MEDTECH LAWS

JOHN MICHAELLE SANTOS, RMT

ERIKA MAE VILLAGE RAN

This review notes belongs to: ___________________________________________________________
 MEDTECH LAWS
JOHN MICHAELLE SANTOS, RMT

ERIKA MAE VILLAGE RAN

This review notes belongs to: ___________________________________________________________
MEDICAL TECHNOLOGIST’S PRAYER ➢ NARDITO MORALETA
• First female President of PAMET
MEDICAL TECHNOLOGIST’S PRAYER
➢ ANGELINA JOSE
God, who by calling us to the vocation of a
REPUBLIC ACT 5527
medical technologists, has placed upon us the
obligation of being a constant help in the scientific • An act Requiring the Registration of Medical
care of the sick, grant us by thy divine light a deep Technologists, Defining Their Practice, and for
insight into the serious responsibilities of our task. Other Purposes (Philippine Medical Technology
Act of 1969) Personal selection Board
By thy divine wisdom awaken in us a growing [
• R.A 5527 was supported by PSB Dr. Arturo
zeal and determination to increase our knowledge
Tolentino Jr. who was then the President of the
of how to search for the underlying causes of
Philippine Society of Pathologist, approved
sickness and disease; how to recognize the evidence
during the term of PAMET President Nardito
of physical changes; how to make important
Moraleta and approved by Ferdinand Marcos.
chemical analyses, and other valuable test so helpful
in caring for the sick. • How many Sections does R.A. 5527 have?
➢ 32
By thy divine love permit us in this way to • SECTIONS 22
share with those who directly care for the sick, that
1 TITLE -

thus we may be of constantly working through the

2 DEFINITION OF TERMS Jeral roting
of
eternal physician, Christ our Lord, Amen. 3 COUNCIL OF MT
Poste

Wun 4 COMPENSATION OF COMT

HISTORY OF MEDICAL TECHNOLOGY
5 FUNCTION OF COMT
• Who introduced the first laboratory that opened 6 MINIMUM REQUIRED COURSE
7 BOARD OF MT
at 208 Quiricada St., Sta Cruz Manila where the
8 QUALIFICATION OF EXAMINEERS
Manila Public Health laboratory is presently 9 EXECUTIVE OFFICE
located? Board 10 COMPENSATION OF BOMF
➢ 26th Medical Laboratory of 6th United States 11 FUNCTION OF BOMF
Army Brigade 12 REMOVAL OF BOARD MEMBERS
13 ACCREDITATION
• 26th Medical Laboratory of 6th United States
14 INHIBITION OF PRACTICE OF MT
Army Brigade → 1945 They left the laboratory 15 EXAMINATION
and Alfredo Pio de Roda save the remains → 16 QUALIFICATION FOR EXAMINATION
Manila Sanitarium and Hospital (MT Course was Exam 17 SCOPE OF EXAMINATION
offered at Manila Sanitarium and Hospital) 18 REPORT OF RATING
19 RATING IN THE EXAM
• Founder of Medical Technology Education in the 200 OATH
0 TAKING
Philippines 21 ISSUANCE OF COR 21 years old dapat Kaya 21 ,

➢ Mrs. Willa Hilgert Hedrick 22 FEES

• First Organization build for all medical 23 REFUSAL TO ISSUE COR
WR 24 ADMINISTRATIVE INVESTIGATION
technology in the Philippines
25 APPEAL
➢ PAMET 26 REINSTATEMENT, REISSUE,
• Organized and the Father of PAMET REPLACEMENT
➢ CRISANTO ALMARIO 27 FOREIGN RECIPROCITY
• First President of PAMET – Emergence of the 28 ROSTER OF MEDICAL TECHNOLOGY
29 PENAL PROVISIONS
Profession 30 SEPARATABILITY CLAUSE
➢ CHARLEMAGNE TAMONDONG 31 REPEALING CLAUSE
• Professionalized the MT course 32 EFFECTIVITY
• Amendments ➢ Inspect MT schools to assure high standard
➢ R.A. 6138 - 16,21,22 education Give levels of Accreditation

➢ PD 498 - 2,3,4,7,8,11,13,16,17,21,29 ➢ Certify qualified MT interns and collect fees

➢ PD 1534 - 3,8,13 ➢ Formulate and recommend refresher course
• Practice of Medical Technology ➢ Promulgate, prescribe, and implement rules
➢ MEDICAL TECHNOLOGIST ONLY and regulations
o Examination of tissues, secretions, & • Minimum required course
excretions of the human body and
body fluids 4 years including a 12-month internship in an
o Blood banking procedures accredited laboratory
o Parasitologic, mycologic, &
microbiologic techniques ➢ CMO 14 C 2006: Policies, Standards, and
o Histopathology & Cytotechnology Guidelines for Medical Technology
➢ OTHER HEALTH PROFESSIONALS Education
o Clinical Laboratory Quality Control o 4-year program with an internship
o Clinical Research program of 6 months in an
o Preparation and Standardization of accredited training laboratory
Reagents ➢ CMO 14 s. 2017
o Collection and Supervision of o 4-year program with an internship
Specimens program for one year
• Medical Technology work under the o Addition of Molecular Biology and
supervision of a_____ Diagnostics
➢ Pathologist should be indicated •
Board of Medical Technology
➢ Licensed Physician authorized by the DOH ➢ Chairman: Marilyn Barza
• Who comprises the Council of Medical ➢ Members: Marian Tantingco, Marilyn
Technology Education? Atienza+
→ passed away
➢ CHAIRMAN: CHED DIRECTOR Prospero de Vera 111 recently
*Qualifications:
➢ VICE Chairman: PRC CHAIRMAN Charito Zamora
➢ Members: ➢ Filipino Citizen
o BOMT ➢ Good Moral Character
o Director of Bureau of Research and ➢ Practice of Laboratory Medicine
Laboratories (Pathologist) or Medical Technology (MT)
o Representative of Deans of Schools for at least 10 years
of MT and Public Health ➢ Not a member of faculty of any MT school
o President of PSP for at least 2 years avoid bias

o President of PAMET ➢ Chairman must be a Pathologist, members

• Functions of COMT education proper must be RMT’s
➢ Recommend minimum required curriculum
*Removal
➢ Determine and prescribe number of
students allowed ➢ Neglect of duty
➢ Approve Medical Technology Schools; ➢ Incompetency
recommend closure ➢ Malpractice
➢ To require all Medical Technology Schools to ➢ Unprofessional, unethical, immoral, or
submit annual report on or before the dishonorable conduct
month of June ➢ May be removed by the President of the
Philippines
*Term of Office: 3 years EXCEPTIONS:
*Functions: Focus on MT Profession ➢ Duly registered Physicians
➢ Foreign Medical Technologist as visiting or
➢ Administer the provision of this Act
exchange professional
➢ Administer oaths
➢ MT in the service of US Armed Forces
➢ Issue, suspends and revokes certificates of
stationed in the Philippines
registration for the practice of Medical
Technology and laboratory technician
• Qualifications for Examinations
➢ Look into conditions affecting the practice
➢ Good health, Good moral character
of Medical Technology
➢ Graduate of BSMT/BSPH
➢ Investigate such violations of this act
➢ Graduate of other professions and has been
➢ Draft rules and regulations
performing MT for 5 years prior to June 21,
➢ Determine the adequacy of the technical
1969
staff of all clinical laboratories and Blood
• Scope of Examination
banks before they can be licensed by the
➢ 20% Clinical Chemistry, Micro/Para,
DOH
Hematology, Blood Banking and Serology
➢ Prescribe the qualifications and training of
➢ 10% Clinical Microscopy, HTMLE
MT staff as to specialty examinations
conducted by the professional organizations
• Report of Rating
of MT accredited by the PRC
➢ 120 days
➢ Classify and prescribe the qualifications of
o PRC Modernization Act (R.A. 8981):
training of technical staff as clinical
10 days
laboratories as to CMT, Senior MT, MT, Med
Technician
• Rating in the Examination
➢ General Average at least 75%
• ACCREDITATION
➢ No grade below 50% in any major subject
R.A. 5527 R.A. 7722 ➢ Not failed in 60% subjects computed
HIGHER according to their relative weights
EDUCATION
ACT OF 1994 ***Three times failure:
Schools of DepEd in CHED through ➢ 12-month refresher course in an accredited
Medical conjunction the Technical
MT school
Technology with the MT Committee for
➢ 12 months post-graduate training in an
board MT Education
accredited lab
Training DOH through CHED through
Laboratories Bureau of the Technical *Medical Laboratory Technician: General rating of
Research and Committee for 70-74.99%
Laboratories MT Education
• Issuance of COR
➢ To successful applicant 21 years old
➢ Signed by 4 persons: BOMT, PRC
(3) (1)
• WHO ARE ALLOWED TO PRACTICE MEDICAL Commissioner
TECHNOLOGY? ➢ Display at workplace at all times

ONLY THOSE HAVING VALID CERTIFICATION OF

REGISTRATION FROM THE BOARD
 ➢ Must surrender within 30 days after the
decision becomes final, failure to do so will
result to Perpetual Disqualification

• Appeal
➢ R.A. 5527: Civil Service Commissioner
➢ Now: PRC

• FOREIGN RECIPROCITY
➢ No foreigner is allowed to practice MT
unless reciprocity has been established in
subjected country/state allow Filipino MT to
practice profession

• Roster of Medical Technologists

➢ Prepared by the Secretary of Boards open to the
public
➢ Contains:
o Name,
Act protected
o Address, Data privacy
-

o Citizenship,
o date of registration or issuance of
certificate and other important
information

• Violations 2000-5000 penalty 6 months to 2 years

➢ Fine: 2000-5000 and imprisonment of 6 months

to 2 years
• Separability Clause
➢ if any provision of R.A. 5527 is declared invalid,
the rest will not be affected
• Repealing Clause
➢ amends all rules and regulations and executive
orders inconsistent to it except:
2 signatories o Philippine Medical Act of 1969 (R.A. 2382 as
• Refusal to issue COR
➢ Moral Turpitude amended by R.A. 4224)
o Clinical Lab Act of 1966 (R.A. 4688)
➢ Immoral or Dishonorable Conduct
o Bb Law (R.A. 1517)
➢ Unsound Mid
➢ Incurable Communicable Disease • Effectivity: June 21, 1969
G Bday ni Thirdly
• Administrative Investigation
➢ Done by: at least 2 members of the Board & Senate Bill 2473
and least 1 Legal Counsel • Modernizing the practice of MT
➢ REVOCATION- Unanimous Vote > all agree • Sen. Ginggona
➢ SUSPENSION/REPRIMAND- MAJORITY
 House bill no. 2049 (July 27, 2016) • also apply to the Bangsamoro Autonomous
Region in Muslim Mindanao (BARMM)
• Introduced by Representative Leopoldo N.
subject to the applicable provisions of RA
Bataoil
11054 or the “Bangsamoro Organic Act”
➢ An act Regulating and Modernizing the
and subsequent rules and policies issued by
Practice of Medical Technology (Medical
the Bangsamoro Government.
Laboratory Science) in the Philippines,
Repealling, for the Purpose, RA Nos.
5527and 6138 and PD NOS. 498 and 1534 CLASSIFICATION OF CLINICAL LABORATORIES

CLINICAL LABORATORY LAWS • Classification by ownership

➢ Government – operated and maintained
• R.A. 9688
partially or by wholly by the national
➢ Clinical Laboratory Act of 1969; first law to
government, local government or any
regulate clinical laboratories in the
political unit
Philippines
➢ Private – owned, established, and
• DOH A.O. 2021-0037
operated by any individual, corporation,
➢ New Rules and Regulations Governing the
association or organization
Regulation of Clinical Laboratories in the
• Classification by Function
Philippines
➢ Clinical Pathology: includes Clinical
• DOH A.O. 2007-0027
Chemistry, Hematology,
➢ Revised Rules and Regulations Governing
Immunohematology, Microbiology,
the Licensure and Regulations of Clinical
Immunology, Clinical Microscopy,
Laboratories
Endocrinology, Toxicology, Therapeutic
• DOH A.O. 59-2001
Drug Monitoring
➢ Rules and Regulations Governing the
➢ Anatomic Pathology: includes Surgical
Licensure & Maintenance of Clinical
Pathology, Immunohistopathology,
laboratories
Cytology, Autopsy, and Forensic
Pathology, before was part of anatomic
a
p
➢ Molecular Pathology: deals with analysis
***DOH A.O. 2007-0027
of certain genes, proteins, and other
• Scope: All clinical laboratories in the molecules in samples from organs,
Philippines except government lab tissues, body fluids, in order to diagnose
performing microscopy works for DOH disease and/or to guide the prevention
o AFB Screening and treatment of disease based on the
o Malarial Smear principles, techniques, and tools of
o Screening for STD’s & cervical molecular biology as they are applied to
Cancer diagnostic medicine in the laboratory.
• Classification by Institutional Character
*** DOH A.O. 2021-0037 ➢ Institution-Based- operates within the
• Scope: All individuals, agencies, premises and as part of an institution
partnerships or corporations, whether ➢ Free-Standing- a lab does not form part
private or government-owned, involved in of any institution
the application for DOH license to operate • Classification by Service Capability
and those in the operation of diagnostic ➢ Clinical Laboratory for Clinical and Anatomic
clinical laboratories in the Philippines Pathology
 10 20 60 CB

o name of clinical laboratory

o name/s of the owner or operator
o head of the laboratory
o service capability
o period of validity (1 year)
o licensed number
o location wherein the laboratory
procedures are to be performed
• Satellite Testing Site – any testing site that
perform laboratory examinations under
administrative control of a licensed lab but
performed outside the physical confines of the
lab
➢ Satellite services within the same
compound with the clinical laboratory
shall have 1 LTO
➢ Satellite laboratory outside the premises
where the clinical laboratory is situated
• Clinical laboratory for anatomic pathology only shall require separate LTO
➢ provides services for any of the following,
but not limited to; cytology and
histopathology • MOBILE CLINICAL LABORATORY shall have 1 LTO
• Clinical laboratory for molecular pathology only WITH THE MAIN CLINICAL LABORATORY;
➢ provides services for generics, immuno/ permitted to 1 LTO and operate within Clinical
hematopathology and infectious disease, Laboratory (operate within 100km radius)
COVID-19 testing laboratories shall be
covered by another Order
o AO 2020 - 0014 • RENEWAL OF LTO
▪ Guidelines in Securing a ➢ Hospital-based through the One Stop
License to Operate a COVID- Shop Licensure for hospitals
19 Testing Laboratory in the ➢ Non-hospital Based: applications should
Philippines be submitted on the first day of October
• LICENSE TO OPERATE (LTO) until the last day of November of the
➢ Non-transferrable, and is not valid for any current year.
premise/location other than that which is ➢ Shall be processed NOT LATER THAN 5
stipulated and must be displayed at all WORKING DAYS AFTER EXPIRATION
times in a prominent place within DATE OF LICENSE
laboratory premises • QUALITY ASSURANCE PROGRAM
➢ Validity: 1 year ➢ Internal Quality Assurance Program
inside µ o for technical procedures and for
o COR for CL that is operated and Idb
maintained exclusively for research inputs processes and outputs
and teaching purposes shall be ➢ External Quality Assessment Program
required to register with the DOH- o designated by NRL
HFSRB every three (3) years.
➢ Should contain the following
• NATIONAL REFERENCE LABORATORIES ➢ Ladderized Education Program for Medical
➢ National Kidney and Transplant Institute Technologists
o Hematology, Coagulation &
R.A. 7722
Immunohematology, AND Hema
BB
Automated Urinalysis • Higher Education Act of 1992 (Commission on
➢ Lung Center of the Philippines cc Higher Education (CHED))
o Clinical Chemistry, 10 analytes are • May 18, 1994
tested- Glucose, BUN, Creatinine, • under the office of the President covers
Total Protein, Albumin, Uric Acid, institutions that are both public and private
Cholesterol, Sodium, Potassium & • Tasked to organized and appoint members of
Chloride the technical panel to each discipline/program
➢ San Lazaro Hospital (SACCL) HIV HBV
.
area
o Infectious Immunology, HBsAg, HIV, • Technical Committee for Medical Technology
HCV Education
➢ East Avenue Medical Center toxic o composed of leading academicians
o Toxicology, Micronutrient Assays, and practitioners responsible for
Water Analysis assisting the Commission in setting
➢ Research Institute of Tropical Medicine standards and evaluating institutions
(RITM) Micro para
&
offering medical technology
o Microbiology & Parasitology
➢ Philippine Heart Center Anatomic CMO No. 13 series of 2017
o Anatomic Pathology for Cardiac • serve as a guide for institution offering the
Diseases program
• RESULT FORM • compliant with the K-12 curriculum
➢ Should bear the printed name and signature • prescribed minimum number of units per course
of the Medical Technologist & Pathologist ➢ 1 unit lecture = 1 hour of class meeting
➢ IN CASES OR REFERRALS: Use the result every week
form of the Accepting Laboratory o thus, 3 unit lecture = 3 hours of
CHED LAWS class meeting/week = 54 hours
per semester
• R.A. 7722 o if sy is divided into 2 sems; 1 sem
➢ Higher Education Act of 1994 is equivalent to 18 weeks
• CMO No. 13 series of 2017 • GENERAL EDUCATION COURSES
➢ POLICIES, STANDARDS, AND GUIDELINES ➢ aim to develop humane individuals that
FOR THE BACHELOR OF SCIENCE IN MEDICAL have a deeper sense of self and acceptance
TECHNOLOGY/ MEDICAL LABORATORY of others
SCIENCE PROGRAM o Understanding the Self,
• CMO 14, s. 2006 i
o Readings in Philippine History,
➢ Policies, Standards, and Guidelines for o The Contemporary World,
Medical Technology Education o Mathematics in the Modern World,
• CMO 6, s. 2008 o Purposive Communication,
➢ Guidelines for the Accreditation of Clinical o Science Technology and Society,
Laboratories involved in Training of Medical o Art Appreciation,
Laboratory Science/MT Interns o Ethics
• CMO 41, s. 2012
 o GENERAL EDUCATION ELECTIVE • RESEARCH COURSES
COURSES varies from schools o Introduction to Medical Laboratory
p
▪ GE Elective 1 2 and 3 Science Research,
o GENRAL EDUCATION MANDATED Research Paper Writing and Presentation
COURSE • CLINICAL INTERNSHIP COURSES
▪ The Life and Works of Jose o Clinical internship 1 and 2
Rizal o students are assigned to CHED-
o PHYSICAL EDUCATION COURSES accredited clinical labs affiliated with the
▪ PE 1 2 3 4 academic institution on a 6-month or 1-
o NSTP COURSES year rotation
▪ NSTP 1 2 o intern has to render 32 hrs of
• CORE COURSES duty per week not exceeding a
o Inorganic and Organic Chemistry 32hrs1 week total of 1664 hrs in one year:
1664 hrs / year
o Analytical Chemistry Clinical chem= 300 hrs
o Biochemistry for Medical Lab Science, Cmpara= 200 hrs Hema CC
-

300 -

o Human Anatomy and Physiology with Micro= 250 hrs micro -

250
IS -
220
Pathophysiology Hema= 300 hrs Para BB 200
- -

o Principles and Strategies of Teaching in Bb= 200 hrs Hristo 100

-

Phleb 54
Medical Lab Science Histopath= 100 hrs
-

Lab man 40 -

o Biostatistics and Epidemiology Is=220 hrs

o Health Information System for Med Lab Lab man= 40 hrs
Science Phlebo= 54 hrs
• PROFESSIONAL COURSES Total= 1664 hrs
o Principles of Medical Laboratory Science
1 and 2, PMLS • SUMMARY OF UNITS:
o Community and Public Health, CPH General Education Core Courses= 24
o Cytogenetics General Education Elective= 9
o Human Histology, General Education Mandated= 3
o Histopathologic Techniques with Physical Education= 8
Cytology, NSTP= 6
o Clinical Bacteriology, Professional Courses= 65
o Parasitology, Research= 5
o Mycology and Virology, Clinical Internship= 28
o Immunology and Serology,
o Immunohematology and Blood Banking, Grand Total= 173 Units
o Laboratory Management, lab man
PRC LAWS
o Medical Technology Laws and Bioethics,
o Hematology 1, Hematology 2, • PD 223
o Clinical Microscopy (Analysis of Urine ➢ PRC Law
and Other Body Fluids), ➢ signed by the President Ferdinand Marcos
o Clinical Chemistry 1, Clinical Chemistry 2, • R.A. 8981
o Seminars 1 and 2, ➢ PRC Modernization Law
o Molecular Biology and Diagnostics MOIB.io o Full computerization of the Board Exam
o Monitoring of school’s performance
 o Careful selection of professional o Ownership
regulatory board ▪ Government
➢ Composition and Qualifications of PRC ▪ Private(for hospital-based
o 1 chairperson and 2 commissioners BSF only)
appointed by the President of the o Institutional Character
Philippines ▪ Hospital-based
▪ TEOPILO PILANDO JR. ▪ Non- hospital-
(CHAIRMAN) based(government-owned or
▪ YOLANDA REYES PRC 7- years PNRC owned)
-

(COMMISSIONERI) ➢ Service Capability

▪ JOSE CUETO JR. o BLOOD STATIONS (BS)
(COMMISSIONER II) ▪ Advocacy and promotion of
o Term of office: 7 years voluntary blood donation
o At least 40 years old and healthy lifestyle
o With COR as a professional license ▪ Provision of whole blood and
o Familiar with professional regulation packed red cells
and licensing ▪ Storage issuance, transport
o With at least 5 years executive or and distribution of whole
managerial experience blood and packed red cells
o 1 commissioner- PAST CHAIRMAN or ▪ Compatibility testing of red
member of PRB cell unit if hospital based.
o BLOOD COLLECTION UNIT(BCU)
BLOOD BANKING LAWS
▪ Advocacy and promotion of
• R.A. 1517 voluntary blood donation
➢ Blood Banking Law of 1956 and healthy lifestyle
• R.A. 7719 ▪ Recruitment retention and
➢ National Blood Services Act of 1994 care of voluntary blood
• A.O. 8 s. 2008 donors
➢ Rules and Regulations Governing the ▪ Screening and selection of
Regulation of Blood Service Facilities voluntary blood blood
• A.O. 9 s. 1995 donors
➢ Rules and Regulations Implementing R.A. ▪ Conduct health education
7719 and counseling services
• A.O. 2, s. 2005 ▪ Collection of blood(mobile or
➢ Philippine National Blood Services facility based)from qualified
• A.O. 26, s. 1996 voluntary blood donors
➢ Phasing out of Commercial Blood Banks ▪ Transport of blood to BC for
testing and processing
compatibility testing of red
• A.O. 8 s. 2008 cell, if hospital based.
➢ Rules and Regulations Governing the o BCU/BS-all services stipulated under
Regulation of Blood Service facilities BCU and BS
➢ May 2, 2008
➢ CLASSIFICATION OF BLOOD SERVICE
FACILITY(BSF)
o BLOOD BANK (BB) ( hospital-based ) • R.A. 7719: Phase out commercial blood banks
▪ Advocacy and promotion of and promote voluntary blood donation
voluntary blood donation • Types of Donors
and healthy life ➢ Family Replacement Donor
▪ Storage and issuance of o A person who donates blood to a
whole blood and blood family member or to a member of
components obtained from a community where to belong to
BC ➢ Commercial/ Paid Donor
▪ The following services shall o A person who donates blood in
also be provided; exchange of money
▪ Compatibility testing of red ➢ Voluntary/ Nonrenumerated
cell units o A person who donates blood out
▪ Direct Coombs test of his own volition/ will and
▪ Red cell antibody screening without getting paid
▪ Investigation of transfusion ➢ Walking Blood Donor
reaction o A person who has been screened
▪ Assist the Hospital Blood by history and physical
Transfusion committee examination, found to be fit to
(HBTC) in the conduct of post donate blood, and is included in
transfusion the list of qualified voluntary
surveillance(hemovigilance) donors who is ready to donate
o BLOOD CENTER (BC) when needed in his/her
▪ Advocacy and promotion of community.
voluntary blood donation • NVBSP (National Voluntary Blood Services
and healthy lifestyle Program)
▪ Recruitment retention and ➢ Promotes voluntary blood donation
care of voluntary blood ➢ Handled by tripartite implementing
donors agencies: DOH
▪ Collection of blood (mobile o Department of Health- responsible
or facility based) from for overseeing the operation of
qualified voluntary blood NVBSP, main implementers
donors o Philippine National Red Cross- Red Cross
▪ Conduct health education advocate voluntary nonremunerated
and counseling blood donation PBCC
▪ Testing of units of blood for o Philippine Blood Coordinating
transfusion transmitted Council- update the technological
infections (TTIS) advancements of blood banking to
▪ Processing and provision of medical technologists
blood components
***VALIDITY OF LTO: 3 YEARS
▪ Storage issuance, transport
and distribution of units of • TTI Makers of Blood and Blood Components in
whole blood and/or blood the Philippines:
products to hospital and o HBsAg
other health facilities o Anti-HCV
o HIV 1/2
 o Syphilis • DISCLOSURE OF HIV RELATED TEST
o Malarial Blood Smear RESULTS.
o RESULT OF ANY TEST RELATED TO
HIV LAWS
HIV SHALL BE DISCLOSED BY THE
• Republic Act No. 11166 TRAINED SERVICE PROVIDER WHO
➢ Philippine HIV and AIDS Policy Act CONDUCTS PRE-TEST AND POST
• DOH A.O. 2019-0001 TEST COUNSELLING TO
➢ Guidelines on the implementation of Rapid 1. Individual who submitted to the test
HIV Diagnostic algorithm 2. If the patient is <15years old, an
• R.A. 8504 orphan or mentally incapacitated,
➢ Philippine AIDS and Prevention and Control the result may be disclosed to either
Act of 1998 parent legal guardian or a duly
• PNAC Resolution 1 assigned licensed social worker or
➢ Rules and Regulations Implementing the health worker whichever is
Philippine AIDS Prevention and Control Act applicable
of 1998 3. If the patient is <15 years old and
not suffering from any mental
Republic Act No. 11166 incapacity, has given voluntary and
• Minors aged 15 to under 18 could now get informed consent to the procedure,
tested for the Human Immunodeficiency Virus the result of the test shall be
(HIV) even without the consent of their parents disclosed to the child provided that
or legal guardian the child should be given age
• Consent from the parents and guardians are still appropriate counselling and access
required in all other cases involving minors, to health care and sufficient support
unless they could not be located or if they services.
refuse consent. In such cases, the licensed social 4. Person authorized to receive such
worker or health worker would give consent, results in conjunction with the DOH
with the agreement of the minor Monitoring Body.
• Mandates the DOH to establish a program that • Any person who knowingly or negligently
would provide free and accessible anti-retroviral causes another to get infected with HIV in
treatment and medication for opportunistic the course of the practice of his/her
infections to people living with HIV who would profession through unsafe and unsanitary
enroll to the program. practice or procedure is liable to is liable to
• Approved on December 20,2018 suffer a penalty of imprisonment for six (6)
• Philippines National AIDS Council: (21) members YEARS TO TWELVE YEARS without prejudice
• The Secretary of Health shall be the permanent to the imposition of fines and a years to 12 years
chairperson of PNAC. The Vice Chairperson shall administrative sanction such as suspension
be elected from the government agency 3 years VC-
or revocation of professional license.
to
members and shall serve for a term of three (3) • Six (6)months to two(2) years of 6 2months
years

years. imprisonment for any person who breaches

• Members representing the Civil Society confidentially and or fine of not less than
Organizations (CSOs) shall serve for a term or P50,000 but not more than P150,000 at the
three (3) years renewable upon CSO 3 years 12 terms )
-
discretion of the court.
recommendation of the council for a maximum • Five (5)years and one (1)day to 5- years 1 day to
7 years

of two (2) consecutive terms. seven(7)years of imprisonment for any

 health professional medical instructor Dangerous Drugs Law
worker employer recruitment agency
• R.A. 9165
insurance company data encoder and other
➢ Comprehensive Dangerous Drugs Act of
custodian of any medical record file data or
2002
test result who breaches confidentially
• R.A. 6425
and/or fine P350,000 but not more than
➢ Dangerous Drugs Act of 1972
P500,000 at the discretion of the court
• R.A. 10586
DOH A.O. 2019-0001 ➢ Anti-Drugged and Drunk Driving Act of 2013
• Guidelines on the implementation of Rapid HIV
Diagnostic algorithm
• January 10,2019
• WHO recommends testing algorithm of
sequential combination of two or three test
immunoassay and/or rapid test which can
reliably confirm HIV infection. The National HIV
AIDS and STI Prevention and Control Program
(NASPCP) is introducing the use of rapid HIV
diagnostic algorithm as the new HIV
confirmatory test in the Philippines

Alert
SDBIOLINE GEENIUJ
• CHAIN OF CUSTODY ➢ Practitioner
➢ Tracks the personnel who handled each o Any person who is licensed physician
specimen from the time of collection to its dentist chemical medical
disposal technologist nurse midwife
➢ MINIMUM INFORMATION REQUIRED: veterinarian or pharmacist in the
o Information identifying the specimen Philippines.
o Date and time of collection ➢ Protector/ Coddler
o Name of testing laboratory o Any person who knowingly and
o Name and signatures of all individuals willfully consent to the unlawful acts
who had custody of the sample during provided for in this act and uses
the collection process. his/her influence power or position
• STORAGE OF SAMPLES\ in shielding harboring screening or
➢ 15 days AFTER RECEIPT (positive facilitating the escape of any person
samples); MAXIMUM OF 1 YEAR UPON he/she knows or has reasonable
REQUEST grounds to believe on or suspect has
• Mandatory Drug Testing violated the provision of this act in
o Applicants for driver’s license order to prevent the arrest
o Applicants for firearm’s license and for prosecution and conviction of the
permit to carry firearms outside of violator
residence ➢ Pusher
o Officers and members of military, police, o Any person who sells trades
and other law enforcement agencies administer dispenses delivers or
o All candidates for public office gives away to another on any terms
o With criminal offense whatsoever or distributes dispatches
• Random Drug Testing in transit or transport dangerous
o Students of secondary and tertiary schools drugs or who acts as a broker in any
o Officers and employees of public and of such transactions in violation of
private offices this act.
• DEFINITION OF TERMS NEWBORN SCREENING LAW
➢ Clandestine laboratory manufacture
'
'

o Any facility used for the illegal • RA 9288

manufacture of any dangerous drug o Newborn Screening Act of 2004
and/or controlled precursor and o Approved on April 7, 2004
essential chemical
➢ Den, dive or resort '
trading
'

o A place where any dangerous drug

and/or controlled precursor and
essential chemical is administered
delivered store for illegal purposes 21 -

hydroxylase

distributed sold or used in any form sorbitol

➢ Financier
o Any portion who pays for raise or mousy Odor
supplies money for or underwrites
Heinz
any of the illegal activities Bodies

prescribed under this act.

• A.O. 2005-0005 ORGAN DONATION LAW
o Cost for the Newborn screening and
• R.A. 7170: ORGAN DONATION ACT OF 1991
Maximum Allowance Services Fees
• Person who may execute legacy: Any individual,
for the collection of Newborn
at least 18 years old of age and sound mind
Screening Samples in all Newborn
• Person who may execute a donation
screening collecting health facilities
➢ In the absence of actual notice of contrary
o Fee/Cost for NBS Specimen
intentions by the decedent or actual notice
Collection kit to be charged by the
of opposition by the member of the
NSC
immediate family of the decedent, any of
▪ 550
the following persons may donate all or any
o Maximum allowance service fee for
part of the decedent’s body after or
the collection of newborn screening
immediately before his death
samples to be charged by the
1. Spouse
health facilities such as hospital,
2. Son/Daughter
lying ins, rural health units, health
3. Either Parent
centers and other collecting NBS
4. Brother/Sister
samples
5. Guardian by the Time of Death
▪ 50
• Testator – an individual who makes legacy of all
• DOH MEMORANDUM NO. 2012- 0154
or part of his body
➢ Inclusion of the Maple Syrup Urine
Disease (MSUD) the Newborn Screening • Decedent – deceased individual
Panel of Disorders. MSUD appears to be • Organ Bank Storage Facility – for storage of
the MOST COMMON inborn error of human bodies of parts
metabolism here in the Philippines. • Tests performed: HLA typing, Blood Typing,
Screening Tests for Infectious Diseases
• Positive Lab Results: Released immediately
within 24 hours
• Negative Lab Results: Released 7 working days CONTINUING PROFESSIONAL DEVELOPMENT
after receipt (Newborn Screening Center) LAW
• Newborn Screening Reference Center: National • RA 10912
Institute of Health, UP Manila ➢ Continuing professional development (cpd)
• Validity of Accreditation: 3 years act of 2016
• PRC Resolution No. 2016-990
➢ Amendments to the Revised Guidelines on
• Expanded newborn screening CPD Program for All Registered and
➢ offered to you as an option in all Licensed Professionals
newborn screening facilities ➢ 45 credit units required for MT every 3
➢ first option is screening for the six years
disorders at P550 which is included in • PRC Resolution No. 2017-1032
the newborn care package for PhilHealth ➢ IMPLEMENTING RULES AND
members and the second option is REGULATIONS (IRR) of Republic Act No.
screening for the full complement of 28 10912
disorders at P1500 ➢ CPD council shall reduce the required
CPD credit units to a minimum which
 shall not be more than FIFTEEN (15) experience in theory and practice of
UNITS procedures used in water testing
➢ Professional working overseas shall NOT ➢ Analyst- must be appropriate baccalaureate
be covered by the CPD requirement degree and at least 2 years experience in
➢ Newly licensed professionals shall NOT water testing procedures
be covered by the CPD requirement for ➢ Laboratory Aide- must have training or at
the first renewal cycle after obtaining least 5 months experience on clerical
their license support and sampling
➢ All seminars attended by the licensed ➢ For each service capability, there should be
professionals should be recognized as a minimum of 3 laboratory personnel
CPD units and shall be accepted as valid ➢ For multi-service capability, there should be
for the renewal of their licenses a minimum of 4 laboratory personnel

Water analysis Laws • Laboratory Report:

o Test Results
• R.A. 9275
o Names of the Head of the Laboratory
➢ Philippine Clean Water Act of 2004
o Analyst (and their signatures)
• A.O. 0024-2006
o Testing facility
➢ Water Analysis Law
• Validity of Accreditation: 3 years
OTHER LAWS
• Service Capability:
• R.A. 9482
➢ Bacteriological Analysis- performs standard
➢ Anti-Rabies Act
methods to detect and estimate bacterial
• R.A. 16173
coliform organisms in water sample
➢ Data Privacy Act of 2012
➢ Biological Analysis- performs standard
• R.A. 6969
methods to detect and estimate biologic
➢ Toxic Substances, Hazardous Wastes and
organisms such as planktons on water
Nuclear Waste Control Act of 1990
➢ Physical Analysis- performs standard
methods to measure aesthetic PAMET
characteristics of water sample
• PAMET Insignia: color of health
➢ Chemical Analysis- performs standard
➢ Green
methods to detect and estimate the
chemical substances in water • PAMET Insignia: year of 1st PAMET election
➢ Radiologic Analysis- performs standard ➢ 1969
methods to detect and estimate the • PASMETH Insignia: represents the 4 objectives
radioactive contaminants in water sample of PASMETH
➢ Diamond
• PAMET Insignia. Symbolizes the continuous
• Personnel: involvement where practice and education must
➢ The operation of the laboratory shall be always be integraded
under the direction and supervision of a ➢ Circle
competent professional who has the
microscope MT
.

management training and at least 3 years Medicine

snake -
• PAMET ➢ Nardito Moraleta
➢ Organized by Crisanto Almario (9/15/63) • Who worked for the approval of R.A. 5527
➢ 9/20/64- 1st national convention (FEU) ➢ Nardito Moraleta
➢ Charlemagne Tamondong- 1st president • Who wrote the first MT code of ethics on 8/6/68
➢ Nardito Moraleta- 2nd president ➢ Nardito Moraleta
➢ Ronaldo Puno- immediate PAST • Renewal of license (RMT)
president Luella Vertucio ➢ 3 years
➢ Romel Saceda – PRESENT PRESIDENT
-
• Who is the first graduate of PUC and the owner
➢ PASMET PRESIDENT - Dean Bernard of Omega Lab
Ebuen ➢ Jessie Umali
➢ FATHER OF PAMET = Crisanto Almario • Dispensing, transfusing & failing to dispose HIV-
➢ DOH SECRETARY = Dr. Francisco Duque III contaminated blood
➢ PAMET Office ➢ Imprisonment for 10 years
o Cityland 10 Tower 2 • Disposal time for blood contaminated w/
Condominium Unit 1720, 6187 transfusion-transmitted diseases
Bldg., Ayala North, Makati City ➢ 48 hours/2 days
• PASMETH • Contact Tracing
➢ Formed in 1970 ➢ Finding & counseling the sexual
➢ 1st organizational meeting (UST) partner/s of a person w/ STD
➢ 1st annual meeting (UST) • Anonymous Testing
➢ Dr. Gustavo Reyes- 1st president ➢ HIV testing whereby the individual being
➢ Dr. Ibarra Panopio- president (’73-’74) tested does not reveal his/her true
.
e
Dr Tose ➢ Bernard Ebuen- present president
- identity
➢ Atty. Dexter Bihis - PASMETH legal • Post Test Counseling
counsel (‘89) ➢ Providing high risk reduction information
& emotional support to the person who
☺ RELEVANT INFORMATION ☺ submitted to HIV testing
• High Risk Behavior
• Certified pathologist or hematologist may be ➢ Person’s frequent involving in certain
authorized to head and manage not more than? activities w/c increases the risk of
➢ 2 BLOOD BANKS transmitting/acquiring HIV
• During donor extraction, there should be at • Records of QA testing should contain?
least? ➢ Date of testing
➢ 2 blood bank staff ➢ Personnel involved
• In Blood bank there should be at least HOW ➢ Source & lot no. of reagents tested
MANY RMT available at all times during hours of • In an accredited laboratory for internship, ratio
lab operation between staff and student intern is?
➢ 1 ➢ 1:10
• Licensed physician can manage or supervise • CHED MEMORANDUM ORDER NO. 25 series of
HOW MANY hospital laboratory? 2009
➢ 1 ➢ Conduct random drug testing for tertiary
• Pathologists can manage not more than HOW students
MANY laboratories? • Who is a PAMET president but not BSMT
➢ 4 graduate?
• Who Professionalized the MT course ➢ Charlemagne Tamondong
• Who revised the MT code of ethics on 3/7/97 o MNEMONIC- Principles in Bioethics
➢ Norma Chang
A- Autonomy
TID BITS ON BIOETHICS
B- Beneficence
• BASIC BIOETHICAL PRINCIPLES
C- Consent (Informed Consent)
➢ Beneficence
o ONE OUGHT TO DO GOOD D- Do no harm (Non-maleficence)
o Seek the patient’s well-being
E- Equality (Justice)
o Provide standards of due care and
risk/benefit assessment
➢ Non-Maleficence
BOARD OF MEDICAL TECHNOLOGY
o DO NO HARM
CODE OF ETHICS
o Latin: “Primum Non Nocere” = First
As I enter into the practice of Medical Technology, I
Do No Harm
shall:
o Avoid unnecessary expense, consult,
procedures and medications ✓ accept the responsibilities inherent to being a
o Mirror image of Beneficence professional;
➢ Informed Consent ✓ uphold the law and shall not engage in illegal
o In any procedure, provide the work nor cooperate with anyone so engaged;
patient with a COMPLETE, ✓ avoid associating or being identified with any
ADEQUATE DISCLOSURE of his illness enterprise of questionable character;
and OPTIONS in a language he ✓ work and act in a strict spirit of fairness to
understands for the patient to be employer, clients, contractors, employees and
able to make a rational and free in a spirit of personal helpfulness and fraternity
decision toward other members of the profession;
➢ Autonomy ✓ use only honorable means of competition for
o RESPECT FOR PERSONS professional employment or services and shall
o Respect the patient’s rational refrain form unfairly injuring, directly or
decision as long as he is aware of the indirectly, the professional reputation, projects
consequences or business of a fellow medical technologist;
o The patient has a right to refuse ✓ accept employment from more than one
o Especially important in terminally ill employer only when there in no conflict of
patients when they refuse interest;
extraordinary means of treatment ✓ perform professional work in a manner that
o This premise serves as basis why merits full confidence and trust carried out
Jehovah’s witnesses do not accept with absolute reliability, accuracy, fairness and
blood transfusion, and women do honesty;
abortion ✓ review the professional work of other medical
➢ Justice technologists, when requested, fairly and in
o Allocating scarce resources fairly and according confidence whether they are subordinates or
to medical needs employees, authors of proposals for grants or
contracts, authors of technical papers or other
publications or involved in litigation;
✓ advance the profession by exchanging general
information and experience with fellow
 medical technologists and other professionals PANUNUMPA NG KASAPI
and by contributing to the work of professional
Ako, si (Pangalan), ay taimtim na nanunumpa na
organizations;
tutuparin ko nang buong husay at katapatan sa
✓ restrict my praises, criticisms, views and
abot ng aking makakaya ang aking mga tungkulin
opinions within constructive limits and shall
bilang kasapi ng Philippine Association of Medical
not use the knowledge I know for selfish ends;
Technologists sampung iba pang alituntunin ng
✓ treat any information I acquired about
kapisanag ito, na aking igagalang at ipagtatanggol
individuals in the course of my work as strictly
ang mga batas ng aking bayan, at kusa kong
confidential, and may be divulged only to
babalikatin ang pananagutang ito nang walang ano
authorized persons or entities or with consent
mang pasubali o hangaring umiwas.
of the individual when necessary;
✓ report any infractions of these principles of PATNUBAYAN NAWA AKO NG MAYKAPAL.
professional conduct to the authorities
responsible of enforcement of applicable laws
or regulations, or to the Ethics Committee of PAMET HYMN
the Philippine Association of Medical
• written by Hector G. Gayares, Jr.
Technologists as may be appropriate.
• music by Francis Jerota Pefanco
To these principles, I hereby subscribe and
pledge to conduct myself at all times in a BELOVED PAMET
manner befitting the dignity of my profession.
From various lands, races and places
PANUNUMPA NG PROPESYONAL
With grateful hearts we raise our voices
Ako, si (Pangalan), ng (Pook ng Sinilangan, This day to our beloved PAMET
Bayan/ Lungsod, Probinsya) ay taimtim na
nanunumpa na itataguyod ko at ipagtatanggol ang From whence unity and love cometh
Saligang Batas ng Pilipinas, na ako ay tunay na
mananalig at tatalima rito; na susundin ko ang mga
We join together in brotherhood
batas, mga utos na legal, at mga atas na ipinahayag
ng mga sadyang itinakdang may kapangyarihan ng To live up to thine ideals we should
Republika ng Pilipinas; at kusa kong babalikatin ang
In fields advancement and learning
pananagutang ito, na walang pasubali o hangaring
umiwas. Thy noble goals maybe our bearing

Taimtim pa rin akong manunumpa na sa

lahat ng panahon at pook na kinaroroonan, ay Loyal and true we’ll be to thee
mahigpit akong manghahawakan sa mga etikal at
Beloved PAMET this we say,
tuntuning propesyonaal ng mga (Medical
Technologist) sa Pilipinas, at marapat kong For service to God and humanity,
gagampanan ng buong husay sa abot ng aking
With joy we sing for thee ‘til eternity
makakaya ang mga tungkulin at pananagutang
iniatang sa isang itinakdang (Medical Technologist).
KASIHAN NAWA AKO NG DIYOS.
IT’S not about how Bad
you Want it; It’s about
how HARD you Are
wiLling to Work for IT!
 SERVICE CAPABILITIES OF PREMARY, SECONDARY, TERTIARY, AND LIMITED SERVICE CAPABILITY LABS

PRIMARY SECONDARY TERTIARY LIMITED SERVICE

Provides the following Provides the Provides the following Provides one (1) or two
minimum service following minimum minimum service (2) specialized tests
capabilities: service capabilities capabilities of a that are nor not
of a primary secondary category classified under
category plus the plus the following: Anatomic or Molecular
following: Pathology, as
Clinical Microscopy Urinalysis exemplified below:
Fecalysis - Hormones
FOBT - Trace Metals
Pregnancy Test (Rapid -Tumor Markers
Test Kits – Lateral Flow) - Allergy Panel
Wet Smear for
Trichomonas This classification also
applies to facilities
offering DOH-program
Clinical Chemistry Fasting and Random Serum Electrolytes Other clinical chemistry related tests, e.g., Kato
Blood Sugar (sodium, Potassium, examinations Katz for
Oral Glucose Tolerance chloride) Hospital-based: arterial Schistosomiasis,
Test ALT Blood Gases Malarial Smear, Filaria
Lipid profile (Total AST Smear, Slit-Skin Smear,
Chole, HDL, LDL, TAG) Rapid Plasma Reagin
Creatinine for Syphilis
Blood Urea Nitrogen
Blood Uric Acid

Hematology Complete Blood count For hospital-based

(hemoglobin, Coagulation studies
Hematocrit Red blood (PT, aPTT)
cell count, White blood
cell count with
differential count,
quantitative platelet
count)
Forward and reverse
ABO grouping and Rh
(D) typing (tube
method)
Serology/Immunology Dengue Any machine- based
Syphilis serological and
Hepatitis B(screening) immunological testing
HIV (screening)Using such as, but not limited
rapid Test kits to: tumor markers,
thyroid function test
and hepatitis profile

Microbiology TB (DSSM)or nucleic Gram stain

acid amplification test- KOH Culture and sensitivity
for government (aerobic and anaerobic)
facilities
Anatomic Pathology Pap smear For hospital-based:
Cytology and
histopathology
 SCREENING VS. CONFIRMATORY DRUG TESTING LABORATORY

SCREENING LABORATORY CONFIR ATORY LABORATORY

Physical plant 20 square meters of the floor area 60 square meters floor area
10 square meters work area with 30 square meters of working area with
Exhaust Fan, Sink, and Storage Exhaust Fan, Sink, STOCK ROOM AND
Cabinet INSTRUMENTATION ROOM
Headship of the laboratory LICENSED PHYSICIAN with a certificate LICENSED PHYSICIAN/ LICENSED
at Clinical Laboratory Management CHEMIST
Training or certified by the PBP
*If the laboratory is only a
division of a clinical laboratory, the
following can head the DTL:
• Licensed Physician
• Chemist
• Medical technologist
• Chemical Engineer
Personnel Either Full-timed chemist, medical Either Full-timed chemist, medical
technologist, pharmacist, or chemical technologist, pharmacist, or chemical
engineer engineer
Basic Equipment Refrigerator/ freezer Laboratory Oven, Analytical Balance,
Refrigerator, Freezer, Fume hood
TESTS Immunoassay Equipment/ BFAD Gas Chromatography- Mass
registered drug-testing kit Spectroscopy (GC-MS)
Thin Layer Chromatography High Performance Liquid
Chromatography- Mass Spectrometer
(HPLC-MS)
Validity of Test Result 1 year 1 year
Validity of Certificate of 1 year 2 years
Accreditation