An ambulance emergency response team notifies an emergency room (ER) that they are 4 minutes away, with two females, ages 31 and 32, and a 32-year-old male, who have just been in an accident and have life-threatening injuries. They request a flight team to pick the patients up from the ER and take them to the nearest level 1 trauma center immediately. They also ask that a code response team be ready with as many units of blood as possible. The physician on staff orders all O negative units to be taken to the ER STAT. The hospital has only 3 0 negative units on hand, but they have 15 0 positive units, all of which are taken to the ER. The type and screens that were drawn in the ambulance are given to the phlebotomists as soon as the ambulance arrives at the hospital. The physician orders that the female who has the most life-threatening injuries should be given all of the O negative units, and the other female, who seems stable at the moment, is to be given 2 units of O positive RBCs. The male has less-serious injuries, so the physician orders that he is to be emergency screened for blood and Rh type before being given any units of blood. The females have lost so much blood that the physician orders that each of them should be given an additional 4 O positive units before the flight team can get there to pick them up. 1. Did the physician handle this situation correctly, according to the pretransfusion testing emergency situation protocol in the textbook? A. No. A female of childbearing age should be given only O negative blood in an emergency. No. The male should have received the O negative and the females the O positive. Yes. He was right to give all of the O negative units to the female with the worst prognosis. Yes. It is ultimately the physician's call, and a technologist should not question the physician's judgment. B. C. D. 2. If the second female was typed O negative and given 2 units of O positive blood, what can. be done to remedy the situation? A. B. C. D. 3. True or False: A minority of fatal transfusion reactions are caused by clerical errors. True 343 There is nothing that can be done. Give her more 0 negative units once she is stable, to eradicate the wrong blood type. Repeat her blood type and give her more O positive units, until she types O positive. Administer Rh immunoglobulin injections to prevent formation of anti-D. A. B. False
An ambulance emergency response team notifies an emergency room (ER) that they are 4 minutes away, with two females, ages 31 and 32, and a 32-year-old male, who have just been in an accident and have life-threatening injuries. They request a flight team to pick the patients up from the ER and take them to the nearest level 1 trauma center immediately. They also ask that a code response team be ready with as many units of blood as possible. The physician on staff orders all O negative units to be taken to the ER STAT. The hospital has only 3 0 negative units on hand, but they have 15 0 positive units, all of which are taken to the ER. The type and screens that were drawn in the ambulance are given to the phlebotomists as soon as the ambulance arrives at the hospital. The physician orders that the female who has the most life-threatening injuries should be given all of the O negative units, and the other female, who seems stable at the moment, is to be given 2 units of O positive RBCs. The male has less-serious injuries, so the physician orders that he is to be emergency screened for blood and Rh type before being given any units of blood. The females have lost so much blood that the physician orders that each of them should be given an additional 4 O positive units before the flight team can get there to pick them up. 1. Did the physician handle this situation correctly, according to the pretransfusion testing emergency situation protocol in the textbook? A. No. A female of childbearing age should be given only O negative blood in an emergency. No. The male should have received the O negative and the females the O positive. Yes. He was right to give all of the O negative units to the female with the worst prognosis. Yes. It is ultimately the physician's call, and a technologist should not question the physician's judgment. B. C. D. 2. If the second female was typed O negative and given 2 units of O positive blood, what can. be done to remedy the situation? A. B. C. D. 3. True or False: A minority of fatal transfusion reactions are caused by clerical errors. True 343 There is nothing that can be done. Give her more 0 negative units once she is stable, to eradicate the wrong blood type. Repeat her blood type and give her more O positive units, until she types O positive. Administer Rh immunoglobulin injections to prevent formation of anti-D. A. B. False
Chapter10: Infection Control
Section: Chapter Questions
Problem 2AE
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Question
Transcribed Image Text:An ambulance emergency response team notifies an emergency room (ER) that they are 4
minutes away, with two females, ages 31 and 32, and a 32-year-old male, who have just
been in an accident and have life-threatening injuries. They request a flight team to pick the
patients up from the ER and take them to the nearest level 1 trauma center immediately.
They also ask that a code response team be ready with as many units of blood as possible.
The physician on staff orders all O negative units to be taken to the ER STAT. The hospital
has only 3 0 negative units on hand, but they have 15 0 positive units, all of which are
taken to the ER.
The type and screens that were drawn in the ambulance are given to the phlebotomists as
soon as the ambulance arrives at the hospital. The physician orders that the female who
has the most life-threatening injuries should be given all of the O negative units, and the
other female, who seems stable at the moment, is to be given 2 units of O positive RBCs.
The male has less-serious injuries, so the physician orders that he is to be emergency
screened for blood and Rh type before being given any units of blood. The females have lost
so much blood that the physician orders that each of them should be given an additional 4
O positive units before the flight team can get there to pick them up.
1. Did the physician handle this situation correctly, according to the pretransfusion testing
emergency situation protocol in the textbook?
A.
No. A female of childbearing age should be given only O negative blood in an
emergency.
No. The male should have received the O negative and the females the O positive.
Yes. He was right to give all of the O negative units to the female with the worst
prognosis.
Yes. It is ultimately the physician's call, and a technologist should not question the
physician's judgment.
B.
C.
D.
2. If the second female was typed O negative and given 2 units of O positive blood, what can
be done to remedy the situation?
A.
There is nothing that can be done.
B.
C.
Give her more 0 negative units once she is stable, to eradicate the wrong blood type.
Repeat her blood type and give her more O positive units, until she types O positive.
Administer Rh immunoglobulin injections to prevent formation of anti-D.
D.
3. True or False: A minority of fatal transfusion reactions are caused by clerical errors.
A.
True
False
B.
ܗ
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