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IMHM > donor screening > Flashcards

donor screening Flashcards

1
Q

The standardization when it comes to the procedures, the do’s and don’t’s in the immunohematology laboratory is intended

A

Association for the Advancement of Blood and Biotherapies

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2
Q

Dealing with anticoagulants and how we do it when it comes to the different blood components.

A

U.S. Food and Drug Administration

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3
Q

Mainly responsible for the facilities of the blood bank;
when it come to the correct temperature of the
laboratory

A

The Joint Commission

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4
Q

When was AABB established?

A

1947

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5
Q

MEMBERS OF THE AABB ORGANIZATION

A
  • Medical laboratory technicians,
  • Medical technologists,
  • Registered nurses,
  • Laboratory managers
  • Physicians
  • Transfusion medicine fellows, and
  • Researchers involved in transfusion medicine.
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6
Q

responsible for regulating the collection of
blood and blood components used for transfusion
and for the manufacture of pharmaceuticals derived from blood and blood components

A

CBER - Center for Biologics Evaluation and
Research

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7
Q

Blood bank in a hospital is also known as

A

transfusion service

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8
Q

It is the donation center, screens donors, draws
donors, performs testing on the donor blood, and delivers appropriate components to the hospital blood bank

A

Blood Center

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9
Q

What are the content of the registration

A
  • Name (Full name)
  • Date and Time of Donation
  • Address
  • Telephone/ contact numbe
  • Gender
  • Age or date of Birth:
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10
Q

How old does a person have to be to donate blood?

A

> 17 years old

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11
Q

the opportunity to decline from the donation process if they believe their blood is not safe or they are uncomfortable with the procedure

A

consent to donate

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12
Q

Donor taking medication may result to

A

deferral

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13
Q

A donor who has been hospitalized for AIDS

A

permanent deferral

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14
Q

small chance of donating blood

A

indefinite deferral

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15
Q

Taking antibiotics for an infection or for prophylaxis after dental surgery, If viral hepatitis before the age of 11 year

A

temporary deferral

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16
Q

Tegison or etretinate intake

A

permanent deferral

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17
Q

performs compatibility testing and prepares
components for transfusion.

A

Blood bank

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18
Q

Donor screening

A
  • Medical History of the donor
  • Physical examination
  • Serologic testing of the donor
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19
Q

A person with a history of hemophilia A or B

A

permanent deferral

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20
Q

Confirmed positive test for HBsAg after the 11th birthday

A

permanent deferral

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20
Q

The medical history is conducted

A

on the same day as the
donation.

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20
Q

A history of babesiosis or Chagas’ disease

A

indefinite deferral

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21
Q

active disease under the treatment such as cold, flu,
tuberculosis, syphilis, infections, curable disease of the heart,
lung, kidney, liver and GI tract

A

temporary deferral

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22
Q

Persons who have had sex with any person with hemophilia or related blood disorder who has received
factor concentrates

A

1 year deferral

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23
Q

von Willebrand’s disease, or severe thrombocytopenia

A

permanent deferral

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24
Q

multiple puncture marks

A

indefinite deferral

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25
Q

Men who have engaged in sex with another man since 1977

A

permanent deferral

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26
Q

Persons who have been treated for malaria

A

3 years deferral

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27
Q

women who have had sex with men who have had sex with another man even once since 1977

A

1 year deferral

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28
Q

Evidence of skin lesions

A

indefinite deferral

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29
Q

Persons who have had sex with any person who is a past
or present IV drug user.

A

1 year deferral

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30
Q

Intravenous drug abusers either past or present

A

permanent deferral

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31
Q

Those who have had malaria, immigrated from, or lived in
an endemic area

A

3 years deferral

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32
Q

Malaria endemic in the Philippines

A

Palawan, Sulu,
Occidental Mindoro and Sultan Kudarat

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33
Q

Donors who have been exposed to blood or body fluids via
an accidental needlestick or other injury.

A

1 year deferral

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34
Q

Allogenic blood donations

A

8 weeks deferral or 56 days

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35
Q

Positive hepatitis C test result

A

permanent deferral

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36
Q

Person who received a tattoo

A

1 year deferral

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37
Q

Taking drugs like, Accutane or Proscar

A

4 weeks or 1 month after the last dose

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38
Q

Positive HTLV 1 or 2

A

permanent deferral

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39
Q

Piroxicam, aspirin or anything with aspirin.

A

3 days deferral

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40
Q

Person who received blood transfusion, other human tissues.

A

1 year deferral

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41
Q

Anything with blood thinners

A

3 days deferral

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42
Q

Apheresis blood donation

A

48 hours deferral

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43
Q

for dealing with a specific blood
component; this uses machine

A

apheresis

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44
Q

Syphilis or gonorrhea or treatment for either or a reactive
screening test for syphilis

A

1 year deferral

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45
Q

Alcohol intake

A

12 hours deferral

46
Q

an opportunity for those donors who felt pressure to
donate in the workplace or at a community blood drive
to indicate their blood should not be transfused.

A

CUE - confidential unit exclusion

47
Q

A person who has been subjected in a correctional
institution in the past 12 months.

A

1 year deferral

48
Q

the blood may be given to another.

A

USE

49
Q

Provides a general screening of health and vital signs to
ensure good health on the day of donation.

A

physical examination

50
Q

Body Weight requirement

A

110 pounds or 50 kg

51
Q

Individuals who have been incarcerated for more than 72
consecutive hours during the previous 12 months

A

1 year deferral after the last date of incarceration

52
Q

Things to consider if the donor weighs less than 110 pounds

A

o Volume of Blood to be extracted:
o Volume of anticoagulant:
o Volume of anticoagulant to be removed from the blood
bag

53
Q
A
54
Q

Vaccination against Hepatitis B, Anti-Rabies vaccination

A

1 year deferral

55
Q

Vaccination against German measles, chickenpox.

A

4 weeks or 1 month

56
Q

Donor receiving a live attenuated or bacterial vaccine such as measles (rubeola), mumps, polio, typhoid, or yellow fever

A

2 weeks deferral

57
Q

amount of blood to be drawn formula

A

Donors weight x 450 ml divided by 110 lb = allowable amount (ml)

58
Q

amount of anticoagulant needed

A

Allowable amount divided by 100 x 14 = anticoagulant needed

59
Q

amount of anticoagulant to remove

A

64 ml - anticoagulant = anticoagulant to remove

60
Q

Temperature standard

A

37.5° or 99.5°F.

61
Q

Pulse rate

A

50 – 100 bpm

62
Q

athletic with pulse rate is less than 50
beats per minute

A

no deferral

63
Q

Blood pressure

A

systolic - ≤180
diastolic - ≤100.

64
Q

Hemoglobin Concentration and hematocrit level for allogeneic donation

A

hb - ≥12.5 g/dL
hct - ≥38%

65
Q

Hemoglobin Concentration and hematocrit level for autologous donation

A

hb - ≥11 g/dL
hct - ≥33%

66
Q

methods used for measuring hemoglobin

A

copper sulfate method
spectrophotometric
methodology

67
Q

Copper sulfate method has a specific gravity of

A

1.053

68
Q

Hematocrit level can be measured manually by

A

centrifugation or by computing from the RBC count
and MCV result

69
Q

one who
donates blood for his or her own
use

A

AUTOLOGOUS DONATION

70
Q

There is no risk of disease
transmission, transfusion
reactions, or alloimmunization to
white blood cells, RBCs, platelets, or plasma proteins.

A

AUTOLOGOUS DONATION

71
Q

former tag for Autologous units

A

distinct green label and tag

72
Q

There are four different types of autologous donation:

A

o Preoperative collection
o Acute normovolemic hemodilution
o Intraoperative collection
o Postoperative collection

73
Q

include patients
undergoing orthopedic procedures, vascular surgery,
cardiac or thoracic surgery, and radical prostatectomy.

A

PREOPERATIVE COLLECTION

74
Q

No deferral of the donor-patient except

A

when there is a risk
of bacteremia

75
Q

involves removal of whole
blood from a patient with infusions of crystalloid or
colloid before surgical blood loss.

A

ACUTE NORMOVOLEMIC HEMODILUTION

76
Q

These can be also use as blood substitute

A

crystalloid or
colloid

77
Q

involves collecting and
reinfusing blood lost by a patient during surgery.

A

INTRAOPERATIVE COLLECTION

78
Q

prone for bacteremia

A

INTRAOPERATIVE COLLECTION

79
Q

INTRAOPERATIVE COLLECTION has been used in

A

cardiothoracic,
major orthopedic, and cardiac surgery and vascular
surgeries such as liver transplantation.

80
Q

a unit collected under the same
requirements as those for
allogeneic donors

A

DIRECTED DONORS

80
Q

Blood is collected from a drainage tube placed at the
surgical site.

A

POSTOPERATIVE COLLECTION

81
Q

collected is directed toward a
specific patient.

A

DIRECTED DONORS

82
Q

characteristics of blood in POSTOPERATIVE COLLECTION

A

dilute,
partially hemolyzed,
and defibrinated

83
Q

POSTOPERATIVE COLLECTION recommended volume to be reinfused

A

no more than 1400 mL

84
Q

Blood must be reinfused within

A

6 hours

85
Q

The interval between donations for PLATELETPHERESIS is

A

at least 2 days

86
Q

Special agents are required in the procedure for collection
of granulocytes

A

Leukapheresis

87
Q

Donor who will undergo Leukapheresis they need to
take

A

corticosteroid

88
Q

Special agents of leukapheresis

A

hydroxyethyl starch, corticosteroids, and granulocyte-colony stimulating
factor.

89
Q

removal of two allogeneic or autologous RBC units every 16 weeks by an automated method

A

DOUBLE RBC PHERESIS

90
Q

This procedure is to be done only by trained personnel
working under the direction of a qualified licensed
physician.

A

WHOLE BLOOD COLLECTION

91
Q

used to link the
donor to the donor record, pilot tubes, blood container, and all
components made from the original collection

A

numeric or alpha numeric system

92
Q

iodine compound used for aseptic technique

A

(Polyvinylpyrrolidone Iodine) or Polymeriodine Comple

93
Q

ask the donor to open and close
hand every

A

10 to 12 seconds

94
Q

A unit containing a volume of 405 to 550 mL should
weigh between

A

429 to 583 g plus the weight of the
container and anticoagulant.

95
Q

If the volume collected is in the low volume range (300
to 404 mL), the unit must be labeled as

A

a Low Volume
Unit and fresh frozen plasma (FFP)

96
Q

used to seal
tubing distal to the needle.

A

hemostat or metal clip

97
Q

generally used for heat sealing

A

hermetic seal

98
Q

blood bag stored in what temperature

A

20-24C

99
Q

(whole
blood, packed RBC are stored at

Platelet
concentrate is stored at

FFP is stored at

A

1 – 6°C
(20 –
24°C
18C

100
Q

ex of mild reaction

A

Syncope or fainting, nausea or vomiting,
hyperventilation, twitching, and muscle spasm.

101
Q

Needle Insertion

A

45° angle > 10-20° angle

102
Q

Time allocation for Procedure

A

≤15 Minutes

103
Q

IF over 15 minutes the blood component is not applicable
for

A

for preparation of cryoprecipitate

104
Q

example of moderate reaction

A

loss of consciousness
Decreased pulse rate, hyperventilation, fall in systolic pressure to 60mmHg.

105
Q

The presence of convulsions exhibited by the donor
defines severe reactions.

A

severe reaction

106
Q

Convulsions can be caused by

A

cerebral ischemia, marked
hyperventilation, or epilepsy.

107
Q

localized collection of extravasated
blood under the skin, resulting in a bluish discoloration

A

hematoma

108
Q

It is caused by the needle going through the vein, with
subsequent leakage of blood.

A

hematoma

109
Q

tx for moderate reaction

A

Administer 95 percent oxygen and 5 percent carbon
dioxide

110
Q

The donor unit collected must be tested and processed by
blood bank technologists before it can be made available
for transfusion

A

DONOR PROCESSING

111
Q

minimum retention time for donor records

A

5 to 10 years to indefinite retention
.

112
Q

The tests performed on donor blood include the following

A

ABO/Rh
Antibody Screen
o HBsAg s
o Anti-HBc
o Anti-HCV
o Anti-HIV 1/2
o WNV RNA
o Anti-HTLV I/II
o Serologic test for syphilis

IMHM (10 decks)

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