The document discusses the organization and planning of laboratory services in a hospital. It covers key aspects like types of clinical and pathology labs, changing role of labs, importance of labs, principles of planning, infrastructure planning considering size, location, functional areas, quality control and quality assurance. The goal is to provide accurate and timely diagnostic support through well-planned lab services.

1. ORGANIZATION OF LAB SERVICES DR.N.C.DAS

2. LAB SERVICES LAB SERVICES CLINICAL LABS Cardiology, Neurology, Respiratory, Nuclear lab PATH LABS Clinical, Micro, Histo, Cyto, Bio-chemistry

5. PRINCIPLE OF PLANNING The planning of hospital Lab services depends on following factors:- LAB SERVICES

7. KEY ELEMENTS OF PLANNING OF LABORATORY PLANNING INFRASTRUCTURE/ WORK PLACE EQUIPMENTS & FACILITIES MANPOWER

9. PLANNING OF INFRASTRUCTURE INFRASTUCTURE SIZE LOCATION ADMN. AREA ENVIRONMENTAL CONSIDERATION AUXILLARY AREA FUNCTIONAL AREA

11. FACILITY DESIGN PROCESS STAGES ACTIVITIES SITUATION ANALYSIS Needs assessment staffing needs/requirements Technologic changes, current and anticipated . Identify team players (architect, laboratory staff. Medical staff interior designer etc.) STRATEGIC PLANNING Activities to be performed ,flow of people and materials storage. Equipment to be used, utilities. Laboratory sectional needs. STRUCTURAL DESIGN Structural design, identify construction materials. Architectural design. Cost System options (plumbing, electricity/heating/ventilations/air conditioning). INTERIOR DESIGN Interior design. Colors, fabric, texture, finish

12. SUGGESTED DIMENTIONS FOR INTERIOR Laboratory counter width 2 feet 6 inches Laboratory counter to wall clearance 4 feet Laboratory counter to counter clearance 7 feet Desk height 30 inches Keyboard drawer height 25-27 inches Human body standing 4 square feet Human body sitting 6 square feet Desk space 3 square feet

15. FUNCTIONAL AREA It comprises of various service areas . FUNCTIONAL AREA HAEMATOLOGY VIROLOGY & IMMUNOLOGY BIO CHEMISTRY HISTOPATHOLOGY STOOL & URINE CYTOLOGY MICROBIOLOGY BLOOD BANK

17. ACTIVITY PLANNING LAB MANAGEMENT SYSTEM PATIENT OPD SAMPLE COLLECTION REGISTRATION IN DOOR EMERGENCY RESULT REPORTING IMPRESSION TESTING QUALITY CONTROL SAMPLE ANALYSIS

20. CRITERIA FOR COSTLY EQUIPMENTS PROCUREMENT (i) Type and size of the Hospital. (ii) Daily attendance of patients (III) No of tests needs to be performed per day (iv)After sales service, warranty. (v)Availability of reagents (vi)open system availability of spares. (vii) Familiarity with storage specifications of reagents and expiration dates.

21. STAFFING Staffing depends on units functioning and workload . MEDICAL SUPERINTENDENT HOD (PATHOLOGY) I/C BIO CHEMIST LAB. TECHNICIAN LAB. ASSISTANT LAB. ATTENDANT SAFAIWALA I/C HAEMATOLOGY I/C HISTOPATHOGY I/C MICROBIOLOGY I/C CYTOLOGY I/C URINE & STOOL No. of Lab technicians required 100 bedded-7, 300 bedded-26, 700 bedded - 52

24. QUALITY CONTROL Quality Control is the on going effort to maintain the integrity of a process to maintain the reliability of achieving the expected outcome. PROCESS INPUT OUTPUT IDENTIFY THE PROCESS SET THE PROTOCOL PREPARE SOP SET QUALITY LEVEL PUT THE SYSTEM INTO ACTION MEASURE THE OUTPUT AND COMPARE TO PRE- DETERMINED LEVEL

25. STAGES OF QUALITY CONTROL PRE ANALYTIC ANALYTIC POST ANALYTIC Preparation of Patient Specimen Collection Transportation of Sample Sample Accession Sample Preparation Test in run Final Testing Report Generation Report Dispatch Report Interpretation DOCTOR & PATIENT SATISFACTION QUALITY ASSURANCE SYSTEM

28. QUALITY ASSURANCE Introduction of planned or systemic actions to provide enough confidence that a product or service will satisfy the given requirements for quality as pre- determined. IDENTIFY THE SERVICE/ PRODUCT SET INDICATORS ESTABLISH STANDARD OBSERVE THE PROCESS MEASURE OUTPUT COMPARE WITH STANDARD QUALITY ACHIEVED QUALITY NOT ACHIVED ENHANCE STANDARD REVIEW THE PROCESS & AREAS OF IMPROVEMENT

30. THANK YOU DR.N.C.DAS