blood donor phlebotomy Flashcards

1
Q

blood donors are usually

A

volunteers

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2
Q

collecting blood to be used for transfusion purposes

A

blood collection

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3
Q

To ensure a steady supply of blood

A

purpose of blood donation

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4
Q

Goals of Performing Blood Donor Phlebotomy

A
  1. ensure the safety of the donors
  2. minimize and prevent contamination in the donated blood which may come from external sources
  3. conduct safe collection of donated blood for therapeutic purposes especially during its shelf life
  4. make sure that other personnel are well-trained and qualified to do the venipuncture procedure for blood donation
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5
Q

Donor donates blood of his own free will and receives no payment

A

Voluntary (non-remunerated) donation

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6
Q

Donor donates blood voluntarily to be used by anyone in need

A

Allogenic donation

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7
Q

individual gives blood for his own use – for example, before a surgery

A

Autologous donation

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8
Q

Donor donates blood for the benefit of a particular person

A

Directed Donation

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9
Q

Process of removing a specific component of the blood and returning the remaining components to the donor

A

Apheresis

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10
Q

duration of the entire blood donation process

A

45 to 60 minutes

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11
Q

Basic Requirements

A
  • Donors should be generally healthy
  • at least 16 years old
  • Weight: At least 110 lbs (50 kg)
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12
Q

Can 16-17 year olds donate blood without guardian consent?

A

No, dapat meron

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13
Q

Blood Donation Process (1 to 5)

A
  1. Donor Screening
  2. Donor Registration
  3. Medical History
  4. Donor Interview
  5. Physical Examination
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14
Q

Blood Donation Process (6 to 8)

A
  1. Guidance on Venipuncture for Blood Donation
  2. Preparing the Venipuncture Site
  3. Collecting the Unit
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15
Q

Blood Donation Process (9 to 12)

A
  1. Adverse Events in Blood Donation
  2. Donor Care Post Phlebotomy
  3. Donor Blood Processing
  4. Donated Blood Labeling
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16
Q

process of assessing the suitability of an individual to donate blood or blood components against defined selection criteria

A

Donor Selection

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17
Q

donor is asked about his/her health, lifestyle, and disease risk factors

A

donor screening

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18
Q

key tool in donor selection for assessing donor health and safety and for reducing the risk of transmission of infection

A

Donor Questionnaire

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19
Q

Essential information in Donor Registration

A

full name
date of birth
gender
address
contact details

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20
Q

__________________ should be assigned at first registration

A

unique donor number

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21
Q

the donor will have to confirm if he/she has any
health issues and disease risk factors

A

Medical History

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22
Q

donor will have a brief interview with the healthcare personnel to ensure that the donor has met the general donor requirements

A

Donor Interview

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23
Q

an integral part of the donor interview

A

Pre-donation counselling

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24
Q
  • a short health exam (pulse, temperature, and blood pressure)
  • Hemoglobin/hematocrit will be tested to ensure that the blood iron level is suitable for donation
A

Physical Examination

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25
Q

Pulse Rate required

A

Between 60 and 100 /minute with regular rhythm

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26
Q

Blood pressure required

A

Between 90 and 160 systolic and 60 and 100 diastolic

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27
Q

Hemoglobin required

A

At least 125 g/L

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28
Q

Body temperature required

A

37 C (36.6 -37.2)

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29
Q

non-acceptance of a potential blood donor to donate blood or blood components

A

Donor Deferral

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30
Q

The decision by a potential donor to defer himself from donation of blood or blood components

A

Self-deferral

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31
Q

All except one are temporary deferral

  • pregnancy
  • ear or body piercing and tattooing
  • chronic alcoholism
A

chronic alcoholism

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32
Q

temporary or permanent: minor surgery

A

temporary deferral

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33
Q

temporary or permanent: Unexplained weight loss of more than 5 kg over 6 months

A

permanent deferral

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34
Q

a short briefing on the procedure will be given by the health personnel

A

Guidance on Venipuncture for Blood Donation

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35
Q

the donor will be led to the donor area where the arm is cleaned with antiseptic and the vein for venipuncture is selected.

A

Preparing the Venipuncture Site

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36
Q

the unit of blood will be collected by the health personnel.

A

Collecting the Unit

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37
Q

will be used to draw blood from the vein in the donor’s arm

A

Blood Donation Kit

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38
Q

the healthcare personnel monitors the donor for adverse effects during and after the blood collection

A

Adverse Events in Blood Donation

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39
Q

Most common donor reactions

A
  • vasovagal syncope
  • hematoma
40
Q

what to do if the site is still bleeding?

A

apply further pressure

41
Q

what to do if bleeding occurs after removal of the bandage

A

apply pressure to the site and raise your arm for three to five minutes

42
Q

the collected blood unit is prepared and placed in the proper container for transport to the processing area

A

Donor Blood Processing

43
Q

closed collection system with a sterile blood collection
bag containing anticoagulant, and with an attached tube and needle

A

Collection Unit

44
Q
  • Some bags include ___________________ to collect the first 20 ml of blood collected, to minimize contamination from skin flora and the skin core
A

diversion pouches

45
Q

Collection Unit: whole blood collection

A

Single Blood Bag

46
Q

Collection Unit: RBC and plasma

A

Double Blood Bag

47
Q

Collection Unit: RBC, plasma, and platelets

A

Triple Blood Bag

48
Q

contains red cells, white cells, and platelets, suspended in plasma

A

whole blood

49
Q

carry oxygen and are used to treat anemia

A

RBC

50
Q

how long should RBC be refrigerated depending on the anti-coagulant preservative or additive?

A

maximum of 42 days

51
Q

Can RBC be frozen up to 11 years?

A

10 years lang

52
Q

control of bleeding and are generally used in patients with leukemia and other forms of cancer

A

platelets

53
Q

platelets storage

A

room temp, maximum of 5 days

54
Q

used to control bleeding due to low levels of some clotting factors

  • may be stored frozen up to one year
A

fresh frozen plasma

55
Q

prevents clotting by chelating calcium

A

citrate

56
Q

stabilizes the pH

A

phosphate compound

57
Q

provides energy to the cells

A

dextrose

58
Q

improves the synthesis of ATP in the stored blood prolongs the storage of blood

A

adenine

59
Q

preferred site of vein selection

A

antecubital fossa - large and firm vein

60
Q

Clean the selected venipuncture site thoroughly

Not visibly dirty:

A

wash with soap and water, and wipe dry using a wash towel

61
Q

Clean the selected venipuncture site thoroughly.

visibly dirty:

A

perform either the one-step or two-step procedure

62
Q

material for one-step procedure

A

Combine 2% chlorhexidine gluconate in 70% isopropyl alcohol

63
Q

material for two-step procedure

A

70% isopropyl alcohol and tincture of iodine or chlorhexidine (2%)

64
Q

when to release tourniquet?

A

once sufficient blood has been collected

450 mL +/– 10%

65
Q

Use a __________ needle which is usually attached to the blood collection bag

A

16-gauge

66
Q

Ask the donor to open and close the fist slowly every _____________ seconds during collection

A

10–12

67
Q

Remove the tourniquet when the blood flow is established or after __________

A

2 minutes

68
Q

should you mix the collected blood gently with the anticoagulant every 1 minute?

A

no, every 30 seconds dapat

69
Q

Place a _________ just below the needle or a plastic stopper to stop the bleeding

A

hemostat

70
Q

What types of tests are performed on donated blood?

A
  • Hepatitis B
  • Hepatitis C
  • HIV-1 and HIV-2
  • Serologic test for syphilis
71
Q

The collection unit is a sterile, closed system consisting of a bag to contain the blood connected by a length of tubing to a sterile ______________ needle

A

16 to 18 gauge

72
Q

The collection bag contains an _______ and ________ and is placed on a mixing unit while the blood is being drawn

A

anticoagulant and preservative solution

73
Q

The unit is normally filled by weight but contains around _____________ of blood when full

A

450 mL

74
Q

where specimens for analysis are received, sorted and held temporarily before dispatch into laboratory areas

A

Laboratory Sample Reception Area

75
Q

assigned in the sample reception area

A

Medical Laboratory assistant or laboratory receptionist

76
Q

STAT

A

immediately

77
Q

test examples for STAT

A
  • glucose
  • H&H
  • electrolytes
  • cardiac enzymes
78
Q

Med Emerg

A

medical emergency - same as stat

79
Q

Timed

A

collected at a specific time

80
Q

As soon as possible

A

ASAP

81
Q

2-hour PP, GTT, cortisol, cardiac enzymes, TDM, blood cultures are example of tests that are

A

Timed

82
Q

no food or drink except water for 8-12 hrs prior to specimen collection

A

Fasting

83
Q

status of triglycerides

A

Fasting

84
Q

NPO

A

nothing by mouth

85
Q

Preop

A

before an operation

  • to determine patient eligibility for surgery
86
Q

Postop

A

after surgery

  • assess patient condition after surgery
87
Q

Relating to established procedure

A

Routine

88
Q

A document that serves as a communication link to the requesting physician and to the other users of the laboratory services

A

Laboratory request form

89
Q

Information about the company or personnel that made the request

A

Requester Details

90
Q

provide information about the specimen being handled

A

sample details

91
Q

list of possible tests that could be conducted or provided

A

examination requested

92
Q
  • provides easy and fast access to almost error-free information.
  • ensures that reports generated are accurate and provided in a timely manner
A

Laboratory Computer system

93
Q

a tool in the form of a website that provides a stepwise plan to guide medical laboratories towards implementing a quality management system in compliance with ISO 15189.

A

Laboratory Quality Stepwise Implementation (LQSI)

94
Q
  • All incoming samples should be logged or recoded in a register or log book
  • Assign laboratory identification number to the sample.
  • Enter the corresponding requisition form into the computer
A

The Laboratory Sample Receipt/ Tracking Logbook

95
Q

should blood bag be lowered than arm?

A

yes na yes 4 u