CLINICAL LABORATORY AND ITS ORGANIZATIONAL STRUCTURE (APPLICATION, LICENSING, RENEWAL AND INSPECTION) Flashcards
An Act Regulating the Operation and Maintenance of Clinical Laboratories
and requiring the registration of the same with the Department of Health,
providing penalty for the violation.
REPUBLIC ACT NO. 4688
CLINICAL LABORATORY ACT OF 1966
What is R.A 4688
CLINICAL LABORATORY ACT OF 1966
What is the date of approval of the REPUBLIC ACT NO. 4688
Approved on June 18, 1966
IMPLEMENTING RULES AND REGULATIONS (DOH):
Rules and Regulations Governing the
Establishment, Operation and Maintenance of
Clinical Laboratories in the Philippines
A.O.
59-2001
IMPLEMENTING RULES AND REGULATIONS (DOH):
Revised Rules and Regulations Governing the
Licensure and Regulation of Clinical Laboratories
in the Philippines
A.O.
27-2007
Institution based laboratory is owned by the ___
Government
Free Standing laboratory is owned by the ___
Private Institution
The function of the Government Laboratory
Clinical
Pathology
The function of the Private owned laboratory
Anatomic
Pathology
Service Capability of a Government owned laboratory
General
Service Capability of a Private owned laboratory
Special
What type of pathology handles:
•Clinical Chemistry
CLINICAL PATHOLOGY
What type of pathology handles:
•Hematology
CLINICAL PATHOLOGY
What type of pathology handles:
•Immunohematology (Blood Banking)
CLINICAL PATHOLOGY
What type of pathology handles:
•Microbiology
CLINICAL PATHOLOGY
What type of pathology handles:
•Immunology and Serology
CLINICAL PATHOLOGY
What type of pathology handles:
•Clinical Microscopy
CLINICAL PATHOLOGY
What type of pathology handles:
• Endocrinology
CLINICAL PATHOLOGY
What type of pathology handles:
•Molecular Biology
CLINICAL PATHOLOGY
What type of pathology handles:
•Cytogenetics
CLINICAL PATHOLOGY
What type of pathology handles:
• Toxicology
CLINICAL PATHOLOGY
What type of pathology handles:
• Therapeutic Drug Monitoring
CLINICAL PATHOLOGY
What type of pathology handles:
•Surgical Pathology
ANATOMIC PATHOLOGY
What type of pathology handles:
•Immunohistopathology
ANATOMIC PATHOLOGY
What type of pathology handles:
•Cytology
ANATOMIC PATHOLOGY
What type of pathology handles:
•Autopsy
ANATOMIC PATHOLOGY
What type of pathology handles:
•Forensic Pathology
ANATOMIC PATHOLOGY
What type of pathology handles:
•Molecular Pathology
ANATOMIC PATHOLOGY
What type of general clinical laboratory handles:
▪Routine Hematology
Primary
What type of general clinical laboratory handles:
▪All the services provided by
the PRIMARY CLINICAL
LABORATORY
Secondary
▪All the services provided by
the SECONDARY
CLINICAL LABORATORY
Tertiary
▪ Provides particular service only IN AN INSTITUTION Example: - Dialysis Centers - Social Hygiene clinics
Limited Services
What type of general clinical laboratory handles:
▪Routine Urinalysis
Primary
What type of general clinical laboratory handles:
▪Routine Fecalysis
Primary
What type of general clinical laboratory handles:
▪Blood typing
(hospital-based)
Primary
What type of general clinical laboratory handles:
▪Qualitative Platelet
Count
Primary
What type of general clinical laboratory handles:
▪Routine Clinical Chemistry
Secondary
What type of general clinical laboratory handles:
• Fasting Blood Sugar (FBS)
Secondary
What type of general clinical laboratory handles:
•Kidney Function test (Urea,
Creatinine & Uric Acid)
Secondary
What type of general clinical laboratory handles:
▪ Quantitative Plate count
Secondary
What type of general clinical laboratory handles:
▪Crossmatching
(hospital-based)
Secondary
What type of general clinical laboratory handles:
▪KOH (hospital-based)
Secondary
What type of general clinical laboratory handles:
▪Gram staining
(hospital-based)
Secondary
What type of general clinical laboratory handles:
Special Chemistry
Tertiary
What type of general clinical laboratory handles:
▪ Special Hematology
Tertiary
What type of general clinical laboratory handles:
▪Immunology
Tertiary
What type of general clinical laboratory handles:
▪Culture and Sensitivity
Tertiary
What type of general clinical laboratory handles:
•Aerobic and Anaerobic
(hospital-based)
Tertiary
What type of general clinical laboratory handles:
•Aerobic or Anaerobic (non
hospital-based)
Tertiary
Offers Highly Specialized Services like:
a) Genetics laboratory
b) DNA
c) Molecular Biology laboratory
SPECIAL
No need to secure License to Operate (LTO) otherwise stipulated by
the law.
SPECIAL
Only __________R.A. 7719 has license
Immunohematology (Blood Banking)
______ supervises the clinical laboratory; in absence any physician
trained and authorized by _____
Pathologist, DOH
Must be a graduate of medicine
Pathologist
Residency for Pathology Laboratory:
Clinical Pathology
2 years
Residency for Pathology Laboratory:
Anatomic Pathology
3 years
Residency for Pathology Laboratory:
Forensic Pathology
In camp crame
The pathologist must pass the ____(both written and practical)
Board of Pathology Exam
Three (3) month training by the DOH regarding:
- Laboratory management
- Quality Assurance (QA)
- Quality Control (QC)
Pathologist:
___in any category, or
3 ______ and 1 ______
4 clinical laboratories, 3 clinical laboratories and 1 blood bank
Physician:
_______either primary or secondary
1 clinical laboratory
They give out license to operate
•Department of Health – Bureau of Health Facilities & Services
(DOH-BHFS)
what is the meaning of
DOH-BHFS
LTO is valid to for how many year/s?
1 year
EXEMPTIONS IN SECURING LICENSE TO
OPERATE FROM BHFS:
Laboratories operated and maintained exclusively for ______ and
_______ purposes
research and teaching
EXEMPTIONS IN SECURING LICENSE TO
OPERATE FROM BHFS:
Special clinical laboratories operating _______ of clinical
laboratories
independently
EXEMPTIONS IN SECURING LICENSE TO
OPERATE FROM BHFS:
______ office Laboratory
Physician’s
All government laboratories are exempted in LTO when they are performing microscopy works for______,_______ and __________
a. Malarial screening
b. Acid-Fast Bacteria (AFB) Screening
c. STD screening
CONSIDERATIONS IN LTO ISSUANCE:
Clinical Laboratory and its satellite in the ___________
same compound
CONSIDERATIONS IN LTO ISSUANCE:
Satellite laboratory ________ the premises of central laboratory
outside
CONSIDERATIONS IN LTO ISSUANCE:
__________ laboratory
mobile
where should they renew the LTO
regional in Center for Health Development (CHD) or in the DOH-BHFS
May start to renew their license in ____ days before expiration (last day of the year – December
31)
90
What are the inspection done by the DOH-BHFS in the laboratory
Quality Assurance Programs
✔ Internal Quality Control Program
✔ Internal Quality Assurance Program
✔ Continuous Quality Improvement Program
✔ External Quality Assurance Program (EQAP) by NRL – National Reference
Laboratory
✔ International External Quality Assurance Program (EQAP) by The Joint
Commission (TJC) and College of American Pathologist (CAP)
what type of National Reference Laboratory does:
Bacteriology
Research Institute for Tropical
Medicine (RITM)
what type of National Reference Laboratory does:
Parasitology
Research Institute for Tropical
Medicine (RITM)
what type of National Reference Laboratory does:
Mycobacteriology
Research Institute for Tropical
Medicine (RITM)
what type of National Reference Laboratory does:
Transfusion Transmitted Infection (TTI)
Research Institute for Tropical
Medicine (RITM)
what type of National Reference Laboratory does:
Hematology
National Kidney and Transplant
Institute (NKTI)
what type of National Reference Laboratory does:
Clinical Chemistry
Lung Center of the Philippines
LCP
what type of National Reference Laboratory does:
Drug Test
EAST AVENUE MEDICAL
CENTER
what type of National Reference Laboratory does:
Water Bacteriology
EAST AVENUE MEDICAL
CENTER
what type of National Reference Laboratory does:
HIV testing
STD AIDS Cooperative Central
Laboratory – San Lazaro
Hospital (SACCL-SLH)
what type of National Reference Laboratory does:
HBV testing
STD AIDS Cooperative Central
Laboratory – San Lazaro
Hospital (SACCL-SLH)
what type of National Reference Laboratory does:
HCV testing
STD AIDS Cooperative Central
Laboratory – San Lazaro
Hospital (SACCL-SLH)
what type of National Reference Laboratory does:
Syphilis testing
STD AIDS Cooperative Central
Laboratory – San Lazaro
Hospital (SACCL-SLH)