Intro- Blood Bank Flashcards
who regulates the hospital level
joint commission
what level is the joint commission
federal
what happens to the hospital if they are not regulated by the joint commission
they do not get reimbursed
true or false: hospital are only regulated by the joint commission and not the state they are in
F
additionally other hospital departments are regulated by what
their own industry / accrediting agencies
what is another name for the healthcare lab
clinical lab
who regulates the clinical lab
state, CLIA, and CAP
what does the state of ca require for people who test human samples
license and facility license
once the CLS training program is complete what do you have
state licensure
what happens to a CLS that that does negligence testing
disciplinary actions, employment termination, loss of CLS license
when are you considered a professional
once you enter the CLS training program
testing needs to _____ and ______
accurate and precise
def? the study of the body’s immune response to blood
immunohematology
what is another name for immunohematology
blood bank
what are the 2 subgroups of blood bank
transfusion medicine and donor center
what subgroup of blood bank gives blood to pt
transfusion medicine
what subgroup of blood bank takes out blood from donors
donor center
what additional regulation groups regulate BB
food and drug administration and global accrediting group (AABB)
who does the food and drug administration and global accrediting group (AABB) protect
pt receiving blood and donor who give blood
what is the most regulated clinical lab department
bb
what must exist in the bb because of the regulatory environment
quality management
what are the 2 components that concern a pt who is about to receive a blood transfusion
- blood component is compatible with the pt’s blood
- there is no intentional adverse rxn
what testing is done on a pt who is about to receive a blood transfusion
blood typing, ab screening, crossmatching
what kind of pt receive blood transfusions
anemic pt
what parts of blood are in whole blood
plasma and RBC
what does plasma provide for a transfusion pt
volume
what does RBC provide for a transfusion pt
oxygen carrying capacity
1 pint = ____ mL
500
what is the most common blood component that is transfused into anemic pt
RBC
hypoxic = ____ O2
decreased
what shifts the o2 dissociation curve to the left
decreased temp, decreased 2-3 DPG, decreased pH
what shifts the o2 dissociation curve to the right
increased temp, increased 2-3 DPG, increased pH
if O2 affinity is reduced where is the O2 dissociation curve
shifted to the right
describe the O2 dissociation curve the longer blood is stored
shifts to the left
if a pt is deficient in coagulation factors (non-cellular elements) what should they be transfused with
plasma
if a pt is deficient in clotting capacity (cellular elements) what should they be transfused with
platelets
if a pt is deficient in factor VIII and fibrinogen what should they be transfused with
cryoprecipitate
t or f: most places do not have a donor center
T
who are the life-lines of the blood supply
repeat donors
t or f: blood and components can be manufactured
f
are pharmaceutical drugs organic or inorganic compounds
inorganic
what form do pharmaceutical drugs come in
solid or liquid
t or f: pharmaceutical drugs can be stored at a variety of temps
T
is blood organic or inorganic
organic
what is the most common form of blood
liquid
T or F: blood can not be frozen
F
what should a donor do after they donate blood
drink lots of liquids to replace fluid
how long does it take for RBC to be replaced
21 days
how are donors processed
systematic way
are volunteer donors payed
no
when are blood inventories good
during disasters and summer
when are blood inventories bad
during holidays
which Christian Science group does not accept any blood transfusions
Jehovah’s witnesses
what do the Jehovah’s witnesses think is acceptable for transfusion
fractions
what are RBC fractions
Hemoglobin
what are WBC fractions
interferons and interleukins
what are plasma fractions
albumin, globulins, and clotting factors
what are platelet fractions
wound healing fractions
what can be given to a Jehovah’s witness to stimulate RCB production
erythropoietin
what can be given to a Jehovah’s witness to help with blood clot
vit K
what tool can be used on a Jehovah’s Witness that cuts and cauterizes at the same time
harmonic scalpel
what can be used on Jehovah’s witness to recover blood from the operating table, washes it, and returns the cleaned blood to the pt
intraoperative blood salvage system
what can be given to a Jehovah’s witness to mimic human hemoglobin
artificial hemoglobin
what does the FDA consider blood as
Pharmaceutical drugs
since blood is considered a pharmaceutical drug what must a pt have in order to receive a transfusion
prescription
Each unit of whole blood collected contains approximately ___ mL of blood and ___ mL of anticoagulant preservative solution
500, 70
what process provides the most ATP for RBC
Glycolysis
what process provides a little bit of ATP for RBC
pentose phosphate pathway
What is the maximum volume of blood that can be collected from a 110-lb donor, including samples for processing?
525 ml
How often can a blood donor donate whole blood?
8 weeks