LABMAN SEMINAR 1 RECALL Flashcards
A place where tests are performed on clinical specimens in order to get information about the health of a patient with regard to the diagnosis, treatment and prevention of disease
Clinical Laboratory
Laboratory that cater both in-patient and out-patient
Hospital-based laboratory
Laboratory that cater only out-patients
Free-standing laboratory (non-hospital based)
Clinical Laboratory must be headed by a
Pathologist certified by the Philippine Board of Pathology
Classification of clinical laboratory according to institutional character
Hospital-based laboratory
Free-standing laboratory (non-hospital based)
Classification of clinical laboratory according to function
Anatomic Pathology
Clinical Pathology
Sections under Anatomic Pathology
Surgical Pathology
Cytology
Immunohistopathology
Forensic Pathology - Autopsy
Sections under Clinical Pathology
Hematology
Immunohematology
Clinical Chemistry
Microbiology
Clinical Microscopy
Molecular Biology
Immuno-Serology
Parasitology
Toxicology/TDM
RA No.4688, otherwise known as
Clinical Laboratory Law of 1966
Classification of clinical laboratory according to service capability
Primary Laboratory
Secondary Laboratory
Tertiary Laboratory
Minimum service capabilities of Primary Laboratory
CBC
Urinalysis
Fecalysis
Blood typing and quantitative platelet count for hospital-based laboratories
Primary Laboratory must have an area of at least
10sqm
Service capabilities of Secondary Laboratory
Service capabilities of a primary laboratory
Routine Clinical Chemistry (sugar, BUN/Crea, BUA and T. Cholesterol)
Crossmatching (hospital-based)
Secondary Laboratory must have an area of at least
20sqm
Service capabilities of Tertiary Laboratory
Service capabilities of a secondary laboratory
Special hematology
Special chemistry
Immune-serology
Microbiology
A type of laboratory suitable to be a training ground for interns and externs and site of scientific research
Tertiary Laboratory
Tertiary Laboratory must have an area of
60sqm
It has discrete sections in hematology, chemistry, microbiology, and blood bank,
generally separated into rooms or sections
Traditional ‘Closed’ Laboratory
The discrete services are placed in one large room with portable walls that can be adjusted as needed based on volume
‘Open’ Laboratory
A common type of consolidation has been hematology and chemistry laboratories (‘chematology‘)
Core Laboratory
Advantages of Core Laboratory
Handling stat requests
Improving offshift workflow
Avoiding chronic staffing problems
Specific low-volume or expensive laboratory services currently provided by more than one regional hospital laboratory, that are consolidated into one hospital
Regional Laboratory
Laboratory testing that is brought to the patient’s bedside
Point-of-Care
Rapid response laboratory that is often located in or near an emergency department or surgical suite
Stat Laboratory
STAT means
Short Turn-Around-Time
Laboratory provides limited menu of routine and/or specialty services on a stat or non-stat basis
Limited Service
Traditional full service laboratory that handles all types of testing, especially esoteric tests
Reference Laboratory
The National Reference Laboratories in the Philippines is established through
D.O. No. 393-E s. 2000; and additional designations through D.O. No. 2009 5148, December 21, 2009
Reference Laboratory for Clinical chemistry and Anatomic Pathology of Pulmonary Diseases
Lung Center of the Philippines
Reference Laboratory for Hematology, Immunohematology and Immunopathology, Anatomic Pathology for other Organ Diseases other than Lungs and heart
National Kidney and Transplant Institute (NKTI)
Reference Laboratory for Environmental and Occupational Health Toxicology and Micronutrient Assay
East Avenue Medical Center
Reference Laboratory for dengue, influenza, TB & other mycobacteria, malaria and other parasites, bacterial enteric diseases, measles and other exanthems, mycology, enteroviruses, antimicrobial resistance and emerging diseases. Also for confirmatory testing of blood donors and blood units
Research Institute for Tropical Medicine (RITM)
Reference Laboratory for HIV-AIDS, Hepatitis and STDs
San Lazaro Hospital
Reference Laboratory for Anatomic Pathology for Cardiac diseases
Philippine Heart Center
Phases of the testing process
Test Ordering
Collection
Transportation
Sample Receipt
Sample Processing
Testing
Reporting
It is of paramount importance in any workflow analysis
Data
Data necessary in order to validate results
Supplemental data
Mapping needs for the staff working on the particular section
Sample Mapping
Mapping needs for the instrumentations used on the particular section
Test Mapping
The most fundamental data collection technique
Analyze the distribution of samples and tests over time
Sample and test “density” should also be considered as samples and tests in the inpatient department is higher than in the outpatient. True or False?
False, tests in the outpatient department is higher than in the inpatient
Tube Analysis is also known as
Tube labor
Tube Analysis workload includes:
SCAR MURLS
Sorting of Tube - according to color
Centrifuging
Aliquoting
Racking
Unracking
Loading & unloading of samples in analyzers
Manual dilutions & reruns
Retrieving tubes - for additional testing
Storing of tubes
Tube analysis is mostly needed in
Immuno-Serology
Immunodiagnostics
Clinical Chemistry
Non-technologic solution in troubleshooting tube analysis
Altering laboratory rerun/review criteria to reduce the number of tubes flagged for rerun
Technologic solution in troubleshooting tube analysis
Acquiring a new analyzer or upgrading the specs of the analyzer to better its performance against the workload of the laboratory
Goal of workstation analysis:
To understand where, when, and how the work performed
Instrument throughput
Number of test/hour
This information can be very useful in identifying processing bottlenecks and assist in redesigning workflow
Labor considerations
Running one test for multiple samples
Batch Testing
Running multiple tests for one sample
Parallel Testing
Randomly access sample and reagents and can accommodate an emergency sample at any time
Random Testing
Breakthrough technology:
a. Changes fundamental workflow
b. Consolidates workstations
c. Saves labor
d. Improves service
e. Sets new performance standard
f. Premium pricing
Operation that best meets the clinical needs and financial goals of the organization
High quality at Low cost
Optimizing performance is an ongoing process that requires one to constantly assess and reassess workflow and needs. True or False?
True
The means employed to encourage all personnel in the organization to accomplish whatever assignments may be given them by management in order to achieve the objectives in the manner they were planned and organized
Leading
Leading can only be effective if it is preceded by a well-designed strategy developed in the planning and organizing stages of the management process, and if it is followed through with a strong controlling phase. True or False?
True
Most active part of the directing function
Leadership
Leadership employs _____ to accomplish the work of an organization
Management skills
People skills
Vision
Purpose of Leadership
To produce change by establishing direction, aligning, motivating, and inspiring people; provides direction of where one (or an organization) is going
Leadership Responsibility
a. Develop and maintain effective relations with medical and hospital staff and administration
b. Encourage free-flow and exchange of ideas
c. Assure an awareness by all personnel of current trends and practices
d. Formulate and develop policies and procedures
e. Effectively communicate the plans to all personnel
An individual whose job is to guide the organization to attain its objectives.
Manager
A manager must possess essential characteristics that will make him/her a successful manager such as:
Motivation
Vision
Decision-making skills
Humility
Good health
Roles played by managers in an organization
a. Represents the organization
b. Holds formal authority
c. Develops & implements strategies to accomplish mission & goals of the organization
d. Manages personnel (e.g., evaluation, hiring, promotion)
e. Manages financial responsibilities (i.e., budget, revenue, expenses)
f. Facilitates communication
g. Motivates employees
h. Implements time management strategies
i. Oversees customer service
j. Implements innovative ways to expand services, expand customer base, & fulfill the bottom-line
10 Characteristics of a Leader
- Good listener
- Confident
- Self-discipline
- Good self-esteem
- Optimism
- Likes everyone
- Ambitious
- Good memory
- Accessible
- Good sense of Values and Sound Judgement
Self-centered Leadership Style
Autocratic
Characteristics of Autocratic Leadership Style
a. Self-centered
b. Makes decisions without the consultation of subordinates
c. The manager’s way is the best, & employees need not to think of another way to complete the task
d. Inhibits employees from thinking for themselves; they lose interest & initiative
People power; shared authority Leadership Style
Democratic
Characteristics of Democratic Leadership Style
a. People power; shared authority
b. Employees take part in decision-making
By the book Leadership Style
Bureaucratic
Characteristics of Bureaucratic Leadership Style
a. Exercise of control on the basis of knowledge
b. Focuses on rules & regulations set by the hierarchy of authority; leaders work “by the book
Delegating Leadership Style
Laissez Faire
Characteristics of Laissez Faire Leadership Style
a. Delegating leadership
b. To let people do as they choose
c. Leaders have a back seat role in the organization
d. The employees (experts) are allowed to decide on their own
Leadership Style where leaders encourage certain behaviors in others by force of personality, persuasion, & eloquent communication
Charismatic
Four (4) Key Leadership Styles
- Supportive Leader - Physical and personal resources to accomplish duties
- Directive Leader - Rules, order, or defined instructions
- Coaching Leader - High support and direction
- Delegating Leader - Low support and direction
“The art and science of getting things done thru people”
Management
Management as an art
It results in the accomplishment of objectives through the use of human efforts
Management as science
It is a systematic body of knowledge. It gathers and analyzes facts and formulates general laws or principles from these facts
Functions of Management
Planning
Organizing/Delegating
Leading/Directing
Controlling & Evaluating
The mental effort by which executives anticipate the possible causes or factors that may affect or change the activities and objectives of a particular organization
Planning
The process of identifying and grouping of work to be performed, defining and delegating responsibility and authority and establishing relationship for the purpose of enabling the people to work most effectively together in accomplishing objectives
Organizing
Refers to the way of getting all personnel in an organization to accomplish what management desires
Leading/Directing