Question 1

Which patient blood management tool has the least effect on resource conservation?

Accepted Answer

Blood order sets have the least effect on resource conservation because they do not directly reduce the amount of blood used.

Question 2

Which of the following scenarios serves the purpose of providing needed hemotherapy without transfusing more blood than is necessary?

Accepted Answer

Single-unit transfusion with reassessment helps to provide the necessary hemotherapy while minimizing the risk of over-transfusion and associated complications.

Question 3

Which of the following is not part of a blood utilization review?

Accepted Answer

Interpreted review is not a standard part of blood utilization review, which typically includes retrospective, concurrent, and prospective reviews.

Question 4

A physician has ordered a 2-unit transfusion on an outpatient. When the outpatient arrives, the patient's hemoglobin is 12. What is the most appropriate action?

Accepted Answer

The answer of A physician has ordered a 2-unit transfusion...

Question 5

Proper blood utilization audits should review which types of records from transfused patients?

Accepted Answer

Proper blood utilization audits should review both retrospective and representative samples of records to ensure comprehensive evaluation of transfusion practices and identify any patterns or issues in blood usage.

Question 6

Which administrative function is NOT normally that of a transfusion safety officer?

Accepted Answer

The hiring of qualified transfusion personnel is typically a human resources function, not a responsibility of a transfusion safety officer.

Question 7

Transfusion guidelines typically contain which of the following?

Accepted Answer

Transfusion guidelines generally include contraindications, indications, and dosage recommendations to ensure safe and effective use of blood products.

Question 8

A patient has a platelet count of 10,000/cumm. This value may be used by transfusion service to:

Accepted Answer

A platelet count of 10,000/cumm is critically low and indicates a high risk of bleeding, thus transfusion therapy is typically necessary to increase the platelet count.

Question 9

Blood utilization management programs are designed to do all but which of the following?

Accepted Answer

Blood utilization management programs aim to increase safety, reduce expenditure, and manage limited blood resources, but they do not aim to decrease component availability.

Question 10

Targeted and discontinuous are subtypes of what review system?

Accepted Answer

Targeted and discontinuous reviews are subtypes of the prospective review system, which involves evaluating processes or outcomes before they occur.

Question 11

Upon review at the end of the quarter, you note that one physician's C/T ratio was high. You discuss this with the medical director, and he has you draft a letter to this physician. This is an example of what kind of review?

Accepted Answer

This is an example of a retrospective review because it involves analyzing data and performance after the fact, at the end of the quarter, rather than during or before the events occur.

Question 12

Which of the following is NOT a patient blood management tool?

Accepted Answer

Training phlebotomists in donor collection is related to blood donation processes, not directly to patient blood management, which focuses on optimizing the care of patients who might need transfusions.

Question 13

Transfusion guidelines should contain which of the following?

Accepted Answer

Transfusion guidelines should include indications for transfusion, incorporate current best practices, and establish thresholds for screening and auditing transfusion records to ensure safe and effective use of blood products.

Question 14

The focus of most blood utilization programs is:

Accepted Answer

Most blood utilization programs focus on the overutilization of blood products by a facility to ensure appropriate use and avoid unnecessary transfusions.

Question 15

What educational functions must a transfusion safety officer be able to perform?

Accepted Answer

A transfusion safety officer should be able to perform all these educational functions to ensure safe and effective transfusion practices.

Question 16

An example of direct behavior influence when implementing intervention strategies would be:

Accepted Answer

Direct behavior influence involves direct communication or interaction with individuals to change their behavior. All options involve direct communication with specific groups (physician, nursing staff, med techs) to influence their practices or behaviors.

Question 17

Which statement is false?

Accepted Answer

There is always some inherent risk of transfusing blood, even if all protocols are followed.

Question 18

Which patient blood management tool has no other goals besides safety and quality improvement?

Accepted Answer

Auditing and review of blood utilization has no other goals besides safety and quality improvement.

Question 19

Transfusion guidelines are intended to be

Accepted Answer

Transfusion guidelines are systematically developed statements designed to assist clinicians and patients in making informed decisions about transfusion therapy, ensuring safety and efficacy.

Question 20

Which if the following is NOT a duty of the transfusion safety officer?

Accepted Answer

Administering blood products is typically the responsibility of clinical staff such as nurses or physicians, not the transfusion safety officer.

Quiz 26: Patient Blood Management