Prelim 1

• Clinical Laboratory


  Healthcare facilities providing a wide range of laboratory procedures which aid the physicians in carrying out the diagnosis, treatment, and management of patients
• Clinical Laboratory


  A facility that is involved in pre-analytical, analytical, and post-analytical procedures, whose tests are done on specimens from the human body to obtain about the information about the health status of a patient for the prevention, diagnosis, and treatment of disease
• Discipline of tests included in a Clinical Laboratory

  • Anatomic Pathology
  • Clinical Chemistry
  • Clinical Microscopy
  • Endocrinology
  • Hematology
  • Immunology/Serology
  • Microbiology
  • Toxicology
  • Molecular and Nuclear Diagnosis
• Terminologies


  • Main Clinical Laboratory
  • Mobile Clinical Laboratory
  • Satellite Clinical Laboratory
  • National Reference Laboratory
  • Point of Care Testing (POCT)
  • Referral Tests
• Medical Technologists/Clinical Laboratory Scientists


  Workforce of CLs, trained to perform various tests to sample of biological specimens collected from its patients
• Classification of Laboratories by Ownership

  • Government
  • Private
• Classification of Laboratories by Institutional Character

  • Institution-Based
  • Non-Institution Based
• Classification of Laboratories by Function

  • Clinical Pathology
  • Anatomic Pathology
  • Molecular Pathology
• Classification of Laboratories by Service Capability

  • Primary
  • Secondary
  • Tertiary
  • Limited
• Other Classification of Laboratories by Function

  • General Clinical Laboratories
  • Specialty Laboratories
• Other Classification of Laboratories by Test Specialization

  • Clinical Chemistry
  • Clinical Microbiology
  • Hematology
  • Blood Banking and Serology
  • Clinical Microscopy
  • Histopathology and Cytopathology
  • Molecular Biology
  • Public Health
• Classification of Laboratories as Part of the Laboratory Network

  • Peripheral Laboratory
  • Intermediate-Level Laboratories
  • National Reference Laboratories
• National Reference Laboratories (NRL)

  The highest level of laboratory in the country performing highly complex procedures, including confirmatory testing, that is not commonly performed by the lower level of laboratory. Responsible for facilitating NEQAS, providing laboratory reference/referral services, training lab personnel, and maintaining NEQAS.
• NEQAS


  An EQAP (External Quality Assessment Program) activity conducted by the NRL's to assess the quality of performance and accuracy of the results of laboratories.
• National Reference Laboratories (NRL)

  • East Avenue Medical Center (Toxicology & Drug testing)
  • Lung Center of the Philippines (Clinical Chemistry)
  • National Kidney and Transplant Institute (Hematology, Immunohematology, Urinalysis)
  • Philippine Heart Center (Cardiac Markers)
  • Research Institute for Tropical Medicine (Microbiology, Transfusion Transmissible Infection)
  • San Lazaro Hospital STD-AIDS Cooperative Central Laboratory (HIV-AIDS and sexually transmitted disease)
• Personnel


  • Head of the Laboratory (Pathologist)
  • RMT
  • Support Staff
  • POCT Coordinator (if applicable)
  • POCT Officer (if applicable)
  • MCL (Mobile Clinical Laboratory) Personnel
• Head of the Laboratory

  Shall be competent and experienced professional, with a specialized skill set related to and proportionate to the laboratory category. Responsible for the operation of the entire lab, its personnel, functions, and data, all of which shall meet the quality assurance criteria and regulatory requirements.
• RMT (CPD Units: 45)


  Adequate number of full-time RMTs to conduct lab procedures. Staff development and CEP (Continuing Education Program) at all levels of organization to upgrade knowledge, attitude, and skills of staff. One Biosafety and Biosecurity Officer.
• Support Staff


  • Laboratory Technician
  • Laboratory Aide
  • Encoders
  • Receptionists
  • Others
• POCT Coordinator


  Recommends procedures to ensure quality POCT results, ensures POCT kits and device are properly maintained, supervises POCT Operators, ensures appropriate training, competency, and QC implementation.
• POCT Operator


  Ensures accurate results, proper maintenance and storage, runs QC regularly, implements QA program when POCT is not working properly, reports incidents to supervisor.
• MCL Personnel


  • RMTs
  • Support Staff
  • Driver
  • Laboratory Technician