CLINICAL LABORATORY Flashcards
Business area: Reception area
5.02m2/staff
Business area: Waiting area
0.65m2/person
Collection area: Extraction area for blood
6.00m2/chair or couch
Collection area: Specimen collection area for urine and stool
1.67m2
Public toilet
3.06m2
Staff toilet
1.67m2
Pathologist area
5.02m2/staff
Storage area for supply and records
4.65m2 or 1.2m2/storage unit
sterilization unit/room
4.65m2
waste holding area
4.65m2
Staff pantry
1.40m2/person
Conference room
1.40m2/person
Doors
not less than 800mm; self closing
Main door
at least 900mm
rooms w large equipment
min width 900mm
urine/stool sample must be transported within
30min-1hr
stainless sink measurements
depth of 8 inches; gooseneck faucet
work counters measurements
width 30 inches
fire code of ph
RA 9514
fire safety: distance of clinical working area to any exit door
no more than 23m
corridors
1.2m or 4ft width
wall to work counter
1.2m or 4ft
work counter to work counter
1.52m or 5ft
eyewash unit w handwash unit is within — of work access
30m
floor to ceiling height
atleast 2.6m
reception area for information and business transactions, receiving of specimen, and releasing of results
business area
waiting area for clients
business area
collection area is divided into 3
specimen collection area
extraction area (blood)
drug testing collection
ventilation: acceptable air changes per hour
4-12
nationa building code
PD 1096
labs perform highly specialized functions
Cyto2 SM2
Cytology
Cytogenetics/Histopathology
Stat tests
Microbiology
Molecular diagnostics
POCT is also known as
Bedside testing
Poor man’s test
lab workflow
- doctor/clinician order test
- sample collection - transport - receiving - accessioning
- testing and reviewing
- report preparation, report delivery
- accurate test results and interpretation back to physician
goal of lab: quality
SPTI
- Safe and comfortable phleb experience
- Properly collected and labeled specimen
- Timely, accurate test results and reports
- Informative and helpful consultations and answers to questions
tube used for hemostasis
light blue tube 3-4 inversions
specimen collected in lab
CUBS WANTS VAP
Cerebrospinal fluid
Urine
Blood
Stool
Wounds and Abscess
Nasopharyngeal swab
Tissue
Serous fluids
Vaginal, Anal, Penile discharge
EDTA inversion
6-8x
red top inversion
none
specimen handling w tests for ammonia
dry ice/ice pack
specimen handling for bilirubin
use black paper
specimen handling for cold agglutinins
body temperature
results for stat must be released -
between 30min-1hr
urgent samples
fasting samples and samples near expiry time
follows turnaround time
routine
BID
bis in die; extraction 2x a day before meals
TID
ter in die; extraction 3x day before meals
Q12 or 6am to 6pm
BID
analytical procedure
- running of samples
- running of controls
- mixing of samples and reagents
encoding of results
PRUVD
- write Patients name
- Results
- Unit of measurement
- Values
- Doctor requested
- Name of RMT
- name of pathologist
- sign of rmt and pathologist
pre analytical issues
- mislabeling
- improper patient identification
- improper collection of specimen
- improper mixing of tubes
- specimen contamination
analytical issues
- improper machine calibration
- machine fluctuations
- outdated controls
- expired reagents
post-analytical issues
- wrong interpretation of results
- wrong encoding if results
- clerical error