Blood Bank and Transfusion Procedures

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Questions and Answers

What is essential for the documentation of lab results in transfusion medicine?

Results should be documented informally for internal use.

Only positive results need to be documented.

Lab results must be reported without proper formatting.

Proper documentation and reporting are necessary. (correct)

Which organization is referenced for the technical guidelines in blood bank and transfusion medicine?

National Institutes of Health

American Association of Blood Banks (correct)

Centers for Disease Control and Prevention

World Health Organization

What is the role of the Technical Manual in transfusion medicine?

To provide entertainment for blood bank staff.

To serve as a legal document for blood donation.

To furnish guidelines and recommendations for blood bank practices. (correct)

To outline patient rights in transfusion procedures.

Which of the following is NOT an appropriate practice for documenting lab results?

Noting results in a personal notebook. Signup and view all the answers

Why is it important to report lab results accordingly in transfusion medicine?

To maintain the integrity of patient care and safety. Signup and view all the answers

What is the first step before issuing blood and blood components?

Check the expiration date and time of the products Signup and view all the answers

What should be done if discrepancies are identified during the blood issuance process?

Resolve the discrepancies and sign the rectified information Signup and view all the answers

Which document must be signed by the nurse during the blood issuance?

Delivery note Signup and view all the answers

What is the purpose of allowing collecting staff to check product information?

To verify match between the product and allocation tag Signup and view all the answers

When should the date and time of issuing blood be documented?

During downtime procedures Signup and view all the answers

What must be checked before the empty product bag is returned to the Blood Bank?

The match between product information on the bag and the product itself Signup and view all the answers

Which instruction must be given to collecting staff for outpatient and ER patients?

Administer post transfusion care instructions Signup and view all the answers

Who is responsible for checking if transfusions were completed on BBIS daily?

The senior technologist Signup and view all the answers

What should be done if the product information does not match before finalizing the procedure?

Report to a supervisor Signup and view all the answers

What should collecting staff do during downtime regarding unit tags?

Sign the unit tag and the release sheet Signup and view all the answers

What is a specific requirement for patients with irregular antibodies when issuing blood?

Antigen negative blood Signup and view all the answers

Which action is necessary if the transfusion location differs from the requesting ward?

Change the location in BBIS Signup and view all the answers

What is the first step to ensure blood meets the special requirements?

Check the BBIS and the patient’s comments Signup and view all the answers

What is required for patients with a history of previous transfusion reactions?

Additional special requirements Signup and view all the answers

How should staff confirm the patient's information during downtime?

By reading back from the allocation paper or unit tag Signup and view all the answers

What must be done for a patient who requires irradiated blood?

Follow the protocol outlined in IPP 124 BBTM Signup and view all the answers

What information must be printed from BBIS for the delivery process?

Delivery form Signup and view all the answers

Which factor is NOT a special requirement for blood issuing?

Selecting O positive blood type Signup and view all the answers

Which information is crucial to confirm before issuing blood?

Intended recipient’s ABO Group and Rh type Signup and view all the answers

What should staff enter to ensure accurate documentation of collecting personnel?

Full name and staff ID number Signup and view all the answers

Study Notes

Blood Bank and Transfusion Medicine

This is a departmental policy and procedure (DPP) for the King Fahad Specialist Hospital in Dammam, Saudi Arabia.
The policy applies to the issuing of blood and blood components by all Blood Bank Technical Staff.
This document outlines the procedures for the issuing of blood units.

Key Steps in the Process

Ensure the product meets the special requirements reflected on the patient's comments and BBIS transfusion protocol, FORM124/003- Blood Bank Transfusion Record or BBIS backup during downtime.
These special requirements can include:
- Sickle cell negative blood for patients stipulated on IPP 124 BBTM 033
- Antigen negative blood for patients with irregular antibodies
- Irradiated blood as stipulated on IPP 124 BBTM 110
- Neonatal requirements as stipulated on IPP BBTM 064
- Additional requirements for patients with previous transfusion reactions
- Patients with deviation from protocol, ensure that there is an existing approval by the BBTM Consultant as stipulated on IPP 124 BBTM 092
Perform inspection as per IPP 124 BBTM 128
Scan the MRN on the consent as much as possible, if not scannable, enter the MRN by typing and check against the consent that the correct MRN has been entered.
Ensure that the transfusion location is the same as the requesting ward, if not, change the location on BBIS.
Enter the name and ID Number of the collecting staff.
Perform partial delivery for partial order or total delivery for full delivery.
Print a delivery form from BBIS.

Verifying Information

Call out the following information from the allocation tag or release sheet and ensure the collecting staff is confirming the patient and product information by reading back the information from the allocation paper or unit tag during downtime. This information is already verified with the consent form.
- The intended recipient’s full name and medical record number
- The intended recipient’s ABO Group and Rh type
- The product’s unit number, ABO Group and Rh type
- The interpretation of crossmatch tests, if compatible
- Special transfusion requirements such as premedication, issuing of anti-D, etc.
Document lab results in a proper way and report them accordingly.
Resolve any identified discrepancies and sign next to the rectified information, if applicable.
Allow the nurse to read the same information from the physical product as stipulated under step 2.12 while checking the allocation form.
Call out the same information from the physical product while the collecting staff is checking the same information on the allocation tag.
Give the post-transfusion instructions for collecting staff that is collecting blood and blood components for OUTPATIENTS and ER patients.
Allow the nurse to sign the delivery note or during downtime, sign the unit tag - FORM 124/006 and Blood Bank Release Sheet - FORM 124 BBTM 124.
Allow the collecting staff to sign the unit tag and the release sheet during downtime.
Document the date and time of issuing during downtime.
Wait for the empty product bag and allocation form or FORM 124/006 to be returned to Blood Bank.
Check that the product information on the bag matches the product information on the product itself.
Confirm transfusion on BBIS.
The senior technologist checks that transfusions were completed on BBIS daily.

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Description

This quiz covers the policies and procedures related to blood bank operations and transfusion medicine at King Fahad Specialist Hospital. It details the necessary requirements for blood issuance, including special considerations for patient needs and protocols to follow. Test your knowledge on the critical aspects of blood component issuing and safety practices.