MOD 1 Flashcards
A facility that is subdivided into different sections where common diagnostic procedures are done which aid the physicians in carrying out the diagnosis,treatment, and management of patients.
Clinical Lab
Classifications of clinical laboratories in the ph:
Ownership
Function
Institutional character
Service capacity
Revised Rules and Regulations Giverning the licensure and regulation of CL in the ph
A.O No.27 s.2007
Cl based on ownership
Gov owned
Private owned
CL based on function:
Clinical path
Anatomic Path
Sections in clinical path:
Clinical chem Hemat Clinical micro Para Microbio Bloodbanking Immunology serology
Sections in Anatomic path:
Surgical Path Immuno histopath Cyto Autopsy Forensic apth
CL based on institutional character:
- Hospital based
- Free standing
CL based on service capacity
PRimary
- Secondary
- Tertiary
Primary lab tests:
Routine hemat
Routine urina
Rputine feca
Blood typing
Secondary lab tests:
Primary lab tests Routine chem Cross matching Gram staining KOH preps
Tertiary lab tests:
Secondary lab tests Special chem Special hemat Immuno sero Microbio
Agents not associated with diseases
BIO1; RG1
Agents that are associated with human diseases; treatments available, Staph, Salmonella
BIO 2; RG2
Agents that are associated with serious diseases; treatment available; mycobacterium tuberculosis, bacillus anthracis, HIV
BIO 3; RG3
Agents that are causing serious human disease; treatments unavailable, Ebola, marburg, Lassa; VIRAL PATHOGENS
BIO 4; RG 4
An act regulating the operation and maintenance of clinical lab and requiring registration
RA 4688 “the clinical lab law of 1966
Approval date of RA 4688
June 18, 1966
Implementing agencies of RA4688:
DOH via BRL (bureau of research and laboratories)
BHFS (Bureau of Health Facilities and services)- HFSRB (health facilities and services Regulatory bureau)
Rules and regulations governing the establishment, operation and maintenance of clinical lab in ph
A.O No. 59 s. 2001
Keypoints to remember in AO no 59 s 2001
- Permit to construct
- License to operate
- Provision safety practices for personnel
- Lab shall be managed
Violations of AO no 59 s 2001:
- Operation without cert path or registered MT
- Refusal to allow inspection
- Gross Negligence
- Any act that is detrimental to public
Director of CL
Pathologist
Certifying body of Pathologists
PSP Philippine Society of Path
Department Memorandum Order No. 2009-0086
-Internal External Quality control programs
-Quality assurance
=EQAP
-NEAP
12 sections
Law for 5 reference labs
Department Order No. 393 S. 2000
Research Institute for Tropical Medicine
- Dengue
- Influenza
- Tuberculosis
- Malaria
Reference lab for most microbiology tests
Research Institute for Tropical Medicine
San Lazaro Hospital
HIV
Hepa
Syphilis
STIs
East Avenue Medical Center
Environemental and Occu health
Toxicology
Micronutrient assay
National Kidney and Transplant Institute
- hemat including immunohema
- Immunopath
- Anatomic path
Lung center of the philippines
Biochemistry
Department Memorandum Order No. 2009-0086-A
National External Quality Assesment Scheme
Neqas Certiccation
-proficiency testing
Legal issues and concern
- Poor communities deserving healthcare attention
- Replacement of senior and retiringones
- Accreditation &ISO cert
- Close monitoring
- Salary and Compensation
- High turnover rate
- Expensive and sophisticated automation
- Confidentiality of results
- Training of Clinical lab staff
- Continuing professional educ
Clinical chem
Chemical components
SPECIMEN: SERUM PLASMA
Common tests: glucose, lipids, proteins
HEMATOLOGY
Formed elements (Blood cells)
SPECIMEN: WHOLE BLOOD
COMMON TESTs: CBC. Hematocrit & Hemoglobin, ESR
CLINICAL MICROSCOPY
Urine and body fluids
SPECIMEN: urine and body fluids
CT: Unrinalysis and Body fluid analysis
PARASITOLOGY
Detection of parasitic infections
SPECIMEN: STOOL
CT: Fecalysis
MICROBIOLOGY
Focus on isolation, culture, and identification of bacteria or fungi
SPECIMEN: BLood, Urine, Stool, BOdy Fluids
CT: Gram staining
Culture and Sensitivity
KOH prep
IMMUNOHEMATOLOGY
Immunologic principles; Blood groups
SPECIMEN: Whole blood, plasma, serum
CT: Blood typing, Crossmatching
IMMUNOLOGY AND SEROLOGY
identification and quantification of antigen and antibodies
SPECIMEN: Serum and plasma
CT: ASO, RPR, Dengue NS1, Hepat profile
HIV test
Anatomic pathology’s diagnosis based on the:
- Gross exam
- Microscopic Exam
- Immunohistochemistry
- Molecular Examination
Type of specimen used in anatomi pathology:
Autposy
Biopsy
Specimen from Dead
Autopsy
Specimen from living organism
Biopsy
Phases of CL testing
Pre analytical
analytical
post- analytical
Phase where in it is done before the specimen is actually tested
Pre analytical
Phase where in the specimen is being tested
Analytical
Phase wherein the testresults are handled after analysis
Post- analytical
