mtl finalz Flashcards

1
Q

Clinical Laboratory Law

A

REPUBLIC ACT 4688

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2
Q

Rules and Regulations Governing the Establishment, Operation, and Maintenance of CL in the Philippines

A

ADMINISTRATIVE ORDER #27 S. 2007

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3
Q

New Rules and Regulations Governing the Regulation of Clinical Laboratories in the Philippines

A

ADMINISTRATIVE ORDER #37 S. 2021

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4
Q

deals with the chemical and cellular analyses of blood and other body fluids

A

Clinical Pathology

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5
Q

provides processing and examination of surgical specimens

A

Anatomical Pathology

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6
Q

Anatomical Pathology

A

Surgical pathology, Cytopathology, Immunohistochemical techniques, Autopsy, Forensic pathology

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7
Q

analysis of genes, SPECIFIC proteins, and other molecules based on principles, techniques, and tools of molecular biology (Administrative Order #)

A

Molecular Pathology
AO 37

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8
Q

Classification of laboratory by institutional character

A
  • Hospital Based
  • Non-hospital Based
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9
Q

Hospital Based (revised by newer AO as _____)

A

Institution-Based

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10
Q

Non-hospital Based (revised by newer AO as _____)

A

Free-Standing / independent lab

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11
Q

Classification of laboratory by ownership

A

Government
Private

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12
Q

Human resource of Clinical Lab
* Head:
o Visitation:
 Recommended:
 Option 2 (new AO):
* Main Staff:
* Support Staff:
* Staffing (minimum required staff per section & shift):
 Anatomic Pathology –
 Molecular Pathology –

A
  • Head: Pathologist
    o Visitation:
     Recommended: once a week
     Option 2 (new AO): at least 1 physical and 2 teleconference/call per month
  • Main Staff: Registered Medical Technologists (CMT, Section Head, MT staff)
  • Support Staff: (sometimes are filled by MT, especially if UNDERSTAFFED)
    o Laboratory technician, Laboratory aide, Encoders, Receptionists
  • Staffing (minimum required staff per section & shift):
     Anatomic Pathology – at least 1 RMT per section
     Molecular Pathology – will depend on the service/s offered
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13
Q

All laboratory reports shall bear the _______ of the ___ and ____

A

name and signature, pathologist and medical technologist

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14
Q

Physical Facilities
- Space dimensions:
- Sterilization units:
- Conference rooms:

A

more specific than the previous A.O.s,
added due to pandemic,
optional and usually found in tertiary institution-based lab

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15
Q

Interior walls or partitions and walls of the clinical working area and its sections shall be constructed from ______

A

WALL TO CEILING

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16
Q

Structurally sound, safe, and sturdy with a minimum ____ as prescribed by the

A

fire-resistant rating, Fire code of the Philippines

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17
Q

Floors should be _____ especially high-traffic areas (hallways)

A

Non-slip surface

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18
Q

Floors should be Tiles/cement, smooth flooring, ______; DO NOT USE _____

A

rubberized
WOOD

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19
Q

Sink is preferably ____ with ____

A

stainless steel with gooseneck faucet

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20
Q

The minimum clear opening for the main door/s of the clinical laboratory and the clinical working area and exit doors shall be at least _____ and should not be less than ____.

A

900mm and should not be less than 800mm.

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21
Q

The floor-to-ceiling height of rooms containing biosafety cabinets and fume hoods shall be at least _____.

A

2.60 meters

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22
Q

______ in the laboratory is RECOMMENDED

A

Directional airflow

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23
Q

Ventilation for sections w/machines

A

Artificial air conditioning

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24
Q

___, ___ ___, and other similar finishes shall be avoided

A

Carpeting, fabrics, wood,

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25
Q

BSL-3: +______ , BSL-4: + _____

A

anterooms, positive pressure suit

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26
Q

EQUIPMENT AND INSTRUMENTS FOR PRIMARY CLINICAL LABS

A

Centrifuge (Clinical and Microhematocrit),
Hemocytometer,
Microscope with OIO,
Hemoglobinometer or its equivalent,
Differential blood cell counter or its equivalent

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27
Q

EQUIPMENT AND INSTRUMENTS FOR SECONDARY CLINICAL LABS

A

PRIMARY (+):
Refrigerator,
Photometer or its equivalent,
Waterbath or its equivalent,
Timer or its equivalent

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28
Q

EQUIPMENT AND INSTRUMENTS FOR TERTIARY CLINICAL LABS

A

SECONDARY (+):
Incubator,
Balance (triple beam, analytical),
Rotator,
Serofuge and
its equivalent,
Autoclave and drying oven
BSC or its equivalent

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29
Q

There shall be _____, ____, AND ____ for every equipment/machine/instrument/device in the DOH-licensed CL.

A

a calibration (QC), preventive maintenance, and repair program

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30
Q

There shall be a ______ in case of equipment/machines/devices breakdown and malfunction

A

contingency plan (backup plan)

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31
Q

There shall be an ____ control of the reagents, glassware, and supplies

A

inventory

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32
Q

Validity of License to Operate

A

1 year validity

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33
Q

Application of LTO

A

thru DOH or Online Licensing Regulatory Systems (OLRS)

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34
Q

If the applying laboratory is not fully compliant with the LTO requirements, the laboratory shall be given _____ to comply

A

30 days

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35
Q

Submitted complete applications that are not processed within _____ by the HFSRB (BHFS) /CHD-RLED, in accordance with the current DOH guidelines, due to force majeure, shall automatically be granted the LTO, and a post-licensing visit shall be scheduled

A

20 days

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36
Q

only those with certification by DOH are allowed to secure a LTO as Rapid HIV Diagnostic Algorithm (rHIVda) Confirmatory Laboratory

A

A.O. 37 s 2021 addition

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37
Q

old confirmatory for HIV

A

Western blot

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38
Q

new confirmatory as it is more cost effective (3 rapid kits)

A

rHIVda

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39
Q

HIV confirmatory is now decentralized thru rHIVda allowing _____ to confirm

A

non-NRL

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40
Q

LABORATORIES EXEMPTED TO SECURE LICENSE TO OPERATE FROM BHFS

A

Laboratories for RESEARCH and TEACHING PURPOSES,
National Reference Laboratories (NRL),
Physician’s Office Laboratory,
Government laboratories

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41
Q

LABORATORIES EXEMPTED TO SECURE LICENSE TO OPERATE FROM BHFS must be registered to BHFS every ___

A

3 years

42
Q

Physician’s Office Laboratory is exempted to secure license to operate for _____

A

for monitoring patients only POCT

43
Q

Physician’s Office Laboratory is exempted to must secure license if

A

 Issue official laboratory results
 Perform more than monitoring tests
 Cater not only to physician’s own patients

44
Q

NRL for HIV and STD

A

STD AIDS Cooperative Central Laboratory (SACCL) & RITM

45
Q

NRL for TTIs

A

Research Institute for Tropical Medicine (RITM)

46
Q

NRL for Malaria and Tuberculosis

A

Research Institute for Tropical Medicine (RITM)

47
Q

NRL for Virology

A

Research Institute for Tropical Medicine (RITM)

48
Q

NRL for Mycology

A

Research Institute for Tropical Medicine (RITM)

49
Q

NRL for Clinical Chemistry

A

Lung Center of the Philippines (LCP)

50
Q

NRL for Water & Drug Testing

A

East Avenue Medical Center (EAMC)

51
Q

NRL for Hematology

A

National Kidney and Transplant Institute (NKTI)

52
Q

NRL for Automated CM

A

National Kidney and Transplant Institute (NKTI)

53
Q

NRL for Immunohematology

A

National Kidney and Transplant Institute (NKTI)

54
Q

NRL for Anatomic Pathology

A

National Kidney and Transplant Institute (NKTI)

55
Q

licensed as part of the central laboratory

A

Mobile laboratory

56
Q

Clinical Laboratory with Satellite Laboratory in the same compound

A

1 LTO only

57
Q

Satellite Lab outside the premises of the Central Laboratory

A

– separate LTO

58
Q

Mobile laboratory only ______ and must operate only within a ______ from the central laboratory

A

only collects specimens,
100 km radius

59
Q

operate within and under the management and supervision of the licensed laboratory of the hospital

A

Point of Care testing

60
Q

QUALITY ASSURANCE

A
  • External Quality Assurance and Internal Quality Control Programs
  • CQI
  • EQAP
61
Q

Penalties For Violations of Waste Management
* 1st offense:
* 2nd offense:
* 3rd offense:
* 4th offense:

A
  • 1st offense: Written Stern warning
  • 2nd offense: Thirty thousand pesos (Php 30,000.00)
  • 3rd offense: Fifty thousand pesos (Php 50,000.00)
  • 4th offense: Revocation of DOH-LTO
62
Q

DOMAINS OF LABORATORY MANAGEMENT

A
  • LABORATORY MANAGEMENT
  • SKILLS OF A MANAGER
  • GOALS VS OBJECTIVES
  • MANAGEMENT APPROACHES
  • LEADERSHIP STYLES
  • LABORATORY INFORMATION SYSTEM
  • COMPONENTS OF A COMPUTER
63
Q

Working with and through people

A

LABORATORY MANAGEMENT

64
Q

Art of getting things done (achieving a goal) through people

A

LABORATORY MANAGEMENT

65
Q

knows the job per se (A school dean → once a teacher → knows teachers’ struggles → makes sure to give correct and fair workload distribution)

A

Technical skills

66
Q

establish inter relation and can work with other people

A

Human skills

67
Q

problem solving and creative thinking

A

Conceptual skills

68
Q

SKILLS OF A MANAGER

A
  • Technical skills
  • Human skills
  • Conceptual skills
69
Q

a general statement of purpose of the organization

A

GOal

70
Q

specific and measurable statement of the purpose of the org

A

Objectives

71
Q

Objectives should be SMART

A

Specific, Measurable, Attainable, Reliable and Time-bound

72
Q

MANAGEMENT APPROACHES

A
  • Classical Approach
  • Behavioral Approach
  • Contingency Approach
73
Q

Classical Approach

A

*Old approach
*Autocratic
*Hierarchical organizational structure
*Planning, organizing and controlling
*Outcomes depend on the leader (leader-dependent)

74
Q

Behavioral Approach

A

*Participative (leadership rather than dictation)
*Formation of teams/committee
*Leading, motivating (thru incentives), and communicating
*Leader hears out suggestions from members

75
Q

Contingency Approach

A

*No prior planning (do it first → if problems arise → adapt)
*Adapting to changing circumstances
*Some situations may affect the organizational behavior
* Manipulate some variables to improve behavior (management styles, employee output, etc…)

76
Q

LEADERSHIP STYLES

A
  • Autocratic
  • Democratic
  • Permissive
  • Transactiona
77
Q

dictatorship

A

Autocratic

78
Q

laissez-faire

A

Permissive

79
Q

self-centered and leader usually gives orders and should be obeyed without questions

A

Autocratic (dictatorship)

80
Q

Leadership style classical approach

A

Autocratic (dictatorship

81
Q

shared authority wherein the leader still gives orders but takes into consideration the inputs of his/her subordinates

A

Democratic

81
Q

wherein the leader is more lenient and permissive and allows the subordinates to make decisions and take responsibility

A

Permissive (laissez-faire)

82
Q

Not beneficial if subordinates/members is not good/ too good (no unity)

A

Permissive (laissez-faire)

83
Q

Each will be given a task and only focus on their given role

A

Transactional

84
Q

focused on the role of every employees and organizational structures

A

Transactional

85
Q

A network of computers that incorporate all the needs of the laboratory and its customers from intake of specimen and requests, processing of the different tests until the release of results.

A

LABORATORY INFORMATION SYSTEM

86
Q

COMPONENTS OF A COMPUTER

A
  • Hardware
  • Software
  • Peopleware
  • Interface
  • Network
87
Q

physical components of a computer

A

Hardware

88
Q

intangibles (programs and applications)

A

Software

89
Q

users and developers (persons)

A

Peopleware

90
Q

a device or program enabling a user to communicate with a computer

A

Interface

91
Q

The set of interconnected computers that through hardware and software technology work cooperatively for the purpose of information and application program exchange

A

Network

92
Q

PERSONAL PROTECTIVE EQUIPMENT

A
  • Laboratory Gown/Coats
  • Gloves
  • Face Protection
93
Q

Laboratory Gown/Coats should be

A

Should be long sleeved, closed front and fully buttoned

94
Q

Gloves of ____ should be used

A

PROPER SIZE

95
Q

Change gloves after _____

A

contact with each patient

96
Q

Use goggles especially when handling _______

A

chemicals with fumes

97
Q

NFPA Diamond
BLUE -
RED -
YELLOW -
WHITE -

A

BLUE - Health Hazard
RED - Fire Hazard
YELLOW - Instability Hazard
WHITE - Specific Hazard

98
Q

Health Hazard
4
3
2
1
0

A

4 - Deadly
3 - Extreme Danger
2 - Hazardous
1 - Slightly Hazardous
0 - Normal Material

99
Q

Fire Hazard
4
3
2
1
0

A

4 - Below 73 degF
3 - Below 100 degF
2 - Below 200 degF
1 - Above 200 degF
0 - Will not burn

100
Q

Instability Hazard
4
3
2
1
0

A

4 - May detonate
3 - Shock and heat may detonate
2 - Violent Chemical Change
1 - Unstable if Heated
0 - Stable

101
Q

Specific Hazard

A

ACID
ALK - Alkali
COR - Corrosive
OX - Oxidizer
Radiation Hazard\
Use No Water