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Outpatient

Laboratory Hours for Outpatients

FOR SEND-OUT (INTERNATIONAL REQUEST)

Laboratory Request and Billing System

Releasing of Laboratory Results

Laboratory Hours for Outpatients:

 7:30AM. - 5:00 P.M. 

Mondays thru Fridays 

Saturdays on call.

Routine Request:

Routine request will be accepted from 7:30 AMto 4:00 PM, Mondays to Fridays, results of samples received within the cut off times will be released 5pm the same day.

For Send Out (Internal Request)

1. Request for specimen collection (blood or buccal swab) for send out outside the country is accepted with prior arrangement with the laboratory. 
2. For sterile blood and buccal swab collection the charge is $20 per sample. 
3. Collection kit provided by the requesting agency should contain all the necessary requirements needed for sending out. 
4. Arrangement with courier provider for transport of sample is the responsibility of the client/patient.

 Laboratory Request and Billing System:

1.  The laboratory request form should be legibly filled up specifying the examination desired and the name of the attending physician. 
2. Laboratory request is presented at the Laboratory Reception Area (LRA) for the issuance of charge slip. 
   Note: 
   New patients under NKTI doctors are required to register at the Admitting Section for the issuance of Hospital Number (Pink Card). The Pink Card and the laboratory request are presented at the Laboratory Reception Area for the issuance of charge slip. 
   The patient/patient's relative is directed to go to the Cashier Section for the payment of procedures and then to the Laboratory Extraction Area for specimen collection / instruction. 
   The following should be submitted to the Med. Tech.-on - duty: charge slip and official receipt of the requested laboratory examinations. 
3.  Patients under HMO are required to submit a Letter of Authorization (LOA) to Credit and Collection section for validation. The patient is charged and asked to go to the Extraction Area for specimen collection/instruction. 
4. For patients under Research Study, 2 copies of request form for the specific procedures duly signed by authorized signatories will be submitted in the laboratory. 
   
   The Laboratory Reception Area will prepare a charge slip for the procedure indicating the research code number and hospital number of the project. The charge slip and original copy of the request will be forwarded to the Billing section, who after verification will forward the same to the Credit & Collection section. 
5. For service patients, charging of laboratory examinations may be done ahead of their laboratory appointment to give time on their transaction with the Social Service. 
6.  For Inter-Agency Referrals, the patient is required to submit a copy of the inter-agency referral request to the office of the Deputy Director for Medical Services. 
   
   The patient is charged using the OPD rate and asked to present the charge slip and a copy of the inter-agency referral request to Cashier Section who shall immediately effect the 20% discount (subsidized rate) on the charge slip prior to patient's payment of bill. 

The charge slip and official receipt are submitted to the Med. Tech. on­ duty for specimen collection.

Releasing of Laboratory Result
Laboratory reports are released only to the ordering unit, client, primary care giver and/or physician. All patient related information is confidential. Patient information is on a need-to-know basis only. Discussion of results, sharing results with another employee or looking up patients results for unauthorized individuals is forbidden. External inquiries for patient results or information must be referred to the Hospital Public Relations Office.

One (1) official copy of the laboratory results is released to patient / patient's representative on the following schedule:

Note: For specimen and request received after 4:00 P.M., result will released at 5:00 PM on the following working day. 

Should the automated analyzer be out-of-order, clients will be properly informed of the delay.

About Us

The primary function of the division is to support the NKTI's organ transplant program in its clinical and research activities. It is heavily involved in histo - compatibility testing and other immunologic tests relevant to organ transplantation. As a secondary function the immunology laboratory performs assays required for diagnosis and disease monitoring of autoimmune, immunodeficiency, infectious and malignant disorders.

There are five (5) sections in the division, namely:

• Cellular Immunology Laboratory

• Flow Cytometry Unit

• Immunochemistry Section

• Molecular & Cytogenetics Laboratory

• Tissue Typing Section

The division runs updated diagnostic techniques that are carefully considered so as not to compromise affordability and clinical relevance of the test.

The Immunology Laboratory allows fellows-in training in Immunology and allergy, Nephrology & Hematology access to its facilities for purposes of training and research

Cellular Laboratory is heavily involved in Cellular immunologic assays using cell culture technique & gel electrophoresis. These assays include B and T cell quantitative and functional assays, NBT to screen for phagocytic functional defects, Hemoglobin electrophoresis to screen for clinically important hemoglobin variants, Serum Protein Electrophoresis(SPE ) for screening multiple myeloma & Immuno-Fixation Electrophoresis(IFE) for Identification of monoclonal and oligoclonal immunoglobulin in serum, spinal fluid, urine.

The Flow Cytometry (FCM) Unit of the Immunology Division, Department of Laboratory Medicine perform assays for leukemia phenotyping used for diagnosis and classification, staging and therapeutic monitoring, detection of relapse, transformation, and residual disease. B, T and NK cell quantitative and functional assay. Bone marrow analysis and stem cell enumeration.

Presently, the services offered are:

• Immunophenotyping of Acute Leukemias / Lymphomas

• Immunophenotyping of Lymphocytes

• Peripheral Blood Stem Cell Enumeration

• FCM Diagnosis of Paroxysmal Nocturnal Hemoglobinuria

Our flow cytometry services are performed by licensed, fully-trained, and highly-skilled medical technologists. All results are double-checked for accuracy, first by a knowledgeable flow cytometry supervisor and then by a qualified hematopathologist. In most cases the turn-around time for flow cytometry profiles is less than 48 hours.

Immunochemistry Laboratory utilizes various immunologic assays for the detection and identification of circulating antigens and antibodies in human serum for the diagnosis of Rheumatic, Allergic, auto immune and immunodeficiency   disorders.Performs Tacrolimus assay (FK 506) an immuno suppressive drug used in solid organ transplantation.The drug is also used in severe forms of allergic diseases which are non-responsive to the usual anti allergy therapeutic regimen.

The Molecular & Cytogenetics Laboratory is the newest addition to the Immunology Division. It started as a PCR Laboratory in 1994, performing PCR-DNA based tissue typing & hepatitis B & C viral studies(qualitative viral load assays).

In 2004, with the addition of Fluorescence In-Situ Hybridization(FISH) & Cytogenetics Laboratory, the Molecular & Cytogenetics Laboratory came to being.

• PCR Laboratory
  

  The laboratory performs DNA-Amplification assays utilizing the Polymerase Chain Reaction (PCR). Target DNA or gene is amplified for easy detection and quantification for purposes of disease diagnosis and monitoring response to treatment. Currently, the laboratory performs Hepatitis B & C viral detection and viral load assays. Majority of assays in the laboratory involves Molecular HLA Typing for class I & II loci for donors & recipients for organ transplantation.

• The FISH Laboratory

  This laboratory performs DNA-based assays utilizing Fluorescent-In-Situ-Hybridization (FISH). FISH finds application in various clinical situations for diagnosis and prognostication. Target DNA is labeled with fluorescent dye for detection and quantification utilizing a state-of-the- art computerized FISH imaging system. At present the laboratory performs assays for various cancer diagnostics e.g. gene translocations for Leukemias, DNA aberrations for breast and bladder cancer. In addition, Karyotyping (G-Banding) for various genetic diseases and malignancies are also routinely done.

Tissue Typing Laboratory is primarily involved in Pre-transplant Histocompatibility work up for bone marrow and solid organ transplantation which include HLA Class I and II typing of recipient and donors, ABO typing, Tissue crossmatching to detect donor specific anti- HLA antibodies, and anti-HLA antibody assay (Panel Reactive Antibody) to determine degree of HLA allosensitization of transplant candidates.

Laboratory Tests

For any laboratory concern please visit www.nktilab.com

Our Expert Team

Training Program

Training Program for Medical Technologists

I. Objective
To develop in a duly licensed Medical Technologist the knowledge, skills, and attitudes necessary for the practice of Medical Technology. And to train and evaluate future technologist for the division.

II. Duration
    Six months, uninterrupted.

III. Number of Trainee
    As needed.

IV. Qualifications

• Must have passed the Medical Technologist board examination;

• Must have passed the NKTI personnel examination.

• Previous externship or clinical immunology experience required.

• Background in research related field will be considered but not required.

• In good physical and psychological condition.

 
V. Conditions

• Training is free and therefore trainee has no obligation to pay the hospital for the said training;

• Hospital will not hold any responsibility for any accident or untoward incident that may occur;

• Trainee will be accountable for breakages or losses due to his/her negligence;

• Said training is purely voluntary therefore; they will not be entitled for any remuneration during their training period;

• Trainee should abide to all rules and regulations of the hospital; and;

• National Kidney and Transplant Institute is not obliged to hire the trainee after the training.

VI. Proper Uniform
 
    Male   
    - polo shirt, formal pants, white laboratory gown and leather shoes.

    Female 
    - dress, white laboratory gown and formal closed shoes, or
    - blouse with sleeves, white pants, white laboratory gown and closed shoes.

 
VII. Attendance

• Trainee are obliged to have a perfect attendance during the course of their training;

• Sick leave/Emergency leave may be allowed, but trainee should inform the laboratory in such a case within 30 minutes from the start of his/her duty. Failure to comply this will mean extra duty on their part;

 VIII. Areas of Training

• Immunochemistry Laboratory

• Cellular Laboratory

• Tissue Typing Laboratory

• DNA Typing Laboratory

IX. Rotation Schedule

    1 ½ months schedule in each section under the direct supervision of the Section Head in charge. During the period of six months training, the Technologist is required to learn the theoretical aspect of all tests available in the division. They are also required to adopt and perform the techniques and Standard Operating Procedure (SOP), in the individual section of the division.
 

• Immunochemistry – To be able to perform all serum component determination of the different Immunoglobulin, complement level, Chemilluminescence and test utilizing antigen-antibody reaction.

• Cellular – To be able to perform cellular assay such as NBT, Electrophoresis and Flowcytometry procedures.

• Tissue Typing – To be able to perform HLA-A, B, C, Typing (Serologic Technique), Tissue Crossmatching, PRA (Screening and Specific) and Reagent preparation.

• DNA Typing – To be Able to do extraction of DNA and perform PCR based assays.

 
X. Performance Rating
 
    Each trainee will be evaluated and rated by the Division Chief Medical Technologist and the Section Supervisors after each rotation on the four sections of the division. Performance rating will be noted by the Dept. Chief Med. Tech. and will be kept in the Laboratory file as reference for hiring.

Facilities/Resources

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