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Guideline on-Health-Laboratory-Establishment-and-Operational by NPHL

This is all about health laboratory #Establishment and #Operational guideline by Nepal Public Health Laboratory (NPHL), Teku, Kathmandu, NEPAL

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Guideline on-Health-Laboratory-Establishment-and-Operational by NPHL

  1. 1. Fffezr eTl-g{f dqT qqlnrq qITEu-e H-qfrft trtt}ror Rosl iqm sar.R iqfezi n -lIFtII exsq +fl'frr+rtT mEq q{HreE s-qtqqrle,rr fq 6r6cr"d
  2. 2. 'Ir<IFFII 3{rr{mfrtnini g*qqE r ryrgftq €r€a *frrnrrqr t-qr r<n rri s-MI qrftr rqtfd F.6rft, ftfr, qrT<rkfi, itrrr+rft at rr+rft wrqr enwr Et qrcq fiermr 3flutad rqt{rqTrqt 6 defl TriIrnrmr i-qrqrr q-ff{ rri rrft eTrc-{r 6.i ;drnmrtr+i tEr rqrm rr<t qrm rrtf v{ mr<.s dqr Rrc2r r*.rqrmr tir rqr+q rtqft 9-<r4 rr{' qqqrfl{ +rd, rre, e-{furd aqr c}Trffi {rFi qq q+efta r rjqr<fu (a,s+ qqrn loi1 cr qrft q-dr rrEq qreq rdrrnrrqr ffi .a qrcq frfr iocR t r+rq< fi {friqq qreq rdt rqTmr i-+ s-qrmfir€ a-qkrd < qqftra r<rga qr€fd-q rdird tqre qr+n qreq rqrr+t zfr Ere{ rdfrrq[dr {rrFr{T iTqT e *rTnFr cTwg (qafl FT{fir6r, ioct" firi {r{ ldd I cffd( 1 qRh{+ l.d{K irq ( rrc*t: (1) {q htftrfirdl flq rqrcq cqi.rqrrqr errc{r r q*rd qrrfie (qRfI ft{ft1ar, 10u1" <l+1 e r 11; fr ft{ftrq1 gt< vrrs* qta t f. qftqn[ kqq * re-flt i{al 3{{ Tflirqr rq frtftrE;rrn,- rtr) 'rfaliFl' T;{t+ Aqrfr q-A;r.. EIfezI <r.q rci r (q) 'Ht{r€ qftfr' Tqrn EFr t rfifdq rTtsd {futdmtii qnfi sd I (r) '(Er ntqk6 (ar66R qftft' lrqrn <6I { s'ilt{q rrtsa qfqkfii {T161 q-d I (s) '{tsq lrrFnel rfrrnril'rqri sreq rdtrrsrrfrr n-{r+1 fi-4rq-fi f{firq I q;rFnezr Tfrrmrflr t-4r+1 frdrq r{6rq ve.rt qd r (c) '{tqfr II<r{ IIi fu6rq' rr<ri rq,-r 11 cI skkd q-qrd{ {tqfu Tfl{ qi ti-6r4 {st rd I 1qy ,fift+ q-{€rg TqTrmrf,r,lr;{rn dffi r+ereq rfr{rqrrqr I-rEI rdr (g) 'frIqq qqil{' lrqri fufrtrr ffi i+qq-qr 3{t4rr{ ,r{ s?sq ki rqkd oq{ {friqq {qrrtr ,ri qrs (q+fl i-<r vi-a sqr+ rt;ia;I qrftr rtqta s-ff{ rri t++rq-qra er{cid crq freTur 3rwf,r( qEEt rd I FD r sr+kfllrq[ qHR-d vfr{Erfl'qqri rrrdlirFrqr qnnft+ rri rqirrlTrqr tqr {qrd{fri erlwta rr< ,qlarsTmratilt €re{ rfr{rsrmr eIFHT (sT r{EII.r;I rIFrFg qq+ft htftr+r w A.--''
  3. 3. (|r') "ell-gqfrn (Standalone) gqtq{Iffl'q-rrt srFk FrF6rrT 3flurftd nlli {fr{rnrfl i-qr qrt 9416 rri .rt en r'n r{ rqrq-n qTc-ff wq qt6r frff rftnrr"rm, tr;ft frqk+2.ffi ffiraqr 3nqrfrd rdrrrqrqrar r +eftrfi n-{rnacr qrffi q-q}Tsrrdr cfterur rr+ T*rnrr{mri {TsI rd I (q) 'gqIqt.F-{!I Ti fri5FlGccreditation body)" ll-drn Td-{nirrdr6f*1 +qr {tffr+1 ffierur .rft gc{ar n-{T qf4fi qrr{rg 3r{5c qq qqr+} qiq rft hka aq fu rt wtr+rfr+ H-+rq rcrt rd r (z) 'YIJIqt6OI (A.c,editation)" tlirn ti P;r+rq qr afu-qr{ Afuqqir 6Ei ryTmt'{t{ftTffir+T qnt ssri q.i qa qtq sfliirfirt-+ l{orrqrc rfi{ rrfti qtrsn ger1 vei r (5) 'iEf4 grrrdl (competencyl' lIflrn {qfrI( arf wqr++q;r qrftr qr+er6 f,ri, frc { errrrori <cr1 ra r rt rsrrqr cfte1gr+i sk qi qr erf,dra|4 F'itrrqrrdr+{tdg qrqqq+ qt{-qr g{r rrft ffiq+1 qttsqqr r< qi hq{fli ci-< rqrre r (g) {6rf rrtf qtq (competency arsessment)" Tqri +{qrfi-q;I errdrqr{ qiq .ri r 3rFr+6-fior.r+ cffi eam-1 wi t errtn qiq+J qw affi i-{grd-{qTi qffi r ffi sftfrurcr qaTr4 qFi E-<r wi t s<r i.cg-r6adri fflT4asr r5i {ffi m hqq +q qfu ffiriid (G) .Fffisl rftRn-dr' rrqfn fufuRr rd]-rrsrr{r, Frrn rdf{nTrdr, tts6q rfrq$rqr, qrqreq qfr.nrrdr Er trEFI k{l{, ei?, rt+qrq, iterq vrqra+] tfliq, irrr+1 FrrRrfi zn qire{req (q{ft qfterurqil 4I{ ri sArrsnilqni acrl mi r 1q1 q1ffift (|IFqI ct qffr lrffn srq qllfi ftrsq retr*ra MBBS qT €I trr+] sctft qrq rrft ariteft+] {+ ftttr r€ qrrirffi, qr{nffiI, Hr fittr{ Er frETr{a-. fudqr sclfr Ert{-q TtI iqm itg+.( +rst<-dcr rai qr+r trrrsr qffi-qrg xrt51 c-ig t n) MBBS Er S r.fdi gcEfr 6rtw rr? qrqra uirffiqr MD/Dcp/M.phir/phDs'clfu crq rft iqrq itg4-d Ersftdcr rat qqqi' qrrffitqg (R) MBBS/BD5 Er s s{Ffil gcrfir drtffd rrt csqrd qr{il+t$rlrMD 4r qrfirffitr yrq rrft icrq tkrq +rcd-ccr ffii iTr+] MD qrffifuq (l) MBBS/BD5 Er {I Rd-+] scrtr 6rtfq ri crqrd qFfri{rdliirfrqT MD qr qrfH sqt?ff crq rft iqrq tk6q arsdlffir eai rr-+l Mt srca qfrrrsrrdr efiqfl (qr gqrdt 111,4 qq4fl hiftror i
  4. 4. tdr flF*tqrd-dfuq iF+-{ ?ffhfr (tr rrqrn fl-q sTq ftrerq q.ensra ffi ftErqr sdkd scrfu ilfuq rri csqrd tqrq srs q+srfi cf(q-fiI <ai r+1 tflT+r qffi t*rI wia t (1) BMLr/B.sc.scrPr 6rtff{ .ri csqrd ffi6{/ik6q qrAaikqT MSCMMLT Er cr{rdl sclfr sI< rrt iqre qleq qqa1ff qftq{qr ftt sg4l "q1ft$fuq1 siqqh grn;r11 (i) BMLVBSc. vcrftr EIff,q ri cl-Erfr tterq zffi+;r-e qrg-nffi 'ft ar ffc*-e rrc*ffiffi $ mumr M.sc./ MMLr? qrflrqit gqnft qr< rrft icrq qreq q+srff qftqgr q-di r+1 qIEftffiiqE (Microbiolosist) G) BMLr/BSC. gCIftr drltrd rt Ce-{l( tqr6r 14rea q{flff cft$qlT cdi qqfir itsFd qr{ffi ffitqE (vt cN,rLT scrft atre qi ceqrd tqlil €rs 4{flfi qfts{qr ed r+16r ikw qr+n-efr l+ffts+< (t) Technical slc in medical laboratory technologv Sclfu ErttrdI ql qqqra tqra sreq q-4-flff qftq-flr <at r+r itg6d ar+ffi qffia qreq rfrrrqTrqr eIrHT dqT (*IIiFI qFr{!-g {qfrft trtRrfr Y lke 0,--
  5. 5. cfid( r qftft(qfrq{sr i. F{trr6 <fuffi rron (t) rruflimi qreq sfrrrqTrqr {qdft t-4rrtE;t qq;q4 drll ir{rrF{ rr{ 6d {ffi {rftr tdr4 qfrtrc FTtsr+ qfuffi 116{ rrfu 1 talgfuq, Hrs qanerq -3rLqel (q) {6rfit1lfi, sRra Q-a1 faffrr - 3rIIL]rer (rr) ctdhP"r, frqs spq iryer< vftq - ({Fr (q) cftftftr, icrm tkFd cfts-{ - T(Fr (s) sfrfrfu, tqr{ €req q-c-flff qft.s-( - ({€T (q) sfrfiftr, rftnrrqr ce-+ft qdt(,{-;Fr c*qrc Tard{n r-+ff{ rrt+1 d q-{r - T(Er (E) yftftftr, Frff arscre qentsffi{ - {{er (q) HttFF, flEq q{srs g-frrrqrrmr - ((er (fuq (R) sr+6r (1) ol qEc tqr qqJta-q r1frft16 66s55 x"d 1 qar qrffi s{6 ( 16 rrr ikre ilr{n-.ft }ffidirfi vgr+i 6vfu r (!) fttrr+ qfcR qrirq?IEdr n{fiR {fqk+1 +56qr 6+ qttr 4r q-fltr6rft 4r f{qsrrqri qrqkf, ffisfi} rsqr 3fiqiflr rrd r*g r Y. htrriF qhk+] iFrc,odq r qfrr+rrm i6rq Edridq E{s- (6) Fne{ q-frrlarrdr t-{raffir T<fcr irEq €reT r{irrrsrriTr ffi r qqq qrter qrs dqT ctqtr t{FrffdEr ffi Rrwr rdrtrq 6q1 nfqq qaq;pa Ffr.rsTrffflii Trq qaelrd rfi{ rri , (q) s{II qle{ cun{Ifir rurdlftrffcr sre{ vfrrTrTrdr t-4rdRr qtlril{ Tr{ Td fqBrq q-qr{ aqr *s{r /9-6f{f,{-d srqq rri , (!r) irr{r aqr fffh lrqiurqr 3rtrqe-qir?rT ift ?if.rffi qaqrgi, (q) itlr4 vrrrqr tqrqt+r {fiffi s[{r trrrr r rsi t{rFf,dr r{<f{qir {<iiqr Frqfod 4r tsnr ddltr{dr ffi qr+qqrar ar{qR T6r{ Ti' , (s) T4i rfr{{ffqr erFrin dqT qftetq chftrd[d 5er-'< .r* , (q) Rr€Er rfrrnrrqr i-qnit (qt{rd f4nrq ks}srdr EIfuq rrt-+r vTrqra qt{Rr6 *rrfi{ rri {q-qq rt , qrs wtrnrrqr sFrifi dslt q=ffi{ qTlrfl-g vq*ft Fr{ftr+t rttp {
  6. 6. (d) Rrszr rdlIfqnqrqr rdf{rqr @r{i qr{Ift r affT{tfdl $ {r}E+i EIFT r&q Rrdt r{ ffi cks6 rr;, rsl qq164rt dfu.ffq+r 3{q 6rri66 rri I {. nE{ trrqEr rfrimT.Tr crftfu6 (frr6fiR qftfurt r FrfurdF dcfd-flil crfuSr{ ffid{r+1 qrftr tarr+r rcftrorfi-rc {Bdi rt&q spsa sfrrprqr qrf{P{+ rdrffiR (fqft rkq tcts16 sfuftr+i M{-{cr sreq rrarfiri t6rq qfitqq r56q rrfui 1 (E,) frfuiF, rqt ra-oreu v-ftnr{I - 3r4H rq) sfrftfu, g-fr{Rrrdl qqfrft geittr{{;ra{ qrtqre (1 q ) - ffiFr trrt ffiq 3rgkflqatrc qrsffi ({i6r g6 q{r - s(el (s) flTff,/(.firfr ftre{or 3rtrdrr+r qtdaitr qr*qtfr, crE*4rA-ftfi-rr 1r6-snfiq6 qr Hl{r[fi-ft q*Era (r&+ (T6-qre V.F qrll)c+ rrft fi-c qil - s{€r tsl ma ersTirToF{rd ardH ?ffi {T16r r+ q{r - ({sr (-r) 3r{rrfi nrqr sw lqq ql-grea cfr{rerrfrr - rrs qfTa (1) vtr{$r (1) +l q(rs (q) q$fqq rit+a s-rsm crt t snr qrffiI q6srer (r4 s{r tkffi srffi iffi (Ti Ere E$fu | (i) sc(Er (1) {frtqq rri6d nqu €req rtrrRfifl clEtrfi {-frr6-6R qfukdr dr4 f4-{"r tdrq 3r{frK qtg :- (a;) Tfr{rlTrdl ffi ilftr 3nqw6 ct q-{, fffi, {&q FrtftTTT <fu tqr+q Hfu (sop) dqT qFrErsrt ilqR rrft (Eftrd ti-+TrsTE ffi qrqra er{ rnrsi, (q) esr rrr rqfua q-riffi 3rrqaq6dr ir{frR t-4r 9-{16-+1 sfuen rr{, (rr) rfrrrqTrqrF€+l eai, rqrrq, argfr r fwr"ft-+r"r+i(Accreditation) qFrfl-gFr ffr$.Ift{.r+, (q) rtrrRrr{I t-4rcl 6r+.d s-{flffi 4rrrdT t{6l{ft1 mtr qr+qq+ aFi6r-m iqrrftq rr+, (s) 3rFlqa-6d[ :rgm a+ 6Ri6] qrftr tqT {Er+1 gq qfuk6{ rl6a .rft 6Fi .Rrsi, 1q) ffiqrr ffi{tf,{re dtrcdr qq fid-6€ rr{, (E) g-frrHTr(rr€d Tqrm{ q-ttrfr lT nt{4-{q r ryrtrt h{aq slqd-+1 rI-tr truirot .rt t EIFHT f,qT (qld{ IIFRUg qqftft TT*fT6TE.req rziTnrr.{r frLP
  7. 7. qfiB( i yfrfln-drfil IFFR r tFr6 flfi-i5.tlr t. TfrrRrr{r6r lr+g |qp6q, Rr€q Fqtrrqrrqr ffi erfrr farq +ittsrq+r 9qlrl{llell6t tqrrq a6tdn :- GF)d{Rrs rftRn-fi f l(IEq q-{sr€a rdf{rqrIf,l ?) et+4 q{greq rfrrrsrrqr i) t{dr s{grg orqtcqqr iflErfad qqt{nTrc{r GD 3rgril{ql qrsrft-d rtrrflqr (1) 1r.+Tft qskrr(qT i{r.ntad rdtftTrmr (q)A+4 3rsf,r{ql ifltlrkd rfr{rsrrqr l3nt frftqzqrkq 3tgk {ct a arfu( tr*.rsrrqr (g) gc-+{Iq 3rqdm { q*rq ir+kllqqT 3fl?nLd rfrrrerrfrr (t)kdr {wfrrdqr qrtrrkr cd-{rsrmr 1glqrrTfrrfi grg d-<qr 3{r?nkd lrfrrrsrrqr istttrfrqqr slrflrfa( qqrrrsTrqr (l)rf$I irqfrrdcr 3fltlrft-{ g-dr{nTrqr {i{)qErRUr erg<rocr orurftd rdr{rsTrqr (3Ir) filis{ t-sr cH E{r{ rr* rqirr"mr ifltlrft-fr sdr(sTrdr (t) {a+rft dqT Frff ikdq s.i-ezfTeTur 3rskrTirrfl qrufta rdtrrsnmr (rr) T*rrcrrdr fra1 qg yESa .ri s-frqqTlill (standalone Laboratory) (S)3I{(rfrrH lffrttQlfqT (Research Laboratory) (g)iqur rfrrrqrrqr (Referral Laboratory) (q)ftstq trraril qfr{rqnfl qreq rd-{tlIrqr erFr<T dfi {=tTiFI qFr{rg (qdft fT?fqr6r ILR 9 (vl qs qfom *e+r 3rmqqrdr r{gn qra afrq u) qrfktrfi fl-<re-+n qfuffi i{r{qliF'dT {1.{R sfuMI A66qT t+ qfu sr rflftrfift sr ffiqF-fl{ 3rlqt{d {(s-+J rrqr i{rFaur iri rd-s r
  8. 8. e. lrfrqwql tqt qrt l-<tq T+ Tfrqtrrcr (standalone t-aboratory) : rdFTqffdf +Ef qr{ yff{ rr{ ftdl TqfrnTrqr (€!-gq-air+ T{ir{rsrmr) or qrq mt Frff ftrfi-+2tftffi+rqr qtfltad sdrTstTdT r iiftr+ rfficr qrffi cfterq rri Td-{nrqrr{ ct( qfr r{rqr q+in r gtt.{rqr{ ffr{rm-qr : (i) 3qs+rr{ fiI{nTrdri q qt rqrrdrqr ?{rflt-f, qrt{ rrT{rrn s{€T€zffi{r (qt{rd Farrr+ r tt-rtrra iI{rrndi 3r{ffftrm +tq I ti rt.t I (1) ss+Fr nt qitlqq qrt{ Ttr{rqr erlram ani rqrrq rrd nfuq q4srcq rqi{qrrffErc fu$Tf.{ Eq+1 er gt @r @t elci-d (t) 3r{ll4rr{ rftnrro qrqid Et sqIral.;rqr nEq q+tqrcq kafi Frrrrff, rr+rd qr sq-q{firft qfu+r rrt* r (y) q( Eqrr +dlqc erSn-+rn +Fi.ri Tfr.nTrff+l ffi 3rr{qq6 frfu+ gfrar vql "s' r'a'+1 qreq e-dr{nrff,r+l rrcr+1 q1 rfu r f. isq cftrslrdr (Referrat Laboratory) : (i) iEsr q-fr{rqrFTr tslnl{ 4r hT Ert6{ ri-+r rftrqrmr d qri rt r+fffi cTt6[dr qfteTur {fur{ r tqTftfi t-6I q-fr.rsrmrft cr;r+Ere {6kd itT;It t supptementary rftrvr qt confirmatory cfteTgl ctfi-al qT sttIRvI s-{iFrsrRrfl vfteru qt+ur gqnr4r qlTq6r i5{Teatri cfte{ur+1 orftr ffi r{ctd tqi i'q"r rdrrrqrrqrcr qdrs{ flH6i I (1) srrflF'r 111 qfrfuq tqr flr* rT+ qftHur+J {fq""r|{.m sfr{rqTrmr grmer n!rr+i :r+erqr {rEq ++req q-d-{e1lqr+1 qqtd f{{ tstsft *sor T{m qftmur+1 ft1 q5asa qffid 1 (t) ktsft lqq rfrrrqrr{r {rEq q;rqreq qfrrrqrr{rqrqlE qrqfrr qrR EI qfur (y) {rEq qa-sreq rfrrrqrFri t{r Erfr( qtsrsrfi} qrftr c6TtsI ct qfteTur ffi q* ir"tl-+-rcaT rqr qrft {rEq qrhP;6 {drd-+'R sfqtf,qrd dgo rnrel cfu r qrsq qdFTqtrfl erFnr dfi {€tTnFI qFr{rg {EdI i{tftr+r q 5 W 0r---''
  9. 9. ({) iqsr rfr.rurTqTcl TTir qtrervr+1 qrftr c6K Err< q* rdrnrrrri w Tfr k{ crsi *c r is"r g-d{Tflrdrcr o6a1q qH ntdqr isq szt{n[rqT+ Report Form qt grlttel ffrel Vfu r (q )R?eft iqq rfr.rsrrern Refer lri 3ilqdr aTdTel{ srq q+lrqrrfiqr cftsor .Rrs{ cr{i Aq il{ ti iv"r r,innn-cr+i elrcrrfl 3rrqi TTrrrcdrt d-{ snqrd ter nrr rffi Tq vfuflrqrfl q6rc{ d qnn q+&{ r (r) t+ g-frrsrrq]- {'A 3ns.lT qmiTqTrqrqr d cfte{"r Q-aHr ;FRsr{s 3rrgi 3rrfifsfi erqiu-qr{ gmEn rrt+t eft qffi Ffrrnrrfiqr r[qr cfttT'rr lTt rRrg{ F*Bt{ r q-cfr B116l€-6 Backup ffit qrftr rd-.r r@r rd"ffirqrqr-{ isur rmrnrrqr qrtri *< r tcr tsr B11 sqd+r rrg6r cft+r"r66 d e-drrrr€r+l E4ir lrqqr ?fl srffi rfrtrqrrdrqr q-6rs{ {t*i-d, r rgft qfte{qr q-dr.,isr t-qrqrfifi} srti-{Fi tqkfr irdqfr (written consent) k{qfu { t +1 qr;rfirft {rkq s{gre4 rr(rs-{cfu | (R,) r+6 s-{ir{ryndri 3rEt ilT qlk q-6T-+} cfterorEil i{{{qr qrtffi ficr nQa q{€rs rfr{Rrrdrqr raregie r (1o) tn Ert6( TT{r cfrmqr+i qrftr s6rsi rfr{rqrlqr 6kcr e qr+1 q1 rfut nl)d qt{ eqt{refiil 3nst Tfrrwtrf,I rTI iqT ftrt {H nrumr urat cftHor i-ar ssqla1 aqffi Tfterur+1 qrftr iqor rrtqflrql 6i {fufiI Frci'6 rFi qrst #{ r (11) ftsftfr s-d-rrfll{r qi-dc "o" n-qrd 51rfu t (1i) iqur r{iFrsrrdr dqT d q-.iffflr{rqr a-qn rsrvt rftnrmr (Referring Laboratorv) t tarq srct$rc-6r faqq qrdnr .rtcfu :- (+) Referral { Referring f{ifi$r6{r+1 ftqq seg qC+1 fl c-ig t 1q1 |qq rffi ctterulr{-*l {fr fi?rtR-ir qr+1 En q*6 1 (rr) t-{rra-{r{ sc+l ctrHur isq r@I vr++rft 61 q-*a r qrt ffi 3{G iqtr s-trnrrqrqr .r€ ctle{or rrrsfl fu* sI@ ( Referrlng rfrrrqrdr qrd-d qiET ftrfr l5i+-+1 ettw ffi qr+nrft fi Bi6 t 1q) TT{r Earff HRr aqr cfuqr qE-{r ezn6 .rt fuPa qe e-t q.ie t erFfiTr n {*rrrFr qrrfl-g gq+fl FTtftrfirsr+q q*rrprrst W 9
  10. 10. (E) Critical/ Life Threatening rlfuEra,TReferrin8 rfrrnrdrdr* (F< {fir er{r6 qi fufu we 6 r{-e r (s) isvr rfr{rtl-{ri qkmr (q{ft a.t fq-rrqr i-4md*drt grd4r rnrs{ {d fi Tfu i +d;t hftr qfr se qr=tc{E r (E) isvr Frif{rerrdri Referring Ttrrnrrqrqre qrr+1 3rrqiq t qT[{!-g 3rgc r"dra aT{rEE4i qAqr 6.'qft q*l-{ rr+ lIA hq{qr fukd ftft r+ ri wiu r 10. ftstq ((<{) Tfr{ftnqr G) ftstn rrirrrq[qr orq rd-qsTrqrradl ryrwr ffa Tr Ffiaq ri, sr6-{"r6-6dl catibration T{, [ft!{"r68+1 F:qtq rqrq q iri s<T a;i55 qq6a lTt q-d,rsrrqmri gtra r Fmt< trfriryrrdn (cFra4rd fr +1 qrftT ff-q flq 6 ro r ivr* Tafir.dRr qrikfi sTkr k< rdFrsrrdr qrts+ rq 6.ffi' g-fr{errdrn qrqdr rrqr ftqi-;s {16<+1 rdrrr rrd qr5tdi( | tt.qfir {-s-dr{ +-q r tlrqr (q* q{sr: n) t+ cf{ q'qlqqrrqT sl-<rid dtfl-+T TT{r {6d{ A;ran qrac e qTr+i s-qt{rsrrdr+I crrfig TiI riH flqfu { m& 3r--i-fi.41 i-{r qfr r<n .r{ cfu r q) TrI{r rr+,-d{ ffi sryi e-+enqr r 3rq ffrC-{rt 1w rftmmr* qta r er+ nrc src Fsrffd rfr.nrrdrcr r{{r Fcr< a-f6€ (16 crEi An r (i) T{ir {-re-{ +-{ { sTrqr d rftrrrrqr qrrq g (Td-6} Etct6 r {6I r{{r r+rr *q r nrer6a+1 qt{ {rEq q+srea rqtrnrrcnqr caf rr<re (qrfi{ srrqfu crq rrH flqfu | (y) ti Tfr{rsrTrql+i snsr+1 Tii?rR { {-{r Eq s?fuIrdr+ vgrd flcfu r d T<r 6'q lrgcr T{{r d6-d{ A-< qk 3t-{qft k{sfu I lR. rftr{n-dl snfu'flrrl qFrq!-96ff4{ Frlf}rorqr rqrqsrl{rf,.+r qfriq,{"I rqtrrsrrqr i-Er, rr{4 qqEI{ t gttrrrw qrurlra ,ri .rMa {rt rtr rsrrdr{-flti ffi ks+r€ql tqn ki qfttr{ur rTfttd- (d) Tiii{rqtrqr qftsor .Fi qrqeqfi frr{ r frr{dr, tqr cftetol r;t 3rrarq+ atkq r qT'r, (T) ftgird { {rqFftFr+1 rqrftzcfteil-+1 qfr-rdr, (s) (*Trqc fhfu z chP"r,, sTfrur6[al kttsdr, greq rfrrrqrr.Tl eIFHT dql ITEITiFI qFr{rg fiL,a P{tftr-6r 10
  11. 11. (g) flr{RhFI, rjutFil{ h{aur { proficiency .rftsIr {rcr,ffiI t+elqdr r gqir4ldT, (q) gr6{q-6[6l rri( <rTR 3ftnacr , (g) cftsTur-+i r<rtqf 3tIfrg{ qi tnterpretation ( Judgement(qftft i{fflaiFitT, (q) oFifrr+ | 1i. fckfl rfr{mrffrrd ilft qrs{{6 eqivr atia.a rd-{nrrdr65,A ffi Ed?rR Tn fi+1 Ec q.fu:- (+) 1ltra qqq(Easily accessible), (tI) TrlIkI EI4l sllitd qr+A rrt (r{r{ (we ventilated), (rt) gqlki qr{rIlr sqrfr Tg+J (sufficient tight), (q) tifqf+fr 4klTfiq (Controlled environment)- temperature, moisture, air, sterility, dust, radiation etc.) (g) TqtR crft"df qrfff 4ir€[ (Adequate water suppty), 1q) fi9fu6 fuEff 3fi[ff ar.fell (Uninterrupted etectricity supply - back up if needed), (E) TfrTRITiII fi{dl { {sr<R (Efficiency and quality of laboratory operations) (q) fuqr{ {tdd ffirgi {frtlT (Sterilization facility), tmt qiAt q+(9fnf++1 Vf5m qt+m (Proper waste management facility), (q) ;t{{r r 64rft?it .{rffT gtt{tr trtrgRqr {fh?T (proper storage for transportation of biological/clinical samples and reagents) (e) 4f4 r+rsT{q, 3Tftfifffi-{uf ( a?fetFr{ (Data storage, recording and data management) tat qtmrra r qrdrfiur+i $eTr (safety of personnel and environment) (g) rJUrRfu ftgire f Afuaq-d qfrrl (Quality of reagent/chemical used) (d) 5GF 5GF f{-qr+-fl!l-6{-+i qrftI iFFi Fflrqn (Logical flow of work for separate activities) (ur) kff{a r rerffi lnkc Tfr rri q+*qt (d) 3fq {frUffi (other facilities e.g.: Refreshment/rest room/etc.) lY. Hfuq nE!-6r rftEn-drdr+t qft @ qt{fi-f€r&fi ertricr sti{d rdrrrqrrqrfi'cr d@ qr+qqrtr { srdar qfufil er."r+rc+r wi< gr6{ur, ftgi'rd, t+qv r r< qm,fi-fi grdaT flwi6 t grgq q-*rrqTlnIr PIFFIT iTrn $qTiFI qrrfl-g iLN frtftr+r tl
  12. 12. 1{. ftffi qrf+r Tfr{mt-drtr€d ffi arqrTf qrfi dfiEfr rij mrrrerlqr ie. "E"rrFa lrfriFflrqra€ll)zir (Erqr qi rfr{rcTrqrm (rafirtffiqT qEnkd g-frrnrlirr Eig r (1) T{ sTrqr c+ trdl TfrtTcrlqra.6i trfi-rtl {{ R{idl qrFT r.srft rritrrsrqr6{-dr{ dt6s s-.6+ tnq c*ffrr+] rrrrfl€Er gn qH q;tqfu :- (iF)spacei150 sqft or more (tr[)Equipment/consumables/reagent/Kits: As required to perform desiSnated tests. Modern/advanced technology should be adopted. ({)Human Resource: Minimum two (E)Servlces (range oltests): Tobe provided bythese laboratories include: . Hematology: TC, DC, hemoglobin, ESR, blood8rouping for non{ransfusaon purpose, BT, CT . Biochemistry: Sugar, Urea, BilirubinT& D, S. UricAcid,Total protein, serum albu min . Microbiology: sputum AFB stain (z-N stain) . Tests by RDTS: With simple interpretation . Miscellaneous: Routine urine analysis, routine stool analysis, urine pregnanry test, Stoolfor reducinS substances. qrr ilrrT (qr{{ qrRrg {qdft FTtf{rfir iLDP greq g-d-rRrrqr 11 cftHsr+1 qrftr tq q-{flfu sc-{+r (-t cfu r rrt rsrrdr cfteTur arfqr sdrn En mflrfo d@ orettrq ricrd tterrq afsttr{z iqrq sreq q+qrfi ci{r(r qr (dt qC+1 q1 sid r (i) s-clqlrrflfiI 3{Fnq+-f,r ffi A@r q{ { rr<r +& r{wr r {+ q-.+1 {rftr d@ ra {& mrq-dr rrgm q<qfu lr{i .Fi qi T{ FT{f{rfiri artrr T(qrsi Aa I (i) qr;r+ €ffir++1 rrunr mi rmwrrdr+l +rtrdwq;I 3rrar{qT Ful Timel/fl kqfud p34 1ims qinTfu' fl c{ E I 3{t{qtffi Part time qT oncall TII ri-+r rrnfu-flii q+m rrnfu-w rrqmr rr+ qr{i Aq r 11. sffi {{d qtt6'flt <Fr ls m 11 (q sdkfr qrr{rs4l 3rftn qr ciq qrqr (irq afu crf|il{ "E' ?fu 'A' nqr qfti*.{ur fft.+ier
  13. 13. lq. "o,it{ii6t r.FRtFIrra(l)?il sTiqr ci 9'{l{l9TTqT { F{+rSwaqT qrqfud Ereq fr<qr 3nqrffd r4trrsTmr qis r (t) {{I rd{rglrFrFnc qrqrq eEtrfir qfttTqrro Etw r (i) tt q{6cr c+ ftrft ffi.rsrrf,rra+t 66+rr qq n{a+l qrfrr Fa6ft rdFnrrqrreqr* dt+C {.6+ tarq-+r r+rr{''sr€ T{r rrt4;I 6.tq{d- iF) Spacer25o sq ft or more with designated areas for sample collection, sample processing and reporting (tI) Equipment/consumables/reaSent/Klts: As required to perform designated tests. Modern/advanced technology should be adopted. (rI) Human Resource: Minimum four, one of whome should be Lab Techonologist or above (E)Services (range of tests): To be provided by these laboratories include all the services/tests approved for "E" cate8ory (Basic) laboratories plus the following: . Hematology: RBC count, PT, APTT,Platelet count, Hematocrit, Red cell lndices . Biochemistryr SGOT, SGPT, ALP, tipid profile,creatinine, sodium, potasssium . Microbiology: Gram stain and KoH mount for fungi . Serological tests: RPR, Widaltest, ASO Titre, RA Factor, CRP, . Tests by RDTS: All . Miscellaneousi Stool for occult blood, Urine ketone bodies, urobilinogen, bile salt, bile pigment, Bence Jones protein. 11 ncn mErFr TfriRIFIrfc(l) {o +ssq6r qifa{ 3rskrTqqT 3fltrrkf, Tdfrrqrrqrdn qq qT6qr c(s I (t) {( vErqr qt trft rqt{rsrrqrF[4f 6+rn im q{df qTnr {a+rft rftnrqrrrqni frf6c rc6+ ter++r qrq-q!-efi gn ft+it q{ rfu:-r (iF) space:4oosqftor more with designated areas for sample collection, sample processing and reporting (tI) Equipment/consumables/reatent/Kits: As required to perform desiSnated tests. Modern/advanced technology should be adopted. (r[) Human Resource: Minimum six with at least 50% technical manpower should be having Bachelo/s Degree or above with at least one having Masters Degree or above depending upon the nature oftests ereq rfr{rqTmr erFr dqT 1l*n*tiI rIFRrg {r{ftft f{iflrfr l? ,IiL€
  14. 14. (g) Services (range of tegts): To be provided by these laboratories ihclude all the services/tests approved for "D" category (lntermediate) laboratories plus the following: Hematoloty: Absolute counts, Blood grouping for transfusion purpose, Cross matching, and reticulocyte count, peripheral blood smear examination Biochemistry: Cardiac Enzymes, other enzymes, Thyroid Function Test ( T3, T4, TSH ) Micrgbiologvi All Routine bacteriology culture, ELISA for infectious disease, e.g.: HlV, HBSA& HCV, etc. Hlstopatholoty/Cytopathology, Bone Marrow aspiration and biopsy service Miscellaneous: CSF and body fluid analysis, Semen analysis Ro. "B"(rtrEiEr Et{RII-dfdc (1) tl tfu loo is {q6r q;f{( 3rsk q, (i 3fqq {qdrq ( gqsffq 3fsk Fr6{I 3fl'qrfad Tqj-{rqrrqr 4{ sT6cr c(d I (i) {o +ssq+r t{s}sf, i-{r r{16 rrt ii-gdr(6{qr 3rFntt{ rdtrrarrqrf{ r iqftrq i-+ kt €.s -dF sdmqrmr {i-d q++c e vq+i 61 rfu r (l) TiI q{FFr g-frrnrr{r+ tdr{fir crc<sc q{r Triq+dl :- (6) Space: 1000 sq ft or more with adequate rooms required for all specialized laboratory services (depending on type ofservices). q{a{ ii-gfrt{qt qrflft( q-*rnTrqr 1Tg rqf{nTrdrdEr qw x hur (microbiotosy, Histo cytology, haematology and biochemistry) q"A 6I|A.FI{ i furr+f i-+f sqd*l 61 vfu r fuftre n-4r i{{ t s rdt{ r*rrsTrqr qrs-+ fulqre qit 3n'drrqr q+ dr "ra fEurdr fi4 .rE "fi61 r There should be adequate space for Sample collection, lnformation/reception/cash counter, reporting room, QC unit, library, meeting hall and office of the laboratory heads. (q) Equipment/consumables/reagent/Kits: As required to perform designated tests. Modern/advanced technology should be adopted. (r[) Human Resource: Twelve or four per discipline with50% technical manpower should be having Bachelor's Degree or above with at least three having Masters Degree or above depending upon the nature oftests (q) Services (range of tests): To be provided by these laboratories include all the services^ests approved for "C" category (Standard) laboratories. ln addition, these specialized laboratories can provide all services includinE special coagulation profile, hormone analysis, lmmuno-histo chemistry (lHC), Tumor greq rrirrrqrrqr <qFrnT dfi {qrd{ q[qryg {q?ft FTtftTfir lv ilLa
  15. 15. markers, Advance C/S (anaerobic culture, fungus culture), hemolytic profile, tests performed by ELISA/CLIA technique as per requirement, 11. 'A'mfFFr rftmlrdwe (C)t {{6qr qt rfrqqrrqrrcd 3{fu-f{ftTq rfrrrsrRr t-aT rqn rrifi r (t) {{ €TiqI Roo r{<r 4ff +gfir V.4rft qr Frff 3rqfrr6rqr qftIlft-fi rfrrnrr.Tr, ikff 6i-mcr 3nenft-( yfrrrsrmr, iqur r{t{rqrrqr , frfuq 6qr *{Ia :rs<r+sr 3ftnffd yd-{rsrrqr6a I {o a-s r<r qrfirar P{sis-fl i-{r yqr{ Tfti 3rsk Er6T rdfinrrqtfi€ qa a{fu faf|Tg t{I ki standatone sqt{nTlelr qdd{ G) {q qr+r qrd-{reTmrff& ?rrq efrffit crr{rs T{r rdr flci,a;- (6) Spacer2000 sq ft or more (depending upon the number of specialized services). There should be adequate space for sample collection, lnformation/reception/cash counter, reporting room, QC unit, library, meeting hall and office. (g) Equipment/consumables/reagent/Kits: As required to perform designated tests and expected advanced technologies. ({) Human Resource:Minimum 24 or six per discipline (Haematology, Biochemistry, lMicrobiology, Histocytopathology) with50% technical manpower should be having Bachelor's Degree or above with at least one per department having lvlasters Degree or above depending upon the nature oftests (lI) Services (range of tests)! Laboratories will provide advance level/sophisticated technologies in all the services^ests approved for "B" cate8ory (Specialized) laboratories , molecular tests, superspecilaised tests like flow cytometry, genetic study. ln addition to this, some special tests services provided by "A" category lab include super-specialized services in different disciplines. q{aq 3fskllqqT sntlrfad g-frrlqTrdr qs cftTqniTtrr Tq Y hqrdr ( microbiology, Histo Cytology, haematology and biochemistry) i-fl 3c{+f q1 cfu r faftre t-{r let it s q.frr rftnrr.r ertq-n Hftrrordt 3fltrrrcr g+ 4r {A hrrfir +4r rcq e+s{ r RR. Tfr{Rncr6} IEFR aFFIR E-Eqi q.rec (*t r*+ rdrrrqrmri qrr-n 9r6R *yn trr+ qfrtqrqit qililq {Tr+1 stirrnrrqr nclvfu r mk ryn Ff""rR, srfi"r { qr;l-E (srTu-{+J qaeTr rFiqfut, d{ tt ,*rflrqTn 3n$ -rTr{ci qTffic qd r<r crfffi Trid rdt rsnmr EIFfiT TFT qT6qI qTAT qiEt{ I 1a) e-41 ftq : E category (Tfrrrl]rqt Q-{r !qd+r !qqr) Hreq trfrrrqrl{r eIFF dqT {qrd{ qrqrys qq+fi ktftr+r lt iLW
  16. 16. (q-) qfqk6 FTrsq +-q : D category (TfrrrqTFfl *Er gsq+r rTgqrt (rr) to Ag qqal q.ffi7ffi s{a{ 3rgkrnT { frfr +e sqr qCfir kfrr sf$kflifft : C category (s) {1-loo tg {qfir rcorftzffi qir.{ 3rsktTil, kwr erqare r efqq 3lglitlaT, 3-q *frq 3f({dl!I : B category (e) Roo tg vql qfq-6,r rr+rftzFrff qiraq Brskrrq, q+ frfi-a irsdr{, +kq SIgkIIiI: A category (s) {o a-g lTqr {q6r ksiq-f +{r qr{ r(I{ rr+ 3rsTirllr : B category (S) {o +g qqr T<r crf}r6r f{sis-f, tqr qr{ rff{ .ri q-garq : A catesory (q) ttdtfft{+ zi?ftr+ t-wrnrql qrfoi qftsrur rrt r*.rqrrdr : c catesory ($5) q{rEg il*{ fulteft : E to A category 1q) Hff ftmF{+'qr 3fl:rft( g-fr{rsrrdr : D category (Irfrirqlrf,T t-ar g.T 4r qgqr) (d) 3f{qf+fF Yqt{PTl?lf : B category (6) fufr€ rdFrellqr, qta lai]Tq (specialize, super specialized) Q-Er r*r< rri rfr.rsffir : B category 1g1 iqsr r*{rqrlilr : B cate8ory tat t<ii *qt{rqrrqr : A category (q) Fi-fi (fl {{6rft ikrd afrszftreTur 3Rq .r-fl Tfr{qTrqrf,{-d qrrfis iqm ttsrd +rs$-dn *ffikq qtd r ll. sTIERsfd i-{r E:Iqi : (l)3rsdr6rcr 3{rilrt-{ {+ riifrrarrdrrta -qre+fi, qdfiiftE r ffi;r+ qrffifu n-{r 3rk+t"i {qqT rr<FT rr;tq{E I qft isdi' arscrq ,{"{tt rcu i-qr {qrrr+ a.+ re(tr*rcdt 66qr qrinffiirtq +{r qtrqT{ flcfu ( qrl*iErffifqqdir i-qr sc-der q1vfu t tlt qffi loo {eT !r<r Efu triz5fr riopsy q+ erw+rr*w Histocytopathotogy t"r 3It{4Ei 6ri-a r wvrdke aI t-<r gq-q-el .nrct qfur 14fq g-{irrrqrRr erFrnT dql (Endi rrFKEg {qftft tTif{I{r lq W iy. qftqq ffi qrEr{ql qti4{uli rfrrrsrrffqr crq Et qfteiur ffit qr.nrqr rm.rsTmrrrdri fura er{qn aftiF{ur rrM e r (6) {ri 3lr6.r.fii rqt{nTrfl (small sized Laboratory): ttr+ 100 qm rq qtffif,{qrc a-grr rrr+ .r+ cqFrsrlmr, A-/'
  17. 17. (€') qqq 3rr4'l.+1 Edf.nTrmT (Medium sized Laboratory;: ttr+ lol ?fu ioo {q qltrr{qrz T{{r {fd{ rrt rqt rsrrqr, (iT) qfr wr+roif q{frplElr lLargeSized Laboratory): [fu5 1oq [fu voo qkr{sra nar r-+-o-r rrt g?ilrnrr{r , (q) 3{fd qil (Very Large Sized Laboratory) :tkfi Yoo rT<t Efr qtffitfEtc T{{r fiFfr{ rri *df.r9Tlnlr r R{. Lfiq q;rsrs qt mrilnl:*ftq qa€r€q Ffrrrqrqr q+srs+1 qrr{rt eiffi isur rd-{nTrdr+1 fiqr 6Ff rriEl r (l) q( r s{€rsq rdrrrsTl{rn rJuK{ fffaur r ir{rrf{ Tqrfi{+r 6rrt6t {i-d qqrrq rrtER r G) T{ cql 6r q-{€rcq 9fr{Iqrqra 'D' { "c" rrr*r qfr{rqrri{rFn ffit r renff rqrr+ ir1cft f<t ( nt{6rqr rri 6r{ {i-d rrfu( | (v) ff tqq srf t+qr+{ .rst &-{rq q+sreq rqtrnrr{rr€i nfuq q+qreq qrqq arm rrftr- t lq. h<t qqzsrg 6rqk{(1)fsdr q4/€re4 +T{TiETqr rfrrrq[i{r vTFol {:a.r g { liF qTlGtrfituberculosis (TB), malaria, kalazar, HIV qffu q.dr q{(4re{fr{f {q{ft d6qur6€+1 rql-qqrrqr cftHur rl(d t (R) ti-ar q{/qre4 orqtq+& "e" rrcer rdFnrrqrrcdt rai r er+qr{t r.qr,q-r 3l-{cfd H { rt{+{ur.ri +rd.rfu r (t) {kil +Fi+] qrftr rs6r qrrsrsr arrrinFti 3rl{qq6f,r ergn fi rt{r[[{ { $ra&rur+l 6r{qr fsar sreq rfrrnrrqr qdfrrr rrfdF I (Y) kdr 'r{/Rr€q arqiq++ rftrqrrqT rat, rqr+q er1rft r+r+ rri r<r ar,t qrqr<r {qi etfi-q s{€r€q r{irrrsrmR{rT qrqq ar+q rfuR r 1ra6ril a-f,df {IEq islr sdirqTrqr 1qe ffiiFr$I ffi nQa qq"r edirrsrmr) n nQq q-{€re4 r4FnrErrr+l sqqqT{rfiFiqr arjqqrr+ .tict r greq TqtrnTrqr (qr(Flr aqr (*trtFl cFr4rg il"LR trtftrrr lie 1e. vc+rt 1lEq iqq rfrq{Irfi (w{<rs {qfr)s{€rsq (q+ft 6Fid ffi
  18. 18. qtdq Y Tfr{Rn-dr q-qmr qtqft r q-ft6-(qr Rc rtqrn-dr rqldn r{qft kt : rti 6+fr cft sryft ift{6-{ €r€q 9-fr.HTrqrft-{r r<rr< rr;i &o , d qt{ ti-fiEqr -dt Trrfr q.-{rft nt{i trqr{rrrmr {-qrfi rrd cri'ccr sd srs qerrflii rqtfi ivm ara+ {mft-c +r1ff 6rcr& rrt{t6 | s<r s*mrrflfiI tdii {rd ilf4qqr r+fr (qrfi ir{[ft qqn rrfti #{ 1 (1) 3r{ftrr{ ar4qr qr;ra TT'IT (human samples)2619*q rrft rd-rrqrrqr cfte{or .rt d qf{ <ipn'n Rre2I Tfr{raTrqtqrT qqfhrr err<rsqr€ qmn .rt cfu r r(ft vqre-+ Et argran orffi flftr llEfira f{fi{{ra e-fiTtrrdT {*lTeFr ertqfr ftrq+} gt cfu r (t) ftrersr dsr q 6r iltr qr* srd-rr qi rqlrwqrn rqr.ra u-5ch ftr1v+&t r t1. {Iqftc{ cr< Ird fta-fi k{ ci +-16{: (1) t6E+i sTiqil ErFq rd-rrqrrdrq 3r{qtdq qr< mi M orqjqqqr dt+q eq]firfti fq-fiqr r qrr+re {kd dt+q q-dtrr+1 aiqTcr A@ t5a faft Frta iq rie (iF) "r tW-+l rfrrRnqln {Efrrd kdr qrsrg +rqiq+cr, qfrrrqrrmrqr (rr) "9" 1 "A" {*r+1 nfu+ u-+arer q-dFrqrmrqr t R) sc(w (1) EtrP{q (did qrftr 3nifi.rEf trr+or rqrsr qqrtqr rt qfur (4) (g) qg{q qreI 3rr+fi snrq aqff rffrerc+l +rqiqqu ui-S aqr qmr rs-diq +rqfqqz qar+qrqrk+rr rrnqrtr+r z aforq flqimqqr cdi rftqqit rcrur sx+1 sffi qlg7qn {f,t dlTr 6i Tmr+i qqrrr r{qit $ffiI affi rqqqrfml +1 {* l(copies or updated cv, educational/ training certificates, council registration certificate fortechnical personnel, citizenship certifi cate, etc.) Fdqrtrqrr rrt 16r qE+<tdr cirMl s-ar6 rrffi tar+l {dr !nfd+ fqtqr.dr iad{'I ({) (q) eIFFIt dtIT *{TqiI qT{flrg llq+ft Frfftr+r (g) {q) (d) qreq rqrrrqnqr ItA 1c
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  48. 48. q<trfi { sdrmrmr 3nrfi tt+-c, kEiq-c { scfi-rq) rclwndt irqffi qZ# (i) qreq rfrqqrrqr iffi Rtl-q firsf,+] qrftr {orffitrq rfr{rerrqr wcFft rffi-a, Rgira, vrotor, ilt<l qta( rr{ e-{a errr{r rr{ T{d r (l) ttiqq qreq rftrqrrfl qrftftm rarr+n qfuffi h[-41 3Twqrfi-dr fit€R eft< crcsug ffirft, {dffi qr qqre rrfu r <ryf rfrrntrqrrrn f6-c, ftqnra, srspr/ 3i-qraf{ qtt< rrd ffiT lMt qrq-<rcer{ vrr+r rr;i q-rd r qtn qrEt{6 {dr66R {fuftrn t&q qrq-<ve, i{{q erea vrraa;il qrwr-s, {Qrrfta imem, { rqroft+lq ffi qnrrcqr ffffi qtrqriqr drrq rdf{rarrf,r utcrr+€,-{ g* a-qn Tfu t d qfimi trqq f{furs {frftffii ffi qfu qqd adi r{'6r,,(qrd{ q$td' cTq6i rdtmrqracqri ryi:r+1 qnnrqr gw-ar .nrgts r (i) wirqTrr-qr yqr.ftqr ftqira r qrcFff qrrerrri-+] qrtr t6rr6r kwrfirn Err{ T(qrct q-{e r (iF) iricr+r+1 6+a: serr.r+i a:{te errf,rq 3rgrrfi-fl+i ifit;rrqT qB r +s+r qrt sflrr{ 6+c rrEi tsr nffi+1 sfterur 3{r{${fi-fl+i tstc"f,drdni ct-a ?nra gqqrs{ q-ca r qft( rrd rdt q'+1 wi ar *qffircere €rqr {di qq6r F+-azt<tiuazgs6{urr€ crr qfrE ri q{a , 3r-{r<Rm {ff nQq lTrrElr€zr Ffr.Terrqra terff-6-{Tqrt r+nrq rr+ erti6 ykficr (caer rrfu r (q) qt€ frfu: Tfrqlrrmmr rd.r Et fua, N.a, sq-6-{'r, 3flffi qfi< qtrqr ff+qti-6 qttE Fr+qn-ff rlvrr+1 ftwairr-+ etfiT{ strqrqrd i 61 *ia r 3rFgqirirr er1.sn cfieTqr+l d-d.ra Pqflrdr{ ri-a erq-fia{ rrd qffia r 3ntffi6F A-fi{qr ffiiilftr (r+f eftr ?6rq 3r{{R qc41 fi c+a rf r qrTft+at sd (trq s{Rrs qfr{Iqlrflql ral "rC4i (-t c'iB r grea rfrrnrm eIFFrr (qI {EIT.FI qFrrrg Frtftrrr yq iul
  49. 49. (R) qqf gTfrur/ftqirai Ps-c {rEq s{srs q-fi.nrRrqr ftt q.+1 EI q-fu t (l) ilEq qi-€req Ffrrryrnrn {ilr6-{ qran< rat,Tc#r (wr+t, sq-+u, ttgil-a { fu.'a{it {fr Bq rr*r rmgtg I (rT) <klFrrc {qrrd e-rftr+i icqr yTq gi gc-fiqrrf ffi r+enqr crr *+R .r{ *iB r ttt rsft rrfrq snrr qTR gi vrarwr qt{ nEq s{sre{ TfrrIqrrqmrd eqn qrRq+J trq sffrffir{a;l q{mr (ts-6( :r(-+1 fi Tfu, (1) sq-dTsr+l Eiz (qfrrd rd-rnTErn rFi vfrd, (i) (6dtrr qer qTqr srrivr qft s.d-{IeTrqr+i srr{qrfdrmri T{r rFi 3r{TT6 B qi er*+n lrt q:ia r (y) qfueqiF-torr€ iiftr+ q-6fr.r rr6q lrTkT d cscr q*i rrErrFFFm tecfu sld te-{ c-fu r (q) qf(( rr{ $ AEr[+[ od-6{ {ftnq< q{ qdB' rf r qt< {i{+ 1.sar qr{r+l acff srr+tur urcn { T{irrnnqrrff-fit grriFflr rrcrTnFr vE-{ft aftq fci ani wSdfoaR ,rt q-is t q*d Er+cr Errt {qd q{ qr+qo r{qrrT qTirtnd q* {ffi ++er wrgffit fuarr{ rfur r (1) sqiF rerc dt+q amffrr+1 ord sqr({ qt Tqr!fl-ir rFiai qrftr stir&qr rftiror 3nftr vcran r{c+t (-t r€ r G) 61r.fi sflTdl-*aR rri {+d i{rrR wE-{ft tnffi q-crAsT rF+ flFdFq I qf( {st {ri-d fr}rR 6rd qt d:{i ftrqfird Et il El-fi Vffi rr{ qfu, ret q{( dqR {q4ft aFrcsll nr qrui frqfud iltdfir u-t{c rrsrr+zffiar.3 '.1+( ut6 n / 3{rTff-6-dit ffi qfrttrc) t++rr+ r qtn<nq-6 g+ orf+l efiT Filkd r+( lrrrT fit ciia r d qfi cftt€rfrtqr, Frqfu< qnrnq {+d srrr.n sr6{sr+1 B{r{ sdrgr(6 | t+sR6 r {?rRr.[fi q{d r{rTra{rt qE{r.cr r*e TFi rfu r greq q-qt{nTrqr (qFFI (qr (*lTnFI qFrd-oB Frtftrm ye, Iro-
  50. 50. (q) l4Ld-+l cttr.ql {{|T<t -6r{6r fuq€€qr ?qr{ T{qrs { qiE (1) ?Ftr.I{I enf,fq Er rEq Fr+rr+r qi t+trr+rr <*Au rr;j vi qCxr, scftr fit c{9, (R) tsrw.qr t+ ve+tdr qrrft q.qcr d qE d 3r{en rrgqr a-qrq 1t+, (i) rfrr{ndr+1 qEfla;Fin gtT }rqdr {hfqTd rFiqi {rftr (a R-cftte.r6f 5arrs-++a lri, rvr :{mrf,t a.'ctt rri'{ Harz qrtffi rrq-<l gtrqerfrr aqr qrff,ft r ftcira6f+1 ft-+rq q<qr 6sft rrd{ rlq fuq{cr 3ner< qn atr+r htfrrr .rt q-<e r (B) fu* qfrE rrt rdrqcnqrrfd ffirrq;tz qrXff-rah;r / serfl{+i errdrdri rrfuq tst *ie r qt { rrfti qrcrtffii €fuflF+.srq r 6+rffi f4ftrdri rri< qr+ k1 q,.is r (q) rJurtr{ Frcasr+l rsar qrrr+1 fiql, 9q}mmT6rt r-qoi gq-fiilrFc*1 trffi rq flq siu r rd qrrcr a-ql sr6{"ra6+i (q{r irur4nr6 r grrit vr-+-rurro rftr eq eG cfu sff+l qfrrffiotqr (+d {cr+fl r{ q.ia r r*o sq-6{"r61 fia-S orr{r M k{iq RqAsT rFt q-ie (1) grs-{ur41 r+n, dfsq rqr r kftre rqt 3f|Iiq r{ drt4 q+ nrgr 3ilgfi !-{rff{drT {Tftrr+d qrftr d{cq {rd {ffi{, (R) grEEtlr qftE fuft iTqr iJT6{sr rqi, Tfrrr t -*-fit ar r{-d qrrR lrftq+J fi-d 6I fr dI Pfl{"T 3{Rr+q rt, rir rsrr+2ffi rrqd rqdt qq-trrt, txtqRAsF€, *q( cra{ r q{a irrrrd 6.fi qq q}Tr+], tu 4lto-& {{rq Et fufr, rsr sft{ 'ial E{ vi-d r&d En rrft Fr* aqr rrci, trd rqt tqqls rrft rdtqrndrff{r Eq{tr (a) vflf,{sr+i qrftr Eri-nq{ t oy-ool, oy-ooR, 3nk {sqr 3r{[ff+J oY l1qfi ffi looY I q-ar$ aq< $liE{trr rER ri qrr$er 3r.nffi Sizr q6 st{" qM qrd { qd-S6t q-q rEradt srf{or+i nq5qrg q{rdBi I (rs.) rAfi grdE{orcr {* ffiqar r rr{ +na6r 3n?R qttrd t6r@r frcrsq {trer ft-fisr cAq qq+1 qlr{6 @t q1 wia t (r) Ti {il#dr+1 qrftr .rftt q{( {Tr.dr atk61 r h-qrrqrq-rt, Hr€q rfrrmrdr errrir dql qElrdn qTs(Eg {qift FTtftr+r {o ,2 a__--
  51. 51. €re4 q*rraTnTr erFr4T dqT iTEIIiFI qrErg qqdft FT*ftI+r (,R {1 rt) irrfiGr qiq r €rftatsn (qdl 6nfd erft{+q, (i) sdrrfiFnc d c,id rit rffqd rrq Mr+l Brfi{nq, (y)gqiF{sr sqm{6r rrcr ifuC+I 1i trerrr, {Htrrr+1 mtT rf@ F6qrs-dTc, firsr vcftrri+i ilrffT rrnr+l *6-3{q (qnft {qrfl?T I (q) srcE{uFfi Trr€n srKqr -6rtrdr fuq.€{ qflr+q .Ft si6 r (i) {TsI 3ng+1 fuft < vqatorm rfrrrqr r${ B@r frtd, t trgr 3nq+J 6Rsr, (?) (Fsr {qr$r++1 qTFr q@ ace, aqff-cdicTz q+ t-ar sc-far q'+i rrq fr vffiI fq-{<qr (v)tn rfr{rqr a'+1 fufu, rffi rrqr vtfficT d ct 4iin ffir+] lrqfi ffi k{iur Er (TTFIEFI arttr w+l +ni+i qtleTul r irfirrqr r+1 {+d r.irR qr qftii{s srrq rdq qr+l n-{q atgr.+1 gt rte
  52. 52. rrc* t rfr{rrnil (tcfl rfuflrqr+I it+o S(E|T (Biosafety] r fi< grrr (Biosecurity): (1) qrurflT dffi -{i ik+ {len r fi-a {rm sd ild err6 r { fI tE ks[66 fd-drm Ftrf, cr{ | sraRq 3{?iqr "dfuq Vet qfr frqulqz qtffi g(w d n qf - frq Vw qane qtffeEz @ gftir rl al r' 1qy $fa+ qrur r trra gtrrot {q shq rfrqqnqroff, {T{rq, qttrw{ur ( rfrrmrTqEFr if++ qrqr,lM drq il | A Fl{ferdrqr +ryi <ar+r r*{rlrrdrF€fr it{fi $elr { fi-q $eTr+1 (EreIqT qm{r .r=t qi qnrri"r 3nqirrdrr[+] hq{cl gdq rrt(r+td I (i) 3{..Ilqt{6 tIfr{fYnTlTEt biosafety level laboratories (BSL -3, -4) cT qIURuf sfrrrw{r+] Ectrrr it++ gur*r arerfi:n wr.rd€ qqdq+.r@ q-q r rqtwnm iko {{{rr rftmrqr it++ ({eIri unintentional exposure to pathogens and toxins, or their accidental release n[r{ ffi i5rtinlrt *rqiqq-{ rFi6I qTftf containment +1 igar<, vt{Pd { 3{r{rfi+J qtcr qr+fift rrrg+d r cfrlmrfl d-{ $fl[ (l ) ffrrfcfrdr *s $S{la valuable biological materials (vBM) within laboratories, in order to prevent their unauthorized access, loss, theft, misuse, diversion or intentional retease tnf rM ilftr grm, ta-u-aur t irffi iltH qri-firfl rRrs{d r r rfrrnrrqr ik+ gten i df{ g{eTrn hftrq ilfUc-awtii ow rr;i rq< rrr4 il{ ff c;n 3r+i6r Ta6 6-{ r rfr{reTrqr ++ $eTrflii nql Tqtrnrmr +t{+ $Hr+1 qqr+l trqr fa-firt rri c-fu r T^,P r.1greq sfrrrqTrqt eIFr;II iTelr { *rriFl qTT{Erg {E-tft friftrET
  53. 53. Erezl q-frrmrrfl eIFriTI iT?tr (EITqiI ff.rt'g gq+ft trifqr+t t {t rftryfl-dr$m (1) e-&+ tr*rrerrqri raizrqmq q-{cffi fit { rt;i 5{ rftnrrur qturar 3rqRTd qer66ilri TiI rA+1 fi rcs r rfr.rsrrdr {telrfi 3{rcrRTT rle[rn t6rq u-gn v*u rft.+J s I CO Chemical safety* lBox{}: preventing chemical hazards by implementing chemical hygiene (all aspects of safe chemical handling) (l ) Proper labelinB, storage, utilization and disposal (i) Provision ofchemical hood (?) Use of gloves and other appropriate PPE (Y) Reading bottle labels carefully and double-checking the name of the chemlcal (EI) Elological safetyi preventing biohazards with the appropriate means of biosafety and biosecurlty (lD Radiolotical safety: preventing potential radiolo8ical exposure and hazards by implementing appropriate use, disposal of waste, preventive and corrective actions (q) Flre safety; preventing /minimi2in8 fire ha2ards with the use of fire alarm and extinguishers as appropriate Cir) Eledric safety: preventing,/minimizing electrical shock, by maintaining appropriate wiring, power supply and back-ups. CiD lnstrumentation safety: preventing hazards resultinS from inappropriate instrument manaBement (1) Breakage of glassware (l) Handling of sha.ps (l) Use of pressure equipment and tas cylinders (Y) Leakage of radioactive elements ({) Extremes of heat and cold environment inside the lab (q) Malfundioning equipment posing risk {e.9., potential electrical shock)
  54. 54. (1) rrtrrflr{rcr fld rri {-qJf 6.ffin iiq-6 $sn { fi-4 {{err (ld-d+i 3rRrRXi rfr{nTrqr $eTr (qnft ilkc w< qt+i EI rfu r (i) g11<(6l (R) Edffiq offi arffrc crH rrizn fffi{q {qeft (Rra-{6t qm qr+1 eqa iqr .r-i q-fr tft rfrrnrrqrqr g{ierfr q-{ qE-d r (Y) sc+Fr (1) {frfuq-+1 3rftrroli drfu{cr krr.iFr frm-+ryr vaffir flc-fu1 lio Handling, precautions, risks, exposures and safeguards for blood-borne pathogens ({0 Proper use of PPEs (prior to employment and periodically thereafter) on (l) when to use (R) Which PPE to use (i) How to use (Y) Their limitations ({) Proper care, maintenance, useful life, and disposal ofthe PPES fi) Use of cryo8enic chemicals: dry ice and liquid nitrogen (for shipping, receiving and/or storage of specimens, supplies, and reagents), based on need. (II) Transportation of potentially infectious materials F[req sdIrrqTr{r TqFFrr (qT {qpq4 qsqr-g (E-dI FTtfr6r {y Box4.*Material safety data sheet (MSDS) MSDS is the technical bulletin providing detail hazard and precautionary informafion. Laboratories must maintain the MSDS for all chemicals they use. Laboratories need to follow precautions listed in the MSDS in order to ensure the chemicals they use are handled and stored safely. The MSDS provides- . product information; . fire and explosion precautions; . toxicology; . health effects; . recommended PPEsj . storagerecommendations; . leaks and spills-recommended actiofs; . waste disposal recommendations; . first aid and health reactivity The MSDS should be- . available to all employees prior to use of hazardous materia s; . keep close to where the hazardous material is used and located Trt€
  55. 55. (O Wastemanagement/biohazardcontainment (g) Generalsafety (it) First aid (8ox-5 :II cdq fiq r{qT-+lt CiiI) staff traininS should always include information on safe methods for highly hazardous procedures that are commonly encountered by all laboratory personnel and which involve: (1) lnhalation risks (i.e. aerosol production) when using loops, streaking agar plates, pipetting, making smears, opening cultures, taking blood/serum samples, centrifuging, etc. (l) lngestion risks when handling specimens, smears and cultures (l) Risks of percutaneous exposures when using syringes, needl€s and sharps (Y) Bites and scratches when handling animals ({) Handling of blood and other potentially hazardous pathological materials (q) Decontamination and disposal of infectlous material. ikogwrfrtu iP++ $er { f,tzr {iur {-qRfr wpi lilslar{ (d?rt rrffi ffi {rkq rrseq qd-.nrrd{E;T 9frrp6qr trqaft erfqts ga q{r 6ffi it+a $eTr sAE6+1 nqqr rrfuq q+sreq rfrrnTrdrn f+qm rr{ rfu t qqr{ dt6il: €r€q q-dtrnrrdr erFnl dqT rr=rTiFr qF[ -g se-+ft h{ftr+r u p€ 8ox-5,First Aid Box The first-aid box should contain: 1. Instruction sheet givinS general tuidance 2. lndividually-wrapped steriLe adhesive dressings in a variety of sizes 3.sterile eye-pads with attachment banda8es 4. Triangular bandages 5. Sterile wound aoverings 6. Safety pins 7. A selection of sterile but u11medicated wound dressings 8. An authoritative {lrst-aid manual, Protective equipment forthe person rendering first aid includesl 1. Mouthpiece for mouth-to mouth resuscitation 2. Gloves and other barrler protections against blood exposures, and 3. Clean'up kit for blood spills
  56. 56. (1) qqr{ qtddr rr* qr{itdld-df{Fq cfrRr (cMTs) an *nmrp qT?FqiFalT $r rFial {rtr 3{r{erEF Tfrrrcl|mT :riqrq r qffi {ff d r (i) s-*fi rfrrRnfli ffi srs {a+1 ilftr {{Hr qr ffqrr{d 6qr(i ctFTq {i (qrr{ qr{qrr6i 3rr+rsTrr fi+ sd M rers" a qm mr;tait erftr ffifq 3nqr€ t teftF{ qqnrst dB r (l) 3nzrr(T {kd-+T qF€T]i 3Fftrr{qlr r r+f,I+< rrt c+ hftr-df t6rq 3r{{R sdq ftqds I (4') ff{: g;.roortanisms of Risk Category 2 or higher risk catetories handrenfti *t6rdil fr{rcr q<iTrlqq erfrffi (-+a ra-"r+l fue: I {r ?sl{q qd) qtfiFi FrrII {rq wig r rd +i-drcT i{dr F<*qr t6rq u-5rr< rlrffi r (1) [frtnrrf,I +r{ sqrrq rr{ et{qr sTrftr+rtm qfusri qr{ c+sr rc1 rfu, (1) rfrrrsnfffir il6r6{ {i e-< nq wia, (i) e-frrnnqr +r{etTqr {qr q+dT-{ qalr f<{ E+{, (Y)Access to animal houses should be specially authorized, ({) No animals should be admitted other than those involved in the work ofthe laboratory. AOMITTAI{CE IO AUTHOBIZEO PERSONNEL ONLY R!5ponslbl. lnv.stig.tor: ln c.l! ot.m.r!.,rcy call: Oryrlma Fhonr: _ Hom. phon6: A!$orh.tlon lor.nlranc. must !. oDl.ln.d kom ln. A'rpon bl. lnv.rugrto. n.h.d .bow. greq q-zilrrqlqr (qFrifl (qI €qrd{ qFKEg tq+ft frtftr+r Na_ {q BIOHAZARD
  57. 57. €r€4 r{t{rqrt{r eIFHT dqT q*ffi{ qFrflrg frq4fr iitftEr T'W {e Hr t crql M {Ad 1q1 qfu.lrf, S{erx rfr{Rrrer (q+ft 6Efcr tarq-a qfurn $en r++qq qtt rfu r (i) TfriT{trfi (qift 6r.t wql-{r rtEt Laboratory aprons, gowns itt uniforms 3{tFIRiTqqT qrn-et rfa (1) T*{t{rrdr {E-;tft 9-&fi ctfql-tr{ q€ direct or accidentat contact with blood, body fluids and other potentially infectious materials or infected animals v.f 4Ff {qt(i-+1 s-ffi gf{i6 Tdtq qrrr$t q-t6, Tm.I qrqrd, [fr{r ffq"i rfrtt-qr-i frqqrryR f{flnin rrft qffrcrd FT{r rre q1 wia, (t) l{firtriF {q6[ { s-{r{r6{ ini HandtinS rttgfu iTqI Tmrm-qr+l 6r{vqrfi eh d{t 3{fu a'ffi 3rffir{ 6rd TI c.ig, tvt qiql t ffi splashes, impacting ob.iects and sources of artificial ultraviolet radiation gfe e-qf${+1 qrftr safety glasses, face shields (visors)!{T sfel $Hfa[6 gqiFfuf66 qfoapf ffiqf a.rru-1 rfu, (t ) q-*rr{nf,r+t gtur va-*ft 6c-gr6{-drt rqt nrrqr erP6{ r gflflqr+l qrftr flrd-{, otn sc, :Frqi-{q 4t6r, qrgnft, -48fu, 3nfu YAn rFi {+q qrrEr+td, (E) g<r+f ei-{ tH Ef,t (open-toed footwear) T{iITqTTqrqT vdrrt .r{ dn, ($) rfr.ryrTtnm] fr{cr qri, Frei, {scn rTt, *-df-s ffqFfr g-fr{ ri, 6q{r€ ffi yfrq ri qrar +nffi +ie (q) n*{Isrrd arrieirn qr;rq qlq T(Iffi rT!-gRsrmri {+{ ilrEq6t4 (R,) {frrtsTrdTrcl q-ftrT qq6r $eTr(rw Tfrrmrrdr {qdft 6qgrF{ 3rq +TsI <rtcq+t <fiq qT fiFr+fl rrq &t r (rT) F4ftr6a s-fr{Hnqr (qift zrrfqr t6rffi Hftrrt cm{r rr{ c{u. (1) Mouth pipettinS qTt {"tdqr q-+q qTt{r6t6, (i) E+ ci{ ffcFi-66 Tqcr rtq q+{, drd qrq1 &{,
  58. 58. (l) All technical procedures should be performed in a way that minimizes the formation of aerosols and droplets, (Y) The use of hypodermic needles and syringes shoutd be limited. They must not be used as substitutes for pipetting devices or for any purpose other than parenteral injection or aspiration of fluids from laboratory animals, ({) All spills, accidents and overt or potential exposures to infectious materials must be reported to the laboratory supervisor. A written record of such accidents and incidents should be maintained, (q) {q{ spilts 41 decontamination 1 1ls'ri+i ertr kkd t{ftr a-qn lltt qr"rcr Trt q{g, (3) Contaminated liquids must be decontaminated (chemically or physically) before discharge to the sanitary sewer. An effluent treatment system may be required, depending on the risk assessment for the agent(s) being handled, (cl Written documents that are expected to be removed from the laborato.y need to be protected from contamination while in the laboratory. (q) s-fr{Rnqr or{ f* rftnrro 6r{i &-{ AErq rlvn-+1 6 vta (1) The laboratory should be kept neat, clean and free of materials that are not pertinent to the work. (l) Work surfaces must be decontaminated after any spill of potentially dangerous material and at the end of the working day. (l) All contaminated materials, specimens and cultures must be decontaminated before disposal or cleaning for reuse. (Y) PackinS and transportation must follow applicable national and/or international regulations. ({) When windows can be opened, they should be fitted with arthropod-proof screens. (s) Tqtrnnmr+J tr-qrrr r (fuarro: rfrrrsrrqr+l ts-qrrc ll-d t 6Fi ftqrs{ rr<f, g<err-r retaa miaacrg ks}s rrFr Sgrst {{a I frqTr{ 6Fiqr A€rr6I fl{u.{qr ran gqqr${ q-f,d I (1) Formation of aerosols (lt work with large volumes and/or high concentrations of RrezT rfrrrcrrdll eIFriT dsIT {qfffi qFr{!-g (qdft FT{1}r6r {c [t a----
  59. 59. microorganisms (i) Overcrowding and too much equipment (Y) lnfestation with rodents and arthropods l{) Unauthorizedentrance (q) Workflow: use of specific samples and reagents. (q) It{ifrtq]rmtisl fe-qrfffr ks1q-f,r6{ (oesirn features}: s{irrIgrdr+] fu-qrfiqr tarr+r t+lkarrt 61 wia r (1) Ample space must be provided for the safe conduct of laboratory work and for cleaning and maintenance. (l) Walls, ceilings and floors should be smooth, easy to clean, impermeable to liquids and resistant to the chemicals and disinfeqtants normally used in the laboratory. Floors should be slip- resistant. (i) Bench tops should be impervious to water and resistant to disinfectants, acids, alkalis, organic solvents and moderate heat. (Y) lllumination should be adequate for all adivities. Undesirable reflections and glare should be avoided. ({) Laboratory furniture should be sturdy, Open spaces between and under benches, cabinets and equipment should be accessible for cleaninE. (!) Storage space must be adequate to hold supplies for immediate use and thus prevent clutter on bench tops. Additional lonS-term storage space, conveniently located outside the laboratory working areas, should also be provided. (e) Space and facilities should be provided for the safe handlinS and storage of solvents, radioactive materials, and compressed and liquifled gases. (c) Facilities for storin8 outer tarments and personal items should be provided outside the laboratory working areas. (1) Facilities for eating and drinkin8 and for rest should be provided outside the laboratory working areas. (1o) Hand-washing basins, with running water if possible, should be provided in each laboratory room, preferably near the etit door. (11) Doors should have vision panels, approprlate fire ratings, and preferably be self- closing. qreq sfrrrqrl{r rqFF dqT { €rTnFI rlFrflg {q+fl FTtftrfir jtrt {1
  60. 60. (11) An autoclave or other means of decontamination should be available in appropriate proximity to the laboratory. (li) Safety systems should cover fire, electrical emergencies, emergency shower and eyewash facilities. (1Y) First-aid areas or rooms suitably equipped and readily accessible should be available. (1{) ln the planning of new facilities, consideration should be given to the provision of mechanical ventilation systems that provide an inward flow of air without recirculation. lf there is no mechanical ventilation, windows should be able to be opened and should be fitted with arthropod-proof screens. (lq) A dependable supply of good quality water is essential. There should be no cross-connections between sources of laboratory and drinking water supplies. n9) There should be a reliable and adequate electricity supply and emergency lighting to permit safe exit. A stand-by generator is desirable for the backup of essential equipments, such as incubators, biolo8ical safety cabinets, freezers, etc., and for the ventilation of animalcages. l1q) There should be a reliable and adequate supply of Bas, if needed. Good maintenance ofthe installation is mandatory. (1c.) Other measures should be considered and applied, as appropriate, to augment laboratory biosafety and security. (6) it+a $frr gqinlrrc yfrrrqrwrr{qr taru r1trr+r itc-fi $Hr sr6{ur6{ sq(er qI .rfg r (1) Pipetting aids - to avoid mouth pipetting. Many different designs are available. (1) Biologicalsafety cabinets, to be used whenever: - infectious materials are handled; such materials may be centrifuged in the open laboratory if sealed centrifuge safety cups are used and if they are loaded and unloaded in a biological safety cabinet - there is an increased risk of air borne infection - procedures with a high potential for producint aerosols are used; these may include centrifu8ation, Brinding, blendinS, viSorous shakinB or mixinS, sonic disruption, openin8 of containers of infectious materials whose internal pressure may be different from the ambient pressure, intranasal inoculation of animals, and qfeq qri-rfqnqf Eqrqdr (qT E .*llqir lo sq+ft tttftr+r r,o
  61. 61. (i) (Y) ({) harvesting of infectious tissues from animals and eggs. Plastic disposable transfer loops. Alternatively, electric transfer loop incinerators may be u5ed inside the biological safety cabinet to reduce aerosol production. Screw-capped tubes and bottles. Autoclaves or other appropriate means to decontaminate infectious materials. Plastic disposable Pasteur pipettes, whenever available, to avoid glass. Equipment such as autoclaves and biolotical safety cabinets must be validated with appropriate methods before being taken into use. Recertification should take place at regular intervals, according to the manufacturer's instructions. 1l) (e) strr n) sM aFrerFFr { kslia 6Fi it+o $en htftr+r qfrtdq mi sia r {l) mift aq I rhtt( (contaminated materials and wastes) +1 q+eirq-t t t+q.h kfd ffi qo-sfi sdq ffi'+t-6 | (6) The principal questions to be asked before discharge of any objects or materials from laboratories that deal with potentially infectious microorganisms or animal tissues are: (1) Have the objects or materials been effectively decontaminated or disinfected by an approved procedure? (l) lf not, have they been packaged in an approved manner for immediate on-site incineration or transfer to another facility with incineration capacity? (i) Does the disposal of the decontaminated objects or materials involve any additional potential hazards, biological or otherwise, to those who carry out the immediate disposal procedures or who might come into contact with discarded items outside the facility? (q)Steam autoclaving is the preferred method for all decontamination processes. Materials for decontamination and disposal should be placed in containers that are color-coded according to the nature of waste products (red for infectious wastes - nonsharps; yellow for infectious wastes - sharps; black for non-hazardous - general wastes). (lT)An identification and separation system for infectious materials and their containers should be adopted. Cate8ories should include: (l) Non-contamlnated (non-infedlousl waste that can be reused or Rrezl rtrrF{rrdTr SFFII dql <=tTnFI qrrflg iu"R Frtfsror il
  62. 62. recycled or disposed of as general, "household" waste (l) Contamlnated (lnfectlous) "sharps" - hypodermic needles, scalpels, knives and broken glass; these should always be collected in puncture- proof containers fitted with covers and treated as infectious (l) Contaminated material for decontamination by autoclaving and thereafter washinB and reuse or recycling - . Contaminated material for autoclaving and disposal . Contaminated mat€rial for direct incineration. (q) af{q} irt{ (sharps)+l rdrrr r i{fl.iT tam er-ffiR rFt c?i6 r (1) After use, hypodermic needles should not be recapped, clipped or removed from disposable syringes. The complete assembly should be placed in a sharps disposal container, Disposable syringes, used alone or with needles, should be placed in sharps disposal containers and incinerated, with prior autoclaving if required. (l) Sharps disposal containers must be puncture-proof/-resistant and must not be filled to capacity. When they are three-quarters full they should be placed in "infectious waste" containers and incinerated, with prior autoclaving if laboratory practice requires it. Sharps disposal containers must not be discarded in landfills. (g) Contamlnated (potentially infectious) materials fo. autoclaving and reuse:No pre-cleaning should be attempted of any contaminated (potentially infectious) materials to be autoclaved and reused. Any necessary cleaninS or repair must be done only after autoclaving or disinfection. (q) Contamlnated (potentlally inf€ctious) materlals for dlsposal: Apart from sharps, which are dealt with above, all contaminated (potentiallv infectious) materials should be autoclaved in leak-proof containers, e.g. autoclavable, color-coded plastic bags, before disposal. After autoclaving, the material may be placed in transfer containerc for transport to the incinerator. lf an incinerator is available on the laboratory site, autoclaving may be omitted: the contaminated waste should be placed in designated containers (e.9. color-coded bags) and transported directly to the incinerator. Reusable transfer containers should be leak-proof and have tight-fitting covers. They should be disinfected and cleaned before they are returned to the laboratory for further use. Discard containers, pans o. jars, preferably unbreakable (e.9. plastic), should be placed at every work station. when disinfectants are used, waste materials should remain in intimate contact with the disinfectant Hre{ Tqt{rsTrqr errril aqT qEltr.fi qtqrys se?ft Friiqr4r i)r
  63. 63. (i.e. not protected by air bubbles) for the appropriate time, according to the disinfectant used. The discard containers should be decontaminated and washed before reuse. qr€q sdrrraTld[ iqrq;rT (qr q€Itfi ql.r{Irg {q+ft FTiler4T ita
  64. 64. qq* s Llst of routine and specialtests Cllnical Biochemistry Routine lest3: Plasma/ Serum: glucose, urea, creatinine, total protein, albumin, bilirubin, AST, ALT, LDH, alkaline phosphatase, acid phosphatase, CK & CK MB, electrolytes, calcium, phosphorus, cholesterol, triglycerides, HDL cholesterol, uric acid, amylase, T3, T4, TSH, FSH and LH (except by RIA). Urine: 24 hours for biochemical examination, CSF: glucose, protein, chloride. Effusion fluid and Ascitic fluid: glucose, protein; Calculi analysis Special tests The tests other than those mentioned above. Haematology Routine t68ts Complete Blood Count (CBC), Erythrocyte Sedimentation Rate (ESR), lralariallFilarial Parasite, Blood grouping, Compatibility testing for transfusion, D-Dimer/FDP, PT, APTT, Fibrinogen, Bleeding time, Anti gloubulin (Coombs) lest (direct and indirect), c6 PD screen, sickling test, Special tosts The tests other than those mentioned above. HlstopathologyAll tests are considered special. Cytopathology All tests are considered special. Gonetics / molecular: All tests are considered special qreq Tfrrffirqr (qFF iTqT q *rrd{ qFr{!-g gE-dft f{ftr+r qy Mlcrobiology and Serology Routine Tosts: Urine routine stool routine, Examination of direcl smear and stain preparalion under microscope in bacteriology, mycology and parasitology. Slide and agglutination reaclion, ELISA and automated serological reactions Spscial t€sts The tests other than those mentioned above lt-2
  65. 65. S. No Qualitications Oisciplines M.D. (Pathology) Histopathology, Cytopathology, Clinical Pathology, Haematology, Clinical Biochemistry, routine l,Iicrobiology and Serology; Non microbial Flow Cytometry, genetics and molecular biology B lvl.D. (Microbiology) Microbiology and Serology, , Clinical Pathology, routine Haematology(non microscopy) and routrne Biochemistry i microbial Flow Cytometry, genetics and Molecular Biology C Ph.D. (Microbiology) with M.Sc./MMLT (Medical Microbioloqy) Microbiology and Serology, Clinical Pathology; 'microbial Flow Cytometry, genetics and Molecular Biology D M.D. (Biochemistry) Clinical Biochemistry, Clinical Pathology, Routine Haematology (non microscopy), Routine Microbiology and Serology((non microscopy)); Flow Cytometry and Molecular Bioloqy related to metabolic disorders E Clinical Biochemistry, Clinical Pathology, routine Microbiology and Serology, *Flow Cytometry and Molecular Biology related to metabolic diorders F M. D. in Lab Medicine Clinical Pathology, Haematology, Clinical Biochemistry, routine Microbiology and Serology G DCP Histopathology, Cytopathology, Clinical Pathology, Haematology, Clinical Biochemistry, routine Microbiology and Serology H Clinical Biochemistry, Clinical Pathology, routine Haematology, routine l,4icrobiology and Serology M.Sc. in Medical Microbiology Microbiology and Serology, Clinical Pathology, routine Clinical Biochemistry, rouline Haematology. J BScMLT Routine hematology, Routine biochemistry and Routine microbiology K CMLT Tests of D category lab L Lab assistant Tests o, E category lab 3r-td q Qualification norms for authorized signatories and technical supervisors 'PhD should be in the relevant subiect area frcm recognized medical institution / medical universu, which has to be fu -time (not distance education) lollowing an M.Sc. from a recognized medical institution /medical universly €rsr FfrrHlrdr erFrnT (qT qqt-iH qFrfl,g llqnft iTffq[sr t Ph.D. (Biochemistry) with M.Sc. (Biochemistry) M Sc in Medical Biochemistry I"o

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