Day 1 Flashcards
What form is used to request blood or blood components?
Standard Form 518
What section of the SF 518, is titled “Requisition “?
Section 1
What section of the SF 518 is titled “Record Of Transfusion “?
Section III
What section of the SF 518 is titled “Pre- Transfusion Testing”?
Section II
What parts of SF 518 are completed by the clinic/ward?
Section I & Section III
When must Section I be “fully” completed?
Before sample is collected
What part of the SF 518 is completed by the blood bank
Technician?
Section II: Pre- transfusion testing
Inspection and issue by requires the time, date, and signature of the issuing blood bank technician. Identification is completed by the first and second verifiers (usually a witness and transfusionist)
Section III : Pre Transfusion Data
Type of component requested, type in status of request, requesting provider and the diagnosis or operative procedure, recipients pertinent medical background information, signature, date and time of the person verifying the blood specimen was drawn from the indicated patient
Section I : Requisition
The amount transfused, the date/time the transfusion was completed or interrupted, any transfusion reaction info (when applicable)other difficulties, signature of the transfusionist
Section III : Post TransFusion Data
Donor unit number and ABO/RH, recipient identification number, ABO/Rh, and transfusion number, confirmation of a previous record check, antibody screen and compatibility testing results, signature and date of tech who accomplish the testing, remarks, to include the results of any antibody ID done from the positive antibody screen
Section II Pre-Tranfusion Testing
What was laboratory personnel ensure before excepting the SF 518, section III for a future filing?
Section is complete before filing
Return to transfusion service copy
The second page
Medical record copy
The original page
Transfusion service “suspense”copy
The third page
What copies of the SF 518 accompany the unit when it leaves the blood bank?
Original and second page
What happened to the third copy of the SF 518 when the unit leaves the blood bank?
It is kept by the lab as a suspense copy
What copy of the SF 518 is returned to blood bank after the transfusion is complete? What happens to the suspense copy?
Return to transfusion service copy is brought back to Burbank and suspense copy is destroyed second page(return to transfusion )is filed
How long does SF 518, section II be maintained?
Minimum of five years
What is the purpose of a blood bank ledger?
To indicate the number of units of blood or blood components requested that have been successfully crossmatch and available.
Before blood is selected for transfusion, current testing must be compared to what records?
ABO grouping and RH typing done in the last 12 months and difficulty and blood typing, clinically significant Ab and transfusion reaction in the past five years
Name for ways/sources a MTF can obtain blood?
Voluntary donations, other area military or a federal MTS, local civilian BB (FDA license ARC), ASWBPL
TRUE OR FALSE
for profit and paid donor and agencies can be used in emergent situations.
False; not used, high cost and suspect nature of products
What is included on the alpha roster that MPF provides the MTF?
ABO/Rh of all military on base, name, SSN, rank/grade, organization and phone number, blood group and type
How often is the Alpha roster updated?
Quarterly
Provides a blood bank with a complete method to document all blood bank transactions and procedures
Blood bank ledger
Each MTF in the military is required to maintain a list of the ABO/RH of our military personnel assigned to the base. Supplied by MPF to the MTF
Alpha roster
A bulky method of maintaining a donor roster that is not commonly used
DD form 572
A list/data Bank of potential blood donors. Alpha roster, DD form 572
Donor roster
Used to request blood or blood components and document transfusion administration
SF 518
Test Summary of each donor and prospective donor maintained at the donor center
Blood donor ledger
Transfusion number, date, recipient name in clinic/ward, recipient ABO/Rh, antibody screen and interpretation of results, donor unit number, a ABO/Rh, crossmatch info to include test results, interpretation of results and they completed, initials of person performing the testing
SF 518 or blood bank ledger
How are DD form 572 is separated?
Separated from active donor
How is the donor phlebotomy site cleaned?
Scrub at least 1.5 inches for 30 seconds with 0.7 iodophor compound, then apply 10% PVP iodine solution. Let stand for 30 seconds
How was the donor phlebotomy site sterilized?
After cleaning, cover with dry sterile gauze until venipuncture; do not touch again
TRUE OR FALSE
It is permissible to touch the venipuncture site after the application of the iodine
False
What is the donation collection bag inspected for?
Leaks, defects or discoloration
Why is a hemostat place on the tubing before the needle cap is removed?
To prevent air from getting into the bag
How often should the donor open and close their hand?
Until the vein is prominent
INDEFINITE OR 5 YEARS ?
Donor and donor blood.
5 years
INDEFINITE OR 5 YEARS ?
Other records
5years
INDEFINITE OR 5 YEARS ?
Record of donors
Indefinite
INDEFINITE OR 5 YEARS ?
Record of patients
Indefinite
INDEFINITE OR 5 YEARS ?
Comparison with past records
5years
INDEFINITE OR 5 YEARS ? Records of recipients
5years
INDEFINITE OR 5 YEARS ?
Names, signatures, initials or identification code and inclusive dates of employment of those authorized to sign initial or review reports and records
Indefinite
Why must blood flow remain fairly brisk?
To prevent coagulation
What are the adverse reactions that donors are cautioned about?
Fainting(syncope), nausea/vomiting, twitching/muscular spasms, hematoma, convulsions, cardiac difficulties
TRUE OR FALSE
OI’s regarding donor reaction prevention, treatment, supplies and equipment shall be available
True
TRUE OR FALSE
Donor room personnel are required to have CPR training
True
TRUE OR FALSE
The blood bank supervisor must provide written instructions for handling donor reactions
False; the physician
What is the normal volume for a donor unit?
450mL plus or minus 45 mL
What is the low volume for a donor unit? What must be included on the label
305-405mL ; labeled “Low Volume”
TRUE OR FALSE
It’s on her unit less than 305 mls may be transfused
True , only is anticoagulant is adjusted
When and at what temperature Are donor units stored?
1 to 6°C and eight hours after collection
What temperature are platelets transported and stored?
20 to 24°C
Why are therapeutic phlebotomy is performed?
To treat medical conditions
Who approves therapeutic phlebotomy’s?
Blood bank physician
TRUE OR FALSE
Therapeutic Donor units can be transfused to another recipient
False
What is different about a therapeutic phlebotomy versus routine donor phlebotomy?
They process the same but the paperwork is somewhat different
