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RIWAYAT PEKERJAAN :
Ka. PKM Buahdua, Sumedang
1980 - 1083
Ka PKM Conggeang, Sumedang
1983 1984
Ka PKM Cimalaka Sumedang
1984 - 1986
Ka. Sie. P3M Dinkes DT II Sumedang
1986 - 1988
Ka. Instalasi Patologi Klinik RS Majalengka
1993 - 1994
SMF. Patologi Klinik RSHS
1994 - 1996
Ka. Instalasi Patologi Klinik RSHS
1996 - 2001
Direktur Penunjang dan Pendidikan RSHS
2001 - 2006
Direktur Umum dan Operasional RSHS
2006 - 2008
Ketua Bid. Organisasi Pengurus Pusat PDS Patklin
2005 2010
Ka. Unit Pelayanan Teknik Kesehatan UNPAD
2008 2013
Konsultan Rumah Sakit ASRI Jakarta
2009 - 2010
Dosen F.K- UNPAD ( S1 dan Pasca sarjana) 1996 - sekarang
Ka. Divisi Imunologi Departemen Pat. Klinik RSHS
1996 - sekarang
Ketua Program Studi Patologi Klinik FK UNPAD
2010 - sekarang
Wakil Ketua IV IDI Wilayah Jabar
2010 - sekarang
Sekjen Kolegium PDS-Patklin Indonesia
2011 - sekarang
Komite Internship Dokter Indonesia Prov. Jabar
2011 sekarang
Konsultan lab RS Pakuwon Sumedang
1996 sekarang
SMF Lab. RS Al Iksan
1996 sekarang
1979
1992
2000
2006
2009
Over View of
Blood
Dr. Noormartany, dr., Sp PK., M Si
Konsultan Immunology
Functions of Blood
Heart pumps 8 to 12 pints of blood through more
than 70,000 miles of veins, arteries, and capillaries.
Hematology the study of blood
Hematologists study its function and composition
Blood has many functions, all of which are
important to overall health of the body.
Composition of Blood
Plasma
liquid in which other components are suspended
Red blood cells (erythrocytes)
vital role in internal respiration
White blood cells (leukocytes)
protect the body against infection
Platelets (thrombocytes)
crucial to clot formation
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Composition of Blood
Plasma
Liquid part of blood Pale yellow made up of 91% water, 9% other
Contain:
Albumin
Globulins
Fibrinogen
etc
Formed Elements
Red blood cells (erythrocytes)
White blood cells (leukocytes)
Granulocytes (UTS)
Neutrophils
Eosinophils
Basophils
Agranulocytes
Lymphocytes
Monocytes
Platelets (thrombocytes)
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Hematopoiesis
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Erythrocytes
Structure
Biconcave, anucleate
Components
Hemoglobin
Lipids, ATP, carbonic
anhydrase
Function
Hemoglobin
Consists of:
4 globin molecules: Transport carbon dioxide (carbonic
anhydrase involved), nitric oxide
4 heme molecules: Transport oxygen
Iron is required for oxygen transport
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Erythropoiesis
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Hemoglobin Breakdown
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Leukocytes
Protect body against microorganisms
and remove dead cells and debris
Movements
Ameboid
Diapedesis
Chemotaxis
Passive Immunity
Active Immunity
Antigen Antibody
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Types of Leukocytes
Basophils
: Become macrophages
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Thrombocytes/ Platelet
Cell fragments pinched
off from megakaryocytes
in red bone marrow
Important in preventing
blood loss
Platelet plugs
Promoting formation and
contraction of clots
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Drawing Blood
Some states permit medical
assistants to obtain blood
samples.
Your office will clarify
your duties
Venipuncture puncture
of a vein
Phlebotomy puncturing a
vein with a needle to collect
blood into a needle or tube
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Venipuncture Equipment
Evacuation system (VACUTAINER) special
double-pointed needle, needle holder, and collection
tubes
Needle and syringe system use a sterile needle
and a syringe to draw blood specimen
Butterfly system winged infusion set and syringe
Collection tubes must mix blood with appropriate
sample containers
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VACUTAINER
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Capillary Puncture
Patient Needs
Alleviate patients fears or concerns
Provide more information about:
Pain
Bruises or scars
Serious diagnosis
Contracting a disease from procedure
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Special Considerations
Children:
Talk with patient or caregivers before working
with child
Address them directly
Speak calmly in soothing voice
Explain the procedure briefly in terms they can
understand
Keep child informed of status of procedure
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Special Considerations
(cont.)
Difficult venipuncture:
Try a second time and then give the patient
a rest
Fainting patient:
Position before venipuncture so no injury
will occur
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5 minutes
Be careful and alert
Notify physician if bleeding is uncontrollable
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Performing Common
Blood Tests
Results can aid in the diagnosis of specific
conditions, disease, and disorders
Chemicals in lab:
Anticoagulants
Serum separators
Stains
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Hazardous Waste
Hazardous waste products include:
Hematologic Tests
Performed on venous or capillary blood specimens
Blood counts
Red blood cells
White blood cells
Platelets
Hematocrit
Hemoglobin
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Chemistry Tests
Highly detailed tests are not
performed in POL labs because
of expensive, sophisticated
equipment and techniques.
Some tests such as blood glucose
monitoring are often performed
by medical assistant.
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Serologic Tests
Detect presence of specific substances in
blood samples.
Refer to the introduction of an antigen or
antibody into the specimen and to detect
specific reaction to the antigen or
antibody.
Used to detect disease antibodies, drugs,
hormones and vitamins.
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Immunoassays
Serological tests use the introduction of an
antigen or antibody into the specimen to
detect specific reactions to the antigen or
antibody.
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Summary
Successful phlebotomy procedures require not
only superior technical skills but also excellent
interpersonal communication skills
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