PRE LAB EXPERIMENT 1 Flashcards
Used to contain serum or other body fluids as well as the reagents in order for us to demonstrate a particular reaction.
PLAIN TEST TUBES
In serology laboratory, we are after
antigen- antibody reaction
Used to contain or transfer different volumes
SEROLOGICAL PIPETTES
NOTE: If we want to transfer a 5ml amount of fluid, we should use the pipette having a 5 ml amount of fluid; If we want to transfer 3 mL amount of fluid, it is much better to use (?) pipette instead of 10mL.
5 mL
To demonstrate agglutination or flocculation reactions
AGGLUTINATION CARDS/SLIDE (KLINE AGGLUTINATION SLIDE)
Example (flocuculationn reactions):
C-reactive protein Test (white- being the flocculation is white)
Antistreptolysin Test
specially in the preparation of red cell suspension, it is much better to use a
GRADUATED CENTRIFUGE TUBE
There are two types: glass and plastic
GRADUATED CENTRIFUGE TUBE
Used as a platform for microscopic specimen observation
GLASS SLIDE (ORDINARY)
Two types: glass and plastic
PASTEUR PIPETTE
Plastic if more preferred compared to glass
PASTEUR PIPETTE
: sensitive to glass Pasteur pipette
(Normal saline Solution)
Cloth and rubber
TOURNIQUET
used if the patient has a latex allergy or if a patient is hairy esp. in man
Cloth TOURNIQUET
disadvantage: the lock is easy to be broken
Cloth TOURNIQUET
Lavender:
EDTA
Blue:
sodium citrate
Gray:
sodium fluoride
Green:
heparin
: whether it does not contain an anticoagulant OR it contains a clot activator
Red
In drawing blood, the bevel upon inserting the needle should be facing you
Syringe
: always observe the hub if there is a backflow; pull the plunger slowly because if not, it is prone to hemolysis of the sample
Syringe
LANCET • Two types:
small lancet and feather lancet (ouch)
Has adjustments in order for you to choose what depth of puncture do you want
AUTOLANCET
Malfunctions most of the time
AUTOLANCET
NOTE: it is better to use (?) when it comes to capillary blood collection
manual force
Disadvantage: you can’t see the backflow of the hub especially if you have stick it already to the patient
2-WAY NEEDLE AND HOLDER/ADAPTER
Used to confirm sometimes the agglutination reaction
COMPOUND MICROSCOPE
Rotate to agglutination card/ slide to observe properly the agglutination reaction
MECHANICAL ROTATOR
For separating plasma and serum from the packed RBC
CLINICAL CENTRIFUGE
To demonstrate agglutination especially when using tube tests
CLINICAL CENTRIFUGE
Use to sterilize glassware that are being used in serology laboratory
CLINICAL STERILIZER
All sections in the lab are just sharing a(CC, CM, Serology)
1 clinical sterilizer
Place some tests that require incubation
WATER BATH
Same concept with clinical sterilizer
HOT OVEN
Used to sterilize glassware
HOT OVEN
1000 ul, 500 ul, 10-100 ul (yellow tip)
BLUNT TIP NEEDLE
The tips will depend on the capacity of micropipette
BLUNT TIP NEEDLE
used in serology laboratory
TUBERCULIN SYRINGE
To administer allergen
TUBERCULIN SYRINGE
For example: Mantoux test, For testing if you type IV hypersensitivity
TUBERCULIN SYRINGE
used for immunoassays
MICROTITER PLATE
For example: Enzyme immunoassays - this type of plate is already coated with a reagent
MICROTITER PLATE
used to rim the sides of the test tube, also used for mixing
WOODEN APPLICATOR STICK/APPLICATOR STICK
either with we put soap, most of the time in serology lab, we are placing here are your NSS (Normal saline solution), to be easier to make red cell suspension
WASH BOTTLE
Part of analytical phase of quality assurance; process of monitoring results from control samples to verify accuracy of patient results.
QUALITY CONTROL (QC)
Note: is not performed for your equipment but also each process of the laboratory. It is important to verify the accuracy of the patients result that we are releasing.
QUALITY CONTROL (QC)
Sample that is chemically & physically similar to unknown specimen & is tested in exactly the same manner.
CONTROL
Monitors precision of test system.
CONTROL
For nonwaived quantitative tests, CLIA requires at least 2 levels of controls each day test is performed. (See “Equivalent QC” below.)
CONTROL
For qualitative tests, pos & neg controls must be included with each run.
CONTROL
Before we ran patient sample, make sure that we have ran first the control. Never ever release a sample if you did not yet run the control.
CONTROL
Not only applicable in chemistry, but also all the section of the laboratory that will be using a machine.
CONTROL
Testing control material not built into test system. Term also used for QC that extends beyond lab, e.g., participation in proficiency testing program.
EXTERNAL QC
DOH mandated that all laboratory should participate in
national external quality assurance scheme (NEQAS).
Electronic, Internal, or procedural controls that are built into test system.
INTERNAL MONITORING SYSTEMS
This is what we practice inside the clinical laboratory.
INTERNAL MONITORING SYSTEMS
Under that will also be the different QC will apply for each equipment that is being used.
INTERNAL MONITORING SYSTEMS
Microscopes - Clean & adjust
4 times/yr.
Temperatures - (?) of incubation, heating blocks, water baths, refrigerators, freezers.
Daily checks
Quarterly
Speed
Timer
Yearly
Function
Day of use
Tube fill level (serologic)
Temperature check (refrigerated centrifuge)
Weekly
Saline fill volume (serologic)
Volume of antihuman globulin dispensed (if applicable)
Monthly
Check temp daily
Waterbaths
Heat blocks
Heat blocks
check each well.
Periodically
Centrifuges
Determine optimum speed & time for different procedures
upon receipt -
after repairs -
QUARTERLY
PERIODICALLY
Centrifuges
Check timer every
3 mos
Cell washers
Check tube fill level
Daily
Cell washers
Verify time & speed.
quarterly
Pipettes Calibrate.
quarterly
Labs may reduce frequency of testing external OC materials for certain test systems if they can demonstrate through a CMS-approved QC evaluation process that test system is stable.
EQUIVALENT QC
Here in the Philippines, we are not yet performing
EQUIVALENT QC
Centrifuges
RPM every (with tachometer)
6 mos
Cell washers
AHG volume.
monthly
Temperature verification (refrigerated centrifuge)
Monthly