B.

Tertiary Laboratory Site Visit

A. Instructions: Coordinate a visit to a local tertiary laboratory.

Complete the form below by interviewing a tertiary laboratory
personnel/administrator.

1. Date:
2. Name of the Tertiary Laboratory Administrator:
3. Location of the Tertiary Laboratory:
4. Contact Details of the Tertiary Laboratory:
Name:
Address:
Contact Person:
Telephone/Fax:
Email:
5. General Information

5.1. Achievement/Success Stories:

5.2. Issues:

5.3. Number of Personnel

Xx Total Number of Consultant Pathologists

xx Total Number of Resident Pathologists
Xx Total Number of Medical Technologists
xx Total Number of Medical Laboratory Technicians
xx Total Number of Laboratory Aides
Xx Total Number of Medical Technology Interns

5.4. Identify the different jobs/works at the tertiary

laboratory. Write the job description for each position in the
laboratory.
 Consultant Pathologists: Pathology consultants or pathologists are
physicians who focus on diseases and other abnormalities that affect
patients. Most pathology consultants specialize in a particular field,
such as hematopathology or forensic pathology. They may conduct
tests, examine biological samples and collaborate with other
physicians to diagnose illnesses.

Medical Technologists: A Med Tech is in charge of preparing and

analyzing the results of blood and bodily fluids. Also known as Medical
Technicians or Medical Technologists, these highly-skilled professionals
mostly work in hospitals and independent laboratories. Duties include
collecting, testing, and recording samples.

Medical Laboratory Technicians: Setting up, maintaining, calibrating,

cleaning and testing the sterility of lab equipment, preparing solutions
or reagents to be combined with samples.

Laboratory Aides: Lab Assistants are responsible for helping

technologists and scientists during lab tests and research. These
highly-analytical professionals' possess in-depth knowledge of basic
laboratory techniques and equipment. Their duties include processing
samples, classifying results, and recording findings.

5.5. Are there job items for medical technologists or medical

laboratory technicians? If yes, what are the tasks of medical
technologists in a tertiary laboratory?

Medical Technologist Job Duties in Tertiary Laboratory:

 Determines normal and abnormal components of body fluids by

conducting chemical analyses of blood, urine, spinal fluids, and
gastric juices.
 Analyzes blood cells by counting and identifying cells, using
microscopic techniques and procedures.
 Prepares blood, plasma, and platelets for transfusions by
conducting blood group, type, and compatibility tests.
 Ensures operation of analyzers, spectrophotometers, colorimeters,
flame photometers, and other laboratory equipment by calibrating;
completing preventive maintenance requirements; following
manufacturer's instructions; troubleshooting malfunctions; calling
for repairs; maintaining equipment inventories; evaluating new
equipment and techniques.
  Maintains laboratory supplies inventory by checking stock to
determine inventory level; anticipating needed supplies; placing
and expediting orders for supplies; verifying receipt of supplies.
 Conserves laboratory resources by using equipment and supplies as
needed to accomplish job results.
 Provides medical technology information by answering questions
and requests.
 Prepares reports of technological findings by collecting, analyzing,
and summarizing information.
 Maintains professional and technical knowledge by attending
educational workshops; reviewing professional publications;
establishing personal networks; participating in professional
societies.
 Maintains inter- and intradepartmental work flow by fostering a
spirit of cooperation.
 Maintains safe and clean working environment by complying with
procedures, rules, and regulations.
 Protects patients and employees by adhering to infection-control
and hazardous waste policies and protocols; following identification
procedures.
 Maintains patient confidence and protects the hospital by keeping
information confidential.
 Contributes to team effort by accomplishing related results as
needed.

5.6. Laboratory Diagnosis. Complete the table by supplying

all the necessary information needed in a tertiary level facility.

LABORATORY EXAMINATION PURPOSE

HEMATOLOGY

Full Blood Count Testing It evaluates three major components

Vitamin B12 Deficiency Testing
found in blood: white blood cells, red
blood cells and platelets. There are
many reasons for a full blood count test,
but common reasons include infection,
anemia and suspected haemato-
oncological diseases.

A lack of vitamin B12 can make the

patient feel tired, run down and without
Cholesterol Testing energy. A simple blood test can detect
whether vitamin B12 levels have
decreased.
Blood Glucose Testing
Cholesterol testing can alert a doctor as
to whether a patient needs to take
action to lower blood cholesterol and
Renal Profiling whether further treatment is required.

Blood glucose testing is used to show

how well the patient has been able to
control his or her diabetes over the past
few months.

Renal profiling can provide a unique and

valuable snapshot of how the kidneys
are functioning.

CLINICAL CHEMISTRY

Electrolyte Test An electrolyte test can help determine

whether there's an electrolyte imbalance
in the body.
Urinalysis
A urinalysis screens for the presence of
protein and blood in the urine.
Serum creatinine test
This blood test examines whether
creatinine is building up in your blood.
Blood urea nitrogen (BUN)
BUN tests measure the amount of
nitrogen in the blood.
Estimated GFR
This test estimates how well your
kidneys are filtering waste.

CLINICAL PARASITOLOGY

Parasitology Test Parasitology is a gastrointestinal test

that evaluates stool for the presence of
intestinal parasites, using microscopic
examination. The parasitology test can
help reveal parasitic infections and
enable you to target treatment protocols
geared toward infection resolution.

CLINICAL MICROSCOPY

Urinalysis A urinalysis screens for the presence of

 protein and blood in the urine.

Fecalysis is an important test that

Fecalysis detects bacteria, parasites, and other
substances in stool samples to aids in
diagnosing certain diseases.

Occult Blood The fecal occult blood test (FOBT) is a

lab test used to check stool samples for
Pregnancy Test hidden (occult) blood.

Pregnancy tests work by checking your

urine (pee) for a hormone called human
chorionic gonadotropin (HCG). Your body
only makes this hormone if you're
Urine Sugar pregnant.

The glucose urine test measures the

amount of sugar (glucose) in a urine
sample.

CLINICAL MICROBIOLOGY

Aspirate culture & sensitivity Interpretation of a TA culture out of

context can lead to antibiotic overuse,
which should be avoided.
Aspirate for AFB
Gastric aspiration is a technique used to
collect gastric contents to try to confirm
the diagnosis of TB by microscopy and
mycobacterial culture.
Blood culture & sensitivity
A blood culture is a test that checks for
foreign invaders like bacteria, yeast, and
Pus Culture other microorganisms in your blood.

The test is done on a sample of pus to

identify the presence of the pathogenic
Chlamydia organism in the pus.

A chlamydia test is used to determine

whether or not you have a chlamydia
infection.
 5.7. Compare primary, secondary, and tertiary clinic
laboratories.

CATEGORY PRIMARY SECONDARY TERTIARY

LABORATORY LABORATORY LABORATORY
Laboratory Size
Number of
Personnel
Number of
Laboratory Test
Number of
Sections
Number of
Patients on a
Daily Basis

B. Instructions: Based on your feedback diary, write a general

reflection of what happened during your visit to a tertiary
laboratory. Use the following form to help you organize your
thoughts.

AREA FEEDBACK

We learned the distinction between a

primary, secondary, and tertiary
CONTENT laboratory. We as well got to observe
(What have I learned?) and witness how the medical
technologists execute their job using
different methods, tests and instruments
in the laboratory.

PROCESS We learned these through administering

(How did I learn it?)
an interview to important personnel of
the laboratory who was able to answer
the questions necessary to be answered.
We personally went to our chosen
hospital where we got all the information
from.

REASONS We learned it in order to be very well

(Why did I learn it?) familiar with the tasks of medical
technologists in a tertiary laboratory as
well as the tests being executed in it.

ACADEMIC AND PROFESSIONAL This learning experience contribute to

DEVELOPMENT our academic and professional
(How does this learning experience development, in a way it made us
contribute to my academic and familiarize with the routine of the tertiary
professional development?) laboratory,

This learning experience means a lot to

PERSONAL DEVELOPMENT us because as we personally went to the
(What does this learning experience hospital’s laboratory. We learn more and
mean to me?) more from the people who happened to
be the professionals who work there. We
absorb new learning and instill them into
our mind.