ALLIED HEALTH PROFESSIONALS COUNCIL
MINISTRY OF HEALTH
P.O.BOX 7272, KAMPALA
TEL:0414345688,0776345688,0706345688
EMAIL: info@ahpc.ug; website: www.ahpc.ug
CHECK LIST FOR THE MINIMUM REQUIREMENTS TO OPERATE A MEDICAL
LABORATORY (Level 3)
1. Name of the Laboratory ……………………............................................…………………..
2. Type of a medical Laboratory
a) Stand alone
b) Under a Clinic/Hospital
b) If (b), Is the Clinic/Hospital licensed by any Health Professional Council? ...........
d) If (c) above is yes, state the Council......................................................
3. Location: District………………..............................County…………………...................……
4. Sub-county……….......................................................................................................…………
LC1…………………………………………..Street…………………………………
Postal address……………………………Email…………....………………………
Phone(s) Landline……………….………………………Mobile………….…………
5. Is the Laboratory registered with the AHPC? Yes
6.
No
If yes, Reg. No……….….…
Personnel inventory.
PERSONNEL
NAME
QUALIFICATION(tick to indicate the qualification)
Degree
Diploma Certificate
Others qualifications
In-charge
Others
(including
part time)
* If more technical staff, fill additional sheet of paper
1
Contact person’s Name……………………………….......Sign……….……Tel……………
S/No
SECTION
1
2
3
4
5
6
7
8
9
Tests performed
SEROLOGY / IMMUNOLOGY
Brucella serological test
Syphilis screening (RPR/VDRL)
HIV Serology tests
Hepatitis B virus screening
Hepatitis C virus screening
Hepatitis A virus screening
Cryptococcal Antigen
C – Reactive Protein
Rheumatoid factor
10
Anti Streptolysin O
11
Anti nuclear antibodies (ANA)
12
Serological tests for other common
infectious disease conditions
MICROBIOLOGY
Gram staining
ZN staining
Examination of CSF and other body
fluids
i.
Macroscopy
ii.
Microscopy including cell
count
iii. Biochemical tests
iv.
Culture and sensitivity
Stool:
i.
Microscopy
ii.
occult blood
iii. culture and sensitivity
Urine:
i. urinalysis,
ii. microscopy,
iii. culture and sensitivity
Sputum
i.
microscopy
ii.
culture and sensitivity
Examination of swabs:
SECTION
13
14
15
16
17
18
19
Yes / No
Comments
2
20
21
22
23
SECTION
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
SECTION
42
43
44
45
46
47
48
49
50
51
52
53
54
55
i.
microscopy,
ii.
culture and sensitivity
Blood culture and sensitivity
Examinations for fungal infections
Semen Analysis
TB culture
HAEMATOLOGY
Blood slides for malaria and other
haemoparasites
ABO and Rh grouping
Blood cross - matching
Compatibility testing
Coomb’s test (Direct and Indirect)
Storage of Blood for transfusion
Erythrocyte Sedimentation Rate (ESR)
Full Haemogram (CBC)
Differential white cell count
Reticulocyte count
Peripheral blood film (comments)
Bleeding and clotting time
Prothrombin time (INR)
Partial thromboplastin time
HB Electrophoresis
Sickle cell screening test
Lupus Erythromatus test
Processing and examination of bone
marrow aspirates
CLINICAL CHEMISTRY
Blood glucose
Glucose Tolerance Test
Alkaline phosphatase
Aspartate aminotransferase(AST)
Alanine aminotransferase(ALT)
Gamma Glutamyl Transferases (GGT)
Bilirubin - total and direct
Proteun – total and albumin
Protein electrophoresis
Urea (BUN)
Electrolytes(Na+, K+, Cl-)
Creatinine
Uric acid
Lactic acid
3
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Calcium
Inorganic Phospharous
Magnesium
Lipase
Serum amylase
Total cholesterol
Triglycerides
High density lipoprotein
Low density Lipoprotein
Creatine phosphokinase(CPK)
Lactic dehydrogenase(LDH)
Blood gases(ICU)
Hormonal tests (Fertility)
Thyroid function
PSA and other tumour markers
SECTION
72
73
HISTOLOGICAL TESTS
Cervical smear (Pap smear)
Processing and examination of
cytological specimens
Processing and examination of
histological specimens
74
75
76
77
78
OTHER TESTS
CD4, CD8 or other CD classification
PCR (DNA, RNA)
ARV drug resistance testing
Skin snips
S/No
1
2
3
4
5
6
7
Physical Space
Total testing area – 24 sq meters (minimum)
Phlebotomy to fit a couch with an arm chair
Lighting (Natural /Artificial)
Ventilation (Sufficient / Insufficient)
Reception and Waiting area (sufficient)
Patient’s Toilet
Storage area for:
i.
Lab reagents
ii.
Supplies
iii. Records
8
9
Source of running water
Wash hand basin
Yes /No
Comments
4
10
11
Fire extinguisher
Separate room with a safety cabinet or a dead
end safety box for handling highly infectious
samples
S/No
1
2
3
4
Equipment and materials
Binocular microscope
Heamatology analyser
Chemistry analyser
Immuno cell marker counter (e.g. CD4
counter)
Air incubator
Hot air oven
Shaker
Vortex
Roller mixer
Glucometer
Appropriate strips for tests performed
Appropriate stains
Staining containers or rack
Waste containers
Electric Centrifuge
ESR rack, tubes and timer
Immersion Oil
Microscope slides and glass cover slips
Autoclave
Refrigerator
Disinfectants and Antiseptics
Protective wear (coat, gloves, etc)
Record books (Phlebotomy, Results and
sample referrals)
Microtome and accessories
SOPs for tests being performed
Phlebotomy kit and the appropriate specimen
containers (stool, urine, blood, etc)
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Yes / No
Comments
5
District Laboratory Focal Person’s general comments
………………………………………………………………………………………………………
………………………………………………………………………………………………………
DLFP’s Name …………………………..................Signature…………………Date......................
Lab In-charge’s Name………………………………Signature…………………Date……………
Recommendations of DHO
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Signed: …………………………………………
Full Names: ……………………………………………………………………………………
Dated: ………………………………………..
Official stamp/seal
FOR OFFICIAL USE ONLY
Comments
............................................................................................................................................................
............................................................................................................................................................
Signed...............................................................
Full Names........................................................................................................................................
Title....................................................................................................................................................
Date..................................................................
6
7