Chapter One Flashcards
It is place where tests are performed on clinical specimens in order to information about the health of a patient with regard to the diagnosis, treatment and prevention of disease
Clinical Laboratory
Classification of clinical laboratory by institutional characted?
Hospital based lab
Free-standing lab
Clinical Laboratory is headed by?
Pathologist
Classification of Clinical Laboratory by its function?
Anatomical pathology and Clinical Pathology
RA No. 4688 is also known as?
Clinical Laboratory Law of 1966
Classification of clinical laboratory by its service capability?
Primary Lab
Secondary Lab
Tertiary Lab
What are the capabilities of Primary Lab?
Routine CBC, urinalysis, fecalysis and forward blood
typing and quantitative platelet count for hospital-based laboratories
Primary Laboratory must have an area at least?
10 sq. meter
What are the capabilities of secondary Lab?
Provides the service capabilities of a primary laboratory and routine Clinical Chemistry (sugar, BUN/Crea, BUA and T. Cholesterol) and crossmatching (hospital-based)
Secondary Lab must have an area at least?
20 sq. meter
What are the capabilities of tertiary Lab?
Provides the service capabilities of a secondary laboratory and special hematology, special chemistry, immune-serology and microbiology.
(True or false) Secondary Lab is the training ground for interns and externs and site of scientific research?
False (Tertiary Lab)
Tertiary Lab must have an area of?
60 sq. meter
It has discrete sections in hematology, chemistry, microbiology, and blood bank, generally separated into rooms or sections
Traditonal ‘closed’ Lab
The discrete services are placed in one large room with portable walls that can be adjusted as needed based on volume
Open Lab
Specific low-volume or expensive laboratory services currently provided by more than one regional hospital laboratory, that are consolidated into one hospital
laboratory.
Regional Lab
A common type of consolidation has been hematology and chemistry laboratories (‘chematology‘) (Bush, 1998). Its advantages include handling stat requests, improving offshift workflow, and avoiding chronic staffing problems.
Core Lab
Laboratory testing that is brought to the patient’s bedside. Test menu is generally limited to a few basic chemistry and hematology tests.
Point of care
Rapid ―response laboratory that is often located in or near an emergency department or surgical suite.
Stat Lab
Laboratory provides limited menu of routine (like CBC, chemistry panel, prothrombin time) and/or specialty services (like fertility testing) on a stat or non-stat basis?
Limited Service
Traditional full service laboratory that handles all types of testing, especially esoteric tests?
Reference Lab
NRL for CC and anatomic pathology of pulmonary disease
Lung center of the Philippines
NRL for Hematology, Immunohematology and Immunopathology, Anatomic Pathology for other Organ Diseases other than Lungs and heart
NKTI
NRL for Environmental and Occupational Health Toxicology and Micronutrient Assay?
EAMC
NRL for dengue, influenza, TB & other mycobacteria, malaria and other parasites, bacterial enteric diseases, measles and other exanthems, mycology, enteroviruses, antimicrobial resistance and emerging diseases?
RITM
NRL for Confirmatory testing of blood donors and blood units?
RITM
NRL for HIV-AIDS, hepatitis and STD?
San Lazaro Hospital
NRL for Anatomic pathology for cardiac diseases?
Philippine Heart center
What are issues to consider when auditing operations?
(TCTSSTR)
Test ordering
Collection
Transportation
Sample receipt
Sample processing
Testing
Reporting
What is the most fundamental data collection technique?
To analyze the distribution of samples and tests over time
Processing of collection tube and containers?
Tube analysis/Tube labor
Tube analysis is mostly needed in what sections?
Serology and Chemistry
What is the goal of workstation analysis?
Understand where, when, and how the work performed
Running one test for multiple samples?
Batch testing
Runing multiple tests for one sample?
Parallel testing
Randomly access sample and reagents and can accommodate an emergency sample at any time
Random access analyzers
This exercise provides an opportunity for staff to participate in analyzing workflow and improving performance.
Interview
What are the fundamentals of technological innovations should be reminded to every staff and managerial roles in the laboratory?
Is technology needed
Technology is a means to an end, not an end
Overbuying
Understanding what to buy
It refers to the process by which workflow (including laboratory design) and technology are integrated to yield an operation that best meets the clinical needs and financial goals of the organization: high quality at low cost
Optimizing performance
It is an ongoing process that requires one to constantly assess and reassess workflow and needs?
Optimizing Performance
What are the things to consider in workflow metric sample?
Collection to receipt
Receipt to result
Order (or Collection) to Result
