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LABORATORY PLANNING
CHEMICAL
LABORATORY SAFETY
STORES ORGANIZATION
Laboratory equipment refers to the various tools and equipment used by scientists working in
a laboratory: The classical equipment includes tools such as Bunsen burners and microscopes as
well as specialty equipment such as operant conditioning chambers, spectrophotometers and
calorimeters. Chemical laboratories.
Good laboratory practice or GLP is a set of principles intended to assure the quality and
integrity of non-clinical laboratory studies that are intended to support research or marketing
permits for products regulated by government agencies
Laboratory equipment forhematology (black analyser) andurinalysis (left of the open centrifuge).
The following is a detailed breakdown of the responsibilities of each unit:
Microbiology receives almost any clinical specimen, including
swabs, feces, urine, blood, sputum, cerebrospinal fluid, synovial fluid, as well as possible
infected tissue. The work here is mainly concerned with cultures, to look for suspected
pathogens which, if found, are further identified based on biochemical tests. Also, sensitivity
testing is carried out to determine whether the pathogen is sensitive or resistant to a
suggested medicine. Results are reported with the identified organism(s) and the type and
amount of drug(s) that should be prescribed for the patient.
Parasitology responsible for examining parasites, feces samples may be examined for
evidence of intestinal parasites such as tapeworms or hookworms and others.
Virology is concerned with identification of viruses in specimens such as blood, urine,
and cerebrospinal fluid.
Hematology works with whole blood to do full blood counts, and blood films as well as
many other specialised tests.
Coagulation requires citrated blood samples to analyze blood clotting times and coagulation
factors.
Clinical Biochemistry usually receives serum or plasma. They test the serum for chemicals
present in blood. These include a wide array of substances, such as lipids, blood
sugar, enzymes, and hormones.
Toxicology mainly tests for pharmaceutical and recreational drugs. Urine and blood samples
are submitted to this lab.
Immunology/Serology uses the concept of antigen-antibody interaction as a diagnostic tool.
Compatibility of transplanted organs is also determined.
Immunohaematology, or Blood bank determines blood groups, and performs compatibility
testing on donor blood and recipients. It also prepares blood components, derivatives, and
products for transfusion. Regulated by the FDA since giving blood is considered a drug, this
unit determines a patient's blood type and Rh status, checks for antibodies to common
antigens found on red blood cells, and cross matches units that are negative for the antigen.
Urinalysis tests urine for many analytes. Some health care providers have a urinalysis
laboratory, while others don't. Instead, each component of the urinalysis is performed at the
corresponding unit. If measuring urine chemicals is required, the specimen is processed in
the clinical biochemistry lab, but if cell studies are indicated, the specimen should be
submitted to the cytopathology lab, and so on.
Histopathology processes solid tissue removed from the body (biopsies) for evaluation at the
microscopic level.
Cytopathology examines smears of cells from all over the body (such as from the cervix) for
evidence of inflammation, cancer, and other conditions.
Electron microscopy prepares specimens and takes micrographs of very fine details by
means of TEM and SEM.
Genetics mainly performs DNA analysis.
Cytogenetics involves using blood and other cells to get a karyotype. This can be helpful in
prenatal diagnosis (e.g. Down's syndrome) as well as in cancer (some cancers have
abnormal chromosomes).
Surgical pathology examines organs, limbs, tumors, fetuses, and other tissues biopsied in
surgery such as breast mastectomies.
The medical facility smaller than a hospital is generally called a clinic, and often is run by
a government agency for health services or a privatepartnership of physicians (in nations where
private practise is allowed). Clinics generally provide only outpatient services.
Departments or wards[edit]
Resuscitation room bed after atrauma intervention, showing the highly technical equipment of
modern hospitals
Hospitals consist of departments, traditionally called wards, especially when they have beds
for inpatients, when they are sometimes also called inpatient wards. Hospitals may have acute
services such as an emergency department or specialist trauma centre, burn unit, surgery,
or urgent care. These may then be backed up by more specialist units such as the following:
Emergency department
Cardiology
Intensive care unit
Paediatric intensive care unit
Neonatal intensive care unit
Cardiovascular intensive care unit
Neurology
Oncology
Obstetrics and gynaecology, colloquially, maternity ward
In addition, there is the department of nursing, often headed by a chief nursing officer or director
of nursing. This department is responsible for the administration of professional nursing
practice, research, and policy for the hospital. Nursing permeates every part of a hospital. Many
units or wards have both a nursing and a medical director that serve as administrators for their
respective disciplines within that specialty. For example, in an intensive care nursery, the
director of neonatology is responsible for the medical staff and medical care while the nursing
manager/director for the intensive care nursery is responsible for all of the nurses and nursing
care in that unit/ward.
Some hospitals have outpatient departments and some have chronic treatment units such
as behavioral health services, dentistry,dermatology, psychiatric ward, rehabilitation services,
and physical therapy.
Common support units include a dispensary or pharmacy, pathology, and radiology. On the non-
medical side, there often are medical records departments, release of information departments,
information management (a.k.a. IM, IT or IS), clinical engineering (a.k.a. biomed), facilities
management, plant ops (operations, also known as maintenance), dining services, and security
departments.
Haematology division is fully equipped with latest instruments. There are two fully automated
five parts cell counters from Beckmen coulter and Horiba, Other instruments like Coagulometer,
ESR Analyser and Urinometer to process urine samples are also available.
Test available in the Department :
ACT-2 Semi Automated Coagulometer from Compact Diagnostics.
Peripheral smear examination
CBC (Complete Blood Counts)
Antigen testing for malarial parasites
Microfilarial detectio
G6PD Screening
Sickle cell demonstration
LE Cell demonstration
Microalbuminuria (MAU)
Glycosylated Haemoglobin (HbA1C)
D.Dimer
Procalcitonin (PCT)
B-Type Natriuretic Peptide (BNP)
Bone Marrow Examination
Coagulation tests like PT & APTT
Clinical Pathology
Immunoflorescence for ANA detection
CLINICAL PATHOLOGY
Urine analysis carried out on UroMeter 120 urine analyser.
Urine Routine and Microscopic Examination.
Special Tests : Urobilinogen, Porphobilinogen, Haemoglobin, Myoglobin, Bence jones protein.
Body Fluids : Ascitic fluid. Cerebrospinal fluid (CSF), Gastric aspirate for neutrophils,
Pericardial fluid, Pleural fluid, Synovial fluid, Semen analysis.
Accreditation
The laboratory is NABL accredited.
Quality Assurance
Quality assurance is a major concern of the department. It covers all aspects of laboratory
functioning i.e. pre-analytical, analytical and post-analytical; turn around time; maintenance of
equipment; selection of tests & reagents; standardization & validation of tests before they are
introduced; and training of personnel & Running of Quality Control and Participating EQAS
programmed.
MICROBIOLOGY
The microbiology laboratory aims at providing the reliable and quality based clinical laboratory
services to patients constant upgradation of the laboratory to automation, reliable methods and
strict quality assurance are the hall marks. Laboratory has experienced and skilled team to
manage the quality and accuracy. The microbiology laboratory caters to the needs of the hospital
as well as nearby small size laboratories.
Blood culture for aerobic bacteria, fungi and mycobacteria are done on automated system which
detects the organisms from 3 hours onwards by continuous monitoring of the bottles.
Identification and sensitivity of most of the organisms grown is done on automated system for
accurate and reliable reports. Conventional culture for bacteria, fungi from clinical samples other
than blood is done on appropriate media following international guidelines. Automated system
for culture of Mycobacteria indicates positivity from seventh day onwards. Once culture positive,
identification & sensitivity can be reported in approximately 7 days time. A variety of
serological tests are performed in the department by conventional rapid card and line
immunoassay methodologies. Laboratory’s main armory is its hold on quality and reliability.
Special emphasis is being given on daily quality checks i.e internal quality control as well as
External quality control standards. Laboratory participates in EQAS (External Quality Assurance
Scheme) run by IAMM (Indian Association of Medical Microbiologist) for constant checking
and improvement in quality policies.
BIOCHEMISTRY
The Biochemistry department is equipped with fully automated high precision state of the art
equipments namely Dade Behring (Siemens) for biochemistry, Minividas (Biomerieux)for
immunoassays Ilyte & Gem 3000 (Instrumentation Laboratory ) for electrolytes & blood gas
respectively.
Department is managed by a fulltime Biochemist who is the quality manager as well. Apart from
routine biochemistry parameters special hormones and cancer markers are also available on daily
basis. We have introduced Vitamin D in the test menu which is also reported daily .
Well defined internal quality control system is established in order to ensure day to day report
quality. Quality indicators are employed to assess the quality improvements. Timely scheduled
calibration & PM of the equipment ensures smooth functioning ,reduction of breakdowns & thus
achieve the established Turn Around Time(TAT) Department participates in the EQAS
programme conducted by BIO-RAD for biochemistry & Immunoassay and stands excellent.
Available tests in the department are as follows Routine tests KFT, LFT, Lipid profile, Diabetic
profile, Hormone assays – fertility profile, thyroid profile, & Cancer markers etc.
Preoperative / Intraoperative scrappe cytology , touch and imprint smears for an immediate
diagnosis. Histopath Lab is equipped with Automatic tissue processor, fully automated
embedding station & very fine microtome with a team of well trained staff.Cytology is also done
on all types of material including, various types of fluid for malignant cells (Pleural, Peritoneal,
Pericardial and CSF)using cytospin for quality reporting. FNAC is routinely done on OPD/IPD
patient by the pathologist, CT/Ultra Sound guided FNAC is also done for intra abdominal/intra
thoracic masses. PAP screening is also routinely done. All routine stains and immuno histo
chemistry is done for typing of malignancy & confirmation of fungal/Protozal/Bacterial
infection.
Other Activities
Besides testing and participating in various Quality Assurance Programmes. Lab provide training
facilities to DNB students from Surgery, Gynae, Paediatrics & Medicine departments. Lab also
conducts training cources for DMLT (Diploma in Medical Laboratory Technology) students
approved by IMA (Indian Medical Association)
Designing clinical labs
While clinical laboratories are among the most important spaces hospitals and related health care
facilities may operate, their functional designs are sometimes less noticed than those of higher
profile areas.
However, technological breakthroughs that are changing the way clinical laboratories function
are attracting the attention of the health care industry’s top designers as they help these spaces to
play an important role in improving the flow of staff and specimens.
Four major changes
Key components of these breakthroughs are four major changes that are contributing to
improved clinical laboratory efficiencies and helping hospitals to answer new challenges.
As lab work continues to move away from manual bench testing to increasingly more automated
processes, for instance, open-plan designs are providing the flexibility necessary for labs to
easily add analyzers or adapt to provide more efficient workflows.
Likewise, as attention to possible threats from new and emerging infectious diseases and
bioterrorism increases, designs with the architecture and engineering features needed to isolate
and safely handle biohazardous materials are more important than ever, facilitating a rise in the
construction of Biosafety Level 3 (BSL-3) containment environments.
And, with the emergence of molecular testing as a new tool for diagnosing and treating disease,
labs are being designed to prevent the contamination of specimens used in this type of analysis.
1 Open-plan designs. In the past, clinical laboratories were compartmentalized. Labs were
designed for manual bench testing, with techs working in separate, walled-off environments.
Many hospital labs are now struggling with the physical layout of their spaces. Across the United
States, hospitals with older labs are faced with the prospect of tearing down walls or built-in
cabinetry to expand operations or add new equipment.
The latest lab designs feature wide-open spaces. With the open plan or big room concept, a lab is
built with no interior walls to allow the layout to be reconfigured as necessary. Power, data and
gases are mounted overhead, rather than provided through the floor or walls. Modular casework,
which often is equipped with wheels for easy relocation, is used in place of fixed cabinetry.
Sinks and floor drains, which cannot be moved without major construction, are placed in areas
that are unlikely to change, such as aisle walkways. Drains also can be installed in a regular grid
formation throughout the lab, to be capped or uncapped as needed. This arrangement is
especially useful with analyzers that require a deionized water feed and need access to a nearby
drain to discharge wastewater.
Using an open-plan design, a lab director and technician could reconfigure a portion of the lab
themselves over a weekend to add an analyzer and be up and running for testing on Monday.
There’s no need to engage a contractor or the hospital’s construction services department to put
up temporary barriers, cut down gypsum board and stud walls, or reroute plumbing. Hospitals
don’t have to develop phasing plans or suspend operations to update lab workspace.
Many hospital clinical labs are adopting Lean operational models to prevent errors and wasted
movement, wasted space, wasted energy and wasted time. Open-plan labs help to facilitate the
implementation and continued operational goals of Lean design.
Open-plan lab design and movable casework are also useful for new instrument validation.
Before making the final decision to buy a new analyzer or change vendors, the lab can bring in
an analyzer for a “test drive” or to benchmark its performance against existing equipment,
without worrying about where the instrument under consideration can fit into the lab.
For instance, the lab at Huntsville (Ala.) Hospital, which opened last fall, covers 30,800 sq. ft.
over two floors. The main floor, which houses all of the 24-hour and STAT testing departments,
including the core lab, microbiology and blood bank, has an approximately 12,000-sq. ft. floor
plate. In this area, the only fixed building features are the structural columns needed to support
the roof. The floor drains are installed along a 16-foot grid so that no one location is more than 8
feet from a drain; cover plates are used to cap off drains that are not in use. On average, the
hospital lab needs to update analyzers or the physical layout of the space at least every three
years; this design is intended to maximize long-term flexibility by minimizing the amount of
work required by a contractor to rearrange the space.
Likewise, Northern Colorado Medical Center (NCMC) in Greeley, part of the Phoenix-based
Banner Health system, opened a new 14,495-sq. ft. open-plan lab last year. The hospital’s
previous lab, which was more than 30 years old, was compartmentalized, with high cabinetry
that made it difficult to see more than 5 feet across in several areas. Matt Hailey, NCMC director
of laboratory services, Banner Health, says the design interfered with communication among
techs. The new layout provides the flexibility to add or adjust the lab’s services, platforms or test
menu in the future, as well as the ability to cross-train staff members to operate more efficiently
today.
2 Automated testing. Automated testing systems, an advancing lab technology, is facilitated by
open-plan lab design. In an automated system, analyzers are arranged along a robotic track that
operates much like a conveyor belt. Depending on the number of analyzers, automated systems
may involve 50 to 60 feet of linear track bolted to the floor. The automation line functions as the
backbone of the lab. The line should be located where it won’t act as a barrier or bisect any
traffic or workflow to other, more manual testing areas of the lab. In addition, the front end, or
pre-analytic, section of the line should be placed as close as possible to where specimens come
into the lab. Ideally, a specimen processor sitting next to the lab’s pneumatic tube station will be
able to take specimens out of the tube and simply turn his or her chair to drop the specimens
directly into the inlet of the automated testing line, with no wasted movement or time.
Because most automated lab systems are scalable, they function well in labs with open-plan
designs. A lab can start, for example, with two chemistry analyzers; in a few years, the lab could
easily extend the line to include a third analyzer. Or the lab could replace an analyzer with one
that can perform a higher number of tests per hour. The open-plan design allows for modular
growth.
For instance, when NCMC opened its new lab last year, the hospital went from stand-alone
analyzers to a full-blown automated line. NCMC handles all the STAT testing for its own
emergency department and Level II trauma center, plus outreach testing for several other Banner
Health facilities in the region.
Since automating, NCMC’s volume of billable tests has risen from 610,346 to 1,017,244. Cost
and productivity metrics, as measured by Chi Solutions Inc., Ann Arbor, Mich., also have
improved. Compared with national peer group benchmarks, the lab has moved from the 77th to
the 87th percentile for total cost per test, from the 66th to the 89th percentile for labor cost per
test, and from the 86th to the 97th percentile for the number of tests per worked hour with no
additional staff.
3 Biosafety Level 3. Lab design is also being affected by a resurgence in BSL-3 containment.
Traditionally, this level of containment has been the province of large academic medical centers
and military facilities. Today, with increased concern about infectious disease following
outbreaks of severe acute respiratory syndrome, swine flu, bird flu, Ebola and Middle East
Respiratory Syndrome, as well as increased concern about bioterrorism, even small community
hospitals are becoming interested in providing this level of protection in the lab to ensure safe
handling of specimens, even if only to send them out for further testing.
McKee Medical Center, Loveland, Colo., also a member of Banner Health, recently installed a
small BSL-3 lab. The hospital does not plan to perform identification testing or culture
specimens in-house but wants to be able to safely manage suspected dangerous pathogens such
as Ebola, anthrax or multidrug-resistant tuberculosis.
BSL-3 labs require specialty design and construction. This includes nonporous materials, so
pathogens cannot, for example, get into the plywood substrate of a countertop and multiply.
Hardened epoxy-coated or protected walls are necessary so scratches in paint can’t present a
similar hazard. Plumbing and vacuum lines must be fitted with multiple vacuum breakers and all
penetrations into the room must be sealed so that pathogens cannot escape in the event of a loss
of pressure. All plumbing leaving these areas should be either thermally or chemically
disinfected. Pass-through sterilizers/autoclaves are recommended between the testing room and
the anteroom, so that everything is run through a terminal sterilizer before being thrown into the
biohazardous trash.
Specialized standard operating procedures and additional training are essential to the safe
operation of a BSL-3 lab, but proper design is just as important. The architecture and mechanical
and plumbing systems have to be designed appropriately to ensure safety.
4 Molecular testing. Another recent medical advance that’s influencing the design of clinical
labs is molecular testing. Molecular diagnostics and testing quickly are replacing traditional
microbiology and are the fastest-growing areas of the clinical lab. Molecular testing is an
essential component of personalized medicine, which is based on a patient’s individual genetic
makeup.
With molecular testing, lab techs can, for example, directly test the blood of a patient with a
suspected systemic blood infection. It’s not necessary to incubate a specimen for a lengthy
period. Directly testing a blood sample for DNA markers from specific organisms can produce
results in an afternoon, rather than overnight or over several days. Based on specific genetic
markers in the sample, techs can determine what type of bacteria, virus or parasite is present and
whether or not it’s carrying, say, the genes for amoxicillin resistance.
Molecular testing also can be used to identify cancer markers in tissue samples. Instead of
sending a sample of a suspected cancer to an anatomical pathology lab for overnight tissue
processing and review by a pathologist, the tissue can be tested directly for specific genetic
mutations that can reveal exactly what type of tumor is present. The tumor then can be treated
using the best chemotherapy for that type of mutation; a database matching cancers to effective
chemotherapies is under development.
Pharmacogenomics is another promising area for molecular testing. Some people metabolize
medicines differently than others, due to their genetic makeup. A medicine may work for one
patient but not another, or may present negative side effects, based on an individual’s genes.
Molecular testing can help to establish, for example, whether a patient would be better served by
chemotherapy or an immunotherapy treatment. This is medicine targeted at a specific patient’s
immune system, body chemistry or condition.
Large volumes of specimens aren’t needed for molecular testing. Specimens are amplified during
the process so that certain genes or portions of DNA that normally occur in small numbers are
multiplied up to tens of millions of times. To avoid contaminating specimens — and then
amplifying that contamination — a controlled lab environment is needed. The front-end
extraction and amplification process requires a specific type of environment and specific
unidirectional workflow to avoid contamination.
Simply converting an old manager’s office into an extraction room and a storage room halfway
across the lab to be the amplification room won’t work; a specimen or tech should never pass
back through an area until after the specimen has been amplified and stabilized. Extraction and
amplification rooms should be built in a linear fashion, with features like pass-through cabinetry
and interlock doors that allow only one door to be opened at a time, to minimize the risk of
cross-contaminating or recontaminating a specimen.
Air handling and room finishes are critical to the success of molecular testing. A single speck of
dust can carry bacteria that will contaminate a specimen. Seamless floors with cove bases;
monolithic ceilings; and impervious, easily cleanable materials help keep extraction and
amplification rooms free of potential contaminants. While the primary goal of typical BSL
containment found in other lab testing areas is to protect the staff and environment from the
specimens, the goal of molecular testing rooms is to protect the specimens themselves from
contamination by the staff and environment.
Long-term success
Well-designed clinical labs provide ample space for maximum flexibility to enable labs to grow,
change and adapt into the future. They also provide the infrastructure and layout needed to take
advantage of the latest developments in technology and medicine. Sufficient power and data,
robust heating and ventilation, careful design of engineering systems and the selection of
appropriate materials and finishes are critical to the long-term success of clinical labs.
laboratory management technique
he management of a prep-room and laboratory environment with the various educational
demands places heavy demands on the Science and Technology support staff.
Managers are not born. You have to acquire and develop the skills somehow. This is achieved
either by on-the-job experience, specific training and normally this is usually a combination of
both.
A technician may find that he/she has a level of responsibility for several laboratories by virtue
of;
Lone working - the only technician within the department.
Promoted into the role of Senior technician
Started work in a new school as a Senior technician.
Responsibility delegated/forced upon the technician individual by line management.
Whatever the reason, we all have to employ management skills in our jobs to varying degrees.
You may not have realised it!
The range of these skills (and therefore the work that a technician undertakes) is extremely
complex and this is covered in more detail in CLEAPSS Guide L228 - Technicians and their
jobs.
In general, the main skills break down as follows;
Planning and Organisational Skills
There are three levels to consider here;
Strategic - Extremely Long term (3 - 5 years). Very few (if any) technicians. Mostly
Higher line management staff eg., HOD/Head of Science
Intermediate - Slightly less time period (termly/annually) eg., stock ordering,
training & appraisal. Mostly carried out by senior (Level) 4 technicians
Operational - The day to day work that we do. Generally carried out all Level 2/3
technicans
Communication - We consider here both verbal, written and the use of technology
Internally with other technicians, or line management.
Externally with suppliers, other technicians, reps etc.,
Supervisory and Management
Time Management
Discipline of subordinate staff
Possibly handling grievances
Managing work-flows
Carrying out appraisal on performance to subordinates
Providing timely feedback
Teamwork and team building
Health and Safety
Good Housekeeping
Knowledge
Good storage
Safe working practices
Technical & Specialist skills (NVQ)
Setting up apparatus
A Level of understanding of Science proportional to the needs of the task
Recruitment, Training & development
Induction and training of staff see CLEAPSS L234
Monitoring the effectiveness of training
Arranging training for staff
Recruitment
Leadership.
Demonstrating a positive working style and ethos to the job, people within the job and
the objectives of the job.
Obtaining relevant and timely information and providing the same to others.
Group and Personal needs
GENERAL PRINCIPAL
Lab Management. ... Adding to the irony is the fact that they typically receive very
little management training. Running a lab poses many challenges, includingmanaging people,
projects, and finances and establishing workplace practices that encourage productivity, safety,
ethics, and high employee morale.
Component and function of laboratory
Anatomic pathology: units included here are histopathology, cytopathology, and electron
microscopy. Academically, each unit is studied alone in one course. Other courses pertaining
to this section include anatomy, physiology, histology, pathology, and pathophysiology.
Clinical pathology, which includes:
Clinical Microbiology: This encompasses five different sciences (units). These
include bacteriology, virology, parasitology, immunology, and mycology.
Clinical Chemistry: Units under this busy section include instrumental analysis of blood
components, enzymology, toxicology and endocrinology.
Hematology: This section consists of automated and manual analysis of blood cells. It
includes two subunits, which are coagulation and blood bank.
Genetics is also studied along with a subspecialty known as cytogenetics.
Reproductive biology: Semen analysis, Sperm bank and assisted reproductive
technology.
Distribution of clinical laboratories in health institutions varies greatly from one place to another.
For instance, for microbiology, some health facilities have a single laboratory for microbiology,
while others have a separate lab for each unit, with nothing called a "microbiology" lab.
Laboratory equipment forhematology (black analyser) andurinalysis (left of the open centrifuge).
The following is a detailed breakdown of the responsibilities of each unit:
Microbiology receives almost any clinical specimen, including
swabs, feces, urine, blood, sputum, cerebrospinal fluid, synovial fluid, as well as possible
infected tissue. The work here is mainly concerned with cultures, to look for suspected
pathogens which, if found, are further identified based on biochemical tests. Also, sensitivity
testing is carried out to determine whether the pathogen is sensitive or resistant to a
suggested medicine. Results are reported with the identified organism(s) and the type and
amount of drug(s) that should be prescribed for the patient.
Parasitology responsible for examining parasites, feces samples may be examined for
evidence of intestinal parasites such as tapeworms or hookworms and others.
Virology is concerned with identification of viruses in specimens such as blood, urine,
and cerebrospinal fluid.
Hematology works with whole blood to do full blood counts, and blood films as well as
many other specialised tests.
Coagulation requires citrated blood samples to analyze blood clotting times and coagulation
factors.
Clinical Biochemistry usually receives serum or plasma. They test the serum for chemicals
present in blood. These include a wide array of substances, such as lipids, blood
sugar, enzymes, and hormones.
Toxicology mainly tests for pharmaceutical and recreational drugs. Urine and blood samples
are submitted to this lab.
Immunology/Serology uses the concept of antigen-antibody interaction as a diagnostic tool.
Compatibility of transplanted organs is also determined.
Immunohaematology, or Blood bank determines blood groups, and performs compatibility
testing on donor blood and recipients. It also prepares blood components, derivatives, and
products for transfusion. Regulated by the FDA since giving blood is considered a drug, this
unit determines a patient's blood type and Rh status, checks for antibodies to common
antigens found on red blood cells, and cross matches units that are negative for the antigen.
Urinalysis tests urine for many analytes. Some health care providers have a urinalysis
laboratory, while others don't. Instead, each component of the urinalysis is performed at the
corresponding unit. If measuring urine chemicals is required, the specimen is processed in
the clinical biochemistry lab, but if cell studies are indicated, the specimen should be
submitted to the cytopathology lab, and so on.
Histopathology processes solid tissue removed from the body (biopsies) for evaluation at the
microscopic level.
Cytopathology examines smears of cells from all over the body (such as from the cervix) for
evidence of inflammation, cancer, and other conditions.
Electron microscopy prepares specimens and takes micrographs of very fine details by
means of TEM and SEM.
Genetics mainly performs DNA analysis.
Cytogenetics involves using blood and other cells to get a karyotype. This can be helpful in
prenatal diagnosis (e.g. Down's syndrome) as well as in cancer (some cancers have
abnormal chromosomes).
Surgical pathology examines organs, limbs, tumors, fetuses, and other tissues biopsied in
surgery such as breast mastectomies.
LABORATORY STAFF
job specification
Sample processing will usually start with a set of samples and a request form.
Typically a set of vacutainer tubes containing blood, or any other specimen, will arrive to the
laboratory in a small plastic bag, along with the form.
The form and the specimens are given a laboratory number. The specimens will usually all
receive the same number, often as a sticker that can be placed on the tubes and form. This label
has a barcode that can be scanned by automated analyzers and test requests uploaded from
the LIS. Entry of requests onto a laboratory management system involves typing, or scanning
(where barcodes are used) in the laboratory number, and entering the patient identification, as
well as any tests requested. This allows laboratory machines, computers and staff to know what
tests are pending, and also gives a place (such as a hospital department, doctor or other customer)
for results to go.
For biochemistry samples, blood is usually centrifuged and serum is separated. If the serum
needs to go on more than one machine, it can be divided into separate tubes.
Many specimens end up in one or more sophisticated automated analysers, that process a fraction
of the sample and return one or more "results". Some laboratories use robotic sample handlers
(Laboratory automation) to optimize the workflow and reduce contamination risk and sample
handling of the staff.
The work flow in a lab is usually heavy from 2:00 am to 10:00 am. Nurses and doctors generally
have their patients tested at least once a day with general complete blood counts and chemistry
profiles. These orders are then drawn during a morning run by phlebotomists for results to be
available in the patient's charts for the attending physicians to consult during their morning
rounds. Another busy time for the lab is after 3:00 pm when private practice physician offices are
closing. Couriers will pick up specimens that have been drawn throughout the day and deliver
them to the lab. Also, couriers will stop at outpatient drawing centers and pick up specimens.
These specimens will be processed in the evening and overnight to ensure results will be
available the following day.
work schedule
According to ISO 15189 norm, all pathological results must be verified by a competent
professional. In some countries staff like clinical scientists do the majority of this work inside the
laboratory with abnormal results referred to the relevant pathologist. In others, only medical staff
(pathologist or clinical biologist) is concerned by this phase. It can be assisted by some software
in order to validate normal or non modified results. Medical staff are sometimes also required in
order to explain pathology results tophysicians. For a simple result given by phone or for a
technical problem it's a medical technologist or medical lab scientist explaining it to a registered
nurse.
Departments in some countries are exclusively directed by a specialized pathologist, in others a
consultant, medical or non-medical, may be the Head of Department. Clinical scientists have the
right to interpret and discuss pathology results in their discipline in many countries, in Europe
they are qualified to at least Masters level, may have a PhD and can have an exit qualification
equivalent to medical staff (e.g., FRCPath in the UK). In France, only medical staff
(Pharm.D. and M.D. specialized in anatomical pathology orclinical biology) can discuss
pathological results,
Laboratory technicians can be found in a variety of settings, from the pharmaceutical industry,
to education, to the medical industry, to government-run organizations. The tasks a lab
technician performs often depend on the specific needs of their industry and employer. Duties
can include:
Many lab technicians also have the important responsibility of keeping the lab clean, organized,
and well maintained. This can involve cataloging equipment, and sanitizing surfaces and
equipment before and after use, as well as disposing of lab specimens, chemicals, and bio-
hazardous waste in accordance with applicable laws.
Microbiology
Immunology
Hematology
Molecular biology
Cytotechonology
Clinical chemistry
Medical lab technicians perform various functions, including preparing specimens and
collecting and analyzing blood, urine, and tissue samples. Lab technicians may match blood
compatibility for transfusions, set up and sanitize laboratories, log data from tests, and update
patient medical records. They are often required to handle sophisticated lab equipment,
including microscopes, centrifuges, hydrometers, automated analyzers, and cell counters.
Keeping the Lab Sterile and Organized
To avoid cross-contamination and ensure accurate results, organization and proper sanitation of
lab supplies are critical. Let’s take a look at some best practices in the laboratory environment.
It’s especially important to make sure glassware is clean when it’s being used to measure the
volume of liquids. Grease or other contaminants will prevent the glass from becoming
uniformly wetted. This will prevent the liquid from adhering uniformly to the walls, which can
result in incorrect volume measurements.
Drying glassware with paper towels or using forced air is inadvisable, as these methods
can introduce fibers and impurities that can cause contamination of a solution. Allow
glassware to air dry on the shelf. Leaving glassware wet is fine if you plan to add water to
it shortly thereafter—however, note that this could impact the concentration of the final
solution.
If glassware needs to be used immediately, or soon after washing, but must be dry before
use, rinse it two to three times with acetone, which will remove any water, and the acetone
will dry quickly.
Ensure chemicals, specimens, and samples are well marked and organized.
Never pipette with your mouth! Regardless of the substance—even if it’s only water—you
should never pipette by mouth. Use an automated pipette or pipette bulb.
Always dress appropriately—long pants are preferable to shorts or short skirts; no sandals; and
no contact lenses. Always wear safety goggles and a lab coat.
Learn how to use safety equipment, including eyewash, shower, fire blankets, fire
extinguishers, etc.
Never eat and drink in the lab, as tempting as it may be. Food and drinks can cause
contamination or become contaminated.
Dispose of chemicals properly. While some chemicals can legally be washed down the drain,
others require special handling. Know which chemicals are safe to be washed down the drain.
If you feel dizzy or sick while working in the lab, especially near the fume hood, leave the lab
and report your symptoms to your supervisor immediately.
If you spill mercury or break a thermometer, don’t clean it up unless you’ve received special
training. Otherwise, call the appropriate clean-up crew.
Properly maintaining and cleaning lab equipment, and exercising safety rules in the lab, will
help you avoid contamination and accidents and ensure safety and efficiency.
Principal of cleaning
For getting successful results from the experiments performed in a laboratory, it is essential that
the lab glassware gets perfectly cleaned. However cleaning laboratory glassware is not a very
easy task. Laboratory glassware cleaning has to be done physically as well as chemically so that
they become free of any germs.
However it is to be kept in mind that as such there is no single best laboratory glassware cleaning
solution that can be termed as the "best" for all conditions.
It has been seen that for cleaning lab glasswares most of the times there is no requirement of
detergents or tap water. What is needed is rinsing by the appropriate solvent and a couple of
rinses with distilled water. This is enough for cleaning laboratory glassware.
However removing grease while cleaning laboratory glassware is not that easy. Grease can be
removed by boiling the lab glassware in a very weak solution of sodium carbonate. Alternately
acetone or any other fat solvent can also be applied. Strong alkalis are not preferred and should
be avoided. For removal of Silicone, grease soaking the glassware in decahydronaphthalene for
at least for 2 hours is the only solution. A word of caution here- in case the lab glasswares are
cleaned using hands then to prevent cuts heavy gloves should be worn. Glassware cuts are very
common and can be serious. Glasswares used in the lab can be cleaned by hand washing or by
using washing equipment of various types. In this section washing by hand is described.
Laboratory safety
Many laboratories contain significant risks, and the prevention of laboratory accidents requires
great care and constant vigilance. Examples of risk factors include high voltages, high and low
pressures and temperatures, corrosive and toxic chemicals, and biohazards including infective
organisms and their toxins.
Measures to protect against laboratory accidents include safety training and enforcement of
laboratory safety policies, safety review of experimental designs, the use ofpersonal protective
equipment, and the use of the buddy system for particularly risky operations.
In many countries, laboratory work is subject by health and safety legislation. In some cases,
laboratory activities can also present environmental health risks, for example, the accidental or
deliberate discharge of toxic or infective material from the laboratory into the environment.
general principal
Hazardous chemicals present physical and/or health threats to workers in clinical,
industrial, and academic laboratories. Laboratory chemicals include cancer-causing agents
(carcinogens), toxins (e.g., those affecting the liver, kidney, and nervous system), irritants,
corrosives, sensitizers, as well as agents that act on the blood system or damage
the lungs, skin, eyes, or mucous membranes.
laboratory hazards
Biological agents and biological toxins[edit]
Many laboratory workers encounter daily exposure to biological hazards. These hazards are
present in various sources throughout the laboratory such as blood and body fluids, culture
specimens, body tissue and cadavers, and laboratory animals, as well as other workers.
These are federally regulated biological agents (e.g., viruses, bacteria, fungi, and prions) and
toxins that have the potential to pose a severe threat to public health and safety, to animal or
plant health, or to animal or plant products.[2][3]
1. Anthrax - Anthrax is an acute infectious disease caused by a spore-forming bacterium
called Bacillus anthracis.
2. Avian Flu - Avian influenza is caused by Influenza A viruses.
3. Botulism - Cases of botulism are usually associated with consumption of preserved
foods.
4. Foodborne Disease - Foodborne illnesses are caused by viruses, bacteria, parasites,
toxins, metals, and prions (microscopic protein particles). Symptoms range from mild
gastroenteritis to life-threatening neurologic, hepatic and renal syndromes.
5. Hantavirus - Hantaviruses are transmitted to humans from the dried droppings, urine, or
saliva of mice and rats.
6. Legionnaires’ Disease - Legionnaires’ disease is a bacterial disease commonly
associated with water-based aerosols.
7. Molds and Fungi - Molds and fungi produce and release millions of spores small enough
to be air, water, or insect-borne which may have negative effects on human health
including, allergic reactions, asthma, and other respiratory problems.
8. Plague - The World Health Organization reports 1,000 to 3,000 cases of plague every
year. A bioterrorist release of plague could result in a rapid spread of the pneumonic
form of the disease, which could have devastating consequences.
9. Ricin - Ricin is one of the most toxic and easily produced plant toxins. It has been used
in the past as a bioterrorist weapon and remains a serious threat.
10. Smallpox - Smallpox is a highly contagious disease unique to humans. It is estimated
that no more than 20 percent of the population has any immunity from previous
vaccination.
11. Tularemia - Tularemia is also known as "rabbit fever" or "deer fly fever" and is
extremely infectious. Relatively few bacteria are required to cause the disease, which is
why it is an attractive weapon for use in bioterrorism.
Physical hazards and others[edit]
Besides exposure to chemicals and biological agents, laboratory workers can also be exposed to
a number of physical hazards. Some of the common physical hazards that they may encounter
include the following: ergonomic, ionizing radiation, non-ionizing radiation and noise hazards.
Ergonomic Hazards[edit]
Laboratory workers are at risk for repetitive motion injuries during routine laboratory procedures
such as pipetting, working at microscopes, operating microtomes, using cell counters and
keyboarding at computer workstations. Repetitive motion injuries develop over time and occur
when muscles and joints are stressed, tendons are inflamed, nerves are pinched and the flow of
blood is restricted. Standing and working in awkward positions in front of laboratory
hoods/biological safety cabinets can also present ergonomic problems.[4][5]
Ionizing Radiation[edit]
Danger radiation zone warning sign
Ionizing radiation sources are found in a wide range of occupational settings, including
laboratories. These radiation sources can pose a considerable health risk to affected workers if
not properly controlled. Any laboratory possessing or using radioactive isotopes must be licensed
by the Nuclear Regulatory Commission (NRC) and/or by a state agency that has been approved
by the NRC, 10 CFR 31.11 and 10 CFR 35.12.[6]
The fundamental objectives of radiation protection measures are:
1. to limit entry of radionuclides into the human body (via ingestion, inhalation, absorption,
or through open wounds) to quantities as low as reasonably achievable (ALARA) and
always within the established limits;
1.
to limit exposure to external radiation to levels that are within established dose limits and
as far below these limits as is reasonably achievable.
safety programme
Safety hazards[edit]
Autoclaves and sterilizers[edit]
Workers should be trained to recognize the potential for exposure to burns or cuts that can occur
from handling or sorting hot sterilized items or sharp instruments when removing them
from autoclaves/sterilizers or from steam lines that service the autoclaves.[7]
Centrifuges[edit]
Centrifuges, due to the high speed at which they operate, have great potential for injuring users
if not operated properly. Unbalanced centrifuge rotors can result in injury, even death. Sample
container breakage can generate aerosols that may be harmful if inhaled. The majority of all
centrifuge accidents are the result of user error.
Compressed gases[edit]
Compressed gas cylinders.mapp and oxygen.triddle
Laboratory standard for compressed gas
1. Is a gas or mixture of gases in a container having an absolute pressure exceeding 40
pounds per square inch (psi) at 70 °F (21.1 °C); or[8]
2. Is a gas or mixture of gases having an absolute pressure exceeding 104 psi at 130 °F
(54.4 °C) regardless of the pressure at 70 °F (21.1 °C); or[8]
3. Is a liquid having a vapor pressure exceeding 40 psi at 100 °F (37.8 °C) as determined by
ASTM (American Society for Testing and Materials)
Within laboratories, compressed gases are usually supplied either through fixed piped gas
systems or individual cylinders of gases. Compressed gases can
be toxic, flammable, oxidizing, corrosive, or inert. Leakage of any of these gases can be
hazardous.[9]
Store, handle, and use compressed gases[edit]
All cylinders whether empty or full must be stored upright.[10]
Secure cylinders of compressed gases. Cylinders should never be dropped or allowed to
strike each other with force.[10]
Transport compressed gas cylinders with protective caps in place and do not roll or drag the
cylinders.[10]
Cryogens and dry ice[edit]
Cryogens, substances used to produce very low temperatures [below -153 °C (-243 °F)], such
as liquid nitrogen (LN2) which has a boiling point of -196 °C (-321 °F), are commonly used in
laboratories.[11]
Although not a cryogen, solid carbon dioxide or dry ice which converts directly to carbon
dioxide gas at -78 °C (-109 °F) is also often used in laboratories. Shipments packed with dry ice,
samples preserved with liquid nitrogen, and in some cases, techniques that use cryogenic liquids,
such as cryogenic grinding of samples, present potential hazards in the laboratory.[11]
Hand protection is required to guard against the hazard of touching cold surfaces. It is
recommended that Cryogen Safety Gloves be used by the worker.[12][13]
Eye protection is required at all times when working with cryogenic fluids. When pouring a
cryogen, working with a wide-mouth Dewar flask or around the exhaust of cold boil-off gas, use
of a full face shield is recommended.[14]
Personal protective equipments[edit]
Main article: Personal protective equipment
Personal protective equipment or PPE are equipments worn to prevent against exposure of
hazardous substances.[15] Although, PPE does not eliminate the risks of hazards but it helps
protect the user from the exposure.[16] To make a workplace safer, it should provide instructions
and training of how to use and choose proper PPE in different situations.[15]
Nitrile gloves
PPE includes:
Long-sleeved shirts, lab coats, aprons.[14]
goggles[14]
Safety gloves;[14]
There are 2 common types of safety gloves that are widely used in high school or
university laboratory, Latex and Nitrile gloves. Latex gloves have a high sensitivity
when it comes to contact and fine control which is very suitable for surgery.[17] On the
other hands, Nitrile gloves are the gloves that do not have latex protein which cost twice.
It was known as the most durable, resisted to tear and many chemicals. Beside all the
benefits, Nitrile gloves also have drawbacks since it can oxidize silver and high reactive
metals as these metals can react with sulfur.[17]Therefore, wearer should have an extra
care while wearing this type of protective gloves.
Face shield or safety
Electrical[edit]
In the laboratory, there is the potential for workers to be exposed to electrical hazards
including electric shock, electrocutions, fires and explosions. Damaged electrical cords can lead
to possible shocks or electrocutions. A flexible electrical cord may be damaged by door or
window edges, by staples and fastenings, by equipment rolling over it, or simply by aging.[18]
The potential for possible electrocution or electric shock or contact with electrical hazards can
result from a number of factors, including the following:
Faulty electrical equipment/instrumentation or wiring;[19]
Damaged receptacles and connectors;[19] and
Unsafe work practices.[19]
Fire[edit]
Fire
Fire is the most common serious hazard that one faces in a typical laboratory. While proper
procedures and training can minimize the chances of an accidental fire, laboratory workers
should still be prepared to deal with a fire emergency should it occur. In dealing with a
laboratory fire, all containers of infectious materials should be placed into autoclaves, incubators,
refrigerators, or freezers for containment.[20]
Small bench-top fires in laboratory spaces are not uncommon. Large laboratory fires are rare.
However, the risk of severe injury or death is significant because fuel load and hazard levels in
labs are typically very high. Laboratories, especially those using solvents in any quantity, have
the potential for flash fires, explosion, rapid spread of fire, and high toxicity of products of
combustion (heat, smoke, and flame)
first aid
First aid is the assistance given to any person suffering a sudden illness or injury,[1] with care
provided to preserve life, prevent the condition from worsening, or to promote recovery. It
includes initial intervention in a serious condition prior to professional medical help being
available, such as performing CPR while awaiting an ambulance, as well as the complete
treatment of minor conditions, such as applying a plaster to a cut. First aid is generally performed
by the layperson, with many people trained in providing basic levels of first aid, and others
willing to do so from acquired knowledge. Mental health first aid is an extension of the concept
of first aid to cover mental health.
There are many situations which may require first aid, and many countries have legislation,
regulation, or guidance which specifies a minimum level of first aid provision in certain
circumstances. This can include specific training or equipment to be available in the workplace
(such as an Automated External Defibrillator), the provision of specialist first aid cover at public
gatherings, or mandatory first aid training within schools. First aid, however, does not
necessarily require any particular equipment or prior knowledge, and can involve improvisation
with materials available at the time, often by untrained persons.[2]
First aid can be performed on all mammals, although this article relates to the care of human
patients.
Formalization of life saving treatments[edit]
During the late 18th century, drowning as a cause of death was a major concern amongst the
population. In 1767, a society for the preservation of life from accidents in water was started
in Amsterdam, and in 1773, physician William Hawes began publicizing the power of artificial
respiration as means of resuscitation of those who appeared drowned. This led to the formation,
in 1774, of the Society for the Recovery of Persons Apparently Drowned, later the Royal
Humane Society, who did much to promote resuscitation.[7][8]
Napoleon's surgeon, Baron Dominique-Jean Larrey, is credited with creating an ambulance corps
(the ambulance volantes), which included medical assistants, tasked to administer first aid in
battle.
In 1859 Jean-Henri Dunant witnessed the aftermath of the Battle of Solferino, and his work led
to the formation of the Red Cross, with a key stated aim of "aid to sick and wounded soldiers in
the field".[6] The Red Cross and Red Crescent are still the largest provider of first aid
worldwide.[9]
Esmarch bandage showing soldiers how to perform first aid
In 1870, Prussian military surgeon Friedrich von Esmarch introduced formalized first aid to the
military, and first coined the term "erste hilfe" (translating to 'first aid'), including training for
soldiers in the Franco-Prussian War on care for wounded comrades using pre-learnt bandaging
and splinting skills, and making use of the Esmarch bandage which he designed.[3] The bandage
was issued as standard to the Prussian combatants, and also included aide-memoire pictures
showing common uses.
In 1872, the Order of Saint John of Jerusalem in England changed its focus from hospice care,
and set out to start a system of practical medical help, starting with making a grant towards the
establishment of the UK's first ambulance service. This was followed by creating its own
wheeled transport litter in 1875 (the St John Ambulance), and in 1877 established the St John
Ambulance Association (the forerunner of modern-day St John Ambulance) "to train men and
women for the benefit of the sick and wounded".[10]
Also in the UK, Surgeon-Major Peter Shepherd had seen the advantages of von Esmarch's new
teaching of first aid, and introduced an equivalent programme for the British Army, and so being
the first user of "first aid for the injured" in English, disseminating information through a series
of lectures. Following this, in 1878, Shepherd and Colonel Francis Duncan took advantage of the
newly charitable focus of St John,[3] and established the concept of teaching first aid skills to
civilians. The first classes were conducted in the hall of the Presbyterian school in Woolwich
(near Woolwich barracks where Shepherd was based) using a comprehensive first aid
curriculum.
First aid training began to spread through the British Empire through organisations such as St
John, often starting, as in the UK, with high risk activities such as ports and railways.[11]
Aims[edit]
The key aims of first aid can be summarised in three key points, sometimes known as 'the three
P's':-[12]
Preserve life: The overriding aim of all medical care which includes first aid, is to save lives
and minimize the threat of death.
Prevent further harm: Prevent further harm also sometimes called prevent the condition
from worsening, or danger of further injury, this covers both external factors, such as
moving a patient away from any cause of harm, and applying first aid techniques to prevent
worsening of the condition, such as applying pressure to stop a bleed becoming dangerous.
Promote recovery: First aid also involves trying to start the recovery process from the
illness or injury, and in some cases might involve completing a treatment, such as in the case
of applying a plaster to a small wound.
STORE ORGANIZATION
Proper chemical management and storage is essential in assuring a safe work environment
for students, staff, faculty, and visitors. These guidelines will help you manage and store
chemicals safely in your work place. More detailed information is provided in the UC Davis
Chemical and Laboratory Safety Manual.
Storage
Chemicals must be segregated and stored with regard to compatibility and hazard classification.
Storage areas must be clearly labeled. Laboratories must establish separate storage areas for each
of the following:
Flammable and combustible organic liquids and solvents,
Corrosive inorganic acids,
Dry poisons, dry salts and dry oxidizers,
Corrosive bases,
Corrosive organic acids,
Reactives (air)/pyrophorics,
Reactives (water),
Reactives (light/wavelength),
Explosives
Cabinets or shelving should be sturdy and secured to the wall. Shelves should be fitted with a
barrier or lip at least 1-1/2 inches high to prevent chemicals from falling off the shelves.
Corrosives should be stored in wooden or plastic laminate cabinets, if possible. Metal cabinets
are not recommended for storage of corrosives. Chemicals should not be stored under the sinks
in a lab. Secondary containment is advised for liquids and for reactives; for liquids secondary
containment may be a dish pan; for reactives secondary containment may be a Ziploc baggie.
When you initially sort your chemicals for storage, cross-reference the Safety Data Sheets
(SDSs) for the incompatibilities of each chemical with other chemicals in the laboratory. A list
of incompatible chemicals is available from EH&S.
Specific storage guidelines by chemical group are included at the end of this SafetyNet.
laboratory function
Laboratory functions. A Clinical Scientist is an experienced clinical / scientific / technical
professional, who has developed their skills and theoretical knowledge to a high standard,
performing a highly complex role and continuously developing clinical, scientific or technical
practice within a defined field.
Functions of a clinical laboratory
1. 1. Functions of a Clinical LaboratoryAny medical trial or clinical research is incomplete
without a clinical laboratory. Traditionally speaking, aclinical laboratory examines and
analyses components in blood, urine and body fluids... Blood grouping& Rh typing can
also be performed. The Clinical lab has the capability to perform quantitative
andqualitative analyses of urine, blood and other fluids as explained below:- ●
Qualitative Analysis is a test that is set up to identify the constituents of a substance or
mixture. The question addressed is what is in it? ● Quantitative Analysis is a test that is
set up to understand the amounts or proportion of the substance or mixture used. The
question addressed here is how many or how much is in it?In the recent past, with
medical activities gaining momentum in India, renowned CRO’s (clinical
researchorganization) have specialized in innovative clinical laboratory services. This
laboratory forms thefoundation of medical studies and research. Accreditation by third
parties - NABL and CAP assures highstandards of quality and testing that are
internationally acceptable.. The lab is well equipped withstate-of-the-art infrastructure
and impeccable logistics. The prominent part of a clinical laboratory isthat it deploys
highly experienced and trained personnel; Laboratory Information System is used
foronline information transfer and ensures short turnaround time with commendable
levels of quality andconsistency.Clinical laboratory services include a wide range of
investigations. They are:- ● Hematology ● Coagulation ● Biochemistry ● Serology &
Immunology ● Urine Analysis ● Hormonal assaysClinical laboratories owned by Indian
CRO’s also help in conducting Phase I study by providing thenecessary lab support.. The
study includes the following aspects:-
2. 2. ● First-in-human ● Single Ascending Dose studies ● Multiple Ascending Dose studies
● New Chemical Entities ● Dose Escalating studiesA clinical laboratory is the backbone
of all experiments and drug developments. Hence it is essential toupgrade it from time to
time with adequate resources.Read Also On: Biometrics
MAIN STORE
Laboratories used for scientific research take many forms because of the differing requirements
of specialists in the various fields of science and engineering. A physics laboratory might contain
a particle accelerator or vacuum chamber, while a metallurgy laboratory could have apparatus
for casting or refining metals or for testing their strength. A chemist or biologist might use a wet
laboratory, while a psychologist's laboratory might be a room with one-way mirrors and hidden
cameras in which to observe behavior. In some laboratories, such as those commonly used
by computer scientists, computers (sometimes supercomputers) are used for eithersimulations or
the analysis of data. Scientists in other fields will use still other types of
laboratories. Engineers use laboratories as well to design, build, and test technological devices.
Scientific laboratories can be found as research room and learning
spaces in schools and universities, industry, government, ormilitary facilities, and even
aboard ships and spacecraft.
Despite the underlying notion of the lab as a confined space for experts[1], the term "laboratory"
is also increasingly applied to workshop spaces such as Living Labs, Fab Labs, or Hackerspaces,
in which people meet to work on societal problems or makeprototypes, working collaboratively
or sharing resources.[2][3][4] This development is inspired by new, participatory approaches to
science and innovation and relies on user-centred design methods[5] and concepts like Open
innovation or User innovation,[6][7]. One distinctive feature of work in Open Labs is phenomena
of translation, driven by the different backgrounds and levels of expertise of the people
involved[8].
MAIN RECORD
LAB Records (pronounced lab) is an independent record label operating from Manchester,
England and founded by Mark Orr and Nathen McVittie in 2007.[1] The company also has a
creative and distribution division, LAB Exposure, as well as a New York-based management
company, LAB Partners.[2]
It releases music in the pop and rock genres, with bands primarily from the United States and
UK. As of 2014 artists includeCover Drive, Mike Dignam, Fort Hope, Bethan
Leadley, Cartel, The Hush Sound,[3] and William Becket,[4] and the label has released positively
reviewed albums such as The Way I Fell In by The Morning Of, Would It Kill
You? by Hellogoodbye, and It Hates Youby He Is Legend.
The label has a reputation for developing UK talent. Two LAB affiliated artists, Young
Kato (BMG Chrysalis),[5] and Katie Sky (Universal Music Group) both signed to labels in
2013,[6] while UK rock band Blitz Kids signed to Red Bull Records.[7] At the start of 2015, rock
band Fort Hope signed to Virgin EMI Records.[8]
4
LM5000 Clamshell Laminator
BioDot Inc.
The LM5000 Clamshell is designed to assemble a lateral flow assay comprised of multiple
materials (typically a nitrocellulose membrane, a sample pad, a conjugate pad, and an absorbent
pad) onto an adhesive backing material. ...Read more...
Laboratory Notebooks
Heathrow Scientific
Laboratory Notebooks For admissibility as court evidence, data on laboratory work, experiment
details, and design and development. Use these Heathrow Scientific lab notebooks to keep your
indispensable data. Numbered pages include ...Read more...
8
Drawer Organizers
Heathrow Scientific
Drawer Organizers - Keeps supplies organized and easily accessible Polystyrene drawer
organizers from Heathrow Scientific are perfect for storing and organizing small laboratory
supplies. Protect fragile items such as glassware. F... Read more...
Tubby® Containers
Heathrow Scientific
Tubby® Containers - Sturdy tubs with lids and dividers All versions of Heathrow Scientific's
handy Tubby stackable storage containers will help you organize your laboratory. Using the
removable dividers you can create as big or as smal... Read more...
10
Multipurpose Utility Tray
Heathrow Scientific
Multipurpose Utility Tray - Carry an assortment of items Organize a variety of items efficiently
using the compartments surrounding the handle, the supply drawer, and side pockets. The
centered soft rubber gripped handle keeps balance ... Read more...
11
LIQUID CHROMATOGRAPHY
HPLC has been used for manufacturing (e.g. during the production process of pharmaceutical
and biological products), legal (e.g.detecting performance enhancement drugs in urine), research
(e.g. separating the components of a complex biological sample, or of similar synthetic
chemicals from each other), and medical (e.g. detecting vitamin D levels in blood serum)
purposes.[1]
Chromatography can be described as a mass transfer process involving adsorption. HPLC relies
on pumps to pass a pressurized liquid and a sample mixture through a column filled with
adsorbent, leading to the separation of the sample components. The active component of the
column, the adsorbent, is typically a granular material made of solid particles (e.g. silica,
polymers, etc.), 2–50 μm in size. The components of the sample mixture are separated from each
other due to their different degrees of interaction with the adsorbent particles. The pressurized
liquid is typically a mixture of solvents (e.g. water, acetonitrile and/or methanol) and is referred
to as a "mobile phase". Its composition and temperature play a major role in the separation
process by influencing the interactions taking place between sample components and adsorbent.
These interactions are physical in nature, such as hydrophobic (dispersive), dipole–dipole and
ionic, most often a combination.
The schematic of a HPLC instrument typically includes a degasser, sampler, pumps, and a
detector. The sampler brings the sample mixture into the mobile phase stream which carries it
into the column. The pumps deliver the desired flow and composition of the mobile phase
through the column. The detector generates a signal proportional to the amount of sample
component emerging from the column, hence allowing for quantitative analysis of the sample
components. A digital microprocessor and user software control the HPLC instrument and
provide data analysis. Some models of mechanical pumps in a HPLC instrument can mix
multiple solvents together in ratios changing in time, generating a composition gradient in the
mobile phase. Various detectors are in common use, such as UV/Vis, photodiode array (PDA) or
based on mass spectrometry. Most HPLC instruments also have a column oven that allows for
adjusting the temperature at which the separation is performed.