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FINALS CC 2 > mtl finalz > Flashcards

mtl finalz Flashcards

(102 cards)

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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
BSL-3: +______ , BSL-4: + _____
anterooms, positive pressure suit
26
EQUIPMENT AND INSTRUMENTS FOR PRIMARY CLINICAL LABS
Centrifuge (Clinical and Microhematocrit), Hemocytometer, Microscope with OIO, Hemoglobinometer or its equivalent, Differential blood cell counter or its equivalent
27
EQUIPMENT AND INSTRUMENTS FOR SECONDARY CLINICAL LABS
PRIMARY (+): Refrigerator, Photometer or its equivalent, Waterbath or its equivalent, Timer or its equivalent
28
EQUIPMENT AND INSTRUMENTS FOR TERTIARY CLINICAL LABS
SECONDARY (+): Incubator, Balance (triple beam, analytical), Rotator, Serofuge and its equivalent, Autoclave and drying oven BSC or its equivalent
29
There shall be _____, ____, AND ____ for every equipment/machine/instrument/device in the DOH-licensed CL.
a calibration (QC), preventive maintenance, and repair program
30
There shall be a ______ in case of equipment/machines/devices breakdown and malfunction
contingency plan (backup plan)
31
There shall be an ____ control of the reagents, glassware, and supplies
inventory
32
Validity of License to Operate
1 year validity
33
Application of LTO
thru DOH or Online Licensing Regulatory Systems (OLRS)
34
If the applying laboratory is not fully compliant with the LTO requirements, the laboratory shall be given _____ to comply
30 days
35
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
20 days
36
only those with certification by DOH are allowed to secure a LTO as Rapid HIV Diagnostic Algorithm (rHIVda) Confirmatory Laboratory
A.O. 37 s 2021 addition
37
old confirmatory for HIV
Western blot
38
new confirmatory as it is more cost effective (3 rapid kits)
rHIVda
39
HIV confirmatory is now decentralized thru rHIVda allowing _____ to confirm
non-NRL
40
LABORATORIES EXEMPTED TO SECURE LICENSE TO OPERATE FROM BHFS
Laboratories for RESEARCH and TEACHING PURPOSES, National Reference Laboratories (NRL), Physician’s Office Laboratory, Government laboratories
41
LABORATORIES EXEMPTED TO SECURE LICENSE TO OPERATE FROM BHFS must be registered to BHFS every ___
3 years
42
Physician’s Office Laboratory is exempted to secure license to operate for _____
for monitoring patients only POCT
43
Physician’s Office Laboratory is exempted to must secure license if
 Issue official laboratory results  Perform more than monitoring tests  Cater not only to physician’s own patients
44
NRL for HIV and STD
STD AIDS Cooperative Central Laboratory (SACCL) & RITM
45
NRL for TTIs
Research Institute for Tropical Medicine (RITM)
46
NRL for Malaria and Tuberculosis
Research Institute for Tropical Medicine (RITM)
47
NRL for Virology
Research Institute for Tropical Medicine (RITM)
48
NRL for Mycology
Research Institute for Tropical Medicine (RITM)
49
NRL for Clinical Chemistry
Lung Center of the Philippines (LCP)
50
NRL for Water & Drug Testing
East Avenue Medical Center (EAMC)
51
NRL for Hematology
National Kidney and Transplant Institute (NKTI)
52
NRL for Automated CM
National Kidney and Transplant Institute (NKTI)
53
NRL for Immunohematology
National Kidney and Transplant Institute (NKTI)
54
NRL for Anatomic Pathology
National Kidney and Transplant Institute (NKTI)
55
licensed as part of the central laboratory
Mobile laboratory
56
Clinical Laboratory with Satellite Laboratory in the same compound
1 LTO only
57
Satellite Lab outside the premises of the Central Laboratory
– separate LTO
58
Mobile laboratory only ______ and must operate only within a ______ from the central laboratory
only collects specimens, 100 km radius
59
operate within and under the management and supervision of the licensed laboratory of the hospital
Point of Care testing
60
QUALITY ASSURANCE
* External Quality Assurance and Internal Quality Control Programs * CQI * EQAP
61
Penalties For Violations of Waste Management * 1st offense: * 2nd offense: * 3rd offense: * 4th offense:
* 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
DOMAINS OF LABORATORY MANAGEMENT
- LABORATORY MANAGEMENT - SKILLS OF A MANAGER - GOALS VS OBJECTIVES - MANAGEMENT APPROACHES - LEADERSHIP STYLES - LABORATORY INFORMATION SYSTEM - COMPONENTS OF A COMPUTER
63
Working with and through people
LABORATORY MANAGEMENT
64
Art of getting things done (achieving a goal) through people
LABORATORY MANAGEMENT
65
knows the job per se (A school dean → once a teacher → knows teachers’ struggles → makes sure to give correct and fair workload distribution)
Technical skills
66
establish inter relation and can work with other people
Human skills
67
problem solving and creative thinking
Conceptual skills
68
SKILLS OF A MANAGER
- Technical skills - Human skills - Conceptual skills
69
a general statement of purpose of the organization
GOal
70
specific and measurable statement of the purpose of the org
Objectives
71
Objectives should be SMART
Specific, Measurable, Attainable, Reliable and Time-bound
72
MANAGEMENT APPROACHES
- Classical Approach - Behavioral Approach - Contingency Approach
73
Classical Approach
*Old approach *Autocratic *Hierarchical organizational structure *Planning, organizing and controlling *Outcomes depend on the leader (leader-dependent)
74
Behavioral Approach
*Participative (leadership rather than dictation) *Formation of teams/committee *Leading, motivating (thru incentives), and communicating *Leader hears out suggestions from members
75
Contingency Approach
*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
LEADERSHIP STYLES
* Autocratic * Democratic * Permissive * Transactiona
77
dictatorship
Autocratic
78
laissez-faire
Permissive
79
self-centered and leader usually gives orders and should be obeyed without questions
Autocratic (dictatorship)
80
Leadership style classical approach
Autocratic (dictatorship
81
shared authority wherein the leader still gives orders but takes into consideration the inputs of his/her subordinates
Democratic
81
wherein the leader is more lenient and permissive and allows the subordinates to make decisions and take responsibility
Permissive (laissez-faire)
82
Not beneficial if subordinates/members is not good/ too good (no unity)
Permissive (laissez-faire)
83
Each will be given a task and only focus on their given role
Transactional
84
focused on the role of every employees and organizational structures
Transactional
85
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.
LABORATORY INFORMATION SYSTEM
86
COMPONENTS OF A COMPUTER
* Hardware * Software * Peopleware * Interface * Network
87
physical components of a computer
Hardware
88
intangibles (programs and applications)
Software
89
users and developers (persons)
Peopleware
90
a device or program enabling a user to communicate with a computer
Interface
91
The set of interconnected computers that through hardware and software technology work cooperatively for the purpose of information and application program exchange
Network
92
PERSONAL PROTECTIVE EQUIPMENT
- Laboratory Gown/Coats - Gloves - Face Protection
93
Laboratory Gown/Coats should be
Should be long sleeved, closed front and fully buttoned
94
Gloves of ____ should be used
PROPER SIZE
95
Change gloves after _____
contact with each patient
96
Use goggles especially when handling _______
chemicals with fumes
97
NFPA Diamond BLUE - RED - YELLOW - WHITE -
BLUE - Health Hazard RED - Fire Hazard YELLOW - Instability Hazard WHITE - Specific Hazard
98
Health Hazard 4 3 2 1 0
4 - Deadly 3 - Extreme Danger 2 - Hazardous 1 - Slightly Hazardous 0 - Normal Material
99
Fire Hazard 4 3 2 1 0
4 - Below 73 degF 3 - Below 100 degF 2 - Below 200 degF 1 - Above 200 degF 0 - Will not burn
100
Instability Hazard 4 3 2 1 0
4 - May detonate 3 - Shock and heat may detonate 2 - Violent Chemical Change 1 - Unstable if Heated 0 - Stable
101
Specific Hazard
ACID ALK - Alkali COR - Corrosive OX - Oxidizer Radiation Hazard\ Use No Water

FINALS CC 2 (7 decks)

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