Laboratory

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Our current laboratory capacity is suited for our role as a regional health center providing diagnostics services for primary care, obstetrics and gynecology, pediatrics, and emergency services. This page provides a concise overview of the services that we currently provide; operations details are provided on our Laboratory Manual. In addition to our laboratory, we have initiated a diagnostic imaging program to serve the diagnostic needs of our clinical team. Additionally, this overview of our clinical programs provides a description of the services that our laboratory serves.

As part of our overall task-shifting strategy, we are training midwives to perform certain basic laboratory tests. These are marked with **stars.

Colorimetry-Based Tests
Routine Microscopy:
QBC AutoRead Plus Tests**:
Rapid Kit-Based Tests**:
Blood Electrolytes: i-STAT®1 analyser**
Equipment list at Bayalpata Hospital
Expansion
Additional Materials

Colorimetry-Based Tests

The colorimeter has a photometric settings of 450, 470, 510, 520, 540, 570, 600, and 670 nm. This is adequate for most colorimetric applications. The current tests include:

Hemoglobin (Drabin's), primarily for antenatal screening
AST (DNPH), primarily for evaluation of patients on antiretroviral/anti-tuberculosis therapy
ALT (DNPH), very occasional use among complex patients
Bilirubin (DMSO), primarily for triage and evaluation of neonatal jaundice
Creatinine (Jaff), primarily in triage of acutely ill patients
Glucose, Serum (Glucose Oxidase)
Albumin (BCG), occassional use in evaluation of malnutrition

Routine Microscopy:

Gram Stain
Wet mount
KOH prep
Sputum for acid fast bacilli (integrated within Nepal government's national quality control system-- we send all positives and 10% of negatives to national lab)

QBC AutoRead Plus Tests:**

hematocrit,
hemoglobin
mean corpuscular hemoglobin concentration,
platelet count
white blood cell count
granulocyte count and percentage
combined lymphocyte/monocyte count and percentage

Rapid Kit-Based Tests:**

RPR
HIV
Anti-ABD, pregnancy screening
Glucometer and cuvettes
Urine, protein/glucose, for use in antenatal screening
Urine, 9-panel, for use in UTI evaluation
Urine, beta-HCG for pregnancy
Helicobacter pylori

Blood Electrolytes: i-STAT®1 analyser**

Sodium, Na+
Potassium K+
INR
Capacity can be expanded to the measurment of blood gases, chemistry, cardiac makers and hematology by purchasing additional cartridges: http://www.abbottpointofcare.com/istat/www/products/cartridges-family.htm

Equipment list at Bayalpata Hospital

1 light microscope
1 fridge
1 centrifuge
1 photometer
1 weighing scale
1 QBC counter
1 QBC centrifuge
1 incubator (broken)
1 I-STAT
1 VDRL rotator (broken)
1 Paralens (advanced TB microscope, not currently being used due to lack of auramine stain)
3 micropipettes
Desired Equipment

new light microscope
backup micropipettes
hot air oven for reagents
incubator

Expansion

As Nyaya Health expands its diagnostic capacity, the following testing systems will be additionally integrated into the laboratory services at the clinic:

Culture Microbiology
Additional colorimetry-based tests (amylase, lipid profile, CSF Protein, CSF Glucose)
Technician-based Microscopy (Stool examination, CSF cell count, thin blood smear, urine sediment microscopy)
Blood transfusion laboratory tests (HBsAg, HCV, DAT, IAT, RBC antibody, crossmatch)
Chemistry analyzer
Immunodiagnostics (e.g., Thyroid Function Tests)