How to Apply for Laboratory testing Facility

Dr. Lilibeth A. Fermin, MD,CFP,MPHHow to Apply for Laboratory testing FacilityMunicipal Revenue Code

Resolution

MOA with Pathologist

MOA with Other Referral facility on Outsourced Services

Application for License to Operate a General Clinical Laboratory

QUALITY MANUAL OF PROCEDURE(2012)

BASISTA RHU LABORATORYMAGSAYSAY AVENUE, POBLACION, BASISTA, PANGASINANThis manual was developed by Ms. Maria Solana C. Carasig, RMT, MedicalTechnologist of the Municipal Health Office of Basista, Pangasinan, for theAccreditation of the Laboratory facility in this Municipality. It was writtenin consultation with Dr. Lilibeth A. Fermin,M.D.,MPH, CFP, MunicipalHealth Officer of Basista Pangasinan and also an associate professor atVirgen Milagrosa University Foundation.

Thorough researches were made to be incorporate in the developmentof this manual. Different books on hematology and laboratory procedures were used. Suggestions from other Medical Technologistwas sought and considered. Mr. Brian Domingo, RNHeals from the Department of Health assisted in the encoding and printing of thisQuality Manual of Clinical Laboratory Procedures.INTRODUCTIONLong before the application for accreditation of the Laboratory facilityin Basista, Pangasinan, the Municipal Health Office of Basista is alreadyperforming some laboratory procedures like sputum examination and routine on a daily basis. The Department of Health wrote a letter to thedifferent health officers advising them to apply for the accreditation of their laboratory facilities. In line with the advise, Hon. Manolito S. deLeon, Local Chief Executive of the Local Government unit of Basistasought the help of 1 Ang Pamilya Party List Rep. Reena Concepcion Obillo thru Rep. Leopoldo Bataoil, Congressman 2nd District of Pangasinan forthe construction of the modern laboratory facility in Basista.A new laboratory building was constructed with adequate laboratoryEquipment and instruments. The Municipal Health Office has a MedicalTechnologist and a Health Aide with plantilla positions. A resolution waspassed by the Sangguniang Bayan of Basista allowing Municipal Health ffacility to apply for accreditation of its laboratory and a correspondingHonorarium for Pathologist was appropriated in the Municipals AnnualBudget for calendar year 2012.The health office utilizes workplace organization and work simplification procedures to make work faster, safer and more effective.the Quality Standard of Procedures develop positive attitudes amonghealth workers and cultivates a culture of effeciency, effectiveness and service improvement. It is also one of the basic tools for improvingproductivity and quality.TABLE OF CONTENTSINTRODUCTIONVISION/MISSIONGENERAL POLICIES, PURPOSE AND FUNCTIONSLABORATORY QUALITY ASSURANCE MANAGEMENTORGANIZATION AND LABORATORY PERSONNELPERSONNEL POLICIES AND PROCEDURESRECEIVING OF LABORATORY REQUEST AND RELEASING OF RESULTSGUIDELINES ON SEND-OUT SPECIMENSPROCEDURE AND OUTSOURCING OF EXAMINATIONS GUIDELINES ON BLOOD EXTRACTIONSTANDARD OPERATING PROCEDURES OF DIFFERENT SECTIONSCONTINGENCY PLANSOP ON REPORTING & ANALYSIS OF INCIDENTS, ADVERSE EVENTSLOCATION MAP OF LABORATORYFLOOR PLANORGANIZATIONAL CHARTLIST OF PERSONNELLABORATORY FLOWCHART

Continuation. . .LABORATORY PROCEDURESA. CLINICAL MICROSCOPY1. DIRECT SPUTUM SMEAR MICROSCOPY2. URINALYSIS3. FECALYSIS4. PREGNANCY TESTB. HEMATOLOGY1. COMPLETE BLOOD COUNT1.1 .WHITE BLOOD COUNT1.2 .DIFFERENTIAL COUNT1.3.HEMOGLOBIN DETERMINATION1.4. HEMATOCRIT DETERMINATION1.5.. RED BLOOD CELL COUNT2. PLATELET COUNT3. BLOOD TYPINGC. BLOOD CHEMISTRY1.GLUCOSE DETERMINATION2. CHOLESTEROL DETERMINATION3. TRIGLYCERIDE DETERMINATION4. URIC ACID DETERMINATION5. BLOOD UREA NITROGEN DETERMINATION6, HDL- CHOLESTEROL DETERMINATION7. CREATININE DETERMINATIONLIST OF EQUIPMENT/ INSTRUMENTREFERENCES

A. CLINICAL MICROSCOPYDIRECT SPUTUM SMEAR MICROSCOPY

URINALYSIS

FECALYSIS

PREGNANCY TEST

B. HEMATOLOGY1. COMPLETE BLOOD COUNT1.1 WHITE BLOOD CELL COUNT1.2 DIFFERENTIAL COUNT1.3 HEMOGLOBIN DETERMINATION1.4 HEMATOCRIT DETERMINATION1.5 RED BLOOD CELL COUNT

2. PLATELET COUNT

3. BLOOD TYPING

C. BLOOD CHEMISTRYGLUCOSE DETERMINATIONCHOLESTEROL DETERMINATIONTRIGLYCERIDE DETERMINATIONURIC ACID DETERMINATIONBLOOD UREA NITROGEN DETERMINATIONHDL /LDL DETERMINATIONCREATININE DETERMINATION

E. NEWBORN SCREENINGBACKGROUND

NBS PROCEDURE

NBS LABORATORY

DISORDERS

RESULTS AND CONFIRMATION

D. TUBERCULIN SKIN TESTPLAN FOR A SUCCESSFUL TST

PERFORMING THE TST

READING TST

CARE AND MAINTENANCE OF EQUIPMENT/ INSTRUMENTSMICROSCOPECLINICAL CENTRIFUGEHEMATOCRIT CENTRIFUGEACCUCHECK ACTIVE UNITACCUTREND GCT UNITKERNEL MULTICHECK UNITSTAT FAXPIPETTING DEVICE