02 August 1988
ADMINISTRATIVE ORDER
No. 47 series 1988
TECHNICAL
SUPERVISION AND COORDINATION AMONG HEALTH LABORATORIES IN THE
DEPARTMENT OF HEALTH
The Department of Health
has established and maintains hospital and public health laboratories at
National, Regional, Provincial and Municipal Laboratories. Although
administratively under their respective health offices, it is a policy of the
Department to coordinate these laboratories in order to utilize laboratory
resources to the maximum. The formulation of laboratory development plans
demonstrated the need for closer relationship among various levels of
laboratories and technical supervision by BRL and regional laboratories of
peripheral laboratories.
1.
Levels of
Health Laboratories in the DOH
The
Department of Health Laboratories is classified according to the following
levels:
a. National – Bureau of Research and Laboratories,
laboratories in medical centers, special and highly
specialized hospitals in Metro Manila.
b. Regional – designated integrated Regional Health
Laboratories and other laboratories in Regional hospitals and medical centers.
c. Provincial – laboratories in provincial hospitals
and/or health offices.
d. District – laboratories in district hospitals.
e. Laboratories in Community/Municipal hospitals, and
special clinics (Malaria, Schistosomiasis, STD, etc.)
2.
Policies
and guidelines
a.
Technical
Supervision
In
order to assure the proper performance and reliability of the results of
laboratory examinations, technical supervision by laboratory personnel is
imperative. This supervision shall be a supportive function including guidance
in technical activities, quality control, training and continuing education.
The
Bureau of Research and Laboratories shall exercise technical supervision over
and render consultative services to national and regional laboratories, and
indirectly over all peripheral laboratories at all levels. The integrated
regional health laboratories shall likewise exercise technical supervision over
provincial laboratories, provincial hospital laboratories over district
laboratories and district hospital laboratories over Microscopy Centers and other
peripheral laboratories.
b.
Reference and
Referral Laboratories
The
Bureau of Research and Laboratories and the designated national laboratories
shall serve as reference and referral laboratories for all other laboratories.
The regional, provincial and district laboratories shall serve as referral
laboratories of peripheral laboratories in their areas.
A
system of containers for transport and mailing of referred specimen shall be
developed by the BRL to ensure effective referral to the BRL and Regional
Laboratories. Such containers will be distributed to Regional and Provincial
laboratories and replenished as used. Appropriate standard forms prescribed by
the BRL shall be used for requesting referral laboratory services.
Reports
of results of laboratory examinations will be issued by the referral laboratory
and sent by mail or other usual medium of communication. Telegrams/radiograms
may be utilized for findings which need urgent action.
3.
Training
and Manpower Development
The
Bureau of Research and Laboratories shall establish training and manpower
development programs both for physicians and technical personnel will be
undertaken in collaboration with laboratories in national hospitals and other
resources. Training programs for personnel of peripheral laboratories shall be
developed at regional laboratories.
4.
Periodic
and Uniform Reporting of workload
Quarterly
and annual reports of workload accomplishments and problems as well as findings
of epidemiologic importance shall be reported by each laboratory to the Bureau
of Research and Laboratories through proper channels. Consolidated laboratory
reports at each level shall be made available to the BRL and Health
Intelligence Service. Such reports shall be accomplished in a uniform format
designed by the BRL.
5.
Report of
Epidemiologic Significance
Any
laboratory finding of epidemiologic significance indicating an unusual disease
will be reported promptly to the nearest health officer with a copy furnished
to Regional Health Office, HIS and BRL. Epidemiologic investigation shall be
done when necessary by the Regional Health Office and regional health
laboratory or by HIS and BRL as appropriate.
This Order shall take
effect immediately and supersedes Administrative Order No. 125–A series 1963
and other issuances inconsistent hereof.
ALFREDO R.A. BENGZON,
M.D.
Secretary of Health
No comments:
Post a Comment