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Blood Transfusions
Trans. Trans. Diseases
Documentation
Miscellaneous
Waived Testing
100
TRUE or FALSE: A new consent must be obtained for each transfusion episode.
False.
100
TTD most recently added to FDA-required donor screening tests
What is Chagas Disease testing?
100
When should you sign off a medication?
After the medication has been administered.
100
How often should the crash cart check be performed?
Daily, when the departments are open.
100
What shift is responsible for completing the QC checks for bedside glucose monitors?
The night shift (PCT or RN)
200
Who of the following may check/verify blood just prior to administering it? A. Any two available RNs. B. The patient's PCT and RN C. The RN who is going to administer the unit and another RN or physician.
Answer C: The RN who is going to administer the unit and another RN or physician.
200
TTD test with no FDA approved confirmatory test
What is anti-HTLV-1/2
200
When documenting a Verbal or Telephone Order, I should: A. Repeat the order back to the physician. B. Write the order down, and then read it back to the physician. C. Thank the physician for the order and carry out the order.
Answer B: Write the order down, and then read it back to the physician.
200
TRUE or FALSE: A patient MUST be accompanied by an RN when leaving the unit while receiving a blood transfusion.
True
200
QC checks must be done on both the Accu-check and Life Scan glucose monitors. How often must these QC checks be performed?
Every 24 hours and whenever the monitor is dropped.
300
When do most transfusion reactions occur?
Most transfusion reactions occur in the first 15 minutes of the transfusion.
300
TTD most commonly associated with chronic/carrier-state infections
What is Hepatitis C
300
TRUE or FALSE: Documentation of a transfusion is done in the Meditech intervention "Transfuse blood Products." This documentation only needs to be done per episode of transfusion. For example, if you transfuse two units, you only need to document once.
FALSE
300
List 3 examples of how you know that you or your co-workers are competent to do their jobs?
There are a number of ways for you to define your own, and your co-workers' competence. - Licensure or certification, validated at hire and with renewal - Education and training - Information staff receive about their job during orientation and the 90 day probation period, including competence as documented on the Skills Checklist. - Years of service in your field. - The 90 Day and Annual Performance Reviews. - Special training that you and co-workers receive throughout the year to keep you up-to-date on new policies, procedures and technologies. - Outside seminars and internal training in the classroom.
300
The glucose solution used for the QC checks are good for ______ days.
90 days
400
Name 3 signs/symptoms of a transfusion reaction.
Transfusion reactions can include: - Chills, rigors, fever of greater than one degree Centigrade or two degrees Fahrenheit above the pre-transfusion temperature. - Itching - New onset of hypotension - Burning along the transfusion site - Darkened urine or hematuria - Bleeding or oozing from skin punctures
400
What is Parvovirus B-19
The most common cause of nonimmune hydrops fetalis and can result in fetal death in 2-6% of cases if contracted by a non-immune pregnant woman
400
All physicians must be credentialed and granted privileges to provide care for patients at RML. Where would you look to verify that a physician has the privileges to perform a bronchoscopy. (Please be specific)
Medical Staff Page on "IT", Medical Staff/AH privileges by physician name.
400
What PPE is required to enter a AIRBORNE Isolation Room?
N95 Respirator or a PAPR mask
400
When testing stool for occult blood, how many drops of occult blood developer should be placed over each smear on the back of the slide?
Two drops
500
Two Part Question: A transfusion should be completed within ______________ hours. What should be done with any remaining blood?
Completion of a transfusion should be within 4 hours of hanging. The remaining blood should be discontinued and discarded.
500
What is the #1 cause of death from transfusion today?
TRALI
500
What laboratory or diagnostic test results need to be reported and documented in the Physician Notification assessment of Meditech within one hour of receipt of the value?
All critical tests (anything ordered as STAT) and all critical values.
500
In the following scenario, how many opportunities for hand hygiene do I have? I enter a patient room to talk with the patient's wife. While I am in the room, I move the items on the bedside table to get the patient ready for lunch. I notice his IV dressing is loose. I put on gloves and change the dressing. Then, I leave the room.
Three times 1. Upon entering the room. 2. After touching the environment and before donning gloves for the dressing change. 3. After removing the gloves and leaving the room.
500
Two Part Question: When testing stool for occult blood, when should you read the results AND the presence of what color in the specimen test area is considered positive for occult blood?
Results should be read 30-60 seconds after applying the developer solution. The presence of blue color in the specimen test area is considered positive for occult blood.