2: GENERAL CONSIDERATIONS FOR CLINICAL LABORATORY Flashcards

1
Q
  • Laboratory shall be situated in an area that is accessible to both clients and staff
A
  1. LOCATION
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2
Q
  • The design of the laboratory shall also provide appropriate levels of privacy to client and staff
A
  1. PRIVACY
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3
Q
  • Design, construction, renovation, maintenance, repair of facilities
A
  1. CONFORMANCE WITH BUILDING LAWS
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4
Q
  • Adequate ventilation with the acceptable air changes per hour shall be maintained for each area of the laboratory
A
  1. VENTILATION
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5
Q
  • Each area has its own spaces
A
  1. SPACES REQUIRED
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6
Q
  • Where business transactions take place
A
  • Business Area
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7
Q
  • Sufficient waiting area for clients
  • Receiving of specimens, releasing of results
A
  • Reception Area
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8
Q
  • Business Area
  • Where business transactions take place
  • Reception Area
  • Sufficient waiting area for clients
  • Receiving of specimens, releasing of results
A

1) GENERAL ADMISSION

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9
Q
  • For specimen (outside of the clinical working area)
  • Patients are not allowed
A

2) COLLECTION AREA

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10
Q
  • Accessible for client-use/public; must have separate for staff only
  • Somewhere adjacent but not within the clinical working area
A

3) TOILET FACILITIES

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11
Q
  • Sufficient to accommodate its activities
  • Allow for a smooth and coordinated workflow
  • Areas and the rooms intended for its sections shall be planned to meet the workload described in the functional program.
A

4) CLINICAL WORKING AREA

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12
Q
  • Not inside the laboratory
  • Sufficient storage for records and supplies
  • Sterilization area/room;
  • Waste holding area;
  • Staff pantry;
  • Other spaces for staff such as offices, conference room, lockers and changing room (gender sensitive) and the like, are optional.
A

5) SUPPORT SERVICES AREA

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13
Q
  • Collection area for blood extraction shall be provide space, equipment, and furniture appropriate for its activity
  • The area shall have a work counter/tray, space for patient seating, and handwashing stations.
A

BLOOD EXTRACTION AREA

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14
Q

must have cushion

A
  • Blood extraction chair
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15
Q
  • Specimen collection toilet for urine and feces shall be equipped with water, faucet, and/or urinal and lavatory.
  • Have sufficient water supply
  • Good water flow and should have a flush
A

URINE AND STOOL COLLECTION AREA

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16
Q
  • Urinal for DT
A

waterless

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17
Q
  • Its location shall permit the pathologist to observe the clinical working area
  • Separate room but should be within the clinical working laboratory
A

PATHOLOGIST’S AREA

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18
Q
  • All areas should be well-lighted by providing appropriate luminaire with no exposed or dangling electrical wires and unwanted glare shall be avoided.
  • Convenience outlets shall be provided within the facility
A

LIGHTING

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19
Q

Provide the ff minimum service capabilities:
1. HEMATOLOGY
* Routine hematology
* Complete Blood Count (RBC, WBC, PC, Hgb (Hemoglobin), HCT (Hematocrit))
* Forward and Reverse ABO Grouping and Rh (D) typing (tube method)
* Qualitative Platelet Determination
2. CLINICAL MICROSCOPY
* Routine urinalysis
* Routine fecalysis
* Fecal occult blood test (FOBT)
* Pregnancy test (rapid hormones test)
* Wet smear for Trichomonas (vaginalis – parasite/cause STI) - lateral flow
3. CLINICAL CHEMISTRY
* FBS and RBS (fasting and random blood sugar)
* OGTT (Oral Glucose Tolerance Test)
* Lipid Profile – Total Cholesterol, HDL, LDL, TAG (Triglycerides)
* Creatinine (for liver)
* BUN (Blood Urea Nitrogen) – waste of kidney
* BUA (Blood Uric Acid)

A

PRIMARY CATEGORY

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20
Q
  1. HEMATOLOGY (PRIMARY)
A
  • Routine hematology
  • Complete Blood Count (RBC, WBC, PC, Hgb (Hemoglobin), HCT (Hematocrit))
  • Forward and Reverse ABO Grouping and Rh (D) typing (tube method)
  • Qualitative Platelet Determination
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21
Q
  1. CLINICAL MICROSCOPY (PRIMARY)
A
  • Routine urinalysis
  • Routine fecalysis
  • Fecal occult blood test (FOBT)
  • Pregnancy test (rapid hormones test)
  • Wet smear for Trichomonas (vaginalis – parasite/cause STI) - lateral flow
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22
Q
  1. CLINICAL CHEMISTRY (PRIMARY)
A
  • FBS and RBS (fasting and random blood sugar)
  • OGTT (Oral Glucose Tolerance Test)
  • Lipid Profile – Total Cholesterol, HDL, LDL, TAG (Triglycerides)
  • Creatinine (for liver)
  • BUN (Blood Urea Nitrogen) – waste of kidney
  • BUA (Blood Uric Acid)
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23
Q

Provide the minimum service capabilities of a primary category laboratory plus the ff:
1. HEMATOLOGY
Coagulation Studies (to evaluate blood clotting):
* PT - prothrombin time
* APTT - activated partial thromboplastin time (monitor warfarin (blood thinner) therapy)
2. IS (IMMUNOLOGY/SEROLOGY)
* RPR/Syphilis Test
* Dengue Test
* Ag (Antigen)
* Ab (Antibody)
* ASO Titer
* HIV Screening
* HBSAG
3. CLINICAL CHEMISTRY
* Serum electrolytes (Na, K, Cl, Mg, Ca)
* ALT (SGPT)
* AST (SGOT)
4. MICROBIOLOGY
* Gram stain (+ purple, - pink)
* KOH (Potassium Hydroxide) – for fungal structures
* TB/Nucleic Acid Amplification - Government facilities
5. BLOOD BANKING
* Cross-matching (hospital-based) for blood transfusion (RBC only)

A

SECONDARY CATEGORY

24
Q
  1. HEMATOLOGY (SECONDARY)
A

Coagulation Studies (to evaluate blood clotting):
* PT - prothrombin time
* APTT - activated partial thromboplastin time (monitor warfarin (blood thinner) therapy)

25
Q
  1. IS (IMMUNOLOGY/SEROLOGY) (SECONDARY)
A
  • RPR/Syphilis Test
  • Dengue Test
  • Ag (Antigen)
  • Ab (Antibody)
  • ASO Titer
  • HIV Screening
  • HBSAG
26
Q
  1. CLINICAL CHEMISTRY (SECONDARY)
A
  • Serum electrolytes (Na, K, Cl, Mg, Ca)
  • ALT (SGPT)
  • AST (SGOT)
27
Q
  1. MICROBIOLOGY (SECONDARY)
A
  • Gram stain (+ purple, - pink)
  • KOH (Potassium Hydroxide) – for fungal structures
  • TB/Nucleic Acid Amplification - Government facilities
28
Q
  1. BLOOD BANKING (SECONDARY)
A
  • Cross-matching (hospital-based) for blood transfusion (RBC only)
29
Q

Provide the minimum service capabilities of a primary and secondary category plus the ff:
1. MICROBIOLOGY
* Culture and Sensitivity (for antibiotic resistance)
* With O2 - Aerobic
* Without O2 - Anaerobic
2. IMMUNOLOGY/SEROLOGY
* Any machine-based serological and immunological testing
* Tumor markers – test for cancers
 CA 125 – for ovarian
 CA 153 – breast
 PSA – prostate specific antigen
* Thyroid function
* Hepatitis profile
3. HISTOPATHOLOGY
* Surgical Pathology
* Cytology

A

TERTIARY CATEGORY

30
Q
  1. MICROBIOLOGY (TERTIARY)
A
  • Culture and Sensitivity (for antibiotic resistance)
  • With O2 - Aerobic
  • Without O2 - Anaerobic
31
Q
  1. IMMUNOLOGY/SEROLOGY (TERTIARY)
A
  • Any machine-based serological and immunological testing
  • Tumor markers – test for cancers
     CA 125 – for ovarian
     CA 15-3 – breast
     PSA – prostate specific antigen
  • Thyroid function
  • Hepatitis profile
32
Q

CA 125

A

for ovarian

33
Q

CA 15-3

A

breast

34
Q

PSA

A

prostate specific antigen

35
Q
  1. HISTOPATHOLOGY (TERTIARY)
A
  • Surgical Pathology
  • Cytology
36
Q
  • BSC must be ____________________________
A

away from high traffic areas and doorway

37
Q
  • Temperature
A

68F-76F

38
Q
  • Humidity
A

20%-60%

39
Q
  • Airflow
A

12 air exchanges per hour

40
Q
  • Base cabinets provide _________ more storage than suspended cabinets
A

20%-30%

41
Q
  • Install __________ for noise control on open laboratories
A

drop ceiling

42
Q
  • Space requirement
A

150-200 net ft.2

43
Q
  • Space requirement per hospital bed
A

27-40 net ft.2

44
Q
  • Rooms larger than 100 ft.2 must have _ exits
A

2

45
Q
  • Corridors for patients
A

8 ft. wide

46
Q
  • Corridors for non-patients
A

3 ft. 8 inc.

47
Q
  • Eyewash unit must be within ___ ft. of work area
A

100

48
Q

Lab counter width

A

2 feet 6 inches

49
Q

Lab counter to wall clearance

A

4 feet

50
Q

Lab counter width to counter clearance

A

7 feet

51
Q

Desk height

A

30 inches

52
Q

Keyboard drawer height

A

25-70 inches

53
Q

Human body standing

A

4 sq. feet

54
Q

Human body sitting

A

6 sq. feet

55
Q

Desk space

A

3 sq. feet