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Lab Management > Clinical Laboratory > Flashcards

Clinical Laboratory Flashcards

1
Q

facility that is involved in the (a) pre-analytical, (b) analytical, (c.) and post-analytical procedures

A

Clinical laboratory

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2
Q

Clinical laboratory is where tests are done on specimens from the human bodv to obtain information about the health satus of a patient for the (3) of diseases.

pdt

A

prevention, diagnosis, and treatment

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3
Q

These rules and regulations shall serve as new guidelines in the licensing of diagnostic clinical laboratories.

A

(A.O. 2021-0037)

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4
Q

____of all medical decisions are based on laboratory results (______)

A

70%

Silverstein, 2003

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5
Q

PURPOSE of Clin lab (5)

A

• Detect disease or predisposition to disease
• Cofirm or reject a diagnosis
• Establish prognosis
• Guide patient management
• Monitor efficacy of therapy

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6
Q

To successfully achieve its goal, a laboratory must use:

A

• Medical, scientific, and technical expertise
• Resources (Personnel, laboratory, and data processing equipment, supplies, and facilities)
• Organization, management and communication skills

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7
Q

LABORATORY DEPARTMENTS
IMM CHHHUB

A

• Hematology
• Hemostasis and Coagulation
• Urinalysis
• Clinical Chemistry
• Blood Bank and Transfusion Services
• Immunology-Serology
• Molecular Diagnostics
• Microbiology
• Histopathology and Cytology

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8
Q

GOAL OF THE LABORATORY

A

QUALITY SERVICES

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9
Q

GOAL OF THE LABORATORY
- QUALITY

A

• Safe, comfortable phlebotomy experiences provided to all patients

• Properly collected and labeled specimens provided for testing

• Informative and helpful consultations and answers to questions

• Timely, accurate test results and reports provided to physicians and other healthcare personnel

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10
Q

Transforms a test order into a results report

A

THE LABORATORY WORKFLOW

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11
Q

THE LABORATORY WORKFLOW (5)

A
  1. Clinician/doctor ordering a test
  2. Sample collection, transport, receiving, and accessioning
  3. Testing and review
  4. Report preparation and report delivery
  5. Accurate test results and interpretation back to the physician
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12
Q

T or F

The laboratory does not perform or control some of the processes in the workflow

A

True

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13
Q

• Test ordering may be done by other…

A

authorized health professionals

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14
Q

T or F

The laboratory does not collect all samples to be tested or examined

A

True

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15
Q

Correct performance of all activities in the_____ is a MUST, whether or not the laboratory has control over them

A

workflow

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16
Q

Laboratory services:

A

From POCT (Point-of-care testing) to Highly sophisticated lab tests

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17
Q

•______ has added a level of transparency

A

Internet access

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18
Q

• Functional design of the lab

Before:

A

discrete or separate lab sections

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19
Q

• Functional design of the lab

Current:

A

• Single testing platform (Single analyzer)
• Workcell (2 or more linked instruments)
• Total laboratory automation (preanalytical to postanalytical)

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20
Q

• Regionalization
• A single, core lab provides high volume, routine testing
• One or more other labs perform highly specialized functions

A

HUB AND SPOKE MODEL

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21
Q

HUB AND SPOKE MODEL

A

Core: commonly used machines/ tests
Surroundings: highly specialized functions

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22
Q

LABORATORY PLANNING AND DESIGN

A

Location
Privacy
Conformance with building laws
Ventilation
Spaces required

23
Q

LOCATION: situated in an area that is…

A

accessible both to clients and staff

24
Q

• PRIVACY: provide audible and visual privacy to clients from…

A

specimen collection to releasing of results

25
Q

•________: planning and design, construction, renovation, maintenance, and repair of facilities

A

Conformance with building laws

26
Q

National Building Code

A

PD 1096

27
Q

• VENTILATION: Acceptable air changes per hour

A

4-12

CBC at least 5

28
Q

CBC: at hat 6
• SPACES REQUIRED

A

• General Administrative Services and
Public Areas
• Clinical Working Area
• Support Services Area

29
Q

GENERAL ADMINISTRATIVE SERVICES AND PUBLIC AREAS

A

Business area
Collection area
Toilet facilities

30
Q

Reception area for information and business transactions, receiving of specimen, and releasing of results

Waiting area for clients

A

Business Area

31
Q

May be within the premises or adjacent to the laboratory

Conveniently accessible toilet to the public

Separate toilet for the staff

A

Toilet facilities

32
Q

Toilet facilities

A

May be within the premises or adjacent to the laboratory

Conveniently accessible toilet to the public

Separate toilet for the staff

33
Q

Sufficient to accomodate its activities and allow for smooth and coordinated workflow

Sufficient and appropriate storage and conditions provided for laboratory specimens, documents. records, manuals, equipment, reagents, supplies, slides and tissue blocks

A

CLINICAL WORKING AREA

34
Q

CLINICAL WORKING AREA

Sufficient to accomodate its activities and allow for smooth and coordinated_____

Sufficient and appropriate______ provided for laboratory specimens, documents, records, manuals, equipment, reagents, supplies, slides and tissue blocks

A

workflow

storage and conditions

35
Q

Sufficient storage for records and supplies

Sterilization room/area

Waste holding area

Staff pantry

Other spaces for staff such as offices, conference room, lockers, and changing room are optional

A

SUPPORT SERVICES AREA

36
Q

SUPPORT SERVICES AREA

A

Sufficient storage for records and supplies

Sterilization room/area

Waste holding area

Staff pantry

Other spaces for staff such as offices, conference room, lockers, and changing room are optional

37
Q

Collection area for blood extraction shall provided (3) appropriate for its activity performed

With work counter/tray, space for patient seating, and handwashing stations

A

space, equipment, and furniture

38
Q

Specimen collection area for urine/stool

May be located… (3)

A

outside the main clinical laboratory

a designated cubicle in a toilet facility

a dedicated toilet solely for specimen collection

39
Q

may be a separate room or cubicle

Located adjacent to or within the clinical working area for easy access to the clinical working area of the laboratory

A

• Pathologist’s area

40
Q

Entrance to the clinical working area must not be…

______ at the entry and exit points of the clinical working area is required

A

not be in high traffic areas

Handwashing areas

41
Q

• Sections of the laboratorv shall be provided with a______ with a depth of at least_____ and a______

A

stainless steel sink

8 inches

gooseneck faucet

42
Q

Each section of the laboratory shall be properly identified

Separate rooms are required for

A

Histopathology
Microbiology
Molecular Pathology

43
Q

Toilets and other staff amenities:

A

outside the clinical working area

44
Q

away from areas with fluctuating air supply

A

Biosafety cabinets and isolation hoods

45
Q

Biosafety cabinets and isolation hoods:

A

away from areas with fluctuating air supply

46
Q

• Fire safety: conform to…

A

R.A. 9514 (Fire Code of the Philippines)

47
Q

Fire exit

No more than_____ from the clinical working area to any exit door

A

23 meters

48
Q

Lighting:

A

no exposed or dangling wires, no unwanted glare

With convenient outlets

49
Q

Ventilation
Artificial air conditioning shall be provided to attain_____ requirements

Exhaust fans in the clinical working area with dedicated exhaust fans for (2)

A

HVAC

Histopathology and Microbiology

50
Q

Ventilation

Directed_____; air must not____, airflow must be from______

A

outside

recirculate

clean to less clean areas

51
Q

MATERIAL SPECIFICAITON
Wall and partition:

A

structurally sound, safe, and sturdy

52
Q

Flooring:

Seamless and_____ to a height of 6 inches towards to the wall

A

durable, readily cleanable, and wear-resistant

self-coving

53
Q

Work counters: preferred width is_____

Should not support…..

A

30 inches

bacterial growth
durable
non-porous
smooth and easy to clean
stain and dirt resistant

54
Q

Doors: no door shall be less than 800 mm;
preferably_____

Main door: at least 900 mm
Rooms/sections with large instruments/equipment: minimum width of 900 mm

A

self-closing

Lab Management (18 decks)

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