Transfusion QuizTransfusion Quiz

Q1. What colour blood tube is used for a Q1. What colour blood tube is used for a group and cross match sample? group and cross match sample?

RedRed PurplePurple

PinkPink GreyGrey

Q2. What documentation should be with you Q2. What documentation should be with you when taking a transfusion blood sample?when taking a transfusion blood sample?

Patients blood Patients blood therapy charttherapy chart

Patients TPR and Patients TPR and prescription chartprescription chart

Patients case notesPatients case notes

Patients completed Patients completed transfusion request transfusion request

formform

Q3. “Labelling of sample” errors Q3. “Labelling of sample” errors usually happen because:usually happen because:

The request form was not checked correctly

The patient identification was not checked

The patient was awkward

The patient had somebody else’s wristband on

Q4. Transfusion blood samples have to be:Q4. Transfusion blood samples have to be:

Collected by the Doctor and labelled by the Nurse at the

site of collection

Collected and labelled by the same person at the site of

collection

Collected and labelled by the same person from the case

notes

Collected and labelled by the same person at the Nursing

station

Q5. If you are taking a blood sample and the Q5. If you are taking a blood sample and the patient is unconscious or cannot tell you patient is unconscious or cannot tell you

their name, what should you do?their name, what should you do?

Refuse to take a Refuse to take a samplesample

Ask the patient next door Ask the patient next door who they arewho they are

Take the identification Take the identification information from the information from the

wristbandwristband

Take the identification Take the identification information from the information from the

medical notesmedical notes

Q6. If a patient’s wristband is removed, Q6. If a patient’s wristband is removed, for example to insert a cannula, whose for example to insert a cannula, whose

responsibility is it to re-site it?responsibility is it to re-site it?

The doctorThe doctorThe person taking The person taking

the sample of bloodthe sample of blood

The nurseThe nurse The person who The person who removed itremoved it

Q7. Written patient consent is required Q7. Written patient consent is required for which of the following activities?for which of the following activities?

Taking a blood Taking a blood samplesample

Inserting a Inserting a cannulacannula

Giving a blood Giving a blood transfusiontransfusion

Having a routine Having a routine operationoperation

Q8. Prior to an adult patient with Q8. Prior to an adult patient with capacity receiving a transfusion what capacity receiving a transfusion what type of consent should be obtainedtype of consent should be obtained??

Informed verbal consentInformed verbal consent Written consentWritten consent

No consent requiredNo consent required Consent by next of kinConsent by next of kin

Q9. What documentation should be used to Q9. What documentation should be used to collect blood from the blood fridge?collect blood from the blood fridge?

Patients case notesPatients case notes Compatibility formCompatibility form

Patients TPR and Patients TPR and prescription chartprescription chart

Completed blood therapy Completed blood therapy chartchart

Q10. Who can collect blood from the Q10. Who can collect blood from the blood fridge?blood fridge?

The Patient’s relativeThe Patient’s relative Any member of staffAny member of staff

A member of staff who A member of staff who has had traininghas had training

A member of staff who has A member of staff who has had training and been had training and been

found competentfound competent

Q11. Which blood group can be Q11. Which blood group can be used in an emergency?used in an emergency?

A NegativeA Negative O NegativeO Negative

B PositiveB Positive AB NegativeAB Negative

Q12. After removal from the fridge a Q12. After removal from the fridge a blood transfusion should blood transfusion should

begin within?begin within?

30 Minutes30 Minutes 1 Hour1 Hour

2 Hours2 Hours 4 Hours4 Hours

Q13. What is the maximum time for a Q13. What is the maximum time for a blood transfusion to be completed?blood transfusion to be completed?

2 Hours from removal 2 Hours from removal from fridgefrom fridge

3 Hours from removal3 Hours from removal from fridgefrom fridge

4 Hours from removal 4 Hours from removal from fridgefrom fridge

6 Hours from removal 6 Hours from removal from fridgefrom fridge

Q14. Who is allowed to prescribe blood?Q14. Who is allowed to prescribe blood?

Medical Staff OnlyMedical Staff OnlyMedical Staff, Registered Medical Staff, Registered

Nurses and MidwifesNurses and Midwifes

Any Registered Member of Any Registered Member of StaffStaff

Consultants OnlyConsultants Only

Q15. Blood Warmers may be Q15. Blood Warmers may be required in what situation?required in what situation?

For all patients For all patients receiving a transfusionreceiving a transfusion

For patients who are For patients who are transfused overnighttransfused overnight

For transfusion For transfusion dependent patientsdependent patients

For rapid/large volume For rapid/large volume transfusionstransfusions

Q16. The expiry date on a unit of Q16. The expiry date on a unit of blood meansblood means

That the units must be That the units must be given by midday that daygiven by midday that day

The unit is safe for the day The unit is safe for the day after the dateafter the date

The unit must start by The unit must start by midnight of that datemidnight of that date

The unit must be completed The unit must be completed by midnight of that dateby midnight of that date

Q17. When administering blood or blood Q17. When administering blood or blood components where should the final components where should the final

checking procedure take place?checking procedure take place?

Clinical roomClinical room Patients bedsidePatients bedside

Nurses StationNurses Station At the notes trolleyAt the notes trolley

Q18. What observations need to be Q18. What observations need to be recorded on a patient receiving a recorded on a patient receiving a

transfusion?transfusion?

BP and pulse onlyBP and pulse only Temperature onlyTemperature only

Pulse and Temperature Pulse and Temperature onlyonly

BP, Pulse and BP, Pulse and TemperatureTemperature

Q19. At what intervals should blood Q19. At what intervals should blood observations be performed when observations be performed when

transfusing a patient?transfusing a patient?

Baseline, 15 minutes into the transfusion, then 30mins from start and at the end of

the unit

Baseline and then every 30 mins

Baseline and then every 15 minutes

Baseline, at 45 minutes and finish

Q20. If a minor transfusion reaction Q20. If a minor transfusion reaction is suspected what should you do?is suspected what should you do?

Leave the transfusion Leave the transfusion runningrunning

Stop the transfusion and Stop the transfusion and inform medical staffinform medical staff

Stop the transfusion and Stop the transfusion and take downtake down

Keep the transfusion Keep the transfusion running and inform medical running and inform medical

staffstaff

Q21. What drugs can be added to a Q21. What drugs can be added to a unit of blood?unit of blood?

DiureticsDiuretics Anti-histaminesAnti-histamines

AntibioticsAntibiotics NoneNone

Q22. Where do the majority of Q22. Where do the majority of transfusion errors occur?transfusion errors occur?

In the laboratory

Removing blood from the blood fridge

At the patients bedside

In the ward clinical room

Q23.For routine transfusions, how Q23.For routine transfusions, how many units should be collected from many units should be collected from the blood bank fridge at one time?the blood bank fridge at one time?

3 units

2 units As many as you want

1 unit

Q24. Currently if someone has a blood Q24. Currently if someone has a blood transfusion can they become a blood transfusion can they become a blood

donor when they recover?donor when they recover?

YesYesIt depends on It depends on

their agetheir age

NoNo It depends on their It depends on their medical conditionmedical condition

Q 25. 1 day post surgery, patient had Hb Q 25. 1 day post surgery, patient had Hb of 7.5, not symptomatic, no significant of 7.5, not symptomatic, no significant risk factors: how many units of blood risk factors: how many units of blood

should be given?should be given?

3 units

2 Units None

1 unit

Q26. In chronic anaemia the patient Q26. In chronic anaemia the patient should be transfused to:should be transfused to:

Maintain the Hb above 10.0

Maintain the Hb just above the concentration which is not associated

with symptoms of anaemia

Maintain the Hb above 12.0

Maintain the Hb above 9.0

Q27. Which is the most common Q27. Which is the most common blood group?blood group?

ABAB OO

BB AA

Q28. What is the current cost of a Q28. What is the current cost of a unit of blood? unit of blood?

£139.72£139.72 £52.69£52.69

£100£100 £206.33£206.33