The document summarizes the layout, infrastructure, facilities, equipment, and quantitative analysis of a hospital laboratory. The laboratory is located on the first floor of an old building away from main traffic. It has fully air conditioned sections for reception, hematology, biochemistry, microbiology, and serology. Equipment includes analyzers for hematology, biochemistry, electrolytes, urine, coagulation, HbA1c, ELISA, immunoassay, ESR, and serum proteins. The laboratory receives over 400,000 test requisitions annually, with the majority being for biochemistry tests. Issues include large buffer stocks to avoid stock outs, and recommendations include implementing a more scientific materials management system.
2. Location & Layout
1st floor Old building away from the main traffic area .
ICU , Dialysis unit, Endoscopy unit-nearest departments
SICU , Cath Lab and OT ( Sterile OTs )are on the same floor .
3. Infrastructure and Facilities
Fully air conditioned with Central Ventilation system with
one dedicated A.H.U. for microbiological laminar flow
system.
Main sections - Reception , Hematology , biochemistry(
Includes Clinical Pathology) , Microbiology & Serology.
FACILITIES:-
LIS,
Automated Equipments,
Centralized Air conditioning,
Separate OPD Collection centre
Human Resource :-
Laboratory Manager
Blood Bank Manager,
-( MD Clinical Pathology) Quality control Manager,
( MD Microbiology) Infection Control Manager.
Other Laboratory Technicians & Clerical staff are 30 .
4. Breakdown Management System in the Lab:-
CMC and Optional working Machine,
Special Zones in the Lab:-
Microbiology department
Materials management in the Lab.:-
Decentralized system-
Reagents Lab In charge
Other materials Pharmacy & Materials Management.
Quality Assurance:-
1. External quality assurance programm for
biochemistry and Hematology departments.
2. A Blood sample run on both the machines
3. All the technicians -well trained for universal
safety precautions & special precautions.
4. Complete care and confirmation of Results.
14. Quantitative Analysis
DATA from MRD :-
Received overall 4,07,667 requisitions for various tests
Biochemistry - 2,39,631 ,( 58.78 %) ( 657 tests per day),
Hematology 70,742 ( 17.35 %) ( 194 tests per day),
Microbiology 24,198 ( 6%) ( 66 tests per day),
Blood Bank 17962 ( 4.40%) ( 49 tests per day),
Serology - 18112 ( 4.5 %) ( 50 tests per day)
Clinical Pathology - 19129 ( 4.69 %) ( 52 tests per day),
Histopathology - 3841( 1%) ( 11 tests per day)
Immunoassay - 14052 ( 3.45 % ) ( 39 tests per day)
Per day 100-120 samples from OPD and 50-80 samples from IPD
i.e. 6 -8 Samples per technician.
15. Issues :-
There are large buffer stocks in laboratory in
order to avoid stock out situations of
reagents and other materials.
Recommendations:-
Laboratory needs a scientific method of
materials management like Lead time
consumption calculation and two bin system
of materials management.