The Clinical Laboratory Flashcards
It is place where tests are performed on clinical specimens
Clinical laboratory
Classification of clinical laboratory based on institutional character
Hospital-based laboratory
Free-standing laboratory (non-hospital-based)
Clinical laboratory that operates within the hospital
Hospital-based laboratory
Clinical laboratory that operates independently
Free-standing laboratory (non-hospital- based)
The head of clinical laboratory
Pathologist
Classification of clinical laboratory based on function
Clinical Pathology
Anatomical Pathology
Laboratory sections under Anatomic Pathology
Surgical Pathology
Cytology
Immunohistopath
Forensic Pathology
Autopsy
Laboratory sections under Clinical Pathology
Hematology
Immuno-serology
Immunohematology
Clinical Microscopy
Microbiology
Clinical Chemistry
Parasitology
Toxicology
Therapeutic Drug Monitoring
RA No.4688 is otherwise known as
Clinical Laboratory Law of 1966
Classification of clinical laboratory based on service capabilities
Primary laboratory
Secondary laboratory
Tertiary laboratory
Service capabilities of primary laboratory
Routine CBC
Urinalysis
Fecalysis
Blood typing and quantitative platelet count for hospital-based laboratories
Primary laboratory must have an area of
At least 10 sq. meters
Service capabilities of secondary laboratory
Service capabilities of a primary laboratory
Routine Clinical Chemistry (sugar, BUN/Crea, BUA and T. Cholesterol)
Cross-matching (hospital-based)
Secondary laboratory must have an area of
At least 20 sq. meters
Service capabilities of tertiary laboratory
Service capabilities of a secondary laboratory
Special hematology
Special chemistry
Immune-serology
Microbiology
Tertiary laboratory must have an area of
60 sq. meters
Laboratory that has discrete sections in hematology, chemistry, microbiology, and blood bank, generally separated into rooms or sections
Traditional ‘Closed’ Laboratory
Laboratory where 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
Specific low-volume or expensive laboratory services currently provided by more than one regional hospital laboratory, that are consolidated into one hospital laboratory
Regional Laboratory
Traditional full service laboratory that handles all types of testing, especially esoteric tests
Reference Laboratory
Reference Laboratory for Clinical Chemistry
Lung Center of the Philippines
Reference Laboratory for Hematology
National Kidney and Transplant Institute (NKTI)
Reference Laboratory for Toxicology
East Avenue Medical Center
Reference Laboratory for Microbiology
Research Institute for Tropical Medicine (RITM)
Reference Laboratory for Sexually Transmitted Infections
San Lazaro Hospital
Reference Laboratory for Anatomic Pathology for Cardiac diseases
Philippine Heart Center
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
Laboratory provides limited menu of routine (like CBC, chemistry panel, prothrombin time) and/or specialty services (like fertility testing) on a stat or non-stat basis
Limited Service
The purpose of a Clinical Laboratory
To provide physicians and other healthcare professionals with information to detect disease or predisposition to disease, confirm or reject diagnosis, establish prognosis, guide patient management and monitor efficacy of management
Factors to consider in achieving quality laboratory services
Expertise
Resources
Skills
The bridging endeavor that links basic sciences (biological and physical) with medical principles
Laboratory Medicine
Support mechanisms for Laboratory Medicine
Computer science
Management techniques
Industry
Support mechanism that provides the necessary equipment, technology and informatics
Computer science
Support mechanism in which laboratory staff enhances the level of care provided and economically utilize available resources
Management techniques
Support mechanism where there is an interchange of business transactions between the healthcare provider and the patient; and the healthcare provider and the manufacturer of reagents, supplies and instruments
Industry
Leads the laboratory attain its organizational goals
Management
Interprets the policies and translates it into executive activities
Administration
It provides pre-analytical, analytical and post-analytical phases of work in the laboratory
Patient care services
Major activities in Pathology and Laboratory Medicine
Leadership and Management, Administration
Patient care services
Teaching
Research
