January 27, 1976
ADMINISTRATIVE ORDER
No. 274 series of 1976
RULES AND
REGULATIONS GOVERNING AFFILIATION OF MEDICAL TECHNOLOGY SCHOOLS, COLLEGES AND
UNIVERSITIES IN GOVERNMENT HOSPITALS UNDER THE DEPARTMENT OF HEALTH
Health laboratory services
of the Department of Health have been established primarily to give the
adequate laboratory support to the clinicians in the diagnosis and therapy of
patients and to help detect pathologic changes prior to its manifest signs and symptoms.
However, it has been long been aware that while accomplishing this primary
objective, it plays an important role in the training of medical technology
interns. A balance must be had at all times so that service and training can go
hand in hand effectively. In line thereof with the policies of fully maximizing
the effectivity of laboratory services, of upgrading the training of medical
technology interns and of properly utilizing the medical technology during
training, the Department of Health hereby promulgates the following rules and
regulations to be strictly observed and complied with in the affiliation of
medical technology interns in the Department of Health laboratories:
I. RESPONSIBILITIES OF THE
DEPARTMENT OF HEALTH LABORATORIES
Laboratories
designated by the Secretary of Health where medical technology interns may
affiliate to obtain the necessary skills and knowledge in clinical laboratory
practice must meet the following requirements:
1. The laboratory should be duly licensed as specified by
the law on Clinical Laboratories, R.A. 4688
2. The position of medical technologist should be
provided for each of the section of Clinical Chemistry, Clinical Microscopy
(Urinalysis and Parasitology), Microbiology (Bacteriology), Hematology, Blood
Banking and Serology and Histopathology
3. There should be an adequate laboratory space to
accommodate both the staff and the medical technology interns
4. There should be sufficient equipment and supplies
necessary depending on the volume and type of examinations as well as the
number of interns to be trained by the laboratory
5. Each section of the laboratory can be utilized for
training only if it can accommodate at least two interns at any one time.
6. The laboratory should have a training program for
medical technology interns.
(a) The person responsible for this program should be a
member of the specialty society in the laboratory medicine
(b) The training program should prepare in coordination
with the training officer of the hospital or health region and submit to the
Committee on Affiliation with the contract of affiliation
(c) The program should provide for an objective training,
measure or evaluation of the baseline skills and knowledge prior to allowing or
utilizing interns to handle actual specimen from patients
(d) The program should include the (1) the objective of
the training (2) methods or procedures to be taught (3) principles that go with
the methods, (4) right work attitude and ethical values, (5) required quota of
tests to be performed to develop accuracy and precision, (6) objective
evaluation of performance in each section, (7) time schedule and (8) lectures,
seminars, and conferences and (9) methodology of training
7. The minimum number of examinations or samples of each
section to accommodate interns are as follows:
(a) Clinical Chemistry – 3000 examinations/annum
(b) Clinical Microscopy
(1) Urinalysis – 1500 samples / annum
(2) Parasitology (direct fecal smear and concentration
test or Kato thick smear) – 1500 samples/annum
(c) Microbiology
(1) Gram Staining, Acid fast staining – 800 samples/annum
(2) Isolation and identification of organisms – 1000
samples/annum
(d) Hematology
(1) Peripheral blood study to include hemoglobin white
cell count, Schilling hemogram and red cell morphology or CBC – 1200
samples/annum
(2) Sedimentation rate, platelet count, bleeding and
clotting time, malarial smears and other tests – 800 samples / annum
(e) Blood Banking and Serology
(1) Typing – 900 test/annum
(2) Complete cross matching – 600 tests/annum
(3) Serology
VDRL
– 300 tests/annum
Widal
test – 300 test/annum
(f) Histopathology – 500 tissues/annum
Cytology
– 500 tissues/annum
For each additional intern, another half of
the requirement shall be added
8. At least one member of the professional staff of the
laboratory to every group of interns not exceeding ten (10) in each section
should be provided.
9. The staff and personnel of the laboratory will be
assisted by a laboratory instructor experienced in actual laboratory work from
the sending University or College to assist especially to monitor individual
attendance, behavior, performance or the students including guidance in reading
and application of the theoretical knowledge taken up in school to actual
practice.
10. No more than 10 medical technology interns shall be
allowed to train during the night shift in understaffed hospitals and so
certified by the director of the same, such interns should have a medical
technologists to work with them. No intern is to be assigned without the
regular professional staff of the laboratory on duty at the same time.
11. The allotment derived from the intern’s affiliation
fee for the laboratory must be spend for the laboratory needs utilized
exclusively for training and not payment of furniture or appliances of the
laboratory.
12. The Director of the hospital is responsible for the
admission of the number of interns approved by the Committee. He should not
enter into any contract of affiliation with any College, university or school
for medical technology if any of the conditions set forth in this
Administrative Order are not complied with.
13. Quarterly reports on the affiliation fees received
showing the percentage of each category or personnel and the budgetary outlay
showing the proposed amount for each personnel participating in the affiliation
program must be submitted to the Secretary of Health thru the Accreditation Committee
together with the narrative report on the status and/or problems of the
Affiliation Program.
II. RESPONSIBILITIES OF THE
AFFILIATING UNIVERSITIES/SCHOOLS/COLLEGES OF MEDICAL TECHNOLOGY
All
universities, schools, colleges or Medical Technology must have met the
following requirements before applying for affiliation to any clinical
laboratory of the Department of Health
1. Approval from the Department of Education and the
Board of Medical Technology
2. Compliance with the provision of R.A. 5527 and Presidential
Decree No. 498
These
universities, schools and colleges shall:
1. Provide a laboratory instructor experience in actual
laboratory work to monitor individual attendance, behavior and performance of
the students including guidance in reading and application of theoretical
knowledge obtained from school to actual practice and to assist the Pathologist
and professional staff in implementing the approved training program for the
duration of the training of the interns.
2. Pay or replace damage, breakages or loss by the
medical technology interns or laboratory property equipment and supplies
3. See to it that all medical technology interns before
beginning the internship in any section must have completed the theoretical
aspect of that particular section
4. Pay the hospital thirty five pesos (P35.00) for each
intern each month. Payment is done within the first five days of the month
5. Make a request for affiliation to the Chief of
Hospital accomplishing the appropriate standard form of contact of affiliation
(6 copies) and coursed through proper channels to the Secretary of Health,
through the Chairman, Accreditation Committee on Training and Student
Affiliation. Contracts shall be subject for renewal every year by the Chief of
Hospitals
6. See to it that the laboratory instructor and students
observe and abide with the policies, rules and regulations of the hospital and
that discipline is maintained at all times.
7. See to it that the students and instructor are in
their proper uniforms and provided with a laboratory gown.
III. JOINT RESPONSIBILITIES OF
AFFILIATION UNIVERSITIES, SCHOOLS AND COLLEGES OF MEDICAL TECHNOLOGY AND THE
LABORATORIES
1. The training program shall be prepared by the
Pathologist–in–charge of the laboratory in coordination with the training
officer of the hospital. Its implementation shall be the joint responsibility
of the Pathologist, staff and personnel of the laboratory and the laboratory instructor
of each university, school or college assigned to the laboratory for the
duration of the internship of their respective students
2. The internship schedule shall be properly apportioned
to the different section of the laboratory service as follows:
(a) Clinical Chemistry – 2.5 months
(b) Microbiology – 2.5 months
(c) Clinical Microscopy – 3 months
(d) Hematology – 2 months
(e) Blood Banking & Serology – 1 month
(f) Histopathology – 1 month
Under
no circumstances is the duration of internship in any section be prolonged or
shortened
3. A monthly conference should be held to evaluate the
implementation of the program and institution of the program and institution of
changes by the Pathologist, laboratory instructor and staff of the laboratory
and for problems that might arise during the implementation.
4. Maintenance of cooperation and harmonious working
relations at all times among the students and staff of the hospital.
This
Administrative Order superseded all issuances on this matter and shall take
effect immediately.
CLEMENTE S. GATMAITAN, M.D., M.P.H.
Secretary of Health
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