CLINICAL LABORATORY Flashcards
who analyzes body fluids and provides info to physicians to help diagnose
CL Scientist or Technician
to ascertain what is the best antibiotic for a certain bacteria
Antimicrobial Susceptability testing
examines cell samples on slides and determine the presence of benign or cancerous diseases
Cytotechnologist
sections, stains analyzes tissues from surgery for examination by a pathologist
Histotechnologist of Histotechnicians
collects blood specimen
phlebotomy
a facility where tests are done on specimens
clinical laboratory
TESTING process that occurs first in the lab. Crucial stage
Pre-analytical
actual lab testing or diagnostic procedures
Analytical Phase
production of final value
post-analytical
VARIABLE:
selection of assay
PRE-analytical
VARIABLE:
implementation of assay
pre- analytical
VARIABLE:
Patient Identification
Pre-analytical
variable: specimen collection
pre-analytical
specimen transport and prepare storage
pre- analytical
variable: monitoring of specimen condition
pre-analytical
Components of analytical phase
a. equipment / machines - reliable and good maintenance
b. examination procedure- step by step
c. quality examination - all in proper condition
VARIABLE: Instrument Selection
Analytical
VARIABLE: Assay/test validation
Analytical
VARIABLE: Laboratory staff competence
Analytical
VARIABLE: External and internal quality control
Analytical
VARIABLE: Accuracy in transcription and filing the test results
Post-analytical
VARIABLE: Content and format of lab report
Post-analytical
VARIABLE: Timeliness in communicating critical values to patient and physician
Post-analytical
VARIABLE: TAT turn around time
time interval bet. specimen received in the lab to the time of releasing the lab results
standard time in TAT
1 HOUR
a procedure to test for cervical cancer in women
Pap Smear
TYPES OF clinical Lab
Mobile clinical lab
satellite testing site
a lab testing unit that moves from one testing site to another
mobile clinical laboratory
any testing site that performs laboratory examinations under the administrative control of a licensed lab but performs outside
Satellite testing site
an individual doctor’s office or clinic wherein lab examinations are performed
physician’s office lab
a diagnostic testing at , or near the site of patient care
- include bedside testing, outpatient and home care
point of care testing
- a lab in a government hospital that has been designated by the DOH
National Reference Laboratory (NRL)
Functions of NRL
- provision of referral services
- training
- research
- Implementation of EQAS(external quality assessment scheme)
- evaluation of diagnostic kits and reagents
- a type of test wherein the results are not required to be released immediately upon completion
Routine tests
- a type of test where the results are required to be released IMMEDIATELY
STAT tests
CLASSIFICATION OF CL BY OWNERSHIPq
- Government- operated and maintained, partially or wholly by the national gov’t
ex. CVMC, PGH, TCGH - Private- owned, established and operated by any indiv
CLASSIFICATION OF CL BY FUNCTION
- Clinical Pathology- examines blood, urine, body fluids
- Anatomic Pathology- examines samples from organs or tissues acquired after surgery
CLASSIFICATION OF CL BY INSTITUTIONAL CHARACTER
- Institution-based- operates within the premises. accepts in- and outpatient
ex. CVMC - Freestanding- does not form part of any other institution. accepts outpatients only
CLASSIFICATION OF CL BY SERVICE CAPABILITY
(GENERAL CLINICAL LAB)
- primary category -
- secondary category
- tertiary category
- limited service capability
CLASSIFICATION OF CL BY SERVICE CAPABILITY
(SPECIAL CLINIC LAB)
-Highly specialized lab services that are usually not provided by a gen clinical lab
Primary Category-
-Routine Hematology
-Qualitative Platelet Count
- Routine Urinalysis (urine)
- Routine Fecalysis (feces)
- Quantitative Platelet Count and Blood
Typing (if hospital-based)
Secondary Category
minimum plus
1. Routine Clinical Chemistry
- Blood Glucose Concentration
-Blood Urea Nitrogen
- Blood Uric Acid
-Blood Creatinine
- total cholesterol
-
- hospital based-cross matching and gram staining
Tertiary Category
plus
Special Chemistry
Special Hematology
o Coagulation Procedures
Immunology
Microbiology
Limited Service Capability
provide lab results required for a particular service in institutions