Professional Documents
Culture Documents
///MEDICAL TECHNOLOGY ACT OF 1969 (REPUBLIC ACT NO. 5527) AND ITS AMENDMENTS
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ALFARAS, RUFULE I MLS 2F
TRANS:RA 5527 MEDICAL TECHNOLOGY ACT
further examinations after his failure to qualify for the third time Board may, by majority vote, impose the penalty of reprimand or
(Ratings in the Examination in Section 19, R.A 5527) suspension, the latter, however, not to exceed two years.
When the penalty of suspension or revocation is imposed by the
All successful examinees shall be required to take a professional Board, the medical technologist shall be required to surrender his
oath before the Board or before any person authorized to certificate of registration within thirty days after the decision
administer paths prior to entering upon the practice of medical becomes final, under the pain of perpetual disqualification from
technology in the Philippines (Oath Taking in Section 20, RA. the of medical technology in the Philippines for inexcusable
5527). failure to do so. The suspension shall run from the date of such
surrender (Administrative Investigation-Revocation or
Every applicant who has satisfactorily passed the required Suspension of Certificates practice in Section 24, R.A. 5527).
examination shall be issued a certificate of registration as The revocation or suspension of a certificate made by the Board
medical technologist: Provided, that no such certificate shall be shall be subject to appeal to the Civil Service Commissioner
issued to any successful applicant who has not attained the age whose decision shall become final thirty days after its
of twenty-one years All certificates shall be signed by all the promulgation, unless the respondent within the same period has
members of the Board and attested by its Secretary. The duly appealed to the Office of the President of the Philippines (Appeal
registered medical technologist shall be required to display his in Section 25, R.A. 5527).
certificate of registration in the place where he works. Upon The Board may, upon application and for reason deemed proper
application filed after the approval of this Act not later than ninety and sufficient, reissue any revoked registration certificate. The
days after the Board shall have been fully constituted, the Board suspension of a certificate of registration shall be automatically
shall issue a certificate of registration without examination to lifted upon the expiration of the period of suspension and said
persons who have graduated with a Bachelor of Science in certificate shall be re-issued to the medical technologist
Hygiene and/or Bachelor of Science in Medical Technology in concerned upon request without prejudice to further actions by
duly recognized schools of medical technology in the Philippines the Board for violation of the provisions of this Act or conditions
or foreign countries and who have been in the practice of imposed by the Board upon the medical technologist during the
medical technology for at least three years at the time of the period of suspension (Reinstatement, Reissue or Replacement
passage of this Act in laboratories in the Philippines or in foreign of Certificates in Section 26, R.A. 5527).
countries duly accredited by the Bureau of Research and No foreigner shall be admitted to examination, or be given a
Laboratories, Department of Health, and also to all other persons certificate of registration or be entitled to any of the rights and
having graduated from other paramedical professions who are privileges under this Act, unless the country or state which he is
already civil service eligible by authority of the other Boards of a subject of a citizen permits Filipino Medical Technologists to
profession and who are actually performing medical technology practice within its territorial limits on the same basis as the
practice for the last five years prior to the enactment of this Act subjects or citizens of said country or state (Foreign Reciprocity
(Issuance of Certificate of Registration in Section 21, R.A. 5527). in Section 27, R.A. 5527).
from registration in accordance with the provisions of AMENDMENTS AND THEIR PROCESS
the Act; Amendments, by conventional definition, are changes to certain
(b) Any medical technologist, even if duly registered, provisions of a Republic Act. They are based on the premise that
who shall practice medical technology in the Philippines changes are made or to be made for the purpose of adapting to
without the necessary supervision of a qualified what is presently existing in the professional practice and
pathologist or physician authorized by the Department expanding the rights and privileges extended to an individual or a
of Health; group of persons Similar to the process of enacting a law derived
(c) Any medical technologist who shall knowingly make from the three readings of a bill, the amendment process also
a fraudulent laboratory report; involves bringing the proposed amendment to the focus and
(d) Any duly registered medical technologist who shall attention of the Congress The Senate and the House of
refuse or fail, after due warning by the Board, to display Representatives review the proposal. The Congress, upon a vote
his certificate of registration in the place where he works; of three-fourths of all its members and both Houses must meet in
(e) Any person presenting or attempting to use as his a joint session to discuss the amendment of the provisions.
own, the certificate of registration of another,
(f) Any person who shall give any false or fraudulent R.A. 5527 AND CHED MEMORANDUM ORDERS
evidence of any kind to the Board member thereof
obtaining a certificate of registration as Medical Republic Act 5527 clearly defines what encompasses the
Technologist; practice of medical technology. It also includes provisions on the
(g) Any person who shall impersonate any registrant of scope and coverage of the examination including some
a fake or the same name; information on the performance ratings more so with the
(h) Any person who shall attempt to use a revoked or composition, qualifications, and functions of the Board of
suspended certificate of registration; Examiners. On the other hand, the revocation, reissue, and
(i) Any person who shall, in connection with his name, issuance of Certification of Registration are covered in the Act. In
otherwise assume, use or advertise any title or conjunction with this Act, CHED Memorandum Orders
description tending to convey the impression that he is emphasize the standard policies in applying for a program permit
a Medical Technologist without holding a valid and recognition, including the requirements for library holdings,
certificate of registration; faculty, instruction, schedule of fees, budget, goals and
(j) Any person who shall violate any provision of this Act, objectives, and feasibility study.
or
(k) Any person or corporate body who shall violate the R.A. 4437 AND CLINICAL LABORATORY
rules and regulations of the Board or orders ACCREDITATION AND CATEGORIES
promulgated by it after having been duly approved and
issued by the President of the Philippines upon Republic Act NO. 5527 includes the provisions on the
recommendation of the Commissioner of Civil Service accreditation Of the clinical Laboratory as a training ground for
for the purpose of carrying out the provisions of this Act interns or externs as the case may be. The accreditation of
(Penal Provisions in Section 29, R.A. 5527). clinical laboratories used to be the function of the Bureau of
If any provision of this Act or the application of such provision to Research Laboratory (BRL) and the Department of Health (DOH).
any person or circumstance is declared invalid by a court of However, because of certain changes in the DOH, the functions
competent jurisdiction, the remainder of this Act or of the of classifying the laboratories are now under the Commission on
application of such provision to other persons or circumstances Higher Education (CHED). First, the CHED implements the rules,
shall not be affected by such declaration (Separability Clause in regulations, and policies before the program Can be offered. The
Section 30, R.A. 5527) policy covers the internship program. The classes Of clinical
All acts, executive orders, rules and regulations, or parts thereof laboratories are described and discussed in Chapter 6. Second,
inconsistent with the provisions of this Act are hereby repealed the improvement of laboratory diagnostic services benefits both
Provided, however, that nothing in this Act shall be construed as students and patients; hence, the function should be under the
repealing or amending any portion of the Medical Act of 1959 CHED. Third, R.A. 5527 provides guidelines for the BRL, DOH,
(RA. 2382, as amended by R A 4224), the Clinical Laboratory and CHED.
Act of 1966 (R. A 4688), and the Blood Banking Law of 1956 (R
A 1517) (Repealing Clause in Section 31, R.A. 5527). PRESIDENTIAL DECREE NO. 6138
AMENDMENTS TO R.A. 5527 P.D. 6138 amends certain sections of R.A. 5527. These
In response to issues and concerns on certain provisions of R.A. provisions- Section 16, 21, 22-are amended to read as follows:
5527, several amendments were made after its implementation.
The amendments done to R.A. 5527 include R.A. 6138 (August Every applicant for examination under this Act, shall, prior
31, 1970), P.D. 498 (June 28, 1974), and P.D. 1534 (June 11, to the date thereof, furnish the Board satisfactory proof that
1978). The Medical Technology Act truly augmented the salary he or she: (a) Is in good health and is of good moral
and compensation commensurate with the competencies and character; (b) Has completed a course of at least four years
skills of the Filipino medical technologists. Finally, during the first leading to the degree of Bachelor of Science in Medical
regular session of the Sixteenth Congress on December 04, Technology or Bachelor of Science in Hygiene conferred by
2013, by virtue of House Bill 3502, amendments on several a recognized school, college or university in accordance
sections of R.A. 5527 were enacted with this Act or having graduated from some other
paramedical professions and has been actually performing
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ALFARAS, RUFULE I MLS 2F
TRANS:RA 5527 MEDICAL TECHNOLOGY ACT
medical technology for the last five years prior to the date of persons who have graduated with a Bachelor of Science in
the examination, if such performance began prior to the Hygiene and/or Bachelor Of Science in Medical Technology
enactment of this Act (Qualification for Examination in in duly recognized schools of medical technology in the
Section 16, P.D. 6138). Philippines or in foreign countries who have been in the
practice of medical technology, for at least three years prior
Every applicant who has satisfactorily passed the required to the filing of the application, in laboratories in the
examination shall be issued a certificate of registration as Philippines or in foreign countries duly accredited by the
Medical Technologist: Provided, that no such certificate Bureau of Research and Laboratories, Department Of
shall be issued to any successful applicant who has not Health, and also to all other persons who, having graduated
attained the age of twenty-one years. All certificates shall from other paramedical professions, are already civil
be Signed by all the members Of the Board and attested by service eligible by authority of the other Boards ofprofession
its Secretary. The duty registered medical technologist shall and who have been actually performing medical technology
be required to display his certificate of registration in the practice for the last five years prior to the filing of the
place where he works. Upon application filed after the application (Issuance of Certificate of Registration in
approval of this Act not later than ninety days after the Section 21, RD. 6138).
Board shall have been fully constituted, the Board shall
issue a certificate of registration without examination to
COMMENTARY ON PRESIDENTIAL DECREE NO. 6138 (a) Practice Of Medical Technology. A person shall be deemed
to be in the practice of medical technology within the meaning of
Presidential Decree No. 6138 covers the modifications of three this Act, who shall, for a fee, salary or other compensation or
provisions of R.A. 5527. Section 16 discusses the qualification for reward paid or given directly or indirectly through another, render
the examination in which the provision did not indicate the any of the following professional services for the purpose Of aiding
condition regarding the practice of the medical technology the physician in the diagnosis, study and treatment of diseases
profession over the past five years: and in
the promotion of health in general:
x x x if such performance began prior to June 21, 1969.
Section 21 has not mentioned the last provision of x x x 1.Examination of tissues, secretions and excretions of the human
Provided, that such performance began prior to June 21, body and body fluids by various electronic, chemical, miscroscopic,
1969. Provided, further, that the Board shall likewise issue a bacteriologic, hematologic, serologic, immunologic, nuclear and
certificate Of registration as medical laboratory technician other library procedures and techniques either manual or
without examination to any person who upon application and automated:
payment Of the required fee of fifty pesos (P50.OO) shows 2..Blood banking procedures and techniques;
evidence satisfactory to the Board that: 3. Parasitologic, mycologic and microbiologic procedures and
techniques;
1. He or she passed the civil service examination for medical 4. Histopathologic and cytotechnology; provided that nothing in this
technician given on March 21, 1964; or paragraph shall inhibit a duly registered medical laboratory
2. Has finished a two-year college course and has at least one (1) technician from performing histopathologic techniques and
year of experience as medical laboratory technician; Provided, that procedures.
for every year of deficiency in college attainment, two (2) years of 5. Clinical research involving patients or human beings requiring
experience may be substituted; Provided, further, that an applicant the use of and/or application of medical technology knowledge and
who has at least ten (10) years of experience as medical procedures;
laboratory technician as of the date of approval Of this Decree 6. Preparations and standardization of reagents, standards, stains
regardless Of his academic attainment may qualify for registration and others, provided such reagents, Standards, stains and others
without examination; or are exclusively for the use Of their laboratory;
3. Has failed to pass the board examination for medical technology 7. Clinical laboratory quality control;
but had obtained a general rating of at least 70%. Provided, finally, 8.Collection and preservation Of specimen;
that a registered medical laboratory technician when employed in
the government shall have the equivalent civil service eligibility not
lower than second grade.
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TRANS:RA 5527 MEDICAL TECHNOLOGY ACT
Provided, that any person who shall pass the corresponding Board (g) To determine the adequacy of the technical staff of all clinical
examination for the practice Of a profession already regulated by laboratories and blood banks before they could be licensed with
existing laws shall not be subject to the provisions Of at least four the Department of Health in accordance with R.A. NO. 4655 and
(4) preceding paragraphs if the performance Of such acts or 1517;
services is merely incidental to his profession.
(d) Medical Laboratory Technician. A person certified and (h) To prescribe the qualification and training of medical
registered with the Board as qualified to assist a medical technologist as to special fields of the profession and supervise
technologist and or qualified pathologist in the practice of medical their specialty examination conducted by the professional
technology as defined in this Act (Definition of Terms in Section 2, organization of medical technologists accredited by the
P.D. 498). Professional Regulation Commission;
There is hereby established a Council of Medical Technology (i) T classify and prescribe the qualification and training of the
Education, hereafter referred to as Council, which shalt be technical staff of clinical laboratories as to: Chief Medical
composed of the Commissioner of the Professional Regulation Technologist; Senior Medical Technologist; Medical Technologist
Commission as Chairman, the Chairman of the Board of Medical and Medical Laboratory Technician (Subsection (c) of Section 11
Technology as Vice-Chairman, and the two (2) merhbers of the amended in Section 6, P.D. 498)
Board Of Medical Technology, and the Director Of Private
Education or its duly authorized representative, the Director of the Upon the recommendation of the Medical Technology Board, the
Bureau of Research and Laboratories Of the Department of Health, Department of Education and Culture shall approve schools Of
and a representative of the deans or heads of the private schools medical technology in accordance with the provisions Of this
of medical technology, as members (Council of Medical Decree. The Professional Regulation Commission upon
Technology Education, Its Composition in Section 3, PD. 498). For recommendation of the Medical Technology Board shall approve
every meeting actually attended, the Chairman shall be entitled to laboratories for accreditation as training laboratories for medical
a fifty pesos (P50.OO) per diem while the members Shall be technology students or post-graduate trainees upon satisfactory
entitled to twenty-five pesos (P25.OO) each regardless of whether evidence that said laboratories possess qualified personnel and
or not they receive regular salaries from the government. are properly equipped to carry out laboratory procedures
commonly required in the following fields: bacteriology, serology,
In addition, the Chairman and members of the Council shall be parasitology, hematology, biochemistry and blood banking, and
entitled to traveling expenses in connection with their official duties that the scope of activities of said laboratory offers sufficient
(Compensation and Traveling Expenses of Council Members in training in said laboratory procedures (Accreditation of Schools of
Section 4, P.D. 498). Medical Technology and of Training Laboratories in Section 13
amended in Section 7, P.D. 498).
There is hereby created a Medical Technology Board under the
Professional Regulation Commission, which shall thereafter be Sec. 16. x x x
referred to as the Board composed of a Chairman who is a
pathologist, and two (2) members who are registered medical (b) Has completed a Course of at least four (4) years leading
technologists who shall be appointed by the President of the to the college or university in accordance with this Decree
Republic Of the Philippines upon recommendation of the or having graduated from some other professions and has
Professional Regulation Commission. been actually performing medical technology for the last
The Chairman and members Of the Board shall hold office for five (5) years prior to the date of the examinations, if such
three (3) years after appointment or until their successors shall performance began prior to June 21, 1969 (Subparagraph
have been appointed and duly qualified: Provided, that the (b) of Section 16 amended in Section 8, P.D. 498). The
incumbent members will continue to serve until the expiration of examination questions shall cover the following subjects
their terms. In case of death, disability, or removal Of a member of with their respective weights:
the Board, his successor shall serve only the balance of his terms
(Medical Technology Board in section 5, PD. 498).
Sec. 12. Repealing Clause. All those Executive Orders, Decrees, the term of office of the president of the chartered state universities
Rules and Regulations, or parts thereof inconsistent with the and colleges Republic Act No. 8292 is also known as the Higher
provisions of this Decree are hereby repealed, amended or Education Modernization Act of 1997. It contains specific
modified accordingly: Provided, however, that nothing in this provisions on enlisting the powers and duties of the governing
Decree shall be construed as repealing or amending any portion of boards. The governing boards have the power to promulgate and
the Medical Act of 1959 (Republic Act No. 2382, as amended by implement policies accordance with the state policies on education
Republic Act No. 1224), the Clinical Laboratory Act of 1966 and other pertinent provisions in the Philippine Constitution on
(Republic Act No. 4688), the Blood Banking Law of 1956 (Republic education, science and technology, arts, culture and sports as well
Act No. 1517), and the Rules and Regulations issued pursuant to as the policies, standards, and thrusts of the CHED under Republic
these laws. Section 6. This Decree shall take effect immediately Act No. 7722 The specific provisions regarding administration such
Done in the City of Manila, this 1lth day of June, in the year of Our as the secretary of the colleges universities, the treasurer of the
Lord, nineteen hundred and seventy-eight. Philippines, and the administrative und academic councils are also
covered. The remaining provisions include the filing of reports and
separability and effectivity clauses.
SENATE BILL. 2722
Section 4. Powers and Duties of Governing Boards - The
Senate Bill No. 2722 contains the explanatory note of Senator governing board shall have the following specific powers and
Edgardo Angara during e Fifteenth Congress about the practice of duties in addition to its general powers of administration and the
medical technologists: exercise of all the powers granted to the board of directors of a
corporation under Section 36 of Batas Pambanss Blg. 68
Medical technologists from the Philippines are in high otherwise known as the Corporation Code of the Philippines
demand, thus their training education should be on a par
with the rest of the World's medical professionals. (a) To enact rules and regulations not contrary to law as may be
Philippine schools that offer Medical Technology courses necessary to carry out the purposes and functions of the university
have taken steps to adjust and amend their curriculum in or college:
response to advances and current trends in the medical
world. (b) To receive and appropriate all sums as may be provided, for
Republic Act 5527, otherwise known as The Medical the support of the university or college in the manner it may
Technology Act, Was enacted in 1969. The law has determine. et its discretion, to carry out the purposes and functions
become obsolete and no longer responds to the current of the university or college
practice of medical technology education. This bill seeks
to create a Board of Medical Technology under the (c) To receive in trust legacies, gifts, and donations of real and
Professional Regulation Commission (PRC). The said personal properties of all kinds, to administer and dispose the
Board will be headed by a qualified medical technologist. same when necessary for the benefit of the university or college,
x x x. subject to limitations, directions, and instructions of the donors, if
any. Such donations shall be exempt from all taxes and shall be
considered as deductible items from the income tax of the donor:
SENATE BILL NO. 2473 Provided, however, that the rights. privileges and exemptions
extended by this Act shall likewise be extended to non-stock, non-
profit private universities and colleges: Provided, finally, that the
Senate Bill No. 2473 covers the explanatory note delivered by same privileges shall also be extended ta city colleges and
Senator Teofisto Guingona III held in the Sixteenth Congress: universities with the approval of the local government unit
concerned and in coordination with the CHED
x x x First, a homogenous Professional Regulatory
Board of Medical Technology that is, to be composed of (d) To fix the tuition fees and other necessary school charges,
three (3) Medical Technologists, and chaired by a Medical such as but not limited to matriculation foes, graduation fees, and
Technologist must be created. Being a regulatory body laboratory fees, as their respective boards may deem proper to
which ensures the regulation of the practice and impose after due consultations with the involved sectors (Section 4
monitoring of the conditions affecting the profession for of R.A. 8292, 2015).
the enhancement and maintenance of high professional,
ethical and technical standards and the protection of LEGAL ISSUES AND CONCERNS OF R.A. 5527
interests of members of the profession, it is but The legal issues and concerns that should be addressed in the
reasonable that this be headed by one who comes from amendment proceedings of R.A. 5527 and the other Presidential
the same discipline. Other Professional Regulatory Decrees are as follows:
Boards are composed and chaired by members of their
own professions. x x x 1) Inhibition against the medical technology professional
services. Illegal medical technology practices and services should
REPUBLIC ACT NO. 8292 be properly addressed. All medical technologists performing other
functions which are not within the bounds of their job description
Republic Act No. 8292 consists of 18 sections including an should be treated accordingly. One example is the full-time
effectivity clause. The same R.A. includes provisions for uniformity employment of medical technologists in more than two clinical
in the composition and power of the governing boards. It also laboratories at the same time.
covers the manner of appointing the governing boards as well as
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ALFARAS, RUFULE I MLS 2F
TRANS:RA 5527 MEDICAL TECHNOLOGY ACT
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ALFARAS, RUFULE I MLS 2F
GOMEZ, JABERTO, MAMAC, PADREQUIL | MLS2F
1
PROFESSIONAL REGULATION COMMISSION
Board of Examiners for Medical Technology in
HISTORY
Section 7, R.A. 5527
• Commission was first created as a national government
agency by Presidential Decree (P.D.) No. 223 dated June • There is hereby created a Board of Examiners for
22, 1973, signed by then President Ferdinand E. Marcos, Medical Technology which shall hereafter be referred
mandated to enforce the laws regulating the various to and the Board composed of a chairman who is a
professions. pathologist appointed by the President of the
• was previously called the Office of the Board of Examiners, Philippines from a list submitted by the Philippine
which was created by Republic Act No. 546 on June 17, Society of Pathologists and two members who are
1950, under the aegis of the Civil Service Commission. registered medical technologists appointed.
• became operational on January 4, 1974.
• No member shall be allowed more than one
• office was attached to the Office of the President for general reappointment. The President of the Philippines shall
direction and coordination. fill the vacancy that may occur, but the appointee shall
• On December 9, 1974, the Implementing Rules and serve only the unexpired term of the incapacitated
Regulations of P.D. No. 223 were promulgated, paving the member.
way for standardization of rules and procedures for the
thirty-three (33) professions then under the CSC.
• A law must be promulgated or made known to all through QUALIFICATIONS AND COMPENSATION OF THE
an official publication MEDICAL TECHNOLOGY BOARD OF EXAMINERS
FUNCTION AND ROLES Chairman Qualifications of Examiners in Section 8,
R.A. 5527
• QUASI-JUDICAL
1.) A proceeding conducted by an administrative or • A Filipino citizen
executive official that is similar to a court proceeding, • Must have a good moral character
e.g., a hearing. A court may review a decision arising • Qualified pathologist or duly Registered Medical
from a quasi-judicial proceeding. Technologist of the Philippines with the degree of
2.) A judicial act performed by an official who is either Bachelor of Science in Medical Technology/Bachelor
not a judge or not acting in his or her capacity as a of Science in Hygiene
judge. • Has been in the practice of laboratory medicine or
• QUASI-LEGISLATIVE medical technology for at least ten years prior to his
1.) having a partly legislative character by possession appointment
of the right to make rules and regulations having the • Not a member of the faculty of any medical technology
force of law school, or have any pecuniary interest, direct or
2.) essentially legislative in character but not within the indirect, in such situation.
legislative power or function especially as • The Commissioner of Civil Service Shall be the
constitutionally defined Executive Officer of the Board and shall conduct the
• EXECUTIVE FUNCTION examinations given by it. The Secretary of the Board of
Administers, implements, and enforce the laws and Examiners appointed in accordance with Section Ten
policies with respect to the regulation and licensing of of Act Numbered Four Thousand Seven, as amended,
the various professions and occupations, including the shall also be the Secretary of the Board. He shall keep
enhancement and maintenance of professional and a register of all persons to whom certificates of
occupational standards and ethics. registration have been granted (Executive Officer of
the Board in Section 9, R.A. 5527).
COMPOSITION OF THE MEDICAL TECHNOLOGY
BOARD OF EXAMINERS Compensation of the Members of the Board of
Examiners in Section 10, R.A. 5527
• The list submitted by the Philippine Association of Medical
Technologists, each one to serve a term of three years. • Each member of the Board shall receive a sum of ten
pesos for each applicant examined and five pesos for
• Provided, that the first Board to be created one member for
each applicant granted a certificate of registration
two years and the third member for one year and provided,
without examination.
further, that the first members of the Board of Examiners for
Medical Technology shall be issued a certificate of FUNCTIONS AND DUTIES OF THE MEDICAL
registration as Medical Technologist without prior TECHNOLOGY BOARD OF EXAMINERS
examination in accordance with the provisions of this Act. • Administer the provisions of this act
• Administer oaths in connection with the administration
of this Act
• Issue, suspend and revoke certificates of registration
for the practice of medical technology
OMBING | MLS 2F 1
TRANS: The Philippine Blood Bank Law
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TRANS: The Philippine Blood Bank Law
ADMINISTRATIVE ORDER NO. 293, s.1976 a) to promote and encourage VOLUNTARY blood
donation by the citizenry and to instill public
• Contains supplementary provisions on the collection, consciousness of the principle that blood
processing, and sale of human blood and the donation is a humanitarian act.
establishment of a blood bank and a blood processing b) to lay down the legal principle that the provision
laboratory. of blood for transfusion is a professional medical
service and not a sale of a commodity.
c) to provide for adequate, safe, affordable and
PENALTIES FROM THE REVISED PENAL CODE OF equitable distribution of supply of blood and
THE PHILIPPINES blood products.
d) to inform the public of the need for voluntary
• Any person/s who shall be responsible for the above
blood donation to curb the hazards caused by
violation shall suffer the penalty of imprisonment of not
the commercial sale of blood.
less than 12 years and 1 day nor more than 20 years or a
e) to teach the benefits and rationale of voluntary
fine of not less than P50,000.00 nor more than
blood donation in the existing health subjects of
P500,000.00 or both at the discretion of the competent
the formal education system in all public and
court.
private schools, in the elementary, high school
• The Secretary, after due notice and hearing, may impose
and college levels as well as the non-formal
administrative sanctions such as, but not limited to fines, education system.
suspension or revocation of license to operate a blood f) to mobilize all sectors of the community to
bank/center and to recommend the suspension or participate in mechanisms for voluntary and
revocation of the license to practice the profession when non-profit collection of blood.
applicable. g) to mandate the Department of Health to
establish and organize a National Blood
LEGAL ISSUES AND CONCERNS Transfusion Service Network in order to
rationalize and improve the provision of
• Based on certain observations on several blood bank adequate and safe supply of blood.
outlets, independent or within hospitals. h) to provide for adequate assistance to institutions
promoting voluntary blood donation and
1. Imposing the policy of having a blood donor if providing non-profit blood services, either
the patient is in need of blood supply. through a system of reimbursement for costs
2. Whether nurses should carry out phlebotomy from patients who can afford to pay, or
procedure donations from governmental and non-
3. Legality of selling Blood bags governmental entities.
i) to require all blood collection units and blood
banks/ centers to operate on a non-profit basis.
NATIONAL BLOOD SERVICES ACT j) to establish scientific and professional standards
for the operation of blood collection units and
blood banks/centers in the Philippines.
Provisions of Republic Act No. 7719 k) to regulate and ensure the safety of all activities
related to the collection, storage and banking of
• “AN ACT PROMOTING VOLUNTARY BLOOD blood; and
DONATION, PROVIDING FOR AN ADEQUATE l) to require upgrading of blood banks/centers to
SUPPLY OF SAFE BLOOD, REGULATING BLOOD include preventive services and education to
BANKS, AND PROVIDING PENALTIES FOR control spread of blood transfusion transmissible
VIOLATION THEREOF” diseases.
• Has 3 main parts (primary, functional, and concluding
provisions.)
OMBING | MLS 2F 3
TRANS: The Philippine Blood Bank Law
• Terms that must be familiarized for the purpose of this b) PROMOTION IN SCHOOL- Voluntary blood
act donation shall be included and given emphasis
in health subjects in school. (Both public and
a) Blood/blood product - refers to human blood, private from elementary to college level)
processed or unprocessed and includes blood c) PROFESSIONAL EDUCATION- The
components, its products and derivatives. Department, the Philippine Blood Coordinating
b) Blood bank/center - a laboratory or institution Council (PBCC), Philippine Society of
with the capability to recruit and screen blood Pathologist (PSP), the Philippine Medical
donors, collect, process, store, transport and Association (PMA), the Philippine Association of
issue blood for transfusion and provide Medical Technologist (PAMET), and the
information and/or education on blood Philippine Nursing Association (PNA) are
transfusion transmissible diseases. encouraged to conduct for their respective
c) Commercial blood bank - a blood bank that members and as part of the continuing medical
exists for profit. education trainings on the rational use of blood
d) Hospital-based blood bank - a blood bank and blood products including the merits of
which is located within the premises of a hospital voluntary blood donation.
and which can perform compatibility testing of d) ESTABLISHMENT OF BLOOD SERVICES
blood. NETWORK- Blood centers shall be established
e) Blood collection unit - an institution or facility in every province and city nationwide within the
duly authorized by the Department of Health to framework of a National Blood Transfusion
recruit and screen donors and collect blood. Service Network spearheaded by the
f) Voluntary blood donor - one who donates blood Department in coordination with Philippine
on one's own volition or initiative and without National Red Cross (PNRC).
monetary compensation. e) WALKING BLOOD DONORS- In areas where
g) Department - the Department of Health. there may be inadequate blood banking
h) Blood transfusion transmissible diseases - facilities, the walking blood donor concept shall
diseases which may be transmitted as a result of be encouraged and all government hospitals,
blood transfusion, including AIDS, Hepatitis-B, rural-health units, health centers and barangays
Malaria and Syphilis. in this area shall be required to always keep a
i) Secretary of Health - the Secretary of Health or list of qualified voluntary blood donors with their
any other person to whom the Secretary blood typing.
delegates the responsibility of carrying out the
provisions of this Act; and • The Department, in cooperation with the (PNRC) and the
j) Walking Blood Donor - an individual included in (PBCC) and other government and non-government
the list of qualified voluntary blood donors organizations shall plan and implement a National
referred to in Section 4, paragraph (e), who is Voluntary Blood Services Program (NVBSP) to meet the
ready to donate blood when needed in his/ her needs for blood transfusion in all regions of the country.
community. • The funds shall be provided for the Government through
the budgetary allocation of the Department, by the
(PCSO), (PAGCOR), Duty Free Philippines with an initial
amount of Twenty-five million pesos each and through
Functional Provisions contribution of other agencies.
• All blood bank/centers shall provide preventive health
• Functional provisions are limited to orders on the voluntary
services such as education and counseling on blood
donation of blood, phase-out commercial blood banks,
transfusion transmissible diseases.
rules and regulations on blood bank services, importations
of blood bank equipment, and penalties associated with • All government hospitals shall be required to establish
blood bank provisions violation. voluntary blood donation programs and private hospitals
• Voluntary blood donation shall be promoted through the is encouraged to establish voluntary blood donation
following: programs.
• The Department shall establish guidelines for the rational
a) PUBLIC EDUCATION- Through an organized use of blood and blood products.
and sustained nationwide public education • All commercial blood banks shall be phased-out over a
campaign by the Department, the Philippine period of 2 years after the effectivity of this act (Phase-out
National Red Cross (PNRC) and the Philippine of commercial Blood Banks in Section 7, R.A 7719).
Blood Coordinating Council (PBCC), as the lead • All blood bank/centers shall operate on a non-profit basis.
agencies, other government agencies, local But they may collect service fees. Blood shall be collected
government units (particularly the barangays), from healthy voluntary donors only (Non-profit Operation
non-government organizations, all medical in Section 8, R.A 7719).
organizations, all public and private hospitals, all
health and health-related institutions, print and
broadcast media as well other sectors.
OMBING | MLS 2F 4
TRANS: The Philippine Blood Bank Law
• It shall be unlawful for someone to establish and operate CHAPTER 3: covers voluntary blood donation and the
blood bank/center unless it is registered and issued a composition, function, training, and technical assistance
license to operate by the Department. In case of of the program.
emergencies, blood collection and transfusion under the
responsibility of the attending physician shall be allowed in CHAPTER 4: discusses the abolishment of blood
hospitals without license under certain conditions services and networking involving blood donor
prescribed by the department. No license shall be granted recruitment.
or renewed by the Department as long as it complies to
the standards prescribed by the Department. (Regulation CHAPTER 5: lays down the provisions on upgrading the
of Blood Services in Section 9, R.A 7719). services and facilitates through the monitoring and
• Upon the effectivity of R.A 7719, blood bags and reagents evaluation of subcommittees by defining first their
used for the screening and testing of donors, collecting compositions and functions.
and processing, and storage of blood shall be imported tax
and duty-free by the Philippine National Red Cross, blood CHAPTER 6: provides options to commercial blood
banks and hospitals participating actively in the National banks, although a policy of phasing out commercial blood
Voluntary Blood Services Program. (Importation of Blood banks has been made, to solely clinical laboratories for
Bank Equipment, Blood Bags and Reagents in Section 10, the purpose of security of tenure of the personnel.
R.A 7719).
• The implementation of the provisions of this Act shall be in CHAPTER 7: concerned with the provision of a non-profit
accordance with the rules and regulations to be operation of blood bank services, but service fees may
promulgated by the Secretary, within 60 days from be charged in accordance with what has been prescribed
approval. The existing Revised Rules and Regulations by the department.
Governing the Collection Processing and Provision of
Human Blood and Establishment and Operation of Blood CHAPTER 8: contains provisions on blood bank services
Banks shall remain in force unless amended or revised. including the facilities, creation of blood bank centers,
(Rules and Regulations in Section 11, R.A 7719). categories of blood bank service capabilities, blood
• Upon complaint of any person and after due notice and connection units, and blood stations.
hearing, any blood bank/center which shall collect charges
and fees more than the maximum prescribed by the CHAPTER 9: presents the provisions on the importation
Department shall have their license suspended or revoked of blood bank service equipment and facilities including
(Penalties in Section 12, R.A 7719) the inspection of tax exemption application. Also,
concerned with penalties and violations of this
Administrative Order.
Concluding Provisions
• These provisions focus on the separability clause and
repealing clauses. BLOOD DONOR RECRUITMENT
• If any provisions of this Act are declared invalid, the other
provisions hereof not affected thereby shall remain in force • The Department shall adopt a system of procedures or
and effect (Separability Clause in Section 13, R.A 7719). programs to promote blood donor recruitment and ensure
• This act shall supersede Republic Act No. 1517 entitled” the increase in the number and retention of voluntary
Blood Bank Act.” The provision of any law, executive blood donors as follows:
order, presidential decree or other issuances inconsistent
with this act are hereby repealed or modified accordingly 1. The Department shall coordinate with heads of
(Repealing Clause in Section 14, R.A. 7719). agencies, institutions, offices, organizations,
business, establishment and communities, be they
government or non-government, and encourage them
ADMINISTRATIVE ORDER NO. 09, s.1995 to actively participate in donor recruitment in order to
secure commitments to regular blood donations in
their particularly designated blood services.
2. The Department in collaboration with the Philippine
• Administrative Order No. 09, s. 1995 is otherwise known
National Red Cross shall be the lead agency in the
as the “Rules and Regulations Implementing R.A 7719”
celebration of the Blood Donor’s week which will be
(also known as National Blood Services Act of 1994), took
held annually on the second week of July. During the
effect on May 12,1995
Blood Donor’s Week, the Department, in coordination
• It consists of 9 chapters: with other agencies, shall adopt a program or system
of awards, rites, ceremonies or activities in special
CHAPTER 1: covers the designated name of Order, recognition of the voluntary blood donors
scope, and definition of terms 3. The Department shall coordinate the
professionalization of voluntary blood donors, health
CHAPTER 2: titled” National Voluntary Blood Services educators and donor recruiters through training
Program” activities
OMBING | MLS 2F 5
TRANS: The Philippine Blood Bank Law
OMBING | MLS 2F 6
TRANS: The Philippine Aids Prevention and Control Act of 1988
Introduction
• The human immunodeficiency virus (HIV) is a constant
threat in the global public health setting. In the Philippines,
the cases in the past years have risen alarmingly so much
so that the government, through the Department of Health,
provided programs in public awareness and screening tests
to stop the rise of new cases every day. Despite the
preventive measure, the Philippine is one of the seven
countries globally where AIDS cases have spike to 25% from
2001 to 2009.
Keywords
• Acquired immunodeficiency syndrome (AIDS) – a
syndrome experienced by a patient infected with HIV.
• CD4 cell- the T- helper cell.
• Human immunodeficiency virus- a single stranded RNA
belonging to the family Retroviridae. Structure of the Human Immunodeficiency Virus
• Modes of transmission- routes of entry into the body of the
host. • Gp120 and Gp41 - the important glycoproteins located on
• Opportunistic organisms- organism that a host harbors the surface of the viral wall and are responsible for point
and which can cause the onset of a disease when the body’s attachment to target cells.
immune system is weak.
• Philippine National Aids Council- an organization that
provides assistance to persons with AIDS. TRANSMISSION AND SYMPTOMS OF AIDS
• Progression to AIDS- the development of the different
stages of AIDS • HIV is considered a fragile virus meaning cannot survive
• Republic Act No. 8504- an act that protects the outside the host cell.
confidentiality of a person living with someone who has
AIDS. • Viral load in the body secretion such as semen, vaginal
fluid, blood, and breast milk are considered high and
transmitted to another person through direct contact.
HUMAN IMMUNODEFICIENCY VIRUS (HIV)
• A single stranded, enveloped RNA that belongs to a family • Tears, sweat, feces, and urine are the other secretions that
of virus called retroviruses. the amount of viral load is not enough to cause infection.
• It is the cause of unique disorder known as acquired • The most common transmission of HIV is through sexual
immunodeficiency syndrome (AIDS) which lowers the contact or unprotected sexual intercourse.
immune response of the body toward off diseases.
Other possible causes of transmission:
• Considered an obligate intracellular parasite that infects a
• Sharing of needles by drug addicts
specific type of cell call CD4 cell commonly known as the
T-helper cells. • Blood transfusion of infected blood products
• Accidental skin puncture
• only account for small portion of population of people with HIV
3 enzyme of the virus that uses to infect the healthy
HIV is not transmitted through any of the following:
cell inside the body:
• Hugging and massage
• Reverse Transcriptase – used for the virus transcription of
• Masturbation
RNA to DNA inside the cell.
• Dry kissing
• Integrase – an enzyme that the virus utilizes to penetrate • Daily living with someone with HIV (as long as there is no
the target cell in the body. intimate contact)
STAGES OF AIDS
AIDS COUNCIL AND AGENCY
Early Stage
Philippine National Aids Council (PNAC)
• During this period which runs within 2-4weeks after the
initial infection, some patients experience what they • December 1992, Executive Order No. 39
describe as the “worst flu ever” a.k.a. acute retroviral • To advise the government on the development of policies
syndrome (ARS). to prevent and control HIV/AIDS
Symptoms:
• High fever Key function:
• Lymphadenopathy syndrome (swollen glands)
• Secure from government agencies concerned
• Rash
recommendations on how their respective agencies could
• Fatigue
operationalize specific provisions of this Act. The Council
• Headache shall integrate and coordinate such recommendations and
o These symptoms do not conclusively mean that a person
has HIV, it is the best to undergo blood screening tests to issue implementing rules and regulations of this Act. The
provide a definitive diagnosis. Council shall likewise ensure that there is adequate
coverage of the following:
Latency Stage o The institution of a nationwide HIV/AIDS information
and education program;
• During this stage, the virus replicates in the host’s body o The establishment of a comprehensive HIV/AIDS
slowly. Although this condition is detectable through monitoring system;
serologic testing, the patient may experience symptoms of o The issuance of guidelines on medical and other
varying degrees. practices and procedures that carry the risk of HIV
o The person starts feeling better and has no detectable transmission;
symptoms that can be observed o The provision of accessible and affordable HIV testing
and counselling services to those who are in need of it;
Progression to AIDS o The provision of acceptable health and support
services for persons with HIV/AIDS in hospitals and in
• A person with HIV who has not undergone medication will
communities;
progress to having a condition called acquired immune
o The protection and promotion of the rights of
deficiency syndrome (AIDS). AIDS considered the final individuals with HIV; and
stage of a person infected with HIV. o The strict observance of medical confidentiality.
o The person’s immune system in this stage is weak due to
decrease of CD4 cell and cannot fight off serious infection
and illness. • Monitor the implementation of the rules and regulations of
Symptoms: this Act, issue or cause the issuance of orders or make
• Rapid weight loss recommendations to the implementing agencies as the
• Recurring fever or profuse night sweats Council considers appropriate;
• Extreme and unexplained tiredness
• Diarrhea lasting for month • Develop a comprehensive long-term national HIV/AIDS
• Pneumonia prevention and control program and monitor its
implementation;
• Memory loss, depression, and other neurologic disorders
• Sores in the mouth, anus, or genitals
o The symptoms enumerated are accompanied by • Coordinate the activities of and strengthen working
opportunistic diseases most commonly affecting the relationships between government and non-government
respiratory tract. agencies involved in the campaign against HIV/AIDS;
Department of Health
• Under the supervision of Department of Health, a
Early Stage Latency Stage secretariat was created to monitor and evaluate the affairs
of the Council. The secretariat has the following functions:
▪ Promote and advocate the implementation of ROLE OF EDUCATIONAL INSTITUTIONS AND OTHER
national response by the different partner AGENCIES IN AIDS AWARENESS
agencies including organizing World’s AIDS
Day, Candlelight, and other national AIDS- • The role of educational institutions in aids awareness
related activities. is focused on educational counseling and health
informative advisory.
o Provide technical support to the council and its o In educational counseling
partners. ▪ The development and progress of
AIDS can be discussed with through
o Assist the council in monitoring and evaluating the teaching.
national response. ▪ The concepts of AIDS and its
▪ Monitor and evaluate activities/projects and etiological agent, Human
programs related to HIV/ AIDS. Immunodeficiency Virus (HIV), can
▪ Collect and serve as the repository of data be incorporated into academic
form member agencies and stakeholders for subjects.
response, inventories, and/or future o Health informative advisory
reference. ▪ Educational institutions can provide
▪ Provide necessary information to trigger seminars in which the participants
appropriate responses from concerned coming from different professional
agencies. organizations.
▪ Identify endorse issues and concerns • Clinical ethics calls for the application of ethical
regarding AIDS response. considerations
▪ Organize national multi-sectoral forum to o The Confidentiality of the results and the
disseminate information on the national n persons positive for HIV testing are protected
response. by the law.
o Informed consent for HIV testing has been the
protocol in most of the hospitals.
o Assist the council in identifying and mobilizing o Pre-natal HIV-testing
resources in support of the implementation of AIDS • Ethical considerations and moral issues
response. o The acceptance of a person with AIDS or HIV
is far from universal
o Provide administrative support to the council by o A society can isolate any person with AIDS or
developing and enhancing management systems and HIV
procedure through following: o Discrimination can be seen anywhere
▪ Human resource capacity-building (trainings, • Medical point of view
workshops, mentoring, and skills-building) o If there is intimate Body contact
▪ Inventory of office equipment and vehicles ▪ Ex. Sexual Activity
from local and international donors and o Body fluids from the person with AIDS
agencies for PNAC use. ▪ Ex. Blood
▪ Perform administrative functions like o Contaminated needles or Punctured needles
documentation, filling, inventory, etc. or lancets
▪ Function as support staff during plenary and • Important principles in bioethics
sub-committee meetings o Respect for persons
▪ Provide administrative support to the Council ▪ Signifies respecting the decisions of
in the conduct of PNAC plenary and sub- others and protecting those who lack
committee meetings. the decision-making capacity
o Beneficence
▪ The obligation to impose positive
The PNAC works collaboratively with the acts in the best interest of patients
government agencies such: o Justice
▪ Fair treatment
• Department of Foreign Affairs
REPUBLIC ACT NO. 8504
• Department of Interior and Local Government
• Depart of Justices • otherwise known as "Philippine AIDS Prevention
• Department of Tourism and Control Act of 1998".
• Department of Social Welfare and Development • contains provisions set in nine articles.
• Philippine Information Agency • starts with the Declaration of Policies and Definition
• Senate Committee on Health of Terms.
• Congress Committee on Health SECTION 2. Declaration of Policies
• Department of Labor and Employment
• Department of Budget and Management • Acquired Immune Deficiency Syndrome (AIDS)
• Department of Education o a disease that recognizes to territorial,
• Department of Health social, political and economic boundaries
and for which there is no known cure.
o Public awareness through comprehensive o Health and support services which cover
nationwide educational and information hospital-based and community-based
campaign. services, livelihood programs and
o Full protection of the human rights and training, control of sexually transmitted
civil liberties of every person suspected or diseases, and insurance for persons with
known to be infected with HIV and AIDS. HIV.
▪ Compulsory HIV testing shall be o Information dissemination on how to
considered unlawful unless control sexually transmitted diseases.
otherwise provided in this Act;
▪ The right to privacy of ARTICLE 5
individuals with HIV shall be
guaranteed; • The Government will monitor HIV/AIDS.
▪ Discrimination, in all its forms and o Procedures on how to monitor people with
subtleties, against individuals with HIV, including contact tracing and the
HIV or persons perceived or program the agencies have established.
suspected of having HIV shall be
considered inimical to individual and ARTICLE 6
national interest; and
• Confidentiality will be protected on HIV status.
▪ Provision of basic health and
o How to maintain the confidentiality of results,
social services for individuals with
including the risk(s) associated with
HIV shall be assured. reporting the results, penalty associated
o Safety and universal precautions in for releasing the results, disclosure of the
practices and procedures that carry risk of results to the sexual partner, and release
HIV transmission. of results with consent of the patient.
o Positively address and seek to eradicate
conditions that aggravate the spread of ARTICLE 7
HIV infection.
o Participation of affected individuals in • Discrimination against people with HIV is illegal.
propagating vital information and educational o Discriminatory procedures, especially in the
messages about HIV/AIDS. workplace, school, hospitals, and the
public.
ARTICLE 1
ARTICLE 8
• The Government must promote education and
information campaigns. • The government will establish a Philippine National
o Public and private schools (intermediate, AIDS Council
secondary, and tertiary levels), including non- o Creation of the National AIDS Council,
formal and indigenous learning systems must including its power and functions.
discuss the causes, modes of o Some implementing rules and regulations,
transmission, and ways of preventing and separability and effectivity clauses are
HIV/AIDS. also presented.
o The knowledge and capabilities of all public
health workers shall be enhanced to include SUMMARY
skills for proper information
dissemination and education on HIV/AIDS. • Human Immunodeficiency Virus (HIV)
CERO MLS2F 1
Principles of Newborn Screening
Procedure
It is a non-diagnostic test
The newborn (2 weeks after birth) is usually subject to
laboratory examination.
Urine, blood and a series of laboratory tests are
performed.
2
RATIONALE FOR NEWBORN SCREENING PROCEDURE HISTORICAL PERSPECTIVE OF NEWBORN
SCREENING TEST
Mandated by law by virtue of R.A. 9288 In 1960, Robert Guthrie received the credit for
discovering the earliest screening for phenylketonuria
ALL NEWBORN BABIES ARE SCREENED, EVEN IF (PKU).
THEY MAY LOOK HEALTHY AND THUS BE
SPARED FROM HERITABLE CONDITIONS THAT
CAN LEAD TO MENTAL RETARDATION AND
DEATH IF UNDETECTED OR UNTREATED.
3
ENDOCRINOPATHIES
A condition associated with abnormal heme synthesis, 1. Phenylketonuria – inherited autosomal recessive
hemoglobin variants, and globin synthesis. disorder.
Characterized by a deficiency in phenylalanine
1. Porphyria's – defect in one or more enzymes involved in hydroxylase (converting phenylalanine into tyrosine).
heme synthesis resulting in the accumulation of porphyrin in the
bone marrow or the liver. May result in severe retardation.
Other disorders include maple syrup urine disease,
2. Sickle cell disease – the presence of hemoglobin S in a alkaptonuria, tyrosinuria/tyroseinemia, and cystinuria.
homozygous state:
4
PROVISIONS OF 9288 ARTICLE 4
Republic Act No. 9288- was enacted and declared as The department of health which established its
“NEWBORN SCREENING ACT OF 2004” objectives
5
STEPS IN SAMPLE COLLECTION 3RD sample, SHOULD BE COLLECTED 3
WEEKS LATER, IF THE FIRST SAMPLE
1. Properly documented all information about the baby TAKEN PRIOR TO 48 HOURS AS THE
GENETIC PROFILE WILL BE
and his/her family.
STABILIZED.
2. Ensure complete identification of the baby.
4. Infants born after “in-utero blood transfusion”:
3. Collect blood sample within 24 0r 72 hours (3 days). Obtain a sample 48-72 hours after birth as
this is the time when the mother’s/donor’s
influence on metabolic ceases. 2nd sample
4. Cleanse the baby’s heel (alcohol cotton should be collected 3 weeks later.
swab)
Air-dry the heel. 5. Extremely low birth weight or premature
Prick the heel (slight angle) infants:
- Wipe the first drop
- The heel dependent facing down. A 2nd sample should be repeated after the
initial specimen to detect those infants in
• Wait for the spontaneous flow of which the immaturity of the hypothalamic-
5. pituitary-thyroid axis may initially mask
blood.
• Lightly touch the circle of the card primary congenital hypothyroidism.
with drop of blood.
• Allow the blood to soak and For birth weight <1000 grams, a 2nd
completely fill the circle on the specimen collected at 3 weeks, no later
card. than 6 weeks.
• Air-dry the spots for few hours on
a flat non-absorbent surface. For birth weight <1500 grams, a 2nd
• 0bserve for the completeness and specimen is collected at 2 weeks, no later
sufficiency of blood. than 4 weeks.
If the sample taken after the infant dies, write on the screening card in red
that it is “post-mortem” sample as there is marked difference in the
metabolic profile within between a live and deceased infant.
1
BUAT. PESANTE. ROSALES | MLS 2F
TRANS: CHAPTER 9: WATER TESTING LABORATORY LAWS
(MWSI) and Manila Water Company, Inc. (MWCI). They 3. Households - Sewage generated by houses or runoff from
pursue the government's thrust of privatizing basic water septic tanks into nearby waterways introduces organic
services. pollutants that can cause eutrophication. Similarity, the
improper disposal of human and animal excreta can cause
WATER AND ITS CONTAMINANTS AND water pollution.
POLLUTANTS
PERTINENT LAWS AND REGULATIONS ON WATER
Water pollution is mainly caused by chemicals, living organisms, SUPPLY
and human activities. In some cases, it may refer to physical,
chemical, or biological changes in the quality of water, making it The water supply in the Philippines is regulated by pertinent laws
unsafe for human consumption Water Pollutants There are so that safe water is fairly and justly distributed to consumers.
several classes of water pollutants The first category includes
bacteria, viruses, fungi, or parasites. They may enter the PRESIDENTIAL DECREE NO. 856
sewage system and untreated wastes. They make the sewage
• aka the CODE ON SANITATION OF THE PHILIPPINES
system their habitat, adversely affecting the health of people
• It was enacted to promote the healthy and safe
who consume the water. The second category is the oxygen-
consumption of water. The authority to promulgate rules
demanding wastes. This situation usually occurs when a
and regulations is vested in the Secretary of the
population of bacteria lives in these wastes that deplete oxygen
Department of Health by virtue of Section 4 of the Code.
levels in the water. The third category is water-soluble inorganic
pollutants like acid, base, salts, and toxic metals. Once present
ARTICLE 11
in drinking water, these pollutants may cause diseases or
infections. The Fourth category is nutrients. They comprise the • talks about the standards and procedures regarding the
water soluble nitrates and phosphates that usually deplete microbiological and chemical analysis of drinking water.
oxygen supply in the water. These chemical compounds may
cause eutrophication, the natural nutrient enrichment of lakes • Other protective measures are required as mandated by
and streams which causes a dense growth of plant life and death P.D. 856:
of animal life from lack of oxygen. The fifth pollutant includes
organic substances such as oils, plastics, and pesticides. They SECTION 13. OTHER PROTECTIVE MEASURES.
render water unfit for drinking. They may become suspended To protect drinking water tromp contamination, the following
particles on the water's surface. The last category of water measures shall be observed:
pollutants is radioactive compounds. • (a). Washing clothes or bathing within a radius of 25 meters
from any well or other source of drinking water is prohibited
SOURCES OF WATER POLLUTANTS • (b) No artesian, deep or shallow well, shall be constructed
Some sources of water pollutants include the following: within 25 meters from any source of pollution
1. Farming - the use of pesticides and herbicides leads to • (c) No radioactive sources or materials shall be stored
water pollution. These toxic chemicals affect the living within a radius of 25 meters from any well or source of
organisms dependent on water. They also linger in the drinking water unless the radioactive source is adequately
water over a longer period of time. Farmers also utilize and safely enclosed by proper shielding.
chemical fertilizers that are harmful to humans • (d) No person charged with the management of a public
2. Business - whether a food establishment or a water supply system shall permit any physical connection
manufacturer of finished products, business consumes between its distribution system and that of any other water
water. The wastes and sewage generated by industries can supply, unless the latter is regularly examined as to its
seep into the water supply. Many industries and power quality by those in charge of the public 5upply to which the
plants utilize rivers, lakes, and streams to remove wastes, connection is made and found to be safe and potable
thus polluting these bodies of water. Industries also • (e) The installation of booster pumps to boost water directly
generate heat during their operations, resulting in thermal from the water distribution line of a water supply system
pollution. Thermal pollution is dangerous to all living where low-water pressure prevails is prohibited.
organisms
2
BUAT. PESANTE. ROSALES | MLS 2F
TRANS: CHAPTER 9: WATER TESTING LABORATORY LAWS
• The rules and regulations govern the water supply in 1976 NATIONAL WATER CODE (P.D. 1067)
various places and establishments such as schools, • otherwise known as Presidential Decree No. 1067.
markets, restaurants, hospitals, homes, and other places. • It took effect on December 31, 1976 during the regime of
The same decree contains provisions pertaining to sewage former President Ferdinand Marcos when there was water
collection and the disposal of excreta and drainage scarcity and the patterns or levels of water supply
fluctuated.
ADMINISTRATIVE ORDER NO. 31, S. 1979 • This Code was enacted on the premise that all the waters
• prescribes the rules and regulations governing the of the Philippine belong to the state.
accreditation of water analysis laboratories. The basic • It was designed to revise and consolidate the utilization,
requirements are first mentioned: ownership appropriation, development, exploitation,
conservation, and exploitation of natural resources. This
● Any person, firm or corporation desiring to establish or code also created the National Water Resources Council to
operate and maintain water analysis laboratory shall submit control and regulate the water resources in the country
to the Ministry of Health, through the Bureau of Research
and Laboratories, an application, the form prepared and PHILIPPINE WATER ACT OF 2004 (R.A. 9275)
adopted therefore, and containing among others the • otherwise known as the Philippine Water Act of 2004.
following data: • It provides consistent protection, preservation, and revival
o the name, citizenship and domicile of the head of the of the quality of the water system in the Philippines.
laboratory;
• It also mandates a comprehensive water quality
o the municipality and he place where it is to be management policy amidst economic growth.
established:
• The main focus of this Act is water quality management
o name of establishment
system and international mechanisms and standards
o name, citizenship and domicile of owners,
• As stated in Presidential Decree Na. 856, the examining
o scope and nature of work, specifying procedures;
laboratories can be private or government laboratories duly
o statement that applicant has complied with all
accredited by the Department of Health. It is the
business requirements under existing laws or
responsibility of the operator of the water system to submit
ordinances that are necessary in pursuance of the
water samples for analysis to the DOH at an interval period
activity for which an accreditation is applied for; and
prescribed by the Department.
o tax clearance for preceding year.
An inspector of the Bureau of Research and Laboratories
shall, upon the receipt of said application, inspect within 60
days the establishment and verify if applicant has complied
with all the requirements prescribed in the regulations. The
certificate of accreditation will henceforth be issued, signed
and approved by the Minister of Health or his duly authorized
representative of the application is found to be meritorious,
otherwise the same shall be returned to the applicant with
Rotations on why application was not approved.
The other requirements include personnel; physical plant;
equipment, apparatus, and other materials; manner of
reporting the result; application for license to operate
inspection; issuance and renewal of certificate to operate:
violations; revocations of license; and updating
requirements.
3
BUAT. PESANTE. ROSALES | MLS 2F
MEDICAL TECHNOLOGY EDUCATION IN THE PHILIPPINES
INTRODUCTION o In 2017, UST was the first and the only school to
offer Doctorate Degree in Medical Technology
The training of Filipino volunteers by U.S Army
surgeons and the establishment of health laboratories in the • CENTRO ESCOLAR UNIVERSITY
country during the American occupation might be considered
medical advancements. However, the training given by these o Founded in 1907 and was originally named Centro
health professionals and the number of trained individuals were Escolar de Senoritas.
not enough to resolve the growing public health problems in the o Offered the B.S in Medical Technology in 1960.
Philippines. This chapter discusses the establishment of o With the motto Ciencia y Virtud (Science and Virtue)
medical technology as formal discipline in the academe to
produce competent and efficient professionals to perform
laboratory work. • FAR EASTERN UNIVERSITY
o In 1961, Dr. Horacio Ylagan and Dr. Serafin Juliano
MEDICAL TECHNOLOGY EDUCATION IN THE envisioned the opening of a Medical Technology
PHILIPPINES: HISTORICAL PERSPECTIVES program at Far Eastern University.
o The School of Medical Technology was then placed
Philippine Medical Technology education provides under the auspices of the Institute of Medicine and
knowledge and information on how other field of science Institute of Arts and Sciences headed by Dean Lauro
became a partner of health care system. Panganiban.
ESPULGAR | MLS 2F 1
• General Education and Professional courses with 6 or o it contains policies and guidelines pursuant to the
12 months of internship. commission en banc Resolution No. 739-2007, dated
o 6-month internship was implemented by virtue of oct. 15, 2007.
CMO 088, s. 1998
o aims to keep pace with the demands of global
• R.A No. 7722 or the Higher Education Act of 1994 competitiveness and quality training for interns
o signed by former president Fidel V. Ramos on May
• CHED Memorandum Order No. 41, s.2012
18, 1994
o this law declares that the state protects, fosters and o was implemented with the intention of institutionalizing
a ladderized interface between the model embedment
promote the right of citizens to affordable quality
education at all levels and takes appropriate of Technical and Vocational Education and Training
steps to ensure that education is accessible to all. (TVET) and Higher Education.
o CHED formulated the Higher Education Memorandum o Ladderized curriculum of Bachelor of Science in
Medical Laboratory Science Program
Order.
o Associated with the CMO 14, s. 2006 – additional
courses such as cytogenetics, pharmacy, splitting,
• Republic Act No. 8292
clinical chemistry 1, 2, 3, seminars 1 & 2 with 6 months
o AKA Higher Education Modernization Act of 1997
internship
o provides for the uniform composition and power of the
governing boards of state universities and colleges • Outcomes-based Educational System
nationwide.
o provides the manner of appointment and term of office to have a unified curriculum, the technical panel members of the
of the president chartered public higher education CHED conducted seminar-workshops to enforce the outcomes-
institutions (HEIs). based educational system in the Medical Technology
o laid down the powers and duties of the SUC governing curriculum.
board, the highest policymaking body of the institution
Objective: aim of this outcomes-based curriculum is a full and
• CHED Memorandum Order No. 08, s. 1998 clear discernment of the possible employment of the new
o upgrades Medical Technology Education policies & graduates who demonstrate the necessary skills and theoretical
standards knowledge and who are prospective good quality and competent
o policies and guidelines are formulated and professionals in the future.
implemented allowing the Medical Technology
program to operate under the provision with full • K to 12 Program
authority issued by CHED
The implementation of the K to 12 program adds 2
• CHED Memorandum Order No. 27, s. 1998 years in secondary education which is otherwise known as
senior high school. With this new curriculum, the number of
o it pertains to policies and standards on a curriculum basic general education courses are reduced to only a few
designed for a common 2-year associate in health subjects.
science education (ASHE).
Issues: college teachers of GE courses losing their jobs, the
o to offer ASHE program to equip undergraduate preparedness of some state or private educational institutions to
students with experience to function as healthcare offer senior high school education, and the capacity of parents
providers to pay the additional tuition and other fees.
• CHED Memorandum Order No. 14, s. 2006 TRANSFORMATIVE EDUCATION IN THE BACHELOR
OF SCIENCE IN MEDICAL TECHNOLOGY PROGRAM
o Provides the rationale of Medical Higher Technology
Education in the Philippines pursuant to Republic Act
No. 7722 • Started before the outcomes-bases education.
o It governs the establishment of schools of Medical • the Medical Technology program included general
Technology education with a required number of units per course, then
gradually changed when the Associate in Health Science
o It covers the standard, policies, and guidelines in Education (AHSE) was implemented.
operating a Bachelor of Science in Medical Technology
program. • (Science, Technology, and Society; Health Economics;
Health Ethics; and the like. )
• CHED Memorandum Order No. 6, s. 2008
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• The Medical Technology (Medical Laboratory Science) SENATE BILL NO. 2722 (MEDICAL TECHNOLOGY
course shall be at least four years. ACT OF 2011)
• The said course shall be composed of general • There shall be a program of Continuing Medical
education, core and professional courses, and a Technology Education (CMTE) conducted by the
satisfactory internship program in accredited training accredited professional organization and other CMTE
laboratories. providers to enhance and maintain the proficiency of,
its members on current medical technology procedures
• Professional subjects: Hematology, Clinical and techniques.
Chemistry, | Microbiology, Parasitology, Blood Requirements:
banking/Immunohematology; Serology/Immunology, - RMT’s shall abide by the requirements, rules and
Clinical Microscopy, Histopathology & Cytology, regulations of CMTE which shall be promulgated by the
Laboratory Management, and Medical Technology Board, subject to the approval of the Professional
Laws & Ethics. The Technical Panel in Medical Regulation Commission.
Technology Education (“TPMTE”) - A medical technologist shall be required to undergo
medical technology training and education program
• An established of a Technical Panel in Medical every three (3) years beginning from the issuance of
Technology Education under the Commission his certificate of registration
(TPMTE) on Higher Education-Office of Programs and Objective :upgrade the level of skill and competence of medical
Standards (CHED-OPS). technologists.
• The TPMTE shall be composed of the following
members: POST GRADUATE PROGRAM IN MEDICAL
a. The President of the Philippine Association of TECHNOLOGY
Schools of Medical Technology and Hygiene
(PASMETH), who shall- be the Chairman; • REQUIREMENTS FOR SCHOOLS OFFERING
b. The President of the Philippine Association of
POSTGRADUATE DEGREES IN MEDICAL
Medical Technologists, Inc. (PAMET);
c. A representative from the Board of Medical TECHNOLOGY
Technology/ Professional Regulation Commission; o Master of Science in Medical Technology (MSMT)
d. A representative from PAMET; and e. A o University of Santo Tomas, Philippine Women’s
representative from PASMETH. The TPMTE shall be University, Saint Louis University, and Manila Central
supported by a secretariat and staff (Creation and University.
Composition of Technical Panel in Medical Technology o Meet and Maintain high accreditation levels (levels 2 or
Education (TPMTE) in Section 22, S.B. 2722). 3) with good performance rating (80%) in Medical
• shall assist the Commission on Higher Education in Technology licensure examination.
setting policies, standards, and guidelines for the o Doctor of Philosophy in Medical Technology program
Medical Technology program. It may also assist in its is planned soon
implementation, including monitoring and evaluation.
• MASTER OF SCIENCE IN MEDICAL TECHNOLOGY
FUNCTIONS OF THE TPMTE o A Master of Science in Medical Technology is one
of the requirements imposed by CHED for
• A. To recommend the minimum curriculum required for professors at the tertiary level.
the course of medical technology; o It includes 33 units of academic and cognates
• B. To determine and prescribe the number of students and six units of thesis writing.
that will be allowed to take the medical technology o Presentation and submission of a thesis.
course in each school, taking into account the student- o The basic course are Research Methods and
instructor ratio and the availability of facilities for Statistics while the cognates can be Human
instruction; Resource Management or Organization
• C. To recommend the closure of medical’ technology Management
schools which are’ found to be substandard; o The major courses are Advanced Biochemistry,
• D. To-require all medical technology schools to submit Hematology, Cytogenetics, Clinical Chemistry,
an annual report, including the total number of students Immunohematology, Serology and Immunology
and instructors, list of facilities available for instruction, and Microbiology.
a list of their recent graduates and new administrations, • DOCTOR OF PHILOSOPHY IN MEDICAL TECHNOLOGY
on or before the month of June;
• E. To inspect, whenever necessary, the different o 15 units of Philosophy courses, 6 units of cognates,
medical technology schools in the country in order to 9 units of thesis writing and seminar, 6 units of
determine whether a high standard of education is foreign language, and 24 units of major courses.
maintained in said institutions;
• F. To promulgate, prescribe, and enforce such rules o The course offering should focus on in-depth
and regulations as may be necessary for the proper understanding of the advanced technology in
implementation of the foregoing functions diagnosis, prevention, and treatment of diseases or
infections.
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LEGAL ISSUES AND CONCERNS fields: bacteriology, serology, parasitology, hematology,
• SCHOOL POLICIES IN MAINTAINING HIGH-QUALITY and biochemistry, and that the scope of activities of said
BACHELOR OF SCIENCE IN MEDICAL TECHNOLOGY laboratory offers sufficient training in said laboratory
EDUCATION procedures (Accreditation of Schools of Medical
Technology and of training Laboratories in Section 13, R.A.
o In well-established schools of Medical Technology,
policies, rules and regulations is formulated and 5527)
implemented to ensure the production of quality
graduates. • Philippine Association of Accrediting Schools, Colleges
o Policies includes admission policy, sequencing of and Universities (PAASCU)
courses in MT curriculum and course syllabi, internship o Regarded as a judge in evaluating whether the
program policy, grading system, graduation policy, and school’s own purposes and objectives match and are
policy of hiring and employing comparative with the actual practice in various areas
assessed.
• COMPARISON OF THE CIRCULA OF BACHELOR OF o Areas of evaluation include the purposes/objectives,
SCIENCE IN PUBLIC HEALTH AND BACHELOR OF faculty, instruction, library, laboratories, physical
SCIENCE IN MEDICAL TECHNOLOGY plants, students’ services, administration and school
o The Bachelor of Science in Public Health and Bachelor and community extension services.
of Science in Medical Technology were merged
o Therefore, a graduate of Bachelor of Science in Public
Health can also take the Medical Technology licensure
examination. Once a B.S in Public Health passes the • Philippine Association of Colleges and Universities
board examination, he or she is eligible to practice as Commission on Accreditation (PACUCOA)
a Registered Medical Technologist. o Private accrediting agency, provides a formal
recognition to all schools that maintain and achieve
excellent standard in their educational operation
ACCREDITATION PROGRAMS within the context of their aims, mission and vision
and objectives. Enables schools to get identified
• Accreditattion based on competency and performance in a
-is always requirement in any program offering to upgrade particular field. Gives students better choices of
teaching methodologies and and strategies. quality schools, helps schools achieve and maintain
educational effectiveness to its maximum level, and
• ACCREDITATIONS OF REQUIREMENTS FOR THE enlists the cooperation of institutions of learning and
MEDICAL TECHNOLOGY PROGRAM professional associations in achieving the mission of
• 2 well-recognized accreditation agencies advancing the interest of education.
o Philippine Association of Accrediting Schools,
Colleges and Universities (PAASCU) • International Organization for Standardization
o Philippine Association of Colleges and Universities (ISO)
Commission on Accreditation (PACUCOA) o Is an agency that caters the needs of institutions,
• A school of medical technology has to be accredited whether educational, industrial, or hospital for setting
first before it can offer the postgraduate program in quality objectives. In setting quality objectives, the
either Master of Science or Doctor of Philosophy in management has the responsibility of ensuring that
Medical Technology. the objectives that have been set and established are
• Other accreditation agency measurable, relevant, and coherent, and meet the
quality policy of the organization. Through ISO, the
• International Organization for Standardization quality objectives can measure the performance of
(ISO) the products, processes, customer satisfaction,
o Monitors the flow of operation of the program and human resources and suppliers.
investigates the proper documentation of every
assigned work or risk.
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First, materials that demonstrate the institution’s
accomplishments and exhibit the level of quality of the areas of
operation that are under scrutiny must be prepared. Next, the
college or university undergoes a peer review of the prepared
materials. Finally, action is taken by the accreditation
organization to determine whether accreditation will be granted
to the institution.
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MEDICAL TECHNOLOGY PROFESSIONAL ORGANIZATIONS IN THE PHILIPPINES
PAMET Insignia
DATES TO REMEMBER:
Table No. 1 PAMET Presidents and their Significant Contributions to the Organization
PASMETH in 2016 was considered the national Circle represents the continuity of learning and never-ending
organization of all recognized schools offering quest for excellence in the academic field
Bachelor of Science in Medical Laboratory
Diamond – each corner represents the objectives of the
Science and Bachelor of Science in Public Health
association
continuing the advancement of their advocacy and
achieve their four objectives: Microscope- represents the field of Medical Technology and
1. To encourage thorough study of the needs public health
and problems of medical technology and
public health education and offer solutions 1970 is the founding year
2. To work for continuous development of
medical technology and public health
education in order that the profession will be
of maximum service to the country
Goals:
and holistic development of Medical Laboratory Science o the right to have the opportunity for training if it is
Students. for improvement of his/her professional career.
• The Microscope signifies Medical Laboratory Science. • In order for a legitimate organization to exist, each member
is obliged to register as a member by paying a reasonable:
RIGHTS AND OBLIGATION OF ORGANIZATION, o Amount of membership fee;
o Uphold the objectives, goals, and virtues of being
OFFICIALS, AND MEMBERS a professional; and
o To render services voluntary and willingly for the
Rights and Obligations of Professional Organizations benefit of other members, the organization itself,
and the society as a whole.
The rights of any professional organization: Benefits of being a Member of a Professional
Organization
• To act as representatives of the body in any meeting,
session, and gathering conducted by the CHED or the • Internship and Job Opportunities
recognized Board or Commission; • Conferences
• Industry Standards
• To act as the exclusive representative of medical • Code of Ethics
technologists as in the case of PAMET; medical technology • Updates on Policies
professors as in the case of PASMETH; or students of
medical technology in the case of the implementation of
new changes in the medical technology curriculum as set Legal Issues and Concerns
forth by the Technical Panel of the CHED;
• To implement rules, regulations, and policies regarding Some Legal Issues and Concerns
membership and other related activities;
• Power of the organization to control any form of malpractice
• To undertake and conduct activities like seminars, in the profession
workshops, and conventions for the members’ professional
growth and development; and • Power to monitor the increasing number of schools offering
the B.S. Medical Technology program
• To do or perform any act for the benefit of the members and
the organization. • Power to hear and settle grievances of the members
o Any professional organization is bound to serve • Public display of or access to documents of the
every member if it is for his/her benefit and not organization, especially the accounting records or financial
against public safety, order, and peace. reports
o It is mandatory for any professional organization to
provide the opportunity for each member to attend Other Concerns and Issues
seminars, workshops, and conventions that will
improve his/her intellectual knowledge and • Sponsorship of every member in a convention or seminar-
technical know-how. workshop abroad
Rights and Obligations of the Members
• Regular monthly meeting of the members
• A bona fide member of any legitimate professional
organization is bound to obey the policies, rules and • Suggestions or solicited advice in improving the
regulation of the said organization. He/she has: performance of schools in the board examination
o the right to cote and to be elected in any position;
o the right to be informed of the changes in medical • Settlement of conflicts in the workplace, and improvement
technology education, organizational structure, in the working conditions of medical technologists
and the latest scientific and technological
innovation; • Full supervision, monitoring, and governance of the
members’ activities in the workplace.