Midterms Reviewer | MTLBE

From discussions in MTLBE

Republic Act No. 4688

Clinical Laboratory Act of 1966
Approved on June 18, 1966; Section 8 stated
that it is effective upon approval
No amendments even now
Updated through new Implementing Rules &
Regulations by Department of Health
through Administrative Orders
o A.O. 2007 0027 (latest)
Scope of the Law
All clinical laboratories in the Philippines
performing analysis of body fluids must
meet the minimum requirements set by
RA4688 EXCEPT:
o Government extensions clinical
laboratories
o Example: Barangay health centers
under the DOH program
TB-DOTS; TB-screening
Cervical cancer screening
(Paps smear)
Malarial screening
Do not need to secure a license from
the DOH but must be a registered &
approved project of the DOH
Classifications of Clinical Laboratories:
o Ownership:
Government
Private
o Institutional character:
Institution-based
Hospitals
Labs w/ clinics
Free-standing
Purely laboratory
services
DOH released a memo
that they might no
longer accredit freestanding laboratories
in the future
o Function:
Clinical pathology
BB, CC, Hematology,
Microbiology, Cytogen,
Toxicology etc.
Anatomic pathology
-pathology such as:
o Immunohistopathology
o Surgical
pathology
o Forensic
pathology
o Molecular
pathology
Cytology & autopsy

Service Capability
General clinical laboratory
Special clinical laboratory
Provisions based on Service Capability
General clinical laboratory
o Primary category
Routine hematology
Routine urinalysis
Routine fecalysis
Blood typing (hospital)
Must be performed in
lab within a hospital
Qualitative platelet count
o Secondary category
Routine clinical chemistry
FBS, glucose etc.
Cross matching (hospital)
Gram staining (hospital)
KOH (hospital)
Quantitative platelet count
Including all the services listed
for primary category
o Tertiary category
Special chemistry
Special hematology
Immunology
Microbiology (C/S)
Aerobic and anaerobic
for hospital-based
Aerobic or anaerobic
for non-hospital based
Including all the services listed
for primary & secondary
Needs to secure LTO
Special clinical laboratory
o Offers highly-specialized laboratory
services not usually provided by a
general clinical laboratory
No need to secure LTO unless
otherwise stipulated by the law
Only immunohematology
(RA7719) has license
Supervision Requirements
Pathologist supervises the clinical
laboratory or in the absence, any physician
trained and authorized by DOH:
o Must be graduate of medicine
o Residency for pathology (laboratory
medicine); two fields:
Clinical pathology (2 years)
Anatomic pathology (3 years)
Forensic pathology
Camp Crame
Program to specialize in
clinical & anatomic pathology
takes four (4) years
o Must pass the Board of Pathology
exam (both written & practical)
o Certified as diplomate or a fellow by
the Philippine Society of Pathologists
o

Three (3) month training by the DOH for

physicians regarding laboratory
management, medicine, QA & QC
o Must then be certified
Pathologist can handle a maximum of four
(4) clinical laboratories of any category;
three (3) if s/he also manages a blood-bank
Certified physician can supervise one (1)
clinical laboratory of either primary or
secondary status
Medical technologists are not allowed to
supervise any clinical laboratory
Licensing Requirements
Department of Health Bureau of Health
Facilities & Services or DOH-BHFS
o Where all health facilities (hospitals,
clinics, BB etc.) get their license
o Used to be the called Bureau of
Research and Laboratory (BRL)
Only valid for one year & expires on the last
day of the year (December 31, 2016) with no
exemptions, even if it is a first-tine applicant
o Example: October 2016 application, it
will still expire on December 31, 2016
Renewal is regional in Center for Health
Development (CHD) or in the DOH-BHFS
Renewal may start 90 days before expiration
Record-Keeping of Laboratory Reports
Clinical pathology (at least one (1) year)
o CBC, urinalysis, fecalysis etc.
May be required to be retained longer
than one (1) year depending on
hospital policies but cannot be held
accountable by the law which only
requires a minimum of one (1) year
Not adhering to the hospital
retention policies may be
reprimanded by the laboratory
but is not considered illegal
Anatomical pathology (permanently)
o Biopsy, Paps smear, forensic etc.
Laboratory Requests & Laboratory Reports
Considered as communication between the
physician and the pathologist
Laboratory requests must have the
requesting physicians signature
Laboratory reports must have the
laboratorys pathologys signature
NEVER accept a patient without presenting a
laboratory request, even if they have prior
tests done or texts from their doctor
o Stipulated by a DOH policy
Signature of the medical is not required by
the law but is commonly present in most
laboratory reports, though, lack of such is not
considered illegal

PASMETH
Philippine Association of Schools of Medical
Technology and Public Health
Appointment & Establishment:
May 13, 1970 (appointment)
o Director Narciso Albarracin (DepEd)
Appointed Dr. Serafin Juliano
(FEU) & Dr. Gustavo Reyes
(UST) to organize an
association between the six
(6) schools at that time;
currently there are 88, NCR
has 28 of them
June 22, 1970 (establishment)
o First meeting was held at UST
May 7, 1971 (first annual meeting)
o Held again at UST
October 6, 1985 (date of PRC-registration)
o Acquisition of juridical personality of
the organization
To sue or be sued upon
Dr. Gustavo Reyes (1970-1973, 1980-1981)
o First president of PASMETH
16 presidents since 1970
Dean Bernard Ebuen (2012-present)
o Present PASMETH president
Logo & Meaning:

Four objectives of PASMETH:

1. To encourage a thorough study of the needs
and problems of Medical Technology and
Public Health Education and to offer
solutions to them.
2. To work for the continuous development of
Medical Technology and Public Health
Education in order that the profession will be
of maximum service to the country,
3. To take a united stand in matters which
affects the interests of Medical Technology
and Public Health Education, and
4. To seek the advice, aid and assistance from
any government or private entity for the
fulfillment of the aims and purposes of the
Association.
PASMETH Officers (current)
Dean Bernard Ebuen (President)
o Arrellano University
Dr. Jose Nuevo (Vice President)
o Our Lady of Fatima University
Prof. Suzette G. Encarnacion (Secretary)
o South SEED-LPDH College
Dr. Nini Lim (Treasurer)
o Philippine Womens University
Prof. Petrona Benitez (Auditor)
o Manila Central University
Prof. Celia Roslin (PRO)
o Far Eastern University NRMF
Dr. Magdalena Natividad (Ex-Officio)
o Far Eastern University NRMF
RA7722 Commission on Higher Education
PASMETH is not under CHED; but all schools
in PASMETH is under CHED
Higher Education Act of 1994
May 18, 1994
o Approval date
o Effective 15 days after approval
Fidel V. Ramos
o Part of Tripolarization of Education
Sector in the Philippines (Part of
EDCOM 1992)
Commission on Higher
Education (CHED)
Tertiary & Graduate
Attached to the Office
of the President
Department of Education
(DepEd)
Primary & Secondary
Technical Education & Skills
Development Authority
(TESDA)
Technical Schools &
Middle-level Education
Three Constitutional Commissions:
o Commission on Audit
o Civil Service Commission
o Commission on Elections
The three are not under the President

There are four (4) commissioners in CHED;

with one (1) chairman
o Must have a doctorate degree
o Actively engaged in academe for ten
(10) years
o Must not be a candidate for elected
position preceding their appointment
o Must be a known academician or
high-degree of professionalism
o Term of office:
Four (4) years with
reappointment
Current chairwoman (1):
o Patricia Licuanan
Commissioners (4):
o Prospero De Vera
o Minella Aracon
o Alex Brillantes
o Ruperto Sanggalang
CMO 14 Series of 2006:
o Provides for the Policies & Guidelines
for the Medical Technology Education
o Released on March 15, 2006
o Related to Section 3 of RA 5527
Council of Medical Technology
Referred to as
technical panel in
CMO 14 Series of 2006
o Related to Section 6 of RA5527
Minimum Required Course
o Read Article 8: Section 12 & 13
Contains the qualifications
needed
o There are 177 units in Medical
Technology:
General Education: 84 units
Core Courses: 16 units
Professional Courses: 50 units
Research: 3 units
Seminar: 6 units
Internship: 18 units
1080 hours minimum
1786 hours usually
1786+ hours in FEU
o Dean of Medical Technology Req:
Filipino citizen
Registered MedTech
At least has a Masters degree
At least 5 years teaching
experience
At least 12 units of teaching
load
At least 20 hours of
administrative service
o Faculty of Medical Technology Req:
Registered MedTech
At least has a Masters degree
Minimum of one (1) year
training MedTech interns or
one (1) year in Clinical Lab

RA8981 PRC Modernization Act of 2000

Brief background:
o There was no Professional Regulation
Commission until the term of
President Ferdinand Marcos
June 22, 1973
o Used to be the Office of Board
Examiners (RA546)
PD223
o Creating the PRC with three (3)
commissioners with nine (9) years
term of office
PD657
o Ammendment of Reciprocity (Section
27 of RA5527)
o To encourage foreign experts to come
to the Philippines
PD223 was repealed by RA8981
o Changed PRC to a three (3) man
commission with seven (7) years term
of office without reappointment
Qualification for PRC Commissioner:
o At least 40 years of age
o With valid ID & COR
o One (1) of the Commissioners must
be part of any of the professional
regulatory boards:
There are 43 boards
Commissioner-Chairman of PRC:
o Hon. Teofilo S. Pilando Jr.
Commissioners of PRC
o Hon. Chua-Chiaco
o Hon. Yolando Reyes
Any person who manipulates or vacates the
answers to the board exam will be penalized
RA10912
o Requires forty-five (45) CPE units for
renewal of license
o Effectivity: July 21, 2016
PRC Resolution 2016-990
o June 28, 2016
o Provides forty-five (45) CPE units for
MedTech and (30) CPE units for
Medical laboratory tecnicians
RA7170 Organ Donation Act of 1991
Approved on January 7, 1992
o Bill was passed on 1991
Requirement for organ donation:
o Death must occur for organ donation,
but there are instances that the donor
may be alive
o Opinion of attending physician due to
the absence of natural respiratory and
cardiac functions and attempts of
resuscitation would not be successful
o Opinion of consulting physician that
there is irreversible cessation of brain
function
There must be the opinion of both;
one opinion is not enough to declare

Section 3: Persons who may execute legacy

o At least 18 years of age
Age of majority
o Donor must be of sound mind
o Legacy will be affective after the
death of the person
o You can donate all or part of his body
Section 4: Who may execute the donation
o Spouse (1st)
o Son or daughter of legal age (2nd)
o Parents (3rd)
o Brothers or sister of legal age (4th)
o Guardian (5th)
Section 6: Persons who may become
legatees or donees (recipient)
o Any hospital, physician or surgeon
o Any accredited medical or dental
school, college or university
o Any organ bank storage facility
o Any specific individual
RA9288 Newborn Screening Act of 2004
Approved on April 7, 2004
Brief background:
o AO2000-0001
o AO2003-0121
Became the basis of RA9288
o AO2008-0046
Requirement of Newborn
Screening for renewal of
license of hospitals
For the early detection of inborn metabolic
disorders:
o To prevent the possible mental
retardation & death associated with
these metabolic disorders
Six (6) disorders:
o Congenital hyperthyroidism
o Congenital hyperplasia
o Phenylketonuria
o Glucose-6-phosphate dehydrogenase
deficiency
1 in 61
o Homocystinuria
o Galactosemia
Done after 24 hours of life but not later than
three (3) days
o Heel prick
The baby is in the ICU, it must be done by
seven (7) days
Refusal must be in paper-form attached to
the medical report of the baby
o The consequences of not performing
Newborn Screening must be properly
explained to the parents
Implementing agency
o Department of Health
Reference laboratory
o National Institution of Health
- Read the Highlighted Portions of the Paper Given -