SAFETY IN BB High Yield Flashcards

Question: Which U.S. agency classifies blood as a drug and regulates blood banking facilities?
A) OSHA
B) CDC
C) FDA
D) CMS

*Answer: C) FDA

Question: What does the FDA's Code of Federal Regulations outline?
A) Salary standards for laboratory workers
B) Legal requirements of blood banking facilities
C) Guidelines for hospital infection control
D) Protocols for emergency transfusion

*Answer: B) Legal requirements of blood banking facilities

Question: Which agency regulates ALL laboratory testing (except research) performed on humans in the United States?
A) FDA
B) AABB
C) OSHA
D) CMS

*Answer: D) CMS

Question: What does CLIA stand for?
A) Clinical Laboratory Inspection Authority
B) Clinical Laboratory Improvement Amendments
C) Certified Laboratory Integration Act
D) Centers for Laboratory and Infection Assessment

*Answer: B) Clinical Laboratory Improvement Amendments

Question: AABB is best described as a:
A) Government regulatory agency
B) Federal enforcement body
C) Voluntary accrediting agency
D) International standards committee

*Answer: C) Voluntary accrediting agency

Question: What was the former full name of AABB?
A) American Agency for Blood Banking
B) American Association of Blood Banks
C) American Authority for Biological Banking
D) Association of American Blood Bureaus

*Answer: B) American Association of Blood Banks

Question: Which agency is responsible for ensuring safe and healthful working conditions?
A) EPA
B) FDA
C) CMS
D) OSHA

*Answer: D) OSHA

Question: The International Society of Blood Transfusion (ISBT) is classified as:
A) A regulatory agency
B) An accrediting agency
C) Neither a regulatory nor accrediting agency
D) A government enforcement body

*Answer: C) Neither a regulatory nor accrediting agency

Question: Which working party of the ISBT is dedicated to the classification of human blood group systems?
A) Blood Safety and Quality
B) Red Cell Immunogenetics and Blood Group Terminology
C) Transfusion Medicine Standards
D) Hemovigilance and Patient Safety

*Answer: B) Red Cell Immunogenetics and Blood Group Terminology

Question: The Environmental Protection Agency (EPA) primarily focuses on:
A) Regulating blood donor eligibility
B) Inspecting blood banking facilities
C) Protecting the environment from hazardous waste
D) Enforcing laboratory safety standards

*Answer: C) Protecting the environment from hazardous waste

Question: What do Good Manufacturing Practices (cGMPs) specify?
A) Exactly how each task must be performed
B) What needs to be done without specifying how
C) Salary requirements for laboratory staff
D) Equipment calibration schedules

*Answer: B) What needs to be done without specifying how

Question: Which of the following is NOT an example of a record in blood banking?
A) Manual logs and worksheets
B) Temperature charts
C) Verbal staff communications
D) Computer printouts

*Answer: C) Verbal staff communications

Question: What is the key principle of record keeping in the blood bank?
A) Records should be kept only for transfusion errors
B) If it is not recorded, it did not happen
C) Records may be discarded after 1 year
D) Only supervisors are responsible for documentation

*Answer: B) If it is not recorded, it did not happen

Question: The most common regulatory violation identified during blood bank inspections is:
A) Inadequate PPE use
B) Improper waste disposal
C) Poor record keeping
D) Failure to calibrate equipment

*Answer: C) Poor record keeping

Question: An audit trail in blood banking reconstructs:
A) Employee attendance records
B) Every step in collection, production, and distribution of a unit of blood
C) Financial transactions of the blood bank
D) Donor screening interview results only

*Answer: B) Every step in collection, production, and distribution of a unit of blood

Question: What is Document Control in a blood bank setting?
A) A plan for managing all documents addressing design, responsibility, storage, removal, and revision
B) A system for filing donor consent forms only
C) A method for encrypting electronic health records
D) A policy for disposing of expired reagents

*Answer: A) A plan for managing all documents addressing design, responsibility, storage, removal, and revision

Question: Which of the following is the CORRECT way to make an error correction in blood bank records?
A) Use white correction fluid and rewrite
B) Erase the error completely
C) Draw a single line through the error, write correct info, add initials and date
D) Use a black marker to cover the error

*Answer: C) Draw a single line through the error, write correct info, add initials and date

Question: Which type of ink is preferred for blood bank record keeping?
A) Pencil
B) Red ink
C) Blue permanent ink
D) Non-permanent ink

*Answer: C) Blue permanent ink

Question: Recording data on sticky notes or scratch paper is considered:
A) Acceptable if transferred to the official log later
B) A good documentation practice
C) A bad record keeping practice
D) An acceptable temporary measure

*Answer: C) A bad record keeping practice

Question: Standard Operating Procedures (SOPs) are written to:
A) Replace training programs for new staff
B) Ensure consistent performance from one individual to another
C) Satisfy donor requirements only
D) Document financial records of the blood bank

*Answer: B) Ensure consistent performance from one individual to another

Question: Noncompliance with written SOPs is considered:
A) A minor administrative issue
B) One of the most serious violations identified during an inspection
C) Acceptable if the correct result was still obtained
D) Only reviewed by internal auditors

*Answer: B) One of the most serious violations identified during an inspection

Question: SOPs in blood banking are developed based on guidelines from:
A) OSHA
B) EPA
C) CLSI
D) CMS

*Answer: C) CLSI

Question: When were standard precautions first introduced by the CDC?
A) 1975
B) 1981
C) 1987
D) 1991

*Answer: C) 1987

Question: Why did the CDC introduce standard precautions in 1987?
A) To decrease occupational risks of blood-borne diseases such as AIDS and Hepatitis B
B) To regulate blood product labeling
C) To establish donor deferral criteria
D) To standardize blood typing procedures

*Answer: A) To decrease occupational risks of blood-borne diseases such as AIDS and Hepatitis B

Question: In 1991, OSHA issued its final standard mandating the use of:
A) Standard precautions
B) Universal precautions
C) Enhanced biosafety protocols
D) Body substance isolation

*Answer: B) Universal precautions

Question: Standard precautions is a term defined by which agency?
A) OSHA
B) FDA
C) CDC
D) AABB

*Answer: C) CDC

Question: Universal precautions is a term defined by which agency?
A) CDC
B) FDA
C) OSHA
D) AABB

*Answer: C) OSHA

Question: Standard precautions incorporate which two concepts?
A) Hand hygiene and PPE use
B) Universal precautions and body substance isolation
C) Standard protocols and emergency response
D) Sharps safety and respiratory hygiene

*Answer: B) Universal precautions and body substance isolation

Question: Which of the following is NOT included under standard precautions?
A) Hand hygiene
B) Sharps safety
C) Donor background checks
D) Safe injection practices

*Answer: C) Donor background checks

Question: Universal precautions apply to:
A) Only patients known to be infected
B) All patients, regardless of infection status
C) Only patients with HIV or Hepatitis B
D) Only laboratory personnel

*Answer: B) All patients, regardless of infection status

Question: All outerwear used during blood banking tasks should be:
A) Laundered at home after each shift
B) Considered contaminated
C) Worn only when handling blood products
D) Made of synthetic material

*Answer: B) Considered contaminated

Question: What type of laboratory coat is recommended for blood banking tasks?
A) Cotton lab coat
B) Polyester blend coat
C) Fluid-resistant laboratory coat, gown, or apron
D) Standard hospital scrubs

*Answer: C) Fluid-resistant laboratory coat, gown, or apron

Question: Gloves must be worn when handling:
A) Laboratory paperwork only
B) Blood and blood products
C) Laboratory equipment only
D) Any specimen regardless of type

*Answer: B) Blood and blood products

Question: Face shields used in the blood bank must be made of:
A) Tempered glass
B) Shatterproof plastic
C) Polycarbonate metal
D) Standard plastic

*Answer: B) Shatterproof plastic

Question: Permanently mounted splash bars are preferred when:
A) Working with chemical reagents only
B) Task performance risk involves splashing or aerosol contamination
C) Performing centrifugation procedures
D) Labeling blood products

*Answer: B) Task performance risk involves splashing or aerosol contamination

Question: What is the purpose of an eyewash station in the blood bank?
A) To clean reusable laboratory equipment
B) To decontaminate spilled blood products
C) To provide immediate treatment if a splash occurs
D) To wash hands before handling specimens

*Answer: C) To provide immediate treatment if a splash occurs

Question: Safety showers in the laboratory are used to treat:
A) Minor cuts from sharps injuries
B) Personal contamination with hazardous materials and extinguishing clothing fires
C) Chemical burns to the hands only
D) Eye exposure to infectious agents

*Answer: B) Personal contamination with hazardous materials and extinguishing clothing fires

Question: A Biological Safety Cabinet is best described as:
A) A storage unit for blood products
B) A containment device for safe handling of infectious materials
C) A refrigeration unit for reagents
D) A disposal container for biohazardous waste

*Answer: B) A containment device for safe handling of infectious materials

Question: Which of the following blood bank procedures would most benefit from use of a biosafety cabinet?
A) Performing ABO typing on routine donor samples
B) Handling open tubes of blood positive for Hepatitis-B surface antigen or HIV
C) Labeling crossmatched blood units
D) Recording donor information in the database

*Answer: B) Handling open tubes of blood positive for Hepatitis-B surface antigen or HIV

Question: Biohazardous waste refers to:
A) Expired chemical reagents
B) Medical waste contaminated with blood or body fluids
C) Broken laboratory equipment
D) Outdated blood bank records

*Answer: B) Medical waste contaminated with blood or body fluids

Question: Who should NOT handle biohazardous waste materials?
A) Registered medical technologists
B) Laboratory supervisors
C) Untrained personnel
D) Infection control officers

*Answer: C) Untrained personnel

Question: Containers used for biohazardous waste must be:
A) Transparent
B) Leak proof
C) Color-coded red only
D) Rigid and metallic

*Answer: B) Leak proof

Question: Which method is currently recommended for the disposal of blood samples and blood products?
A) Chemical neutralization
B) Simple landfill disposal
C) Incineration or decontamination by autoclaving
D) UV light sterilization

*Answer: C) Incineration or decontamination by autoclaving

Question: What concentration of sodium hypochlorite solution can be used for general disinfection or spills?
A) 1:5 dilution
B) 1:10 dilution
C) 1:20 dilution
D) 1:50 dilution

*Answer: B) 1:10 dilution

Question: OSHA allows the use of EPA-registered disinfectants effective against which pathogens?
A) Tuberculosis and MRSA
B) HIV and Hepatitis-B virus
C) Influenza and norovirus
D) E. coli and Salmonella

*Answer: B) HIV and Hepatitis-B virus

Question: All laboratory surfaces and reusable equipment should be cleaned and decontaminated:
A) Weekly during scheduled maintenance
B) Only when visibly soiled
C) Daily, as needed during tasks, and as spills occur
D) Monthly by an external cleaning service

*Answer: C) Daily, as needed during tasks, and as spills occur

Question: In the event of a personal injury in the blood bank, what should be initiated?
A) An internal staff meeting
B) An accident report
C) A product recall notice
D) A donor deferral record

*Answer: B) An accident report

Question: Why should ALL incidents be reported regardless of how minor they seem?
A) It is required only by the AABB
B) Accident reporting is an essential part of maintaining a safe working environment
C) It helps calculate staff performance reviews
D) Only to satisfy insurance requirements

*Answer: B) Accident reporting is an essential part of maintaining a safe working environment

Question: Quality Assurance (QA) in the blood bank must include:
A) Donor recruitment programs
B) Good Manufacturing Practices (cGMPs)
C) Staff social welfare programs
D) Inventory management software

*Answer: B) Good Manufacturing Practices (cGMPs)

Question: Which agency falls under the jurisdiction of the Department of Health and Human Services?
A) OSHA
B) EPA
C) FDA
D) CMS

*Answer: C) FDA

Question: The FDA inspects blood establishments through a process designed to:
A) Monitor employee compensation
B) Follow a unit of blood product from donor to patient
C) Evaluate donor recruitment strategies
D) Assess laboratory building infrastructure

*Answer: B) Follow a unit of blood product from donor to patient

Question: Government agencies such as the FDA, CMS, and state agencies have standards that are:
A) Voluntary and advisory only
B) Enforceable by law
C) Only applicable to private blood banks
D) Reviewed every 10 years

*Answer: B) Enforceable by law

Question: Which of the following is a correct good record keeping practice?
A) Recording data for someone else
B) Using dittos to repeat information
C) Recording data immediately after performance of a task
D) Using pencil for data entry

*Answer: C) Recording data immediately after performance of a task

Question: Which of the following is considered a BAD record keeping practice?
A) Using permanent blue or black ink
B) Drawing a single line through an error
C) Using correction fluid or white tape
D) Initialing and dating corrections

*Answer: C) Using correction fluid or white tape

Question: Document control must be clearly described in a facility's:
A) Annual financial report
B) Standard Operating Procedures (SOPs)
C) Employee handbook
D) Accreditation certificate

*Answer: B) Standard Operating Procedures (SOPs)

Question: When automated systems are unavailable, document control requires:
A) Suspension of all laboratory activities
B) Manual backup or alternative methods
C) External audit to be performed
D) Immediate FDA notification

*Answer: B) Manual backup or alternative methods

Question: Which of the following correctly describes a Blood Bank?
A) Performs testing and issues blood components for transfusion
B) Collects, processes, stores, and transports human blood intended for transfusion
C) Regulates the safety of blood donors nationwide
D) Accredits laboratories for blood transfusion compliance

*Answer: B) Collects, processes, stores, and transports human blood intended for transfusion

Question: Which of the following correctly describes a Transfusion Service?
A) Collects and stores donated blood from the community
B) Performs testing and issues blood and blood components for transfusion
C) Manufactures diagnostic reagents for blood typing
D) Inspects blood establishments on behalf of the FDA

*Answer: B) Performs testing and issues blood and blood components for transfusion

Question: A well-written SOP should promote which of the following for blood and blood products?
A) Speed, volume, and efficiency
B) Safety, purity, and potency
C) Cost reduction and automation
D) Simplicity and brevity

*Answer: B) Safety, purity, and potency

Question: Which of the following personal protective equipment items must be made of shatterproof plastic?
A) Goggles
B) Safety glasses
C) Face shields
D) Splash barriers

*Answer: C) Face shields

Question: Correct identification of biohazardous waste is important primarily to:
A) Satisfy donor requirements
B) Reduce laboratory operating costs only
C) Segregate potentially infectious waste from mainstream waste and control cost and volume
D) Meet AABB accreditation standards

*Answer: C) Segregate potentially infectious waste from mainstream waste and control cost and volume

Question: Which of the following statements about SOPs is TRUE?
A) SOPs must be lengthy to be comprehensive and effective
B) SOPs do not need to follow manufacturer recommendations
C) User-friendly SOPs are more likely to be followed by staff
D) SOPs are only required for new laboratory procedures

*Answer: C) User-friendly SOPs are more likely to be followed by staff

Question: The EPA's role in blood bank safety primarily involves:
A) Inspecting blood donor centers
B) Determining types, numbers, and sizes of medical waste generators
C) Mandating use of PPE in laboratories
D) Setting standards for blood product labeling

*Answer: B) Determining types, numbers, and sizes of medical waste generators

Question: Which of the following is TRUE about the ISBT's role regarding blood group terminology?
A) It legally enforces blood group naming standards worldwide
B) It supports a working party that classifies human blood group systems under a common nomenclature
C) It replaces the FDA in regulating blood product labeling
D) It accredits blood banks that follow international standards

*Answer: B) It supports a working party that classifies human blood group systems under a common nomenclature