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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