his gum.
Donor has a 2.1 inch by 1 inch hematoma.....What treatment would you provide and what would you document?
-Provide Ice pack and remove needle
-Call MSA
-Document DAE
What is the trigger number for Donor Floor Line?
6 donors
What is the time requirement for cleaning a Loop Break and how is this performed?
-Immediately
-Prior to moving the machine, soak up as much blood as possible...Move machine to a non donation area, continue to clean using approved cleaner (NOT BLEACH). Try to not ruin the sensor strip inside the machine. Pass the Fluid spill cleaning once approved be QA verification.
***The faster we address these, the faster we can get the machine back into service.
While resolving the an alarm, the RIKA device displays "Device requires technical service" What steps would you take?
Disable procedure mode according to DOC-000970851 - Rika Autopheresis Device Management. If donor is still donating at time of , after completing the collection, power cycle the device. and remove device from service following instructions per Manually Initiate Equipment Incident as outlined in the DOC-000925906 - NexLynk DMS System Navigation Guide. Tag device with DOC-000933192 - NextGen Equipment Status Form
Donor J. Smith experienced a hypotensive/vasovagal reaction that was non reportable...You finish your documentation, but he still has 5 minutes left of the wait time and needs to go to the bathroom...what should you do?
-Escort the donor to the bathroom and wait outside until he returns...if there is time still left then escort him back to the donor floor to finish is waiting period.
Donor is having a Vasovagal/Hypotensive Reaction....What treatment would you provide and what would you document?
-Remind Donor to stay calm
-Ice Packs, Oral Fluids (only when not nauseous), Elevate legs, Return RBCs, Fan the donor
-Assess for Soultion Switch and provide Tips for a successful donation.
-Document non reportable reaction.
What is the role of QB?
Stay "heads up"—look around after every task to check donor floor, lines, and ensure staff are doing their assigned tasks. Be aware of donor flow, have a sense of both reception and donor floor lines. Help coordinate flexing of cross-trained staff and management as needed.
After performing a DC, you realize that your forgot to document a cell loss, reaction, barcode summary, etc... What are the next steps you should take?
-Immediately notify Management so that the worksheet can be updated.
-DO NOT WAIT UNTIL QA FINDS IT THE NEXT DAY :)
You are resolving an alarm and the screen states, "If this alarm persists in the next procedure, the system requires technical service. Record the alarm number and name and contact your qualified technical service personnel." what should your next steps be?
Complete the Repeat Alarm Tracking Form found in the bottom drawer and hang on the AC pole. If this occurs in the next procedure or if there is already a form hanging, then remove machine from service.
Donor K. White, experienced a loop break and a small hematoma...what are all the things that you would need to document?
-Less than cell loss
-Cell Loss collection exception
-Non reportable reaction for hematoma (not saline infiltration)
-Ice pack and needle removed, verified solution switched, and provide the donor the hematoma and tips for a successful donation paper.
Provide at least 5 examples of when MSA would need to be called for a DAE
-DAE size bruise, Pass out, Throw up, extreme pain upon initial VP with no getting better, chest pain, Loss of bowel/bladder, Seizures, Hives/Rash/persistent itching, SOB, Facial Swelling, etc.
How often should an update on the radio be completed?
Every 15 minutes.
Provide 5 examples of how PPE must be maintained while working in the production area.
-Lab coat clean and buttoned, Non-absorbant shoes, Hair tied up above shoulders, Face shield worn correctly (not up), Pants without holes under lab coats, Gloves worn properly, No big hoop earrings, etc
You are ending a donation and there are two 4602 (Access pressure is too low) alarms and one 1013 (Maximum pump pause time has been reached alarms....What would you document for the reason for underdraw?
Flow/phlebotomy issues.
You are disconnecting donor A. Jackson and their barcode summary states
"EOR{"AC":125,"APV":984,"DURA":1613,"FLGS":["SalineContaminatedDetected"],"ID":"F0000000006","NOMO":"INDV","SAL":500,"TOTV":1090,"TPV":984}"
What steps would you complete next?
-Seal both lines and document "SC" on the label prior to taking the bottle to the lab.
When a donor experiences a donor reaction, who is responsible for performing the documentation, when should this documentation happen, and what is the bare minimum that should be documented?
-The person performing the treatment
-Immediately after the donor's symptoms are improving (concurrently)
-A non-reportable or reportable collection exception.
What is the REACH goal for check in time to phlebotomy start time for return donors?
35 minutes
While performing a disconnect, you accidently poke yourself with the donor's needle while sealing it in the sharp's container...What are the next steps that you would do?
-Immediately notify center management
-Clean area thoroughly with soap and water.
-Visit MSA to call Corvelle and open an incident case.
What are the 4 main beacon colors and what priory is each one?
Red- Rapid Flashing - Immediate response
Yellow - Slow Flashing- Prompt response
Yellow - No Flashing - Operator awareness
Purple - No flashing - Donation completion - Info only
Donor experiences a 4207 alarm ("If this alarm persists in the next procedure, the system requires technical service. Record the alarm number and name and contact your qualified technical service personnel.") you are able to resolve the alarm and continue the procedure. Other than documenting the alarm is there anything else you should do?
-Complete and hang the repeat alarm tracking form and hang on the AC pole if there is already one on the pole then remove machine from service.