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48 Cards in this Set
- Front
- Back
Location |
-Accessible -Clients -Staff |
|
Privacy |
Appropriate client privacy Audible visual |
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Conformance with building Laws |
Construction Renovation Maintenance Repair of facilities |
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Ventilation |
Acceptable air changes It should be adequate for each area |
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Space Required |
Adequate space in every area of laboratory |
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Business Area |
✓ Reception ▪ Sufficient waiting area ▪ Receiving of specimens ▪ Releasing of results ✓ Waiting area |
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Collection Area |
Dunno |
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Toilet Facilities |
✓ Separate toilet for staff ✓ Convenien ✓ Accessible to public ✓ It may be within the premises of the facilitybut not within the laboratory |
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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 |
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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 |
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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 |
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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 |
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Pathologist's Area |
• It's location shall permit the pathologist to observe the clinical area |
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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 |
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CLINICAL LABORATORY CLASSIFICATION BY SERVICE CAPABILITY |
Primary, Secondary, Tertiary Category |
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Provides the following minimum service capabilities |
Primary Category |
|
For primary category |
Hematology Clinical Microscopy Clinical Chemistry |
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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 |
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Clinical Microscopy |
• Routine urinalysis • Routine fecalysis • Fecal occult blood test (FOBT) • Pregnancy test (rapid hormones test kits) ✓ lateral flow • Wet smear for Trichomonas |
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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 |
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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 |
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Hematology |
Coagulation studies: ▪ PT - Prothrombin ✓ Blood clotting ✓ Monitor warfarin therapy ▪ aPTT - activated Partial thromboplastin time |
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Immunology/ Serology |
• RP/Syphilis test • Dengue test ✓ Ag ✓ Ab ✓ Ig • ASO titer • HIV screening • HBSAG |
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Clinical Chemistry |
• Serum electrolytes ✓ Ca, K, Na, CI, Mg • ALT (SGPT) • AST (SGOT) |
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Microbiology |
• Gram stain ✓ (+) purple ✓ (-) pink • KOH ✓ Rapid test to visual fungal structures • TB/nucleic acid amplification ✓ Government Facilities |
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Blood Banking |
• Cross matching ✓ Blood transfusion ✓ Hospital based |
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Provide the minimum service capabilities of a primary and secondary category laboratory plus the following: |
Tertiary Category |
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Microbiology |
• Culture and sensitivity test ✓ Antibiotic resistance ✓ Aerobic and anaerobic ✓ Aerobic O2 ✓ Anaerobic O2x |
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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 |
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Histopathology |
• Surgical Pathology • Cytology |
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LABORATORY PHYSICAL PLANT DESIGN CONSIDERATIONS |
• Physical plant - physical facilities • Review floor plans |
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Check the fume hood and biological safety cabinet: |
✓ BSC Biological Safety Cabinet ✓ X traffic ✓ X doorways |
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LABORATORY PHYSICAL PLANT DESIGN CONSIDERATIONS |
Consider heating, ventilating, and air- conditioning (HVAC) |
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Humidity air flow: |
✓ Temperature (68F - 76F) ✓ Humidity (20% - 60%) ✓ Airflow (12 air exchanges perhour) |
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Base cabinets provide__________ storage than suspended cabinets |
20-30% more |
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Space requirements: |
150 - 200 ft2 or 27-40 net ft2 per hospital bed |
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Rooms larger than____must have __exits |
more than 100ft2 1 exits |
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Corridors for patients must be___ wide and for non-patients must be___ |
8ft wide 3ft 8 in |
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Eye wash unit must be within_____ of work area |
100 ft |
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Lab Counter Width |
2 feet 6 inches |
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Lab counter to wall |
4 feet |
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Lab counter to counter |
7 feet |
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Desk height |
30 inches |
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Key board drawer height |
25- 70 inches |
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Human body standing |
4sq. Feet |
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Human body sitting |
6sq. Feet |
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Desk space |
3sq. Feet |