Clean Water Act: Water Quality Management

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Questions and Answers

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?

  • 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?

  • 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?

<p>Distributive Justice (A)</p> Signup and view all the answers

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?

<p>Autonomy (A)</p> Signup and view all the answers

Flashcards

What is ethics?

Study of moral principles concerning human conduct.

What is an ethical dilemma?

A dilemma involving a choice between moral imperatives.

What are laws?

Rules recognized by a country as regulating the actions of its subjects.

What is bioethics?

The application of ethics to healthcare and medicine.

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What are professional ethics?

A set of moral principles governing behavior in medical technology.

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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:

  • Sample processing

  • Storage for chemicals, glassware, and supplies

  • An area for cleaning and sterilizing materials and equipment

  • 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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