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