SIUH EMS Ambulance Transfusion Service Post-Event Quiz
A score of 80% or greater is needed to pass. All questions relate to the training materials and the SIUH EMS Blood Products Administration protocol.
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1. Which of the following is not a Consent-Requiring Blood Product? *
1 point
2. Use the following list of team members to best match to respective actions below:
15 points
EMS Crew
Sending Facility Nurse
Sending Facility Attending Physician
Receiving Facility Nurse
Online Medical Control Physician
Agency Medical Director
Communication with Sending Facility blood bank
Handoff report to Receiving Facility Nurse
Communicates with Receiving Facility blood bank in cases of suspected transfusion reaction
Receives unused blood products and materials
Provides oversight for transfusion reaction
Notifies NY State of transfusion reaction
Bedside identification and confirmation of components with Sending Facility Nurse
Writes SIUH EMS Interfacility Blood Transfusion Transfer Orders
Stops the transfusion if a transfusion reaction is suspected
Fills out SIUH EMS Interfacility Blood Transfusion Record Form
Calls Agency Medical Director if a transfusion reaction is suspected
Phone report to Receiving Facility Nurse
Surveillance for transfusion reaction
Delivery of additional products to Receiving Facility Nurse
Provides patient care during transport
3. Patient Identification information must be present on which of the following?
1 point
4. Which of the following items should be delivered to the Receiving Facility when there is a suspected transfusion reaction? Check all that apply.
7 points
5. A transfusion reaction is suspected on the patient you are transporting. Put the following actions into the best order to take:
6 points
Notify Receiving Facility Nurse during handoff
Deliver blood administration materials to Receiving Facility Nurse
Provide Standing Orders
Call Agency Medical Director
Call Online Medical Control
Stop the transfusion
1st
2nd
3rd
4th
5th
6th
6. True or False: patient's informed consent for transfusion needs to be obtained by the EMS Crew.
1 point
7. Premedications for ambulance transfusion include:
1 point
8. Which of the following patient cases require contact to Online Medical Control prior to transfer?
1 point
9. Vascular access issues for blood product administration can include:
1 point
10. Transfusion Reactions include:
1 point
11. Standing Orders for a suspected Transfusion Reaction include (check all that apply):
4 points
12. If a patient does not have an advanced airway in place, what is the recommended method of delivering high concentration oxygen for a suspected transfusion reaction?
1 point
13. If a patient has an advanced airway in place, what actions should be taken for a suspected transfusion reaction?
1 point
14. Medical Control Options for a suspected transfusion reaction include:
1 point
15. Medical Control Options for a suspected transfusion reaction include:
1 point
16. The following are given to specifically reverse anticoagulant use in the setting of life-threatening bleeding:
1 point
17. A patient on aspirin or clopidogrel may require transfusion of which blood product?
1 point
18. True or False: recombinant factor concentrates are a blood product
1 point
19. True or False: Anaphylactic reactions can only happen with consentable blood product administration
1 point
20. Which of the following is currently indicated for novel oral anticoagulant reversal?
3 points
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