CTP Quality Control & Safety Procedures 5 — Questions and Answers
Question 1: A procurement team member sustains a needlestick injury during organ procurement. What is the FIRST step?
- Immediately wash the wound and follow the institution's exposure protocol (Correct answer)
- Complete the organ procurement before reporting the injury
- Self-administer prophylactic antibiotics without reporting
- Document the injury at the end of the shift
Correct answer: Immediately wash the wound and follow the institution's exposure protocol
Immediate wound decontamination followed by reporting per institutional protocol is required to enable timely post-exposure prophylaxis.
Question 2: Which scenario represents an unacceptable deviation in cold chain management?
- The organ is stored in ice that has melted and the container temperature has risen above 10°C (Correct answer)
- The ice is packed in direct contact with the triple-bag containing the organ
- Cold ischemia time documentation is updated at each transfer point
- The transport container is pre-chilled before organ placement
Correct answer: The organ is stored in ice that has melted and the container temperature has risen above 10°C
A rise in storage temperature above the acceptable cold storage range compromises organ preservation and represents a critical cold chain failure.
Question 3: What is the role of a concurrent audit during organ procurement?
- To ensure real-time compliance with procurement protocols and identify deviations immediately (Correct answer)
- To document procurement for legal liability purposes after the fact
- To train new staff on procurement techniques during live cases
- To evaluate recipient outcomes post-transplant
Correct answer: To ensure real-time compliance with procurement protocols and identify deviations immediately
Concurrent audits monitor active procurement compliance in real time, allowing immediate identification and correction of protocol deviations.
Question 4: Under UNOS policy, which event requires mandatory adverse event reporting after transplantation?
- Transmission of an unexpected disease from donor to recipient (Correct answer)
- Standard acute rejection in the first month
- Recipient readmission for routine monitoring
- Delay in discharge due to social circumstances
Correct answer: Transmission of an unexpected disease from donor to recipient
Unexpected disease transmission from donor to recipient is a UNOS-mandated reportable event requiring immediate notification and investigation.
Question 5: Which best describes the purpose of performing a biopsy on a marginal donor kidney before transplantation?
- To quantify glomerulosclerosis and assess histological viability for transplant decision-making (Correct answer)
- To confirm ABO blood type compatibility
- To rule out viral infections not detected by serology
- To establish the donor's medical history
Correct answer: To quantify glomerulosclerosis and assess histological viability for transplant decision-making
Biopsy quantifies glomerulosclerosis percentage, which guides the transplant team's decision on whether the kidney meets viability thresholds.
Question 6: Which action is required when organ packaging integrity is compromised during transport?
- Stop transport, assess contamination risk, repackage under sterile conditions if possible, and notify the transplant center (Correct answer)
- Continue transport and inform the team upon arrival
- Discard the outer bag and proceed with remaining bags
- Apply tape to seal the breach and document at delivery
Correct answer: Stop transport, assess contamination risk, repackage under sterile conditions if possible, and notify the transplant center
Compromised packaging is a sterility breach requiring transport halt, contamination risk assessment, sterile repackaging, and immediate transplant center notification.
Question 7: What is the primary purpose of a pre-procurement timeout in the operating room?
- To confirm donor identity, consent, and procedural plan among all team members before incision (Correct answer)
- To allow the surgical team a break before a lengthy procedure
- To update electronic health records prior to surgery
- To obtain final next-of-kin approval in the operating room
Correct answer: To confirm donor identity, consent, and procedural plan among all team members before incision
The surgical timeout verifies donor identity, consent documentation, and procedural agreements among all team members as a final safety check before incision.
CTP Quality Control & Safety Procedures 5
A procurement team member sustains a needlestick injury during organ procurement.
What is the FIRST step?