Cadre Norms for Medical Laboratory Technologists 2010 - Introduction to Finance Ministry

Cadre Norms for Medical Laboratory Technologists

2010

Initiating Committee

Mr. Ravi Kumudesh - President/SlagMLT

Mr. Mohan Premaratne – Secretary/SLSMLS

Dr.Arunananda - DD/Chest Hospital

Dr.ALF Rahman - MS/AMH, Kalmunei

Dr.BAPR Balasuriya - SR in Medical Admin/MoH

Guidance

Hospital Directors Clinicians Laboratory consultants Superintendent MLTT, Chief MLTT / Senior MLTT Trade Union Health Ministry Authorities

References

ISO 15189

National Laboratory Policy

Manual of Medical laboratory

Duty list of Medical Laboratory

Technologists

Finalizing committee

Dr. R. Wimal Jayantha – DDG, Planning

Dr. C. Wickramasinghe - Director, Planning

Director, Cancer Institute, Maharagama

PDHS, Sabaragamuwa Province

Director, Medical Supplies Division

Criteria

Existing Norms

Requests on Institutional

Requirements

WHO Guidelines

Workload Assessment

Basis for Application of Criteria

Teaching / Provincial Hospitals District General Hospitals District Base Hospitals Divisional Hospitals

◦ Type A (more than 100 beds) ◦ Type B (50 - 100 beds) ◦ Type C (less than 50 beds)

Specialized Hospitals (Ex: Cancer, Eye, Dental, etc)

Specialized Units (Ex: MRI, NBTS, STD/AIDS, RDCP, MSD)

Public Health Institutions (FHB, AMC, ALC)

Teaching Hospitals

Dept. / Unit No. of MLTT Management

Biochemistry

Hematology

Bacteriology

Histopathology

OPD Lab

Stores

Quality Assurance/Bio safety

Technical Officer

Teaching Coordinator/PR officer

Pap smear cytology

(Under FHB) )

01 (Sup. MLT)

01 (Chief MLT)

08

08

07

05

07

01

01

01

01

01

Anuradhapura (2) / Batticaloa (1)

Mahamodara (2) / SBMCH (2) / Jaffna(1)

PGH – Badulla (2) / Kurunegala (3)

Ratnapura (2)

Teaching Hospitals - NHSL Dept. / Unit No. of MLTT

Management

Biochemistry

Hematology

Bacteriology

Histopathology

Immuno- Histo Chemistry**

RIA**

Neuro-trauma**

Cardiology Unit**

Accident Service**

National Nephrology Unit**

OPD Lab

Stores

Quality Assurance

Technical Officer

Teaching Coordination/PR officer

04 (Sup. MLT )

01 (Chief MLT)

22

20

20

18

04

09

04

02

02

04

09

02

05 (for each specialty)

01

01 **National centers

Dept. / Unit No. of MLTT

Immuno- Histo Chemistry**

RIA**

Neuro-trauma**

Cardiology Unit**

Accident Service**

National Nephrology Unit**

04

09

04

02

02

04

Teaching Hospitals – NHSL

National centers (Located at NHSL)

District General Hospitals

Dept. / Unit No. of MLTT

Management

Biochemistry

Hematology

Bacteriology

Histopathology

OPD Lab

Stores

Quality Assurance

Pap smear cytology

(Under FHB)

01 (Sup. MLT)

01(Chief MLT)

06

06

05

04

05

01

01

Ampara(1) / Kegalle(1) / Matara(2),

Pollonaruwa(1) /Chilaw(2) / Vauniya(2) /

Moneragala(2) / N’Eliya(2)

Hambantota(2) / Matale (1)

District Base Hospitals

Dept. / Unit No. of MLTT

Management

Biochemistry

Heamatology

Bacteriology

Histopathology

OPD Lab

Stores

Quality Assurance

Pap smear cytology

(Under FHB)

01 (Sup. MLT)

04

04

03

03

03

01

01

01 each Gampaha/Avissawella/Matale/horana/

Homagama/Wathupitiwala/Trincomalee/

Embilipitiya/Mahiyanganaya

Divisional Hospitals

Dept. / Unit No. of MLTT

Type A (more than 100 beds)

Type B (50 - 100 beds)

Type C (less than 50 beds)

Minimum 03 MLT T

Minimum 02 MLT T

Minimum 01 MLT T

Divisional Hospitals such as RHH, PUU, DHH, will

have different number of patient beds.

But as National laboratory Policy, all Divisional

Hospitals should have basic laboratory facilities to

conduct primary tests.

Divisional Type A Hospitals

Dept. / Unit No. of MLTT

Clinics and Co ordination

Satellite system

Clinical Pathology

Heamatology

Clinics

01 (Chief MLT)

01

01

01

Divisional Type B Hospitals

Dept. / Unit No. of MLTT

Clinics and Co ordination Satellite system

Clinics

01 (Senior MLT)

01

Divisional Type C Hospitals

Dept. / Unit No. of MLTT

Clinics and Coordination Satellite system

01 (Senior MLT)

Specialized Hospitals Cancer Institute – Maharagama

Dept. / Unit No. of MLTT

Management

Biochemistry

Tumor marking

Heamatology

Bone Marrow test

Histology

Immuno histo- Chemistry

Cytology

Microbiology

OPD Lab

Quality Assurance/Bio safety

Technical Officer

Stores

Public Relation officer

Teaching Coordinator

01 (Sup. MLT)

01 (Chief MLT)

07

02

10

04

06

05

03

05

06

01

01

01

01

01

Specialized Hospitals CSHW/DMH (Maternity Hospitals)

Dept. / Unit No. of MLTT

Management

Biochemistry

Hematology

Microbiology

Histology

Clinical Pathology

Andrology

Quality Assurance

Stores Teaching Coordinator

01 (Sup. MLT)

04

04

02

05

02

02

01

01

01

Specialized Hospitals Mental Hospitals – Angoda / Mulleriyawa

Dept. / Unit No. of MLTT

Management

Biochemistry

Hematology

Microbiology

Quality Assurance / Stores

Public relation officer/Teaching coordinator

01 (Chief MLT)

04

04

02

01

01

Dept. / Unit No. of MLTT Management

Biochemistry

Hematology

Bacteriology

Histopathology

OPD Lab

Stores

Quality Assurance

Technical Officer

Patient care officer/Teaching

coordinator

Pap smear cytology

(Under FHB) )

01 (Sup. MLT)

01(Chief MLT)

07

07

05

05

06

01

01

01

01

Anuradhapura (2) / Batticaloa (1)

Mahamodara (2) / SBMCH (2) / Jaffna(1)

PGH – Badulla (2) / Kurunegala (3)

Ratnapura (2)

Specialized Hospitals LRH/SBMCH (Children Hospitals)

Specialized Hospitals Eye / Dental Hospitals

Dept. / Unit No. of MLTT

Management

Hematology

Microbiology

Histology+Papsmear

Biochemistry

PAP smear

OPD

Quality Assurance/Stores

01 (Chief MLT)

01

02

02

02 01

01

01

Specialized Hospitals Dental Hospitals

Dept. / Unit No. of MLTT

Management

Hematology

Microbiology

Histology/PAP smear

Biochemistry

OPD

Quality Assurance/Stores

01 (Chief MLT)

01

02

02

02 01

01

Specialized Hospitals Infectious Diseases Hospital (IDH) - Angoda

Dept. / Unit No. of MLTT

Management

Hematology

Microbiology

Biochemistry

Public Relation officer

Quality assurance/Stores

01 (Chief MLT)

04

02 04

01

01

Specialized Institutions NIHS – Training & Service Laboratory

Dept. / Unit No. of MLTT

Training Unit

Superintendent MLT

Microbiology & virology

Histopathology & lab Management

Heamatology

Parasitology

Bio chemistry

Quality Assurance

Service Laboratory

Public Health, PAP, Lipid profile, FBS etc

Microbiology

01

02

02

02

02

02

01

04

06

Food & Water Laboratories

NIHS/Anuradhapura /Kurunaagala/Rathnapura

(*Generate money)

Dept. / Unit No. of MLTT

Senior MLT

Chemical Pathology Microbiology

01

03 02

Specialized Institutions STD/AIDS Control Program

Dept. / Unit No. of MLTT

Management

Stores

Quality Assurance

HIV/Culture/ELISA/PAP Smear

PCR

Microscopy

Education & PR

Patient care officer

Bio safety officer

Regional STD clinics (22)

01(Sup. MLT)

01 (Chief MLT)

01

01

19

03

05

01

01

01

01 Each

Specialized Institutions School of MLT Colombo / Kaluthara / Peradeniya

Dept. / Unit No. of MLTT

Principal

Lecturers

Microbiology & virology

Histopathology & lab Management

Haematology

Parasitology

Bio chemistry

Demonstrator

01

02

02

02

02

02

01

To train 50 MLTT / Year / Per School

Specialized Institutions Medical Research Institute

Dept. / Unit No. of MLTT

Management Residential MLT Quality assurance Public Relation Officer Heamatology Histopathology Immunology

Mycology Rabies Bio Chemistry Animal House Entomology Food & Water Pharmacology

Nutrition Parasitology Molecular biology Virology Bacteriology Electron Microscopy

Natural Products

04(sup MLTT) 04 03 01 04 05 04 04 04 10 01 01 13 03 03 03 03 15 11 02 02

Specialized Institutions National Blood Centre - Narahenpita

Dept. / Unit No. of MLTT

Processing blood units (Grouping/TTI/Component

Laboratories

Management(Administration &Laboratory Services

Quality Control

Stores

Sample acceptance officer

Teaching Lab Coordinator

Histo compatibility testing Lab

National Reference Lab

Reagent Preparation Lab

Nucleic Acid Testing

Cord Blood Banking

Frozen Red Cells

30

02 (Sup. MLT)

03

02

01

01

04

02

02

02

02

02

National Blood Centre- Narahenpita Processing blood units (2400 /month)

Specialized Institutions National Blood Transfusion Service

Dept. / Unit No. of MLTT

Management for regional services

Kandy / Anuradhapura / Kurunagala /

Kamburugamuwa

Karapitiya / Maharagama / Jaffna

Ampara / Badulla / Ratnapura

Peradeniya / Ragama /Polonnaruwa /Vauniya/

Trincomalee

Baticoloa / NHSL / CSHW / DMH /LRH/CSTH/SJGH

01(at main Centre)

07

05

04

03

02

Specialized Institutions National Blood Transfusion Service

Storage centers & Blood Collecting Canters No. of MLTT

Kalutara/Avissawella/Wathupitiwala/ Gampaha/

Homagama/Horana/

Chilaw/Negambo/Panadura/Kethumatie/Matale

/Dambulla/Gampola/Nuwara Eliya

Nawalapitiya/Kuliyapitiya/Puttlum/Dikoya/Nikaweratiya/Matara

/Hambantota/Mahaoya /Mahamodara/Balapitiya /Kegalle/

Kantale /Embilipitiya/Tangalle

Elpitiya/Dehiaththekandiya/ Balangoda /Kahawatte/Mannar/

Point pedro/Monaragala/Kamburupitiya /Diyathalawa

/Mahiyanganaya /Kilinochchi /Kalmunai South/Kalmunai North

/Akkareipattu /Marawila/ Accident service /Welisara

/Karawanella/Mawanella /Kalpitiya /Dambadeniya /Padaviya

/Thambuththegama

01 per each

Specialized Institutions Respiratory Disease Control Program

Dept. / Unit No. of MLTT

National Culture Lab Management

Bio safety officer General microbiology TB culture D.S.T. QC Lab Microscopy Research & Training

Service Lab Senior MLT Research Quality Assurance

Chest Clinics Gampaha/ Kalutara / /Puttalam/Trincomalee/ Mathara/ Badulla/ Ratnapura/ Mulativ/ Kilinochchi/

Kegalle/ Monaragala/ Polonnaruwa/ Baticoloa/ Kalmunei/

Ampara/ Mathale/ Hambanthota/ Nuwara Eliya/ Maharagama

Chest hospital –Welisara (C MLT 01,PR/QA 01, Heamatology 03, biochemistry 03, OPD 02, Microbiology 02, histology 01)

Provincial Chest Clinic – Kandy/Vavniya/Jaffna/Borella/Galle/kurunegala/Anuradhapur

a

26 01(Sup MLT)

01 03 06 04 08 03

07 01 02 04

02 each

01 each

13

10 each

Specialized Institutions Respiratory Disease Control Program

District Chest Clinics

Dept. / Unit No. of MLTT

Jaffna / Mannar / Ampara / Kalmuna / Batticaloa

Pllonnaruwa /Moneragala / Kegalle /

Hambanthota Nuwara Eliya / Matale

Jaffna Microscopy / Killinochchi / Mulativu

Trincomalee / Badulla / Ratnapura / Matara

Galle microscopy

Jaffna Culture Lab / Vauniya / Anuradhapura

Galle culture lab / Anuradhapura

01

02

04

Specialized Institutions Respiratory Disease Control Program

Dept. / Unit No. of MLTT

Superintendent MLT

Chief MLT(Regional Centers coordination)

Public Relation/Teaching coordination

PCR Laboratory

HIV Laboratory

HSV Culture Laboratory

GC Culture

Serology Laboratory

General Laboratory

Microscopy

PAP screening

Quality Assurance

Bio safety

Stores

22 regional centers

01

01

01

03

07

02

03

05

02

04

02

01

01

01

01 each

Specialized Institutions Anti Malaria Campaign

Dept. / Unit No. of MLTT

Management for regional services Reagent and Stores

Each Functioning centre

01(at main Centre)

01(at main Centre)

01 at each centre

Specialized Institutions Anti Filarial Campaign

Dept. / Unit No. of MLTT

Management for regional services Reagent and Stores

Each Functioning centre

01(at main Centre)

01(at main Centre)

01 at each centre

Specialized Institutions Anti Leprosy Campaign

Dept. / Unit No. of MLTT

Management for regional services Reagent and Stores

Each Functioning centre

01(at main Centre)

01(at main Centre)

01 at each centre

Specialized Institutions Medical Suppliers Division

Dept. / Unit No. of MLTT

Management

Coordination - Provincial councils

Coordination - Central Government

Hospitals

Coordination - Special Institutions

01

02

02

02

Specialized Institutions Family Health Bauru

Dept. / Unit No. of MLTT

Central Lab

Chief MLT

Coordination - Provincial councils

Coordination - Central Government Hospitals

Coordination - Special Institutions

Service Laboratories TH - Anuradhapura(2), Batticaloa(1), Mahamodara(2),

SBMCH Peradeniya (2), Jaffna(1), PGH - Badulla(2),

Kurunegala(3), Ratnapura(2), Ampara(1), Kegalle(1),

Matara(2), Pollonaruwa(1), Chilaw(2), Vauniya(2),

Moneragala(2),N’Eliya(2) Hambantota(2), Matale(1)

Gampaha(1), Avissawella(1), Mathale(1), Horana(1),

Homagama(1), Wathupitiwela(1), Trincomalee(1),

Embilipitiya(1), Mahiyanganaya(1)

01

01

01

01

04

Mentioned with

each institutions

Specialized Institutions Prison Hospitals

Kandy/ Galle/ Colombo

Dept. / Unit No. of MLTT

Senior MLT

Microbiology

Heamatology

Biochemistry

Histopathology

01

01

01

01

01

Even though these hospitals are functioned under different departments,

all laboratories of these institutions are under the Ministry of Health.

Above mentioned laboratory set up is common for any JMO, prison or

Auruvedic hospital.

Specialized Institutions Judicial Medical Laboratory

Colombo/Kandy/Karapitiya

Dept. / Unit No. of MLTT

Senior MLT

Microbiology

Heamatology

Biochemistry

Histopatology

01

01

01

01

01

Even though these hospitals are functioned under different departments,

all laboratories of these institutions are under the Ministry of Health.

Above mentioned laboratory set up is common for any JMO, prison or

Auruvedic hospital.

Specialized Institutions Auruvedic Hospitals

Dept. / Unit No. of MLTT

Senior MLT

Microbiology

Heamatology

Biochemistry

Histopatology

01

01

01

01

01

Even though these hospitals are functioned under different departments,

all laboratories of these institutions are under the Ministry of Health.

Above mentioned laboratory set up is common for any JMO, prison or

Auruvedic hospital.

Specialized Institutions National Thalassaemia Centres

(Kurunegala/Anuradhapura/Ragama)

Dept. / Unit No. of MLTT

Chief MLT

Quality Assurance/Public relation

Heamatology

Biochemistry

Special tests

01

01

02

01

01

Specialized Institutions National Cardiology Unit

(kurunegala /Karapitiya /Colombo)

Dept. / Unit No. of MLTT

Chief MLT

Quality Assurance/Public relation

Heamatology

Biochemistry

Special tests

01

01

01

02

01

Specialized Institutions

National Nephrology Units Maligawatte/Kandy/Anuradhapura

Dept. / Unit No. of MLTT

Chief MLTT

Public Relation/Quality Assurance

Haematology

Biochemistry

Clinical Pathology

Microbiology

Special Test

01

01

01

01

01

01

01

Provincial Councils

Provincial Sup MLTT

01 Each for PDHS division

Divisional Chief MLTT

01 Each for RDHS division

Mobile Laboratory Service

02 for each / 01 In charge MLT

Thank you