UNIVERSITY

AMBATO TECHNIQUE

TECHNICAL UNIVERSITY OF
AMBATO
HEALTH SCIENCES FACULTY
CLINICAL LABORATORY
Elective II
TOPIC: ORGANIZATION OF THE PHASE III
LABORATORY
POST-ANALYTICAL
PHASE.
MEMBERS:
• DIEGO SANCHEZ
• OSCAR SANDOVAL
• TOAQUIZA FLOWER
• CHRISTIAN VALENCIA
• CRISTINA VILCACUNDO
• JUAN DAVID
YANCHATUÑA
❖ POST PROCEDURE
ANALYTICAL

The post-analytical
phase Conservation of
must contemplate specimens
at least the
sections of

Cleaning and
Procedures
decontamination
removal of
of the material
waste generated
reusable
> In addition, these will be expanded with other aspects that intervene significantly
in the post-analytical phase, such as

Validation Configuration
optional of and
the results emission of
reports
^ CONSERVATION OF SPECIMENS
The objective is to define the storage and conservation criteria for specimens and laboratory samples
once they have been analyzed.

Specimens stored in specific containers until collected by the authorized company for disposal are not
included, as this falls within waste management.

It should be noted that there is no mandatory regulation that requires clinical analysis laboratories to
retain samples for new analytical requests.
P In the conservation of laboratory specimens, it is necessary to differentiate between those
that will be kept refrigerated, and those that must remain in frozen conditions.

Specimens Specimens
refrigerated frozen

Blood, urine, feces, plasma and other liquids

sperm and others corporal, of which
body fluids its use is foreseeable
that they do not deteriorate long term
short term

And that they can be With exceptions, no

required for will remain more than
new evidence, no three months
will remain more than
7 days
Serum, urine, feces,
 Some considerations to take into account to guarantee correct and safe management in
matter of conservation of specimens are

-The samples to be kept will remain with their identifying barcode to guarantee the confidentiality of the users.

-The samples will be stored in groups based on the type of specimens and the date they were taken. -They will always be kept in a
vertical position to reduce, as far as possible, phenomena that could disable subsequent use of the specimens.

-It will be confirmed that the samples are kept at an ideal temperature. For this, a daily control and recording of the maximum and
minimum temperature reached by the conservation equipment will be carried out.
-It will be totally prohibited to store food or drinks in the conservation systems. This must be indicated with the Biological Risk
pictogram
 WASTE DISPOSAL
ORIGINATED

❖ Every laboratory generates waste

❖ biological waste

❖ Each laboratory must manage its waste,

collecting and separating them properly
 WASTE MANAGEMENT

❖ Set of activities aimed at providing a safer and more appropriate final destination for toxic and dangerous
waste according to its characteristics and risks.

INTERNAL MANAGEMENT: Laboratory personnel

EXTERNAL MANAGEMENT: Specialized and authorized external company

 INTERNAL
MANAGEMENT
1. Minimize waste production

❖ Buy reagents rationally

❖ Techniques with lower environmental impact
❖ Amount of reagents needed
❖ Reuse equipment, when possible
❖ Separate waste for recycling
2.- SEPARATION AND PACKAGING
 LABELLED.

WASTE, ONCE PACKAGED, SHOULD BE PROPERLY LABELED.

• THE IDENTIFICATION CODE OF THE PRODUCTS IT CONTAINS.

• THE NAME, ADDRESS AND PHONE OF THE OWNER OF THE WASTE.

• THE START AND END DATES OF PACKAGING.

• THE NATURE OF THE RISKS PRESENTED BY THE WASTE, INDICATED BY THE CORRESPONDING PICTOGRAMS.
 HAZARDOUS WASTE

• WASTE IDENTIFICATION CODES. Waste name

• Q CODE REASONS WHY WASTE SHOULD BE MANAGED.

Identification code

• D/R CODE. MANAGEMENT ACTIVITIES.

Table 1:Q................................II
Name
• CODE L, P, S, G. GENERIC TYPES OF HAZARDOUS WASTE. Table 2:D............... .................II

Address Table 3:.....................................

• CODE C. CONSTITUENTS THAT GIVE WASTE ITS DANGEROUS
NATURE.
• CODE H. CHARACTERISTICS OF HAZARDOUS WASTE.
Table 4:C................................II
Phone Table 5. h.............../.................II
Table 6:...........................
Table 7:............................

Packing date Signat

ure

• CODE A. WASTE GENERATING ACTIVITIES.

• CODE B. PROCESSES IN WHICH THEY ARE GENERATED

 TEMPORARY WAREHOUSE.

FOR CORRECT STORAGE, THE FOLLOWING RECOMMENDATIONS

SHOULD BE FOLLOWED:

• DO NOT STORE PRODUCTS THAT COULD LEAD TO DANGEROUS

REACTIONS ON THE SAME SHELF.
• THE WAREHOUSE MUST HAVE METAL SHELVES AND STACKING
CONTAINERS MUST AVOID STACKING ON EACH OTHER.

• DO NOT STORE WASTE ON SHELVES MORE THAN 170 CM

HEIGHT.

• THE TEMPORARY STORAGE OF TOXIC AND HAZARDOUS WASTE

WHEN THEY ARE SANITARY WASTE, SHOULD NEVER EXCEED 72
HOURS.
MONITORING OF THE WASTE MANAGEMENT PLAN.

(>
The person responsible for the waste management plan, generally the manager or director of
the laboratory, of the health establishment that generates the waste will carry out the following
functions:

Monitor compliance with the provisions applicable to the operations mentioned above.

Inform health center staff about the risks associated with waste and how to
prevent them.

Take the appropriate initiatives to achieve correct waste

management.
 • THE WASTE THAT IS GENERATED IN A CLINICAL ANALYSIS
TYPES OF WASTE LABORATORY CAN BE CLASSIFIED INTO THREE BIG GROUPS: SIMILAR
TO URBAN, CHEMICAL, AND SANITARY WASTE.

With
these
wastes,
the
most
Waste similar to
the urban ones: They are those
risk-free waste
particular for health
or for the environment.

appropriate is to separate them

And deposit them in the corresponding
in different groups, such as
containers. From there, companies
it is done in homes
authorized by the municipality will pick them particulars: glass, paper
up. and cardboard, plastics and
metals, batteries, etc.
CHEMICAL WASTES:

CHEMICAL WASTE IS CLASSIFIED INTO SEVEN GROUPS, MUST BE PACKAGED SEPARATELY, AND RECOGNIZED WITH
LABELS OF DIFFERENT COLORS:

Group I. Group II. Group III.

Solvents Solvents not Solutions Group IV. Acids.
halogenated. halogenated. watery. Label
Orange label. Green label. Light Blue. Red Label.

Group V. Oils.
Group VI. pale yellow.
Brown label.
Solid. Label
Group VII.
Specials.
Violet label.
 SANITARY WASTE:

They are Facilitate

responsible for a management
clinical analysis and disposal
laboratory

first step in
and sanitary is to
biological waste
separate them into
management
different groups
 WASTE SORTING
SANITARY - NTP 372

Waste Waste
sanitary Yo Yo
sanitary Waste
comparable to Waste
waste specific or typified in
municipal or sanitary no regulations
risk or type III
type I specific or singular or
type II type IV
sonsolesic@
 Waste Classification
Select carefully and consult if in doubt. Your health and that of everyone depends on it.

Mastics, cans - packaging, remains Gloves, depressors, gauze Waste from infectious patients, Remains of medication
of food, flowers, balls, paper plasters, bandages, plasters micronioiogy residues. pipettes, cytotoxic and all materials in
glass petr pikes tubes, objects contact with them, you
stinging needles, histuris. bags exhaust,
blood, dialysis equipment, masks, masks, gowns
GROUP I GROUP II pathological anatomy remains. disposable gloves
experimental animals GROUP IV

* Close bias the bags • Keep the container closed

* Do not drag them on the • Close it tightly as soon as it is full.
ground • Use containers according to the type of waste
* No what remains • Do not compact the waste when raking the containers.
* Keep the container closed ■ Do not cap the needles
HOSDITAL
 Health waste management scheme
Container or container transport vehicle Message plant

Group
Transparle

Plants of
Group II recycle municipal waste
munbcipdes
Compatibility
deres dd uj* Pian 1a by
eterákzahdi
n
Group II

intneration of
trash waste
r es idu as es p eciale s

GroupV

MeutraAzacron chemical
chemical neutralization
 LEGAL ASPECTS

Law 42/1975, of 19 833/1988 of 20

Directive
of November July
Royal Decree 91/689
Regulations for execution
of Law 20/1986, of 14
Collection and treatment of
of May
urban solid waste
------------------------------------------------------- It includes in its scope the
Basic legal regime of sanitary waste, inciting
toxic and dangerous waste, to the authorities
includes your application preparation of plans for
Legislative Decree 1163/1986, of
infectious waste, their management.

June 13th

^l It only refers to the

Application of sanitary waste, toxic and dangerous
excludes those wastes that waste
present toxic characteristics, generically.
polluting or dangerous.
_____________________________/'
CLEANING AND DECONTAMINATION
OF REUSABLE MATERIAL
 industrial detergent
Cleaning containers and (after rinsing with
other glass items abundant water deionized water
current, to eliminate its
content)

Can be treated with acid

(nitric or hydrochloric) or with
dichromate solution Drying will be carried out in an
potassium and oven, at 90 ºC. sulfuric acid
Yo_________________________. 1 hour

rinse carefully with

slightly alkaline or neutral,
deionized water They can be dried under a
non-ionic detergents
current of air
OPTIONAL VALIDATION OF THE
RESULTS

Validation Validation
technique pathophysiologic
al

technician of
laboratory

when the
when you evaluate the
analyzers
report of a
they issue the
patient, deciding
results.
its issuance or rejection.
 In case of a discrepancy with the results
Verify the analytical results with all the
• Update patient data.
pathophysiological and clinical data.

• Agreement with the diagnosis.

• Verify that the patient has followed the protocol prior to taking samples.
• Reason for the analysis or guiding symptom.
• Possible interaction with medications.
• Concordance with the patient's historical results.
• Reflect the incident, and process it to the quality manager for study.
• Concordance with demographic data and origin.
• It will be communicated to the laboratory director, and if necessary, corrective

actions will be initiated for improvement.

Confirmation of an unexpected result will imply:

1. Repetition of the analysis of the sample from which it was obtained.

2. If there is still any doubt in this regard, a new sample should be taken or another method used, if possible.
 CONFIGURATION AND ISSUANCE OF REPORTS

• THE REPORT REPRESENTS THE CULMINATION OF THE LABORATORY'S WORK, IT MUST BE

WRITTEN WITH PRECISION AND SERIOUSNESS

• MAKE SURE IT ARRIVES QUICKLY AND TO THE PEOPLE AUTHORIZED TO INTERPRET IT

REPORT REQUIREMENTS

• THE ANALYTICAL REPORTS WILL ESTABLISH THE MEASURED CLINICAL

DETERMINATIONS, THEIR RESULTS, AS WELL AS:

• USER IDENTIFICATION

• CLINICAL LABORATORY IDENTIFICATION

• IDENTIFICATION OF THE APPLICANT/RECIPIENT

• REPORT IDENTIFICATION: UNIQUE CODE

• IDENTIFICATION OF SPECIMENS AND SAMPLES

• DATES: OBTAINING THE SPECIMEN

• IDENTIFICATION OF THE UNIT RESPONSIBLE FOR THE VALIDATION OF THE RESULTS

• ANALYTICAL RESULTS NOT PRODUCED IN THE LABORATORY MUST BE SUBMITTED
STATING SUCH CIRCUMSTANCE

• ANALYSIS PERFORMED BY SUBCONTRACTED LABORATORIES

• ANALYTICAL REPORTS, NON-MECLATURE AND UNITS

THEY WILL ADJUST TO THE RECOMMENDATIONS OF THE SCIENTIFIC SOCIETIES

• THERE MUST BE A RECORD OF ANALYTICAL REPORTS

SENDING, DISTRIBUTION OR TRANSMISSION OF REPORTS

• TIME PERIOD THAT ALLOWS GOOD CLINICAL USE OF THE RESULT DEPENDS ON:

• WHETHER THE ANALYSIS IS REQUESTED AS AN EMERGENCY OR NOT, PHYSICAL

DISTANCE BETWEEN PATIENT AND LABORATORY, SAMPLING

• RESPECT FOR CONFIDENTIALITY

• IN CASE OF DISABLED PEOPLE OR MINORS, SEND TO

LEGAL REPRESENTATIVE

ARCHIVE OF RESULTS

• RESULTS OF CLINICAL DETERMINATIONS AND CONTROL REPORTS

OF QUALITY WILL BE KEPT FOR A MINIMUM OF TWO YEARS