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    Policies and Procedure For Ensuring Quality of Sputum Microscopy Results

    Uploaded by

    Reinald Raven Guerrero
    This document outlines policies and procedures for ensuring quality sputum microscopy results at the Butuan City Jail Health Service Unit/TB DOTS clinic. It states that accurate laboratory results are essential for correctly diagnosing and treating patients. Inaccurate negative results could lead to missed diagnoses and disease progression, while inaccurate positive results could result in unnecessary treatment. The purpose of the policy is to use microscopy results to properly categorize TB patients and promptly start treatment when needed. It provides 14 guidelines for the quality assurance program, including validating samples, checking reagents, including controls, reviewing procedures, maintaining equipment, collecting data, and ensuring accurate specimen collection and handling.

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    Policies and Procedure For Ensuring Quality of Sputum Microscopy Results

    Uploaded by

    Reinald Raven Guerrero
    283 views2 pages
    This document outlines policies and procedures for ensuring quality sputum microscopy results at the Butuan City Jail Health Service Unit/TB DOTS clinic. It states that accurate laboratory results are essential for correctly diagnosing and treating patients. Inaccurate negative results could lead to missed diagnoses and disease progression, while inaccurate positive results could result in unnecessary treatment. The purpose of the policy is to use microscopy results to properly categorize TB patients and promptly start treatment when needed. It provides 14 guidelines for the quality assurance program, including validating samples, checking reagents, including controls, reviewing procedures, maintaining equipment, collecting data, and ensuring accurate specimen collection and handling.

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    Policies and Procedure for Ensuring Quality of Sputum Microscopy Results

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    Policies and Procedure for Ensuring Quality of Sputum Microscopy Results

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    This document outlines policies and procedures for ensuring quality sputum microscopy results at the Butuan City Jail Health Service Unit/TB DOTS clinic. It states that accurate laboratory results are essential for correctly diagnosing and treating patients. Inaccurate negative results could lead to missed diagnoses and disease progression, while inaccurate positive results could result in unnecessary treatment. The purpose of the policy is to use microscopy results to properly categorize TB patients and promptly start treatment when needed. It provides 14 guidelines for the quality assurance program, including validating samples, checking reagents, including controls, reviewing procedures, maintaining equipment, collecting data, and ensuring accurate specimen collection and handling.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    283 views2 pages

    Policies and Procedure For Ensuring Quality of Sputum Microscopy Results

    Uploaded by

    Reinald Raven Guerrero
    This document outlines policies and procedures for ensuring quality sputum microscopy results at the Butuan City Jail Health Service Unit/TB DOTS clinic. It states that accurate laboratory results are essential for correctly diagnosing and treating patients. Inaccurate negative results could lead to missed diagnoses and disease progression, while inaccurate positive results could result in unnecessary treatment. The purpose of the policy is to use microscopy results to properly categorize TB patients and promptly start treatment when needed. It provides 14 guidelines for the quality assurance program, including validating samples, checking reagents, including controls, reviewing procedures, maintaining equipment, collecting data, and ensuring accurate specimen collection and handling.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines

    Department of the Interior and Local Government


    BUREAU OF JAIL MANAGEMENT AND PENOLOGY
    Butuan City Jail
    Butuan City Jail- Health Service Unit/ TB DOTS
    Libertad, Butuan City
    Tel. No.: 342-9282

    POLICIES AND PROCEDURE FOR ENSURING QUALITY OF


    SPUTUM MICROSCOPY RESULTS

    Policy Statement
    The most important element in the quality of laboratory test result is its accuracy or
    correctness. If the laboratory result is falsely negative, there is a chance that the patients
    illness would be incorrectly diagnosed or would not be diagnosed at all. Consequences
    include continued progression of the disease which would lead to its full-blown status and
    eventually, death. If the disease whereof the patient is inflicted is infectious, there is a great
    risk of transmission to his/her family and close contacts. On the other hand, if the result is
    falsely positive, incorrect diagnosis would ensue and the patient is likely to receive
    unnecessary treatment, such as therapy with toxic drugs subjecting him/her to its side effects,
    even adverse effects, and hospitalization which would expose the patient to nosocomial
    infections.

    Purpose of the Policy


    The microscopy result is used to categorize the patient by the standard definition of DOTS
    (Directly Observed Treatment, Short-Course). Usually, a positive smear would indicate
    presence of active tuberculosis. The result must be communicated promptly to the
    supervising medical staff within the National Tuberculosis Program (NTP). Further, patients
    with sputum smear-positive tuberculosis should immediately commence anti-tuberculosis
    treatment because they are infectious to contacts. The initial period of treatment is usually
    referred to as the intensive phase. The treatment will rapidly render the patient non-
    infectious and reduce the symptoms of tuberculosis. A negative smear will usually mean that
    a patient is unlikely to transmit tuberculosis to contacts. However, even with negative
    sputum smear result, further tests and clinical evaluation may yield a diagnosis of sputum
    smear-negative tuberculosis. Thus, the quality of DSSM is if utmost importance, since it is
    the basis for the commencement of treatment and subsequent interventions.

    Guidelines
    In order to demonstrate and maintain high quality results, a laboratorys overall performance
    should be monitored through a series of regular activities. In combination, such activities
    make up the laboratorys quality assurance (QA) program, to wit:
    1. Validation of samples submitted for testing;
    2. Regular checking of reagents used in test procedures including expiry dates;
    3. Inclusion of standards or samples of known positivity in routine test runs;
    4. Periodic review and updating of procedure manuals;
    5. Regular maintenance and calibration of equipment;
    6. Data collection and analysis;
    7. Regular meetings with clients;
    8. Regular conduct of staff meeting;

    1|Page
    Republic of the Philippines
    Department of the Interior and Local Government
    BUREAU OF JAIL MANAGEMENT AND PENOLOGY
    Butuan City Jail
    Butuan City Jail- Health Service Unit/ TB DOTS
    Libertad, Butuan City
    Tel. No.: 342-9282

    9. Ensure the accuracy of laboratory results by performance of the vital technical


    considerations, such as aseptic technique in the specimen collection, smearing and
    staining to avoid contamination of specimen;
    10. Identify any practices that are potential sources of error;
    11. Ensure that appropriate corrective actions are initiated;
    12. The DOTS staff at all levels must have full understanding of the many factors that
    can lead to false results;
    13. Ensure the accuracy of the sources of the sputum upon specimen collection by
    receiving only those which are actually expectorated or coughed out by the
    subject patient, which must be done in the designated coughing area and directly
    observed by the DOTS Health Staff;
    14. Ensure compliance of the necessary interventions in the transportation of
    specimen;

    Prepared by:

    JO1 Reinald Raven L Guerrero, RN


    Staff, Health Service Unit/ TB DOTS

    Approved by:

    SJO2 Florefe M Badillo, RN


    Chief, Health Service Unit/ TB DOTS

    2|Page

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