MOD 1 Flashcards by Ivan Gaddi

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

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Classifications of clinical laboratories in the ph:

Ownership
Function
Institutional character
Service capacity

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Revised Rules and Regulations Giverning the licensure and regulation of CL in the ph

A.O No.27 s.2007

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Cl based on ownership

Gov owned

Private owned

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CL based on function:

Clinical path

Anatomic Path

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Sections in clinical path:

Clinical chem
Hemat
Clinical micro
Para
Microbio
Bloodbanking
Immunology serology

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Sections in Anatomic path:

Surgical Path
Immuno histopath
Cyto
Autopsy
Forensic apth

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CL based on institutional character:

Hospital based

- Free standing

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CL based on service capacity

PRimary

Secondary
Tertiary

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Primary lab tests:

Routine hemat
Routine urina
Rputine feca
Blood typing

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Secondary lab tests:

Primary lab tests
Routine chem
Cross matching
Gram staining
KOH preps

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Tertiary lab tests:

Secondary lab tests
Special chem
Special hemat
Immuno sero
Microbio

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Agents not associated with diseases

BIO1; RG1

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Agents that are associated with human diseases; treatments available, Staph, Salmonella

BIO 2; RG2

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Agents that are associated with serious diseases; treatment available; mycobacterium tuberculosis, bacillus anthracis, HIV

BIO 3; RG3

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Agents that are causing serious human disease; treatments unavailable, Ebola, marburg, Lassa; VIRAL PATHOGENS

BIO 4; RG 4

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An act regulating the operation and maintenance of clinical lab and requiring registration

RA 4688 “the clinical lab law of 1966

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Approval date of RA 4688

June 18, 1966

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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)

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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

1. Dengue 2. Influenza 3. Tuberculosis 4. 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

1. Poor communities deserving healthcare attention 2. Replacement of senior and retiringones 3. Accreditation &ISO cert 4. Close monitoring 5. Salary and Compensation 6. High turnover rate 7. Expensive and sophisticated automation 8. Confidentiality of results 9. Training of Clinical lab staff 10. 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