NATURE OF THE CLINICAL LABORATORY Flashcards
TECHNICAL STANDARDS AND MINIMUM REQUIREMENTS
I. STAFFING II. PHYSICAL FACILITIES III. EQUIPMENT / INSTRUMENTS IV. GLASSWARES / REAGENTS / SUPPLIES V. WASTE MANAGEMENT VI. QUALITY CONTROL PROGRAM VII. REPORTING VIII. RECORDING IX. LABORATORY FEES
- monitors laboratories.
- They also do surprise visits
DOH (Department of Health)
Clinical Laboratory shall be managed by a _________
licensed physician (pathologist)
pathologist must be certified by the ___________
Philippine Board of Pathology
all tests offered in the lab can be performed by the _____________
Generalist Medical Technologist
There shall be staff development and appropriate
__________________ available at all levels of
organization to upgrade the knowledge, attitudes and
skills of staff
continuing education programs
one of the requirements of medical technologists related to staffing.
CPD (Continuing Professional Development)
The clinical laboratory shall __________, ___________, clean and safe
well–ventilated,
adequately lighted
The working space shall be sufficient to accommodate its
activities and allow for ______ & _______________.
smooth and coordinated workflow
There shall be an _________ water supply.
adequate
space in sq.m requirement for secondary level laboratories
20sq.m
space in sq.m requirement for tertiary level laboratories
60 sq.m
______________________must be submitted to DOH if
standards aren’t met
Written explanation
There shall be provisions for ___________ & ________
of appropriate equipment/instruments
sufficient number and types
All categories of clinical laboratories shall provide adequate and appropriate ________, ________, & _________ necessary to undertake the required service
glassware, reagents, and supplies
There should be a ___________on where should waste be disposed
Memorandum of agreement
this involves peer evaluation and evaluations by the chief MedTech
Internal Quality Control Program
There shall be a documented, _______________________________ for all
laboratory personnel.
continuous competency assessment program
The program shall provide appropriate and
___________laboratory methods, reagents &
supplies and equipment.
standard
this involved participation of laboratories in the External Quality Assurance Program
External Quality Control Program
External Quality Assurance Program are given by
designated National Reference Laboratories
__________ & ____________ may happen if laboratories fail to participate in External Quality Assurance Program
Suspension and/or revocation of a license
A _________________ rating given by a National Reference Laboratory shall be one of the criteria for the renewal of license
satisfactory performance
All laboratory reports on various examinations of
specimens shall bear the name of the _________ & _____________ and duly signed by both.
registered medical technologists (RMT) and the Pathologist
There shall be an adequate and effective __________________________ of all specimens submitted and examined
system of recording requests and reports
There shall be provisions for filing, storage and ___________ of all reports
accession
keep Requisition forms and accession logs for how many years?
2 years
Quality control records - keep for how many years
2 years
Blood bank donors & receipt records
10 years
Blood bank patient records - keep for how many years
10 years
Blood bank employees signature - keep for how many years
10 yrs
Blood bank quality control records - keep for how many years
5 years
Clinical pathology test records - keep for how many years
2 years
Reports for cytology, surgical and non-forensic - keep for how many years
10 years
Cytogenetic reports and images - keep for how many years
20 years
Flow cytometry graphs in histogram - keep for how many years
10 years
Test: FBS. HbA1c
What function?
Diagnosis of diabetes
______ & ______ are the two most common body fluids subjected for analyses in this section
Blood and urine
these are under microbiology
Bacteriology
parasitology
mycology
virology
in this section, automated instruments are available such as those used for blood culture and antimicrobial susceptibility testing
microbiology
test: Trigylcerides, Total Cholesterol,
HDL and LDL
what function?
Lipid Profile
ALT, AST, TP, Albumin
what function?
Liver Function Test
BUA, BUN, Creatinine
What function
Kidney Function Test
what functions available for other tests?
Electrolytes
Clinical enzymolog
blood and other body fluids (CSF,
pleural fluid, etc.) are submitted in this section
HEMATOLOGY & COAGULATION STUDIES
Automated ________________ are currently available in the market
hematology analyzers
Bone marrow examination using automated analyzers is also conducted in this section
HEMATOLOGY & COAGULATION STUDIES
_____________ examination using automated analyzers is also conducted in this section
Bone marrow
stool, urine and other body fluids are submitted in this section
CLINICAL MICROSCOPY
two major areas in clinical microscopy
1st: macroscopic examination & microscopic examination
2nd: an examination of stool or routine fecalysis
determination of color, transparency, specific gravity and pH level are under what area of examination in clinical microscopy?
macroscopic examination
detection of the presence of abnormal cells and/or parasites and to quantify red cells and WBC and other chemicals found in urine are under what area of examination in clinical microscopy?
microscopic examination
what section involves analysis of serum antibodies in certain infectious agents (primarily viral agents) are performed in this section
IMMUNOLOGY & SEROLOGY
which section involves tissue processing, cutting into sections, staining and preparation for microscopic examination by a pathologist
histopathology/cytology
National Kidney and Transplant Institute (NKTI)
Hematology and Coagulation
Research Institute of Tropical Medicine (RITM)
Microbiology
(identification and antibiotic susceptibility testing) and Parasitology
(identification of ova and quantitation of malaria)
Lung Center of the Philippines (LCP)
Clinical Chemistry (for testing 10 analytes, namely
glucose, creatinine, total protein, albumin, blood urea
nitrogen, uric acid cholesterol, sodium, potassium, and chloride.)
East Avenue Medical Center (EAMC)
Drugs of Abuse (methamphetamine and cannabinoids)
San Lazaro Hospital STD-AIDS Cooperative Center Laboratory (SACCL)
infectious immunology hepatitis B surface antigen
HBsAg), Human immunodeficiency virus (HIV), Hepatitis C virus (HCV