Podcast
Questions and Answers
Which principle of bioethics is primarily concerned with fair distribution of resources?
Which principle of bioethics is primarily concerned with fair distribution of resources?
- Justice (correct)
- Beneficence
- Non-maleficence
- Autonomy
A patient with full decision-making capacity refuses a potentially life-saving blood transfusion due to religious beliefs. Which bioethical principle is most directly upheld by respecting the patient's decision?
A patient with full decision-making capacity refuses a potentially life-saving blood transfusion due to religious beliefs. Which bioethical principle is most directly upheld by respecting the patient's decision?
- Autonomy (correct)
- Justice
- Non-maleficence
- Beneficence
A medical technologist accidentally contaminates a batch of reagents, rendering them unusable for patient testing. Which ethical principle is most relevant to their immediate course of action?
A medical technologist accidentally contaminates a batch of reagents, rendering them unusable for patient testing. Which ethical principle is most relevant to their immediate course of action?
- Non-maleficence (correct)
- Justice
- Beneficence
- Autonomy
In a resource-limited setting, a hospital must decide how to allocate a limited supply of ventilators during a pandemic. Prioritizing patients based on the likelihood of survival and potential years of life saved reflects which ethical consideration most closely?
In a resource-limited setting, a hospital must decide how to allocate a limited supply of ventilators during a pandemic. Prioritizing patients based on the likelihood of survival and potential years of life saved reflects which ethical consideration most closely?
A researcher wants to conduct a study involving human subjects but fails to fully disclose the potential risks involved. Which ethical principle has the researcher violated?
A researcher wants to conduct a study involving human subjects but fails to fully disclose the potential risks involved. Which ethical principle has the researcher violated?
Flashcards
What is ethics?
What is ethics?
Study of moral principles concerning human conduct.
What is an ethical dilemma?
What is an ethical dilemma?
A dilemma involving a choice between moral imperatives.
What are laws?
What are laws?
Rules recognized by a country as regulating the actions of its subjects.
What is bioethics?
What is bioethics?
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What are professional ethics?
What are professional ethics?
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Study Notes
- Republic Act No. 9275, also known as the Clean Water Act, provides a comprehensive framework for water quality management
- It focuses on stopping and controlling pollution from land-based sources and establishes water quality standards and regulations
Overview of the Law
- The primary goal is to protect the safety and potability of drinking water throughout the country
- A key element in regulating drinking water is ensuring the precision and reliability of results from testing facilities, as highlighted in PNSDW AO No. 2017-0010
Laws and Policies Regulating Laboratory Drinking Water Analysis (LDWA)
- These laws and policies are covered in Week 5 of the course
- Knowledge of these legal obligations helps Medical Technologists provide quality laboratory services, promoting patient well-being (SDG 3)
Key Legislative and Administrative Issuances
- Republic Act No. 9275, the Philippine Clean Water Act of 2004, is a foundational law
- Administrative Order No. 2006-0024 establishes the "Rules and Regulations Governing the Accreditation of Laboratories for Drinking Water Analysis (LDWA)"
- DOH Administrative Order No. 2020-0031 contains revised rules and regulations for LDWA accreditation
- Presidential Decree No. 856, or the Code on Sanitation of the Philippines (1975), mandates that initial and periodic drinking water examinations be performed by a DOH-Accredited water testing laboratory
- Laws are being revised to align with the latest PNSDW, resolve LDWA compliance issues, and ensure consistency with relevant laws
Scope and Coverage of LDWA Regulations
- These regulations apply to all agencies involved in enforcing drinking water quality standards and to all accredited LDWA facilities nationwide
- This includes national and local agencies, as well as private entities engaged in testing drinking water
- Drinking water laboratories used strictly for academic training, research, or internal monitoring are exempt from these regulations
Classification of LDWA
- LDWA is classified based on institutional character and ownership
Institutional Character
- Institution based: operates within a DOH-licensed health facility
- Free Standing: operates independently without being attached to a DOH-licensed health facility
Ownership
- Government: operated and maintained by national, provincial, city, or municipal government or other political unit or agency
- Private: privately owned and operated through funds from donations, investments, or other means
Specific Guidelines
- LDWA is classified by ownership, with distinctions between government and privately owned facilities
Classifications of LDWA by Service Capability
- Category A: Microbiological
- Category B: Physical Chemical
- Category C: Microbiological-Physical Chemical
Key Components for Compliance
- Services emphasizing Leadership & Management (Management Review) are vital
- Human Resources, including Personnel Management (HR Planning) and Staff Recruitment, Selection, Appointment & Responsibilities, are also crucial
Information Management
- Data Collection & Aggregation
- Records Management
Safety Practices and Environment
- Costumer & Staff Safety is important
Other important factors
- Improving Performance
- Equipment, Instruments, Reagents & Supplies
Regulatory Requirements for Drinking Water Analysis Laboratories
- License to Operate (LTO) from the DOH
- Compliance with PNSDW standards
- Accreditation through the DOH Environmental and Occupational Health Office (EOHO)
- Participation in external quality assurance programs to maintain accuracy and reliability
Definition of LDWA
- Laboratory for Drinking Water Analysis (LDWA) refers to a facility that performs microbiological, physical, and chemical analyses to determine the potability and safety of drinking water
Technical Requirements for LDWA
- The laboratory must be in a permanent building with adequate water, power, drainage, and ventilation, and it must be dust-free
Minimum area requirements include:
- Classification A 20 sqm. for sterile room and media preparation area
- Classification B 50 sqm. for wet chemistry area, ICP/AAS room, Spectrophotometer room, and chemical storage room
- Classification C - 70 sqm. for sterile room and media preparation area, wet chemistry area, ICP/AAS room, Spectrophotometer room, and chemical storage room
Adequate bench top area needed for:
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Sample processing
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Storage for chemicals, glassware, and supplies
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An area for cleaning and sterilizing materials and equipment
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The laboratory must have an appropriate waste disposal system for solid, liquid, and infectious wastes following DOH and DENR-EMB guidelines
Personnel Requirements
- The head of the laboratory must be a competent and experienced professional responsible for the laboratory's operation, personnel, functions, and data quality
- Analysts involved in laboratory procedures must be NRL-EOHTM trained, possess the appropriate degree and have at least two years of relevant experience in water testing
List of analyst professions
- Microbiology
- Physico-Chemical
- Registered Food Technologist
- Registered Chemist
- Registered Medical Technologist
- Certified Microbiologists
- Registered Chemical Technician
Parameters for Water Analysis
- For Microbiology, the Maximum Allowable Levels (MAL) for E. Coli should be 0
- For Physical Parameters, Turbidity should be 5 NTU and Total Dissolved Solids (TDS) should be 500 Mg/L
Chemical Parameters should be:
- Ph 6.5-8.5
- Aluminium 0.2 Mg/L
- Kesadahan 500 Mg/L
- Sisa Klor 5 Mg/L
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