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vii

Table of Contents
About the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Preface to the Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x

Section 1. Pretransfusion Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1


Section 2. Crossmatch Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Section 3. Automated Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Section 4. Antibody Identification Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Section 5. Mother and Infant Blood Sample Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Section 6. Transfusion Reaction Investigation Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Section 7. Issue and Return Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Section 8. Training and Competence Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73


Trainer Guidelines for: Pretransfusion Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Training and Initial Competency Assessment for:
Pretransfusion Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Written Assessment for: Pretransfusion Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Answers to: Pretransfusion Testing Process Written Assessment. . . . . . . . . . . . . . . . . . . . . . . . 82
Trainer Guidelines for: Crossmatch Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Training and Initial Competency Assessment for:
Crossmatch Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Written Assessment for: Crossmatch Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Answers to: Crossmatch Process Written Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Trainer Guidelines for: Antibody Identification Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Training and Initial Competency Assessment for: Antibody Identification
Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Written Assessment for: Antibody Identification Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Answers to: Antibody Identification Process Written Assessment . . . . . . . . . . . . . . . . . . . . . . . 104
Trainer Guidelines for: Mother and Infant Blood Sample Testing Process . . . . . . . . . . . . . . . . . 106
Training and Initial Competency Assessment for: Mother and Infant
Blood Sample Testing Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Written Assessment for: Mother and Infant Blood Sample Testing Process . . . . . . . . . . . . . . . 112
Answers to: Mother and Infant Blood Sample Testing Process Written
Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Trainer Guidelines for: Transfusion Reaction Investigation Process . . . . . . . . . . . . . . . . . . . . . 117
Training and Initial Competency Assessment for: Transfusion Reaction
Investigation Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Written Assessment for: Transfusion Reaction Investigation Process . . . . . . . . . . . . . . . . . . . . 123
viii Transfusion Services Manual

Answers to: Transfusion Reaction Investigation Process Written Assessment . . . . . . . . . . . . . 126


Trainer Guidelines for: Issue and Return Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Training and Initial Competency Assessment for: Issue and Return Process. . . . . . . . . . . . . . . 130
Written Assessment for: Issue and Return Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Answers to: Issue and Return Process Written Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Trainee Responsibilities for: [Name of] Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Evaluation of Training Experience for: [Name of] Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Competence Assessment Follow-Up Action Plan for: [Name of] Process . . . . . . . . . . . . . . . . . 141
Blood Bank Competency Assessment [Name of] Hospital Chart . . . . . . . . . . . . . . . . . . . . . . . . 142

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