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48 Cards in this Set

  • Front
  • Back

Location

-Accessible


-Clients


-Staff

Privacy

Appropriate client privacy


Audible visual

Conformance with building Laws

Construction


Renovation


Maintenance


Repair of facilities

Ventilation

Acceptable air changes


It should be adequate for each area

Space Required

Adequate space in every area of laboratory

Business Area

✓ Reception


▪ Sufficient waiting area


▪ Receiving of specimens


▪ Releasing of results



✓ Waiting area

Collection Area

Dunno

Toilet Facilities

✓ Separate toilet for staff


✓ Convenien


✓ Accessible to public


✓ It may be within the premises of the facilitybut not within the laboratory

Clinical Working Area

✓ Shall be sufficient to accommodate It’s activities


✓ Allow for a smooth & coordinated workflow


✓ Areas and rooms Intended for Its section shall be planned to meet the workload described In the functional program

Support Services Area

✓ Sufficient storage of records and supplies


✓ Sterilization area/room


✓ Waste holding area


✓ Staff pantry


✓ Other space for staff such as offices, conference room, lockers, and changing room(gender-sensitive) and the like, are optional

SPECIFIC TECHNICAL REQUIREMENTS FOR CLINICAL LABORATORY



Blood Extraction Area

• Collection area for blood extraction shall provide space, equipment, and furniture appropriate for It’s activity


• The area shall have a work counter/tray, space for the patient seating, and handwashing stations


✓ Blood extraction chair should have cushion

Urine & Stool Collection Area

• Specimens collection toilet for urine and feces shall be equipped with water closet and/or urinal lavatory


✓ water supply


✓ DT area urinal - waterless

Pathologist's Area

• It's location shall permit the pathologist to observe the clinical area

Lighting

• All areas shall be well-lighted by providing appropriate luminaire with no exposed or dangling electrical wires and unwanted glare shall be avoided


• Convenience outlet shall be provided within the facility

CLINICAL LABORATORY CLASSIFICATION BY SERVICE CAPABILITY

Primary, Secondary, Tertiary Category

Provides the following minimum service capabilities

Primary Category

For primary category

Hematology


Clinical Microscopy


Clinical Chemistry


Hematology

▪ Complete blood count (CBC)


✓ WBC


✓ RBC


✓ PC


✓ Hgb Hgb


✓ Hct Hct


▪ Forward and reverse ABO grouping and Rh (D)



TYPING TUBE METHOD


✓ BT



▪ Qualitative platelet determination

Clinical Microscopy

• Routine urinalysis


• Routine fecalysis


• Fecal occult blood test (FOBT)


• Pregnancy test (rapid hormones test kits)


✓ lateral flow


• Wet smear for Trichomonas

Clinical Chemistry

FBS and RBS


✓ Glucose


✓ FBS Fasting Blood Sugar


✓ RBS Random Bi Sugar



OGTT Oral Glucose Tolerance Test


✓ pregnant



Lipid Profile


✓ TC, HDL, LDL, TAG



BUN Blood Urea Nitrogen


✓ Kidney


BUA uric acid

Provides the minimum service capabilities of a primary category laboratory plus the following:

Secondary Category

For Secondary Category

Hematology


Immunolgy/serology


Clinical Chemistry


Microbiology


Blood banking

Hematology

Coagulation studies:


▪ PT - Prothrombin


✓ Blood clotting


✓ Monitor warfarin therapy


▪ aPTT - activated Partial thromboplastin time

Immunology/ Serology

• RP/Syphilis test


• Dengue test


✓ Ag


✓ Ab


✓ Ig


• ASO titer


• HIV screening


• HBSAG

Clinical Chemistry

• Serum electrolytes


✓ Ca, K, Na, CI, Mg


• ALT (SGPT)


• AST (SGOT)

Microbiology

• Gram stain


✓ (+) purple


✓ (-) pink


• KOH


✓ Rapid test to visual fungal structures


• TB/nucleic acid amplification


✓ Government Facilities

Blood Banking

• Cross matching


✓ Blood transfusion


✓ Hospital based

Provide the minimum service capabilities of a primary and secondary category laboratory plus the following:

Tertiary Category

Microbiology

• Culture and sensitivity test


✓ Antibiotic resistance


✓ Aerobic and anaerobic


✓ Aerobic O2


✓ Anaerobic O2x

Immunology/ Serology

• Any machine-based serological and Immunological testing


• Tumor markers


✓ CA 125 - Ovarian


✓ CA 15-3 - Breast


✓ PSA - Prostate Specific Antigen


✓ CA Cancer Antigen



• Thyroid Function


✓ TSH


✓ Thyroid simulating



• Hepatitis Profile


Histopathology

• Surgical Pathology


• Cytology

LABORATORY PHYSICAL PLANT DESIGN CONSIDERATIONS

• Physical plant - physical facilities


• Review floor plans

Check the fume hood and biological safety cabinet:

✓ BSC Biological Safety Cabinet


✓ X traffic


✓ X doorways

LABORATORY PHYSICAL PLANT DESIGN CONSIDERATIONS

Consider heating, ventilating, and air- conditioning (HVAC)

Humidity air flow:

✓ Temperature (68F - 76F)


✓ Humidity (20% - 60%)


✓ Airflow (12 air exchanges perhour)

Base cabinets provide__________ storage than suspended cabinets

20-30% more

Space requirements:

150 - 200 ft2 or 27-40 net ft2 per hospital bed

Rooms larger than____must have __exits

more than 100ft2


1 exits

Corridors for patients must be___ wide and for non-patients must be___


8ft wide


3ft 8 in

Eye wash unit must be within_____ of work area

100 ft

Lab Counter Width

2 feet 6 inches

Lab counter to wall

4 feet

Lab counter to counter

7 feet

Desk height

30 inches

Key board drawer height

25- 70 inches

Human body standing

4sq. Feet

Human body sitting

6sq. Feet

Desk space

3sq. Feet