Transfusion Quiz Transfusion Quiz

Collection and Collection and AdministrationAdministration

Q1. Prior to an adult patient with Q1. Prior to an adult patient with capacity receiving a transfusion capacity receiving a transfusion what type of consent should be what type of consent should be

obtained?obtained?

Informed verbal consentInformed verbal consent Written consentWritten consent

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

Q2. The documentation used to Q2. The documentation used to collect blood from the blood collect blood from the blood

fridge should containfridge should contain

Surname, First Name, Surname, First Name, DOB, Gender and DOB, Gender and

component requiredcomponent required

First Name, DOB, and First Name, DOB, and Hospital NumberHospital Number

First Name, Surname, First Name, Surname, DOB, Address and wardDOB, Address and ward

First Name, Surname, First Name, Surname, DOB, Hospital Number DOB, Hospital Number

and component requiredand component required

Q3. What should a patient always Q3. What should a patient always be wearing when receiving a be wearing when receiving a

blood transfusion?blood transfusion?

PyjamasPyjamas HatHat

Identity WristbandIdentity Wristband SlippersSlippers

Q4. If a Doctor asks you over the Q4. If a Doctor asks you over the phone to prescribe 2 units of phone to prescribe 2 units of

blood what would you do?blood what would you do?

Prescribe the bloodPrescribe the bloodGive the blood and get it Give the blood and get it

prescribed when the prescribed when the Doctor comesDoctor comes

Prescribe the blood and Prescribe the blood and get the Doctor to sign it get the Doctor to sign it

later onlater on

Say No and wait for the Say No and wait for the Doctor to prescribeDoctor to prescribe

Q5. Before collecting blood what Q5. Before collecting blood what should you ensure the patient should you ensure the patient

has?has?

The patient has had a The patient has had a bed bathbed bath

The patient has a The patient has a cannula incannula in

The patient has patent IV The patient has patent IV accessaccess

The patient has had their The patient has had their breakfastbreakfast

Q6. Who can collect blood from Q6. Who can collect blood from the blood fridge?the 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 A member of staff who had had training and had had training and

been found competentbeen found competent

Q7. After removal from the blood Q7. After removal from the blood fridge a transfusion should begin fridge a transfusion should begin

within?within?

30 Minutes30 Minutes 1 Hour1 Hour

2 Hours2 Hours 4 Hours4 Hours

Q8. Which blood group can be Q8. 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

Q9. Who is allowed to prescribe Q9. Who is allowed to prescribe blood?blood?

Medical Staff OnlyMedical Staff Only

Medical Staff, Medical Staff, Registered Nurses Registered Nurses

and Midwifesand Midwifes

Any Registered Any Registered Member of StaffMember of Staff

Consultants OnlyConsultants Only

Q10. What is the maximum time Q10. What is the maximum time for a blood transfusion to be for a blood transfusion to be

completed?completed?

2 Hours from removal 2 Hours from removal from fridgefrom fridge

3 Hours from 3 Hours from removalremoval from fridge from fridge

4 Hours from removal 4 Hours from removal from fridgefrom fridge

6 Hours from removal 6 Hours from removal from fridgefrom fridge

Q11. Blood Warmers may be Q11. Blood Warmers may be required in what situation?required in what situation?

For all patients For all patients receiving a receiving a transfusiontransfusion

For patients who are For patients who are transfused overnighttransfused overnight

For day case patients For day case patients onlyonly

For rapid/large volume For rapid/large volume transfusionstransfusions

Q12. The expiry date on a unit of Q12. 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 The unit is safe for the day after the dateday after the date

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

The unit must be The unit must be completed by midnight completed by midnight

of that dateof that date

Q13. Q13. During checking the blood you During checking the blood you notice the patients DOB on the label notice the patients DOB on the label

attached to the unit of blood does not attached to the unit of blood does not match with the patients verbal response match with the patients verbal response

or their wristband, what do you door their wristband, what do you do??

Transfuse the unit as all Transfuse the unit as all other ID matchesother ID matches

Transfuse the unit and Transfuse the unit and inform the blood bank inform the blood bank

laterlater

Do not transfuse and Do not transfuse and discard the unit in discard the unit in

clinical wasteclinical waste

Do not transfuse and Do not transfuse and contact the blood bank contact the blood bank for advice immediatelyfor advice immediately

Q14. Where should the final Q14. 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

Q15. What observations need to Q15. What observations need to be recorded on a patient be recorded on a patient receiving a transfusion?receiving a transfusion?

BP and pulse onlyBP and pulse only Temperature onlyTemperature only

Pulse and Pulse and Temperature onlyTemperature only

BP, Pulse and BP, Pulse and TemperatureTemperature

Q16. If a minor transfusion Q16. If a minor transfusion reaction is suspected what reaction is suspected what

should you do?should you do?

Leave the transfusion Leave the transfusion runningrunning

Stop the transfusion Stop the transfusion and inform medical and inform medical

staffstaff

Stop the transfusion Stop the transfusion and take downand take down

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

medical staffmedical staff

Q17. What drugs can be added to Q17. What drugs can be added to a unit of blood?a unit of blood?

DiureticsDiuretics Anit-histaminesAnit-histamines

AntibioticsAntibiotics NoneNone