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Download » Pathology Laboratory Standardization » Pathology Laboratory Standards for Training Hospitals »
- GENERAL FEATURES
- Manager-Responsible person of the Pathology Laboratory should be a pathologist,
and he/she should be responsible to a superior authority ((head psysician).
Laboratory head is responsible for;
i. Safety,
ii. Managerial work,
iii. Education,
iv. Quality Assurance.
- PATHOLOGIST
- . Maximum 2000 surgical material and 1500 cytology a year must be provided for
every pathologist at full time working training hospitals.
i. These numbers must be lower if there is subspeciality branches.
- These numbers must be calculated not per tissue number but per case.
- TECHNICIAN
- Pathology laboratory technician(s) must be at least high school graduate(s). Health
College Medical Laboratory Department or Pathology Laboratory Technicianship
College graduates must be preferred.
- All personnel must be well educated. Positions in the work process and terms of
references for all workers must be determined in written form.
- . An experienced tecnician with only routine work must be responsible for maximum
4000 surgical and 3000 cytology material in a year.
- Separate technician(s) for histochemistry, immunohistochemistry,
immunflouresence, frozen section, molecular and cytogenetic methods, and
autopsy must be assigned.
- SECRETARY
- There should be a secretary(ies) responsible for recording, report writing, result
rendering and correspondence work
- Ideal number is to have a number of secretaries equal to the number of
full-capacity working specialists.
- LABORATORY PHYSICAL ENVIRONMENTS
- Plate with the name and identity of the laboratory, personnel board and
announcements regarding techniques applied and reporting period should be
placed where they can be easily seen.
- There should be a place tag on all of the rooms.
- Laboratory floor should be covered with seramic, marble or chemical-resistant PVC.
Workbenches should also be covered with material that is resistant to heat, cuts
and chemicals.
- There should be sufficient water, electricity, light, air flow (fume hood or aspirator) system.
- Material
receiving and report delivery section should be in a room or section
which is separate from the laboratory and from which laboratory cannot
be seen.
- A separate macroscopy room
- A separate tissue processing and embedding space
- A separate staining space
- A separate coverslipping space
- A separate microscopy room
- A separate technician room
- A separate material (tissue) storage space
- Block and slide archieve room
- A separate chemical storage space
- A separate flammable-dangerous substance storage space
- A separate document archieve space
- Secretary room (could be the same space where materials are received)
- Space for frozen apparatus
- Room for tissue processing, staining, covering apparatus
- Immunohistochemistry space
- Space for multi-headed microscope and/or training space with close-circuit television
- Cytology preparation space
- Microscopy room
- Common room
- Autopsy room
i. Shower, dressing room
ii. Report and preparation room
iii. Organ exhibition room
iv. Cooling room
v. Tissue storage room
- LABORATORY EQUIPMENT
- Air conditioned cross section space
- Safety cabin
- Material storage cabinets
- Washing taps
- Fixtures
(knife, penset, scalpel handle, scalpel head, dissection scalpel,
scissors,
coping saw, etc. , various sizes glass or hard plastic lidded jars,
Petri’s dish, challet, beaker, flasks, pippettes, measuring cylinder,
ruler, scale, etc.)
- Consumables
(slide, lamel, casette, brush, slide writing pen, alcohol, xylol,
formaline, paraffine, staining solutions, covering resin, absorbent
paper, disposal containers, etc.)
- Adequate free spaces
- Tissue processing apparatus (or equipment)
- Mikrotom (s)
- 56 0sterilizer
- Water bath
- Tissue embedding apparatus (or equipment)
- Staining apparatus (or equipment)
- Covering apparatus (or equipment)
- Centrifuge apparatus
- Refrigerator
- Deep freezer
- pHmetre
- Alcoholometer
- Solution preparation apparatus
- Toxic disposal container (or system)
- Macroscopic material disposal system
- Microscope
- Secretarial writing system
- Tissue, paraffine block, slide, report archiving storage and system
- Fire extinguisher
- Chemical disinfectant
- Protective clothes
- First aid cabinet
- Back leaning, adjustable seats
- Frozen apparatus
- Mixer (vortex)
- Cytocentrifuge
- Photographing unit
- Microwave oven
- Autoclave
- Immunflorescent microscope
Followings are the things that should be available according to needs:
- Immunohistochemistry apparatus
- Drying oven
- Liquid nitrogen tank
- Molecular and cytogenetic laboratory
- Electron microscopy room
Following are the properties that are suggested to be provided according to the facilities of the unit:
- Fast washing system (for toxic and caustic chemicals)
- Eye washing station and eye washing apparatus
- Safety shower
- Automatic (fire) watering system
- LABORATORY PHYSICAL ENVIRONMENT MINIMUM SIZES
- PSpaces
suggested for pathology laboratory (These spaces are for a pathology
laboratory, in a hospital that serves a region with a population of
100.000 - 500.000, which has an annual 15.000 - 20.000 surgical
material capacity and with 3 specialists working. Adaptations should be
made according to population served, and surgical material capacity and
the number of specialists, teaching staff, and residents)
|
Region |
Area (m2) |
|
General laboratory area (3 microtomes) |
40 |
|
Histopathology laboratory (staining, etc.) |
12 |
|
Tissue processing (and if available staining and covering) equipment (s) |
8 (15) |
|
Frozen equipment space (or a separate room) |
4 (10) |
|
Histochemistry and immunohistochemistry space-room |
15 |
|
Macroscopy |
25 |
|
Cytopathology |
10 |
|
Microscopy |
25 |
|
Technician room |
15 |
|
Physician room (each 10 m2x3) |
30 |
|
Specialist student room |
12 |
|
Secretary room |
12 |
|
Chemical substance storage and preparation |
15 |
|
Slide, block and report archieve |
20 |
|
Supply storage |
10 |
|
Tissue storage |
5 |
|
Disposal room |
10 |
|
Meeting room |
50 |
|
Total |
318 (343) |
|
Spaces such as hallways and personnel rooms |
50 |
|
Total laboratory space |
368 (393) |
- REFERENCES
- http://www.cap.org/apps/cap.portal
- Standards for Laboratory Accreditation, College of American Pathologists, 1997.
- Guidance on the role of the pathology quality manager. IBMS guidance, 2004.
- Royal College of Pathologists.
- Zarbo
RJ, Rickert RR. Quality control, assurance, and improvement in anatomic
pathology. In: Silverberg SG (Ed) Principles and Practice of Surgical
Pathology and Cytopathology. Churchill Livingstone, New York, 3rd ed.,
1997, pp. 11-24
- Sheehan DC, Hrapchak BB (Eds). Quality
Control. Theory and Practice of Histotechnology. Mosby, St. Louis, 2nd
ed., 1980, pp. 406-439.
- Rosai J (ed). Appendix B. Quality
control and quality assurance in surgical pathology. Rosai and
Ackerman's Surgical Pathology. Mosby, Edinburgh, 9th ed., 2004, pp.
2793-2800.
- Simpson R, Marichal M, Uccini S. European
Society of Pathology statement on minimal requirements for a pathology
laboratory. Virchows Arch 436:509-526, 2000.
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