MIDTERM Flashcards
a formal authorization coming from
the DOH given to an individual, partnership, a
corporation or association and to the newborn
screening centers
Accreditation
refers to Department of Interior and Local
Government
DILG
This Act shall be known as the Newborn
Screening Act of 2004.
REPUBLIC ACT NO. 9288
Department of Health that implements the
provisions of Newborn Screening Act.
DOH
refers to the monitoring of a newborn
with a heritable condition for the purpose of ensuring
that the newborn patient complies fully with the
medicine of dietary prescriptions
Follow-Up
refers to hospitals, health
infirmaries, health centers, lying-in centers or
puericulture centers with obstetrical and pediatric
services, whether public or private
Health Institutions
refers to physicians,
nurses, midwives, nursing aides and traditional birth
attendants
Healthcare Practitioner
any condition that can result in
mental retardation, physical deformity or death if left
undetected and untreated and which is usually
inherited from the genes of either or both biological
parents of the newborn
Heritable condition
Implementing Rules and Regulations
IRR
Local Government Units
LGU
The National Comprehensive Newborn
Screening System Treatment Network that refers to
tertiary hospitals equipped to diagnose and manage
confirmed cases/heritable condition of a newborn
NCNBSS
National Institute of Health in the Philippines
Newborn Screening
it is defined as a child from the time of
complete delivery to 30 days old
Newborn
- refers to a process of
collecting a few drops of blood from the newborn onto
an appropriate collection card and performing
biochemical testing for determining if the newborn has
a heritable condition
Newborn Screening
It involves two processes
New born screening
- it is a facility equipped
with a newborn screening laboratory that complies
with the standards established by the NIH and
provides all required laboratory tests and
recall/follow-up programs for newborns with heritable
conditions
Newborn Screening Center
Ito ang tinatawag natin na data bank. Lahat
ng mga results ng mga newborns and then
mag train sila na tinatawag natin na mga
laboratory personnel para sa newborn
screenings, magconduct sila ng mga
trainings regarding sa recall and follow-up
Newborn Screening Reference Center
➔ ito yung ginagamit natin for newborn
screening. kit na siya, nandoon na lahat.
Newborn Screening Specimen Collection Kit
One of the most important process in newborn screening
recall
is a procedure of locating a newborn with a positive
screening result from a positive heritable condition for the
purposes of providing that newborn with appropriate
laboratory testing to confirm the diagnosis and provide
treatment
recall
confirmatory testing is done in Manila
Recall
after recall
to give sufficient care in order to preven mental
retardation, deformity and death
to determine if the child is given proper dietary prescription
and medical attention to its condition.
FOLLOW-UP
provides a prompt, appropriate and adequate medicine,
medical and surgical management or dietary prescription
to a newborn for purposes of treating or mitigating the
adverse health consequences of heritable conditions or to
lessen the condition.
TREATMENT
a system composed of several groups and coordinate with
each other for the purpose to save newborn with heritable
conditions, prevent, and for early detection
NATIONAL COMPREHENSIVE NEWBORN
SCREENING SYSTEM
transportation and conducting of chemical
testings
Collection of Blood from Newborn
if positive: proceed to confirmatory testing
➔ Tracking
Follow-up treatment
Clinical Evaluation
● parent education
● under the law, it is the obligation of any health practitioner
(physician, nurses, midwives) or who delivers/assist in
delivering the baby shall prior to inform patients or legal
guardians of the newborn of the availability, nature and
benefits of newborn screening
● required by the law, a guideline set by the DOH on
notification and education relative to the obligation to
inform parent or legal guardians
● every delivery, it must be informed about the newborn
screening
● newborn screening is reduced to a form
OBLIGATION TO INFORM
The actual Newborn screening shall be performed after
the 24 hours of life but not later than 3 days from the
complete delivery
ESTRELLA 28:04-42:05
The actual Newborn screening shall be performed after
the ______ hours of life but not later than 3 days from the
complete delivery
24 hours
dito na
papasok yung bata na nag positive siya, nalocate na siya,
nagpositve, confirmed na, so it’s a treatment network that
will follow yung mga regulations pa rin ng DOH so may
mga referrals yan siya, bibigyan ng mga choices ang mga
parents kung capable ba sila or hindi ba sila capable, kung
hindi sila capable, assistance will be extended to them by
the government, by the local government units, and other
national government agencies, especially the Department
of Health, PCSO (Philippine Charity Sweepstakes
Office), PhilHealth.
National Comprehensive Newborn
Screening System Treatment Network
- ito yung mga tinatawag natin na
parang mga clinics ng cities/municipalities (RHU)
local Rural Health Unit
ito yung treatment, ito yung mga tinatawag natin
na mga members/stakeholders, first ang member ng mga
major stakeholders dito sa NCNDSS, ito yung tinatawag
natin na mga Health facilities (Hospitals, birthing
facilities, Rural Health Units, Health Centers, DILG, Local
Government Units, Academe) - health facilities has
something to do sa screening system, education,
obligation to inform yung mga parents, mag participate rin
sila sa recall, mag participate rin sila doon sa referral,
follow up.
National Comprehensive Newborn Screening
System
________ will go to the DOH Regional Office
4%
______ will go to the Newborn Screening Center, for
human resource development, and equipment
maintenance and upgrading.
4%
_______ will also go to the National Institutes of Health
Philippines which oversees overall supervision,
training, continuing education, maintenance of
national database, quality assurance program, and
monitoring of the national program
4%
AN ACT PROMOTING VOLUNTARY BLOOD DONATION,
PROVIDING FOR AN ADEQUATE SUPPLY OF SAFE BLOOD,
REGULATING BLOOD BANKS, AND PROVIDING PENALTIES
FOR VIOLATION THEREOF
REPUBLIC ACT NO. 7719
Also known as “National Blood Services Act of 1994
REPUBLIC ACT NO. 7719
Department of Health - Administrative Order
2008-0008
implements the RA 7719
Under RA 7719, there is a term called Act
ACT
provides for the phase out of all commercial blood banks over a period of two years and extendable to a maximum period of another two years by the secretary upon its effectivity
RA 7719 particularly SECTION 7
provides for the
repeal of Republic Act 1517 which was the old Blood
SECTION 14 of RA 7719
means Authority to Operate
ATO
this is usually issued by the Regional Office
of the Department of Health to a Blood
Collection Unit or a Blood Station
ATO
refers to human blood for transfusion
Blood
refers to the whole blood to red
cells, granulocytes, plasma, platelets, cryoprecipitate
and cryosupernatant
Blood Component
- refers to substance taken from the
whole blood or plasma
Blood Product
- Blood Collection Unit
BCU
Blood Station
BS
refers to Blood Service Facility
BSF
a unit or agency providing blood products.
The term BSF is a generic term. There are
different types of BSF and the following are
Blood Station, Blood Collection Unit, Hospital
Blood Bank & Blood Center
BSF
- Center for Health Development / the regional
office of DOH
CHD
a hospital with a licensed clinical
laboratory capable of RBC typing, crossmatching and
it doesn’t have any blood service facility but it will
merely received blood & blood component or blood
transfusion as needed.
End-User Hospital
licensed/accredited non-hospital health facility without
a licensed clinical laboratory but which administers
blood· transfusion. (e.g. dialysis centers, birthing
clinic)
End User Non Hospital Health Facility
refers to External Quality Assessment which
is a standard assessment being done by the DOH
regularly
EQAS
refers to Hospital Blood Transfusion
Committee
HBTC
it is mandated under the law that all hospital
should have this type of committee. A
committee that focuses on all blood
transfusion that is done in the hospital.
HBTC
License to Operate
LTO
➔ given to a blood bank or blood center. For
ATO, given to blood collection unit & blood
station.
LTO
- National Council for Blood Services
NCBS
- National Voluntary Blood Services Program
NVBSP
Transfusion Transmitted Infections
TTI
refers
to a donor who gives blood freely and voluntarity
without receiving money or any form of payment.
Voluntary Non-Remunerated Blood Donor
refers to human
blood, processed or unprocessed and includes
blood components, its products and derivatives;
BLOOD/BLOOD PRODUCT
the Department of Health;
DEPARTMENT
diseases which may be transmitted
as a result of blood transfusion, including AIDS,
Hepatitis-B, Malaria and Syphilis;
BLOOD TRANSFUSION TRANSMISSIBLE
DISEASES
the Secretary of
Health or any other person to whom the
Secretary delegates the responsibility of carrying
out the provisions of this Act; and
SECRETARY OF HEALTH
an individual included
in the list of qualified voluntary blood donors
referred to in Section 4, paragraph (e), who is
ready to donate blood when needed in his/her
community.
WALKING BLOOD DONOR
partially or wholly owned by the
government
Government
not owned by the government
- owned by private individuals,
corporation, partnership and etc.
- money is supported by private
individuals or private sectors
Private
connected or within the premises of
a licensed hospital
Hospital-based blood service facility
could either be government owned
or Red Cross owned
- located outside the premises of a
hospital
- stand-alone facility, not connected
to any licensed hospital
Non hospital-based blood service facility
information education and
promotion of voluntary blood
donations
- recruits, retains, and provide care
for voluntary blood donors
- has a database of all voluntary
blood donors who already donated
or who intends to donate (standby
donors)
Blood Collection Unit
advocates, promotes voluntary
donation and healthy lifestyle
- information dissemination according
to the positive effects of blood
donation
- provides whole blood and packed
red cells
- provides storage, issues,
transports, and distribute whole
blood and packed red cells
- provide compatibility testing of red
blood cell units (if hospital-based)
Blood Station
information education and
promotion of voluntary blood
donations
- recruits, retains, and provide care
for voluntary blood donors
- has a database of all voluntary
blood donors who already donated
or who intends to donate (standby
donors)
Blood Collection Unit
one place to
another
mobile
within the
facility
facility-based
provides information education dissemination,
campaign advocacy and promotion of voluntary blood
donation
BLOOD BANK
provide storage and issuance of whole blood and
blood components obtained by blood centers
BLOOD BANK
is given to blood centers
and blood banks
LTO (License to Operate)
is issued to blood
collection units and blood stations
ATO (Authority to Operate)
is issued to blood
collection units and blood stations
ATO (Authority to Operate)
information, education, dissemination regarding
voluntary blood donation
● recruitment, retention and care of voluntary blood
donors
BLOOD CENTER
with the advent of RA 7719, ONLY qualified, healthy,
voluntary and non-renumerated blood donors can
donate blood, what is being implemented and
encouraged by the law
VOLUNTARY BLOOD
DONATION
they are paid for
the blood they donate
commercial blood donors
commercial blood donors are now prohibited
specifically by
RA 7719
Hospital licensure are for the initial
or renewal of the license of the
hospitals will go through what we
call
online licensing
It is integrated into the license that
will be secured by the hospital
anually
Considering that blood donation and blood products
are beyond the comers of man, meaning to say it
cannot be used for commercial purposes, there is
what we call a
maximum allowable service fee
is not hospital-based
has a validity period of 3 years
LTO and ATO
meaning to say sa application na sinubmit mo may
mga nilagay ka na hindi totoo
Material False Statement in the Application
yung mga sinubmit mo na
mga documents is not true
Misrepresentation of Facts or Falsification of
Documents or Records
If you’re operating a blood
service facility, you are required under the law to
have your books of account open for them, ang
purpose nun is to determine whether you are
following the prescribed maximum fees and you are
following the requirements of the law
Refusal to Make Available its Books, Accounts,
and Records of Operation to the Regional Office
or its Authorized Representative of the
Department of Health
If you’re operating a blood
service facility, you are required under the law to
have your books of account open for them, ang
purpose nun is to determine whether you are
following the prescribed maximum fees and you are
following the requirements of the law
Refusal to Make Available its Books, Accounts,
and Records of Operation to the Regional Office
or its Authorized Representative of the
Department of Health
Another act that may be committed in violation of
your ATO and LTO that may be committed by blood
service facilities is to
Charge Blood Service Fees
Above the Maximum Prescribed Fees by the DOH
if he or she received information that the
blood received is contaminated and infected with
transfusion-transmitted infection and the facility
received the confirmatory test result from RITM but he
or she (2)
did not dispose the contaminated blood
within 48 hours
license, accredited or
approved facility for storing human bodies or parts thereof.
○ does not include blood (bloodbank)
Organ Bank Storage Facility
the deceased person
Decedent
person who donates or makes a legacy of all or
only a part of his/her body.
Testator
refers to individuals specified under RA 7170
Donor
a hospital licensed, accredited or approved to
exist under the law
Hospital
- an organ, tissue, eye, bone, arteries and other fluid
or portion of the human body that can be transplanted.
Part
an individual, incorporation, estate, trust,
partnership, association, government and agencies
Person
- licensed or authorized to practice
medine under the law
Physician/Surgeon
persons that are
specified under RA 7170
Immediate family of decedent
- irreversible cessation, stoppage of obsculatory
and circulatory function of a person. it is also an
irreversible cessation of the entire function of the brain
including the brain stem
Death
Donor: (in a particular sequence)
1. Spouse
2. Son or daughter of legal
age
3. Parents of the decedent
4. Brother or sister of legal
age
5. Guardian over the
decedent at the time of his
death
properties that can be moved
from one place to another
Movable
properties that cannot just be
moved from one place to another
Immovable
n requires the simultaneous delivery of
the document representing the right donated. This is one
of the exceptions here, if for example it’s a document, ang
legacy hindi necessary na may simultaneous na delivery
ng document, it can be done later on even after the death
of the donor or decedent or testator.
oral donation
is required to package benefits for PhilHealth
members to newborn screening. For example, if you are a
PhilHealth member, these are the benefits that will be
shouldered by PhilHealth wherein fees for newborn
screening is already included
PhilHealth
RA 11166
PHILIPPINE HIV AND AIDS
POLICY ACT
Repealed _________ or the Philippine AIDS
Prevention and Control Act of ____
⦁ Approved ____________
⦁ Signed by: ______________
Act 8504 - 1988
December 20, 2018
Pres. Rodrigo Roa Duterte
Ensure access to HIV-and AIDSrelated services by eliminating the
climate of stigma and discrimination
Positively address and seek to
eradicate conditions that aggravated
the spread of HIV infection
State policy
Permanent chairperson
SOH secretary
The 6-year multi-sectoral strategic plan to
prevent and control the spread of HIV and
AIDS in the country
AIDS MEDIUM TERM PLAN
(AMTP)
Determine and monitor the magnitude and progression of HIV and
AIDS in the country (provide a list of priority areas)
Receive, collate, process, and evaluate all HIV-and-AIDS-related
medical reports from hospitals, clinics, laboratories, and testing
centers (anonymity and confidentiality of data)
Submit quarterly and annual reports to the PNAC
EPIDEMIOLOGY BUREAU of
the DOH
Promotion of safer sex practices (abstinence, sexual fidelity, and
consistent and correct condom use)
Promote other practices that reduce risk of HIV infection
Universal awareness of and access to evidence-based and relevant
information and education, and treatment
Knowledge of the rights of PLHIV and their families
INFORMATION, EDUCATION,
AND COMMUNICATION
Education in learning institutions (DepEd, CHED, TESDA): ageappropriate instruction
Education for parents and guardians: DepEd
Information as health service: part of the delivery of health services
by health practitioners
Education in the workplace: basic information and instruction +
topics on confidentiality and reduction of stigma and discrimination
NFORMATION, EDUCATION,
AND COMMUNICATION
Education for Filipinos going abroad: attend a seminar
before being granted a certification for overseas assignment
Information for tourists and transients: educational
materials will be provided at all international and local ports
of entry and exit
Education for Filipinos going abroad: attend a seminar
before being granted a certification for overseas assignment
Information for tourists and transients: educational
materials will be provided at all international and local ports
of entry and exit
INFORMATION, EDUCATION, AND
COMMUNICATION
⦁ Written consent (general rule: NO INFORMED CONSENT, NO TESTING)
15-17 years old
Any young person below 15 but who is pregnant or engaged in high-risk
behavior: consent obtained from the child; no need for a parents or guardian’s
consent (mature minor doctrine)
VOLUNTARY HIV TESTING
refers to the documentation and analysis of the number of HIV and AIDS infections and the pattern of its spread
HIV and AIDS
refers to the process of providing risk-reduction information and emotional support to a person who submitted to HIV testing at the time the result is released;
Post-test Counseling
refers to the process of providing an individual with information on the biomedical aspects of HIV AIDS, and emotional support to any psychological implications of undergoing HIV testing and the test result itself before the individual is subjected to the test;
Pre-test Counseling
refers to any individual diagnosed to be infected with HIV;
Person Living with HIV (PLHIV
refers to the process by which the “index client”, “source”, or “patient” who has a sexually transmitted infection (STI) including HIV, is given support in order to notify and advise the partners that have been exposed to infection
Partner notification
refer to illnesses caused by various organism, many of which do not cause diseases in persons with healthy immune system;
opportunistic infections
refers to the core duty of medical practice where the information provided by the patient to health practitioner and his/her health status is kept private and is not divulged to third parties. The patient’s health status can, however, be shared with other medical practitioners involved in the professional care of the patient, who will also be bound by medical confidentiality
Medical Confidentiality
refers to any agent or device used to prevent the transmission of an infection;
Prophylactic
refers to infections that are spread through the transfer of organisms from one person to another as a result of sexual contac
Sexually Transmitted infections
refers to HIV testing done on an individual who, after having undergone pre-test counseling willingly submits to such test;
Voluntary HIV
-DOH shall establish a comprehensive AIDS monitoring and evaluation program, to determine and monitor the magnitude and progression of HIV infection in the Philippines and for evaluating the adequacy and efficacy of counter measures employed
Monitoring and evaluation
-Confidentiality and privacy cover individual tested for HIV, has been exposed to HIV, has HIV infection or HIV and AIDS-related illnesses or was treated for HIV-related illnesses
COnfientiality
