Professional Documents
Culture Documents
This work is dedicated to God Almighty, , for his unconditional love , protection
and mercy granted to me throughout the period of my Industrial training.And also
dedicated to my ever supporting mother, Mrs. Ojighoro Vivian yellow for
consistent moral and financial support to see to the success of my activities
during my Industrial training period.
ACKNOWLEDGMENT
2. The use of protective clothing like laboratory coats or gowns must be worn
over normal clothing.
3. Cover shoes should be worn while in the laboratory and walking
4. No eating, drinking or chew gums in the laboratory.
5. Smoking is prohibited in the working zone.
6. Dispose used needles and syringes immediately after use.
7. Disinfect all infected/contaminated materials before disposal.
8. Store processed specimen containing highly infectious pathogens in the safety
cabinet.
9. Pour disinfectant solutions over any spilled material in any case of spillage, and
leaving it for fifteen (15) minutes before cleaning.
10. Avoid the use of any equipment in the laboratory unless you are trained and
approved as a user by your supervisor.
11. Wear safety glasses (face shades) when working with hazardous materials
12. Turn off all ignition sources/power when leaving the laboratory.
13. Keeping the work area clear of all materials except those needed for your
work.
14. Clean all work benches at the end of the day with disinfectant.
15 Carefully reading labels.
Cuts and Pricks: Cuts and pricks may result from the following:
Accidental pricking with needle or any other sharp objects.
Hazards of Toxic Chemicals: Hazards due to toxic chemicals are caused by:
Inhaling fumes of toxic chemicals
Ingesting toxic chemicals
Skin contacts with toxic chemicals
EMERGENCY RESPONSE
It is importance that laboratories have appropriate code of safety laboratory
practices. These responses include the following:
2. The Centrifuge: This powerful device used is used to swiftly separate and
sediment the molecular elements like cells that may be dispersed inside a
fluid through a fast rotational movement through a process called
“centrifugation”. Blood Specimen which is centrifuged into serum and
plasma. To be more specific a centrifuge is used for determining the volume
of the packed cells of RBCs. capillaries tube is filled with blood samples are
rotated at high speeds and finally the percentage of RBC is calculated.
I. Tourniquet is tied tightly around the upper arm and the patient is asked to
tighten his or her fist (for the veins to be more visible).
ii.70% alcohol is used to sterilize the area to be punctured with the aid of a piece
of cotton wool.
iii. The syringe is gently inserted into the superficial vein (median cubital vein) and
blood is withdrawn and inserted into a sampling bottle for testing.
iv. After the blood is withdrawn into the syringe, the syringe remains in the vein
while the tourniquet is loosed.
The syringe is removed gently and a piece of cotton wool is used to apply pressure
on the punctured spot.
v. Blood is inserted to a collection bottle for testing.
Arterial Sampling:
Note: There are brachial, femoral and radial arteries. The easiest and safest to
access for blood collection is the radial artery.
Locate radial artery at the wrist region close to the thumb and disinfect the area
with 70% alcohol and allow to dry for some seconds.
Holding the syringe and needle like a dart, the index finger is used to locate pulse.
The needle is inserted at 45º away from the index finger after which it is advanced
into the radial artery until a blood flashback appears.
The blood is allowed to fill the syringe till appropriate level.
Note: the syringe plunger is not to be pulled back at this point.
2.5 VARIOUS SECTIONS OF MEREJE GOVERNMENT HOSPITAL LABORATORY
2.5.1 RECEPTIONIST/COLLECTION SECTION:
This is the unit where patients are received, registered and attended to regarding
the investigation written on their laboratory request forms by the doctor. The
activities which go on in this section are collection of clinical specimens and
issuing of laboratory results.
EROLOGY SECTION:
The serology section analyzes blood specimens for diseases. It is where serology
blood tests are performed to detect and measure the levels of antibodies.
Clinical tests done in this section are blood borne pathogens including HIV,
Hepatitis Bsurface Antigen (HBsAq), Widal tests and analysis of blood specimens
for diseases of public and diseases transmitted from animals to humans Like
mosquito-borne diseases. Blood, especially serum is used.
VDRL TEST
VDRL is a screening test for syphilis. It measures antibodies that are produced
from the body making contact with the causative agent of syphilis called
treponema pallidium.
Aim: To determine the presence or absence of hepatitis and syphilis in the body
system.
Materials: HBsAG Test strips, VDRL test strip EDTA bottle, centrifuge, clean test
tube.
Specimen: Serum
Procedure: The patient’s blood sample was collected into a plain bottle through
venipuncture. The blood sample was spun n a centrifuge for five minutes. After
spinning, the serum was separated carefully into a clean test tube by use of
Pasteur pipette and then test strip was immersed vertically into the serum for 10
minutes. The observation was taken after 10 minutes.
Result:
Positive: Two distinct red lines, one line should be in control region (C) and
another line should be in the test region.
Negative: One red line appears in the control region (C)no apparent red line
appears in the test region (C).
Invalid: This occurs when the control line fails to appear due to insufficient
specimen volume or incorrect
Urine: the patient’s urine sample was collected into the universal bottle and the
pregnancy test strip was immersed into the urine for three seconds, then
removed and left for five minutes before observation.
Result: An appearance of a line at the control region and another at the test
indicates positive result while an appearance at the control region only indicates a
negative result. In a case where there is no appearance of any line, the result is
said to be invalid and thus has to be redone using another test kit procedural
techniques. showing pregnancy test results on strip
RETROVIRAL TEST
Introduction: This is the diagnosis for Human Immunodeficiency Virus, an
infectious agent that causes Acquired
Immunodeficiency Syndrome (AIDS), a disease that leaves a person vulnerable to
life threatening infection. HIV transmission occurs when a person is exposed to
body fluids infected with virus such as blood, semen, vaginal secretions and
breast milk.
Aim: To investigate the presence of HIV 1 and HIV 2 in a patient’s blood.
Materials: Determine kits, Unigold kit, Stat pack buffer, plain bottle, and pipette.
Specimen used: Blood (serum)
Procedures: The blood sample collected in a plain bottle was centrifuged at
3000rev/min to allow separation.
The serum was picked with a pipette and two drops were placed on the sample
pad of the determine
WIDAL TEST
Introduction: Widal test is a test used for the diagnosis of typhoid fever, based on
agglutination of salmonellatyphiby dilution of the patient’s serum.
Aim: To detect the presence of salmonellatyphiand Para typhiin the serum of a
patient.
Materials: White rocking tiles, Pasteur pipette, centrifuge, Salmonella antigen
suspension kit and stop watch.
Procedure: 3-5mlof blood was collected from the patient through venipuncture
into a plain bottle and the blood was spun at 3000rev per min for five minutes as
to separate the plasma from blood. A dropper was used to carefully draw out the
antigen kits (Salmonella ‘0’and ‘H’) and a drop was placed on each of the test
cards in the rocking tile. A drop of serum was also made on each of the drops of
the antigens. The serum and antigens were homogeneously mixed after which the
white rocking tile was rocked continuously for about 2 minutes. Mixture was
observed for agglutination at intervals of 30seconds, 1 minute, 2minutes and
5minutes.
Result:
Reactive: visible agglutination on spot H and others indicate the presence of
salmonellaantibodies.
Non-reactive: no visible agglutination indicates absence of Salmonella
antibodies.
The result is graded according to the degree of agglutination ranging from
1:20<1:80<1:160<1:320. Hence, any diagnostic titre value equal to or greater 1:80
is diagnosed of enteric fever
Table
diagram
Microscopic view of malaria parasite (plasmodium falciparum)
4 HEMATOLOGY SECTION:
HB GENOTYPE TEST
Aim: To determine the genotype of patient’s blood
Principle: This principle is based on the migration of charged particle in an electric
field. At pH above or below their iso-electric point, proteins carry a net negative
or positive charge and thus migrate to the opposite electrode.
At alkaline (8.6), Hemoglobin carries a net negative charge and thus migrates to
the anode.
Materials: Applicator’s stick, Cellulose acetate paper, Genotype electrophoresis
tank (machine), Blood sample, control (a known AS sample of blood), Filter paper,
Water, White test card.
Procedure: The cellulose acetate paper was soaked in Tris-buffer and gently
blotted between two sheets of filter paper to remove excess moisture, the red
cell (hemolysate) is lysed with distilled water on the white test card.
The control was also lysed with water. The red cell (hemolysate) was applied to
the already blotted cellulose acetate paper with an applicator stick while the
cellulose acetate paper was placed on the electrophoretic tank making sure the
front of the application is on the cathode end and the direction of migration on
the anode end.
The lid was replaced and current switched on. The protein (hemoglobin) was
allowed to migrate for 10 to 20mins.
The cellulose acetate paper was removed from the tank and dried. Then the
bands were inspected and compared with a known AS
Result: Result: If the result is AA when there are two lines when the S migrate to
the positive electrode and then A to
the negative electrode then is AS. When A migrate only to the negative electrode
then it is AA andwhen the S
riigrate to positive electrode and another S migrate to the positive electrode then
it is SS.
A) BLOOD GROUP
Introduction: Blood group is a classification of blood based on the presence or
absence of inherited antigenic substances on the surface of red blood cells.These
antigens may be proteins, carbohydrate, glycoprotein or glycolipids depending on
the blood group system.
Aim: To determine the blood group of a patient.
Principle: The antigen in the red cell reacts with the anti-sera to form an
agglutination reaction.
Materials: Grouping tile, Applicator stick, Anti-sera A, B, D, Blood sample,
Procedure: A drop of Anti-sera A, B, D was placed in three different places on the
grouping tile. After which a drop of the patient’s sample was added to Anti-sera A,
B, and D respectively. The blood sample was mixed with the antisera using
different applicator sticks and the tile was rock gently.
Result: Below is the possible results and interpretation
CONCLUTION
My six month industrial attachment with Mereje Government Hospital has really
been fun, interesting, productive and instructive experience in my life. I have
gained new insight and more Practical comprehensive understanding about the
field of my study and the working condition.In addition, from what I have
undergone, I am sure that industrial training program has achieved its primary
objective. As a result of the program, I am now confident to build my future
career which I have already started with Mereje Government hospital.
REFERENCE
Mereje Government hospital, Okpe local government area, Delta state.
A Text Book of Microbiology by Dr. R. B Dubey and Dr. D. K Maheshwari.
BrowneAJ,Kashef HamadaniBH,KumaranEAP,et al.Drug-resistant enteric fever
worldwide, 1990 to 2018: a systematic review and meta-analysis.BMC Med2020;
18:1.doi:10.1186/s12916-019-1443-1pmid:31898501