How to Apply for Laboratory testing Facility Dr

How to Apply for Laboratory testing Facility Dr. Lilibeth A. Fermin, MD, CFP, MPH

Municipal 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 LABORATORY MAGSAYSAY AVENUE, POBLACION, BASISTA, PANGASINAN

This manual was developed by Ms. Maria Solana C. Carasig, RMT, Medical Technologist of the Municipal Health Office of Basista, Pangasinan, for the Accreditation of the Laboratory facility in this Municipality. It was written in consultation with Dr. Lilibeth A. Fermin, M. D. , MPH, CFP, Municipal Health Officer of Basista Pangasinan and also an associate professor at Virgen Milagrosa University Foundation. Thorough researches were made to be incorporate in the development of this manual. Different books on hematology and laboratory procedures were used. Suggestions from other Medical Technologist was sought and considered. Mr. Brian Domingo, RNHeals from the Department of Health assisted in the encoding and printing of this Quality Manual of Clinical Laboratory Procedures.

INTRODUCTION Long before the application for accreditation of the Laboratory facility in Basista, Pangasinan, the Municipal Health Office of Basista is already performing some laboratory procedures like sputum examination and routine on a daily basis. The Department of Health wrote a letter to the different health officers advising them to apply for the accreditation of their laboratory facilities. In line with the advise, Hon. Manolito S. de Leon, Local Chief Executive of the Local Government unit of Basista sought the help of 1 Ang Pamilya Party List Rep. Reena Concepcion Obillo thru Rep. Leopoldo Bataoil, Congressman 2 nd District of Pangasinan for the construction of the modern laboratory facility in Basista. A new laboratory building was constructed with adequate laboratory Equipment and instruments. The Municipal Health Office has a Medical Technologist and a Health Aide with plantilla positions. A resolution was passed by the Sangguniang Bayan of Basista allowing Municipal Health f facility to apply for accreditation of its laboratory and a corresponding Honorarium for Pathologist was appropriated in the Municipal’s Annual Budget 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 among health workers and cultivates a culture of effeciency, effectiveness and service improvement. It is also one of the basic tools for improving productivity and quality.

TABLE OF CONTENTS Ø Ø Ø Ø Ø INTRODUCTION VISION/MISSION GENERAL POLICIES, PURPOSE AND FUNCTIONS LABORATORY QUALITY ASSURANCE MANAGEMENT ORGANIZATION AND LABORATORY PERSONNEL POLICIES AND PROCEDURES RECEIVING OF LABORATORY REQUEST AND RELEASING OF RESULTS GUIDELINES ON SEND-OUT SPECIMENS PROCEDURE AND OUTSOURCING OF EXAMINATIONS … GUIDELINES ON BLOOD EXTRACTION STANDARD OPERATING PROCEDURES OF DIFFERENT SECTIONS CONTINGENCY PLAN SOP ON REPORTING & ANALYSIS OF INCIDENTS, ADVERSE EVENTS LOCATION MAP OF LABORATORY FLOOR PLAN ORGANIZATIONAL CHART LIST OF PERSONNEL LABORATORY FLOWCHART

Continuation. . . LABORATORY PROCEDURES A. CLINICAL MICROSCOPY 1. DIRECT SPUTUM SMEAR MICROSCOPY 2. URINALYSIS 3. FECALYSIS 4. PREGNANCY TEST B. HEMATOLOGY 1. COMPLETE BLOOD COUNT 1. 1. WHITE BLOOD COUNT 1. 2. DIFFERENTIAL COUNT 1. 3. HEMOGLOBIN DETERMINATION 1. 4. HEMATOCRIT DETERMINATION 1. 5. . RED BLOOD CELL COUNT 2. PLATELET COUNT 3. BLOOD TYPING C. BLOOD CHEMISTRY 1. GLUCOSE DETERMINATION 2. CHOLESTEROL DETERMINATION 3. TRIGLYCERIDE DETERMINATION 4. URIC ACID DETERMINATION 5. BLOOD UREA NITROGEN DETERMINATION 6, HDL- CHOLESTEROL DETERMINATION 7. CREATININE DETERMINATION Ø LIST OF EQUIPMENT/ INSTRUMENT Ø REFERENCES Ø

A. CLINICAL MICROSCOPY 1. DIRECT SPUTUM SMEAR MICROSCOPY 2. URINALYSIS 3. FECALYSIS 4. PREGNANCY TEST

B. HEMATOLOGY 1. COMPLETE BLOOD COUNT 1. 1 WHITE BLOOD CELL COUNT 1. 2 DIFFERENTIAL COUNT 1. 3 HEMOGLOBIN DETERMINATION 1. 4 HEMATOCRIT DETERMINATION 1. 5 RED BLOOD CELL COUNT 2. PLATELET COUNT 3. BLOOD TYPING

C. BLOOD CHEMISTRY GLUCOSE DETERMINATION 2. CHOLESTEROL DETERMINATION 3. TRIGLYCERIDE DETERMINATION 4. URIC ACID DETERMINATION 5. BLOOD UREA NITROGEN DETERMINATION 6. HDL /LDL DETERMINATION 7. CREATININE DETERMINATION 1.

E. NEWBORN SCREENING 1. BACKGROUND 2. NBS PROCEDURE 3. NBS LABORATORY 4. DISORDERS 5. RESULTS AND CONFIRMATION

D. TUBERCULIN SKIN TEST 1. PLAN FOR A SUCCESSFUL TST 2. PERFORMING THE TST 3. READING TST

CARE AND MAINTENANCE OF EQUIPMENT/ INSTRUMENTS Ø MICROSCOPE Ø CLINICAL CENTRIFUGE Ø HEMATOCRIT CENTRIFUGE Ø ACCUCHECK ACTIVE UNIT Ø ACCUTREND GCT UNIT Ø KERNEL MULTICHECK UNIT Ø STAT FAX Ø PIPETTING DEVICE