east avenue medical center
national reference laboratory for drug testing
diagnostic laboratory
type of lab where tests are carried out on clinical specimens to obtain information about the health of a patient
clinical pathology
deals with the chemical & cellular analyses of blood and other body fluids, identification & examination of microbes and parasites
anatomic pathology
provides processing & examination of surgical specimens (microscopic structure of tissues, surgical pathology, cytopathology, immunohistochemical techniques, autopsies, and forensic pathology
molecular pathology
deals with the analysis of certain genes, proteins, and other molecules in samples for organs, tissues, or bodily fluids in order to diagnose disease
institution-based
is located in the premises & operates as part of a DOH licensed health facility
non-institution based
operates independently and is not attached to any DOH licensed health facility
government-owned
operated and maintained, partially or wholly, by the national government, a local government unit
privately-owned
established & operated with funds through donation, principal, investment, or other means, by any individual, corporation, association or organization
primary laboratory
provides minimum service capabilities
secondary laboratory
provides the minimum service capabilities of a primary category with additional services
tertiary laboratory
provides the minimum service capabilities of a secondary category with additional services
phlebotomy section
place where drawing of blood and collecting specimen occurs
hematology section
performs routine & special tests on the components of blood
WBC & RBC count, platelet count, hematocrit count
clinical chemistry section
where patientās blood and other body fluids are checked for various chemical components
ALT, AFP, Bilirubin test, BUN, AST, FBS, heavy metal analysis
clinical microscopy section
performs routine and special tests on patientsā urine & fecal samples
fecalysis, urinalysis, pregnancy test, Ketone,
immunology and serology section
performs tests in serum and autoimmune reactions in the blood
reaction to virus
blood bank section
perform tests for blood transfusion
blood typing, antibody screening, crossmatching, ABO & Rh type
histopathology section
examine tissues to detect possible diseases
pap smear, autopsies, staining, biopsies
microbiology section
perform cultures, examines, and identifies microorganisms including bacteria, fungi, yeasts
viral load, culture & sensitivity
molecular biology section
used to detect microorganisms, look for genetic mutations associated with certain infectious diseases and cancers
COVID-19 testing and other special tests
virology section
can be under microbiology laboratory
sole institution for handling viral specimens
anti
greek work for āagainstā
septikos
greek work for āputrefactiveā
putrefactive
āseptikosā means?
anti
āagainstā means?
70% isopropyl alcohol
most common antiseptic
povidone-iodine pads
benzalkonium chloride
chlorhexadine gluconate
what are the alternative antiseptic pads for patients w/ allergies to 70% isopropyl alcohol
inner to outer
manner of disinfecting the collection site
30 seconds
how long you should wait to apply for the next antiseptic
alcohol-iodine-alcohol
manner of disinfection or applying antiseptic
cold compress
in case of hematoma, advise the patient to apply ____
warm compress
in case of hematoma, advise the patient to cold compress, however , if it is still prevalent after 24 hours apply ____
eye level
needles & sharps disposal container should be in ____ of the phlebotomist
gauze pad
sterilized 2x2 pads hold pressure over the site
biohazard bags
leak-proof plastic bags commonly used for transporting blood from the collection site to the laboratory
slides
make blood films for hematology determinations
permanent and non-smear ink
pen used to label tubes and record other patient information should be?
watch
accurately determine specimen collection time and time certain tests
after
labeling of specimens must be done ____ collection when?
patient ID equipment
uses barcode to identify patients with the use of ID band and barcode readers to generate labels for specimen tubes
radio frequency identification (RFID)
systems can also be used in patient ID equipment
vein viewer
uses high intensity LED or infrared red light to highlight veins
hemoglobin
absorbs the light causing the veins to stand out as dark lines
tourniquet
inflates vein for easy palpation & visualization
compress vein and restrict blood flow
tourniquet is applied around a patientās arm to ___ and ___
1 minute
tourniquet is applied not longer than ____
evacuated tube system
multi-sample needles
syringe system
hypodermic needles
butterfly system
winged infusion
1 to 1.5 inches
needle length for multi sample needle
0.5 to 0.75 inches
needle length for butterfly system
it varies
needle length for syringe system
tube holder
clear, plastic, disposable cylinder with a small threaded opening at one end (hub) where needle is screwed into
flanges
the large end has ___ or extensions on the sides that aid in tube placement & removal; important in inserting the test tube
1.8 to 15mL
size/volume of blood collecting tubes
inversely
gauge of the needle is ____ proportional to the size of the diameter
antiseptic
reduce the number of microorganism but does not sterilize the site
sterilization
uses of heat, radiation, chemical, autoclave
sterilization
kill or removes all living organisms and spores from objects
disinfection
chemical substances or solutions regulated by the Environmental Protection Agency (EPA)
10 minutes
how long is the contact time for disinfecting
disinfection
remove or kill microorganisms on surfaces & instruments (10% bleach)
1:10
ratio of disinfectant
bevel
end portion of the needle that pierces the vein
shaft
long cylindrical portion of needle
hub
end portion of needled that is attached to the blood collection device
lumen
internal space of the needle
needle sheath/cap
covering of the needle
up
bevel ___ to avoid resistance in blood flow
121 C and 20 minutes
temperature and time for sterilization (15psi)
blood
urine
stool
sputum
tissue sample
CSF sample and other body fluid
SPECIMENS USED IN DIAGNOSTIC LABORATORY