The document outlines the essential factors for an ideal medical laboratory setup. It discusses the necessary infrastructure requirements including adequate laboratory premises, heating/ventilation/lighting systems, drainage, electricity, fire safety facilities, storage areas, IT systems, and qualified medical and non-medical personnel. It emphasizes the importance of proper biomedical waste management and maintaining a safe, clean, and hygienic environment for sample collection, analysis, and reporting. The document also highlights the roles of various laboratory staff in ensuring quality testing and delivery of diagnostic services.
2. AN IDEAL LABORATORY SETUP
A good laboratory setup is an essential element
of quality assurance program.
Use of adequate working space is necessary for
ease and hassel free movement for lab
personals.
Premises should be
It is the place where materials of human origine biological specimens are
collected ,stored, processed, analyzed and reported for the purpose of
screening,diagnosis,prognosis and treatment
3. • A) CLINICAL BIOCHEMISTRY B) MICROBIOLOGY
C)SEROLOGY D) PATHOLOGY
4. SOME ESSENTIAL FACTORS IN AN IDEAL LAB SETUP
1.Laboratory premises
2.Heating, ventilation and lighting system
3.Services like Drinage system,Continious electricity
4.Fire prevention and Emergency facilities
5.Stock,Record Storage facilities and staff eating area
6.Bio medical waste management system
7.Computers and IT department
8.PERSONALES:-Medical officer, lab technician etc
9.Non medical staff like scavngers,helpers etc
10.Security system
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9. • Use of adequate working space is necessary for ease
and hassel free movement for lab personals
• Premises should be Safe, Clean, Hygenic
• It should have good conditioned non reactive
durable furniture and fittings
• Walls,celings and floors should be smooth, easily
cleanable, imprermeable to liquids and should be
resistent to disinfectents
• Each room should have atleast One HAND BASIN to
clean and dispose waste materials
• Dustbin should be availble at the corner of the lab
10. • The laboratory space must have:
• Impervious and chemically resistant work surfaces;
• A sink; two sinks if you are using radioactive material;
• Safety shower (if hazardous chemicals are used);
• Eye-wash station (if hazardous chemicals and/or biological material
is used);
• A fire extinguisher mounted to the wall or in an extinguisher cabinet;
• A functioning chemical fume hood for use of hazardous chemicals;
• A functioning biosafety cabinet for BL2;
• Chairs and furniture that are constructed of non-cloth material so
that they can be effectively decontaminated;
• Electrical outlets sufficient in number and location to minimize the
use of extension cords.
12. • It should have right
working temperature
• if possible windowns are
exposed to full sunlight
• Adequate ventilation
“laminar air flow”
• Adequate lighting
• each Work bench should
provide atleast TWO
local lighting systems
13. • liquid wastes pose a serious threat to human health and the
environment because of their ability to enter watersheds,
pollute ground water, and drinking water when improperly
handled and disposed.
• At the same time, illegal and unethical reuse of this
untreated waste, can be extremely dangerous and even fatal
in causing diseases like cholera, plague, tuberculosis,
hepatitis B, diphtheria etc., in either epidemic or even in
endemic form, which can pose grave public health risks and
consequences and thus is a major problem for healthcare
facilities, their employees, and the community at a large
portion so proper drinage system is essential in a medical
laboratory....
14. TYPES OF LIQUID WASTE
• The liquid waste generated from a CLINICAL LABORATORY is usually of the following types:
• INFECTIOUS WASTE
• Blood and body fluids
• Laboratory wastes (cultures of infectious agents, cultures from laboratories, biological,
discarded vaccines, culture dishes and devices)
• Chemically hazardous
• Formaldehyde (obtained from pathology labs, autopsy, dialysis, embalming)
• Mercury (broken thermometers, sphygmomanometer, dental amalgams)
• Solvents (pathology and embalming)
• Radioactive isotopes
• Pharmaceutical liquid waste (discarded/unused/expiry date medicines)
• Photographic chemicals (fixer and developer)
• From cleaning and washing water channeled into the drain.
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17. • It is provided for the storage of
records,
reagentts,consumables,stationary
atc...
• Eating area for all staff shall be
provided as per requirment and
workload of the laboratory
• the staff eating area should provide
adequate drinking water and hand
basin for cleaning of hands
• staff eating area
18. • Biomedical waste must be properly
managed and disposed off to protect
the environment, general public and
workers, especially healthcare and
sanitation workers who are at risk of
exposure to biomedical waste as an
occupational hazard. Steps in the
management of biomedical waste
include generation, accumulation,
handling, storage, treatment, transport
and disposal
• Biomedical waste should be collected in
containers that are leak-proof and
sufficiently strong to prevent breakage
during handling. Containers of
biomedical waste are marked with a
biohazard symbol. The container,
marking, and labels are often red.
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20. • There is a huge inflow of data into the laboratory. This begins with
gathering data on the patient with respect to personal details, clinical
details, the type of testing required, and the details about the
parameters generated subsequent to the testing process. The testing
itself is done by various instruments. These vary from simple
colorimeters to complex flow cytometers. The data generated can be
stored manually or using COMPUTERS
21. TYPES OF AREAS WHERE COMPUTERS ARE USED
1.The pre-analytical phase: this comprises of patient
identification, test request registration and billing, sample
collection, labelling and transport and sample processing.
2.The analytical phase: This comprises of properly
calibrating the instruments, the quality control process and
analysis of samples.
3.The post-analytical phase: This includes all the processes
that follow the testing of the samples. Namely, the validation
of test results, transcription of results into the records, typing
the results, printing and despatch of the results. Also, the data
so generated needs to be stored. The samples also need to be
stored for specified period of time.
22. • The laboratory shall have qualified staff as per the
scope of service provided
• these include:- qualified
PATHOLOGIST/BIOCHEMIST/MICROBIOLOGIST or
registered MEDICAL PRACTIONAR for interpretation
and reporting of results
• The lab reports can be processed by the
DMLT,BSc.MLT,MSc.MLT,MSc medical biochemist and
MSc medical Microbiologist
23. • the person SIGNING and INTERPRETING the report
shall be registered with the MEDICAL COUNCIL OF
INDIA/STATE MEDICAL COUNCIL in case of location
in the rural area where qualified personal not availble
• reports can be interpreted by MBBS/MD/MS in
othere specialization can release intrpret the routine
reports as per local law and regulation
ALL LABORATORY STAFF MUST BE QUALIFIED AS PER
NABL Doc....
24. • Non-medical staff plays a vital role in healthcare access for patients by
providing the required support round the clock.
• From dietetics staff to accountants, these professionals assure that
everything is set to deliver highest standards of patient care in a
supportive environment.
• Non-medical departments range from cafeteria, gift shop and
switchboard personnel to patient escorts and social workers,
accounting, housekeeping, maintenance, physical plant, information
technology, human resources/recruiting, risk managers and laundry
personnel.
• It is the commitment of our medical staff members which keeps the lab
running 24 hours a day, 365 days a year.