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DEPARTMENT OF PATHOLOGY AND LABORATORY

The Department of Laboratories and Pathology of the Bicol Regional Training and Teaching Hospital is a duly licensed Clinical Laboratory, Blood Bank, HIV screening and G6PD Confirmatory Test laboratory located at the ground floor of the Bicol Regional Heart Center. It is currently staffed by a) three Medical Specialists/Pathologists, board certified by the Philippine Society of Pathology, b) two Medical Officer IV, c) one Medical Technologist V, d) three Medical Technologist IV, e) six Medical Technologist III, f) one Chemist, g) eight Medical Technologist II, h) one Nurse II, h) five Nurse I, i) nine Medical Technologist I, j) five Medical Laboratory Technician, k) eight Laboratory Aides, l) four job orders, and m) two Administrative Assistant I.

It is divided into seven sections, namely: Blood Bank/Serology, Hematology, Clinical Chemistry/Immunology, Clinical Microscopy, Microbiology, Histopathology, and Receiving/Releasing. Each section has a medical technologist section head and a supervising section pathologist.

The Laboratory regularly participates in the National External Quality Assurance Program for Hematology, Clinical Chemistry, Parasitology, Serology, and Bacteriology.

SCHEDULE OF AVAILABILITY OF SERVICES

Section

Operating Hours

Consultant Pathologist/Section Head

Microbiology

24/7 (receiving);
8am-5pm Weekdays, 8am-4pm Saturdays and Holidays (receiving and processing)

Karlo Emir M. Tayzon, MD, FPSP
Myra B. Olicia, RMT

Histopathology

8am-5pm Weekdays
(receiving and processing);
8am-1pm Saturdays and Holidays (receiving only)

Karlo Emir M. Tayzon, MD, FPSP
Minette B. Alianza, RMT

Clinical Chemistry

24/7*

Madeline DL. Rañola, MD, DPSP Maria Aljie Z. Ortega, RMT

Immunology

24/7*

Madeline DL. Rañola, MD, DPSP Carmelita St. Alzaga, RMT

Hematology

24/7*

Marcelina A. Mestiola, MD, FPSP
Elmira C. Sarza, RMT

Clinical Microscopy

24/7*

Marcelina A. Mestiola, MD, FPSP
Maria Elizabeth B. Bermillo, RMT

Blood Bank

24/7*

Marcelina A. Mestiola, MD, FPSP
Melvin Toca, RN, RMT

Serology

24/7*

Marcelina A. Mestiola, MD, FPSP
Vivian Presbitero, RMT

Receiving/ Releasing

24/7*

Marcelina A. Mestiola, MD, FPSP
Alex A. Alim, RMT

*The stated operating hours applies to Emergency Room and In-Patient cases only. OPD cases are generally accepted from 7:30 am to 2:00 pm Monday-Friday (except holidays) and 7:30 am to 12 noon on Saturdays and Holidays, but maybe cut off as early as 10 am depending on the bulk of specimens received or for whatever other technical reason.

CONTACT PERSON

Chief Medical Technologist/ Senior Medical Technologist-on-duty or Corresponding Section Head

CONTACT NUMBER

For a detailed list or any queries regarding the specific tests available, or any complaints, please contact:

  1. BRTTH trunkline (732-5555), then local 4258 for Microbiology and Histopathology.
  2. BRTTH trunkline (732-5555), then local 4262 for Clinical Chemistry / Clinical Microscopy / Hematology.
  3. BRTTH trunkline (732-5555), then local 4263 for Chief Medical Technologist and Receiving Section.
  4. BRTTH trunkline (732-5555), then local 4247 for Blood Bank, Serology and Releasing Section.
  5. BRTTH trunkline (732-5555), then local 4260 for Pathology Office.

WHO MAY AVAIL OF THE SERVICE?

  • General Public subject to proper filling up of forms, proper specimen collection and patient preparation, and availability of reagents and materials.

WHAT ARE THE REQUIREMENTS?

  • Properly filled up forms;
  • Proper payment of corresponding fee and/or securing pertinent social service requirements;
  • Correct patient preparation e.g. fasting, etc.;
  • Correct specimen placed in the correct container or vial.

TOTAL RESPONSE TIME

  1. Hematology, Clinical Chemistry, Clinical Microscopy, Blood Bank, Serology, Immunology:
    1. Regular In-Patient Routine
      1. Charged routine rate
      2. Extracted by the med tech/ lab tech/phlebotomist from 4:01-7:00 am
  • Request shall be received by the Receiving Section anytime from 4:01 am onwards and this shall be extracted on the next warding day.
    1. g. All requests received at 4:01 am of Monday until 4:00 am of Tuesday shall be warded on Tuesday at 4:01-7:00 am.
  1. Result shall be released between 3:00-4:00 pm of the same day it was warded
  1. Urgent In-Patient Routine
    1. Charged routine rate
    2. Extracted by the doctor or nurse anytime
  • Request shall be received by the Receiving Section anytime
  1. Result release* is as follows:

Specimen Time of Receipt

Result Release

2:01 am – 1:00 pm

3:00-4:00 pm

1:01 pm – 9:00 pm

11:00 pm

9:01 pm – 2:00 am

4:00 am

  1. In-Patient Stat
    1. Charged stat rate
    2. Extracted by the doctor anytime
  • Request shall be received by the Receiving Section anytime
  1. Result shall be released within 1 hour from specimen receipt*
  1. OPD cases are considered as Routine and are generally accepted from 7:30 am to 2:00 pm Monday-Friday (except holidays) and 7:30 am to 12 noon on Saturdays and Holidays, but maybe cut off as early as 10 am depending on the bulk of specimens received or for whatever other technical reason.
  • * This is the TAT (turn around time) for a single test to be performed by a med tech. If other tests are being performed simultaneously, the TAT increases proportionately, particularly in the morning. The TAT may also be affected by unforeseen/ sudden equipment malfunction. If projected to be more than an hour beyond the given TAT, the client will be given the option to either refund or wait until the equipment becomes operational.
  1. Microbiology:
    1. 1 working day for Gram’s Stain
    2. 3-7 working days** for Culture and Sensitivity
  • ** Microbiology results are released on an interim basis starting from the 2nd day of the culture.
  • Histopathology:
    1. Cytology/ FNAB/ pap smears: 4 working days***
    2. Small biopsy specimen: 7 working days***
    3. Medium-Large biopsy specimen: 7-10 working days***
  • ***Depending on the difficulty of the case, some cases may require the opinion of other pathologists or communication with the clinician hence a longer TAT.
  1. Peripheral Blood Smears

After two (2) working days.

SCHEDULE OF CONSULTANTS

Consultant

Schedule

Days

Time

Karlo Emir Tayzon, MD, FPSP

Monday, Tuesday
Wednesday,
Friday

10:00 am - 12:00 nn,
01:30 pm - 05:00 pm

Thurday

08:00 am – 10:00 am

12:00 nn - 01:00 pm,
04:00 pm - 05:00 pm

Madeline DL Ranola, MD, DPSP

Monday,
Tuesday,
Thursday

08:00 am - 10:00 am,
02:00 pm - 05:00 pm

Wednesday,
Friday

08:00 am - 10:00 am,
03:00 pm - 05:00 pm

Marcelina A. Mestiola, MD, FPSP

Monday - Friday

08:00 am - 12:00 nn,
01:00 pm - 05:00 pm

MISSION

The Department of Laboratories of the Bicol Regional Training and Teaching Hospital will serve as one of the premiere laboratories in Legazpi City as well as referral center of the Bicol region. It will provide routine and special laboratory procedures in the fields of Hematology, Clinical Microscopy, Clinical Chemistry, Histopathology, Blood Banking and Serology. The department aims to deliver fast, accurate, and reliable results especially for In-patients (both charity and pay) as well as to the patients in the Out-patient and ER department.

VISION

The Department of Laboratories of the Bicol Regional Training and Teaching Hospital will be one of the most advanced, fully automated and computerized laboratories in the Bicol region, with technology acceptable worldwide in the diagnosis, management, and follow-up of patients. The department will be staffed by a highly competent pathologist, medical technologists, and support staff to maintain the highest standard of quality laboratory service and care to the patients.

STAFF COMPLEMENT

POSITION 

PERSON ASSIGNED

 PLANTILLA

Medical Center Chief 

Rogelio G. Rivera, MD, MHA, CEO VI

MCC II

Chief, Medical Professional Staff

Salvacion S. Macinas, MD, DPPS, FPSMS

CMPS II

Department Head

Karlo Emir M. Tayzon, MD, FPSP

MS IV

Head Consultant Pathologist, Anatomic Pathology

Karlo Emir M. Tayzon, MD, FPSP

MS IV

Consultant Pathologist, Receiving/ Releasing Section

Karlo Emir M. Tayzon, MD, FPSP

MS IV

Consultant Pathologist, Microbiology

Karlo Emir M. Tayzon, MD, FPSP

MS IV

Consultant Pathologist, Anatomic Pathology

Madeline DL Ranola, MD, DPSP

MS III

Consultant Pathologist, Clinical Chemistry

Madeline DL. Rañola, MD, DPSP

MS III

Anatomic Pathology Residency Training Officer

Madeline DL Ranola, MD, DPSP

MS III

Consultant Pathologist, Clinical Microscopy

Marcelina A. Mestiola, MD, FPSP

MS III

Consultant Pathologist, Hematology

Marcelina A. Mestiola, MD, FPSP

MS III

Consultant Pathologist, Blood Bank

Marcelina A. Mestiola, MD, FPSP

MS III

Consultant Pathologist, Serology

Marcelina A. Mestiola, MD, FPSP

MS III

Clinical Pathology Residency Training Officer

Marcelina A. Mestiola, MD, FPSP

MS III

Pathology Service Resident

Editha I. Moreno, MD

MO IV

Pathology Service Resident

Maria Corazon M. Carretas, MD

MO IV

Chief Medical Technologist

Nelly B. Buendia, RMT

MT V

Assistant-to-the-CMT

Myra B. Olicia, RMT

MT IV

Laboratory Quality Assurance Officer 1

Carmelita St. Alzaga, RMT

MT IV

Laboratory Quality Assurance Officer 2

Alex A. Alim, RMT

MT IV

General Laboratory Assistant

Lorena L. Piando

AA I

Section Head, Receiving/Releasing Section

Alex A. Alim, RMT

MT IV

Section Head, Immunology

Carmelita St. Alzaga, RMT

MT IV

Section Head, Hematology

Elmira C. Sarza, RMT

MT III

Section Head, Clinical Chemistry

Maria Aljie Z. Ortega, RMT

MT III

Section Head, Clinical Microscopy

Maria Elizabeth B. Bermillo, RMT

MT III

Section Head, Serology

Marivic Vivian Presbitero, RMT

MT III

Section Head, Blood Bank

Melvin L. Toca, RMT, RN

MT III

Section Head, Histopathology

Minette B. Alianza, RMT

MT III

Section Head, Microbiology

Myra B. Olicia, RMT

MT IV

Chemist

Shena Ann M. Besmonte

RCh III

Blood Bank/ Serology MedTech

Aliver Niño I. Altavano, RMT

MT II

Blood Bank/ Serology MedTech

Antonio V. Alfane V, RMT, RN

MT II

Clinical Microscopy/ DTL MedTech

Apriel B. Sales, RMT

MT II

Blood Bank/ Serology MedTech

Drinah L. Labanda, RMT

MT II

Hematology MedTech

Juan Paulo Y. Sorreda, RMT

MT II

Clinical Chemistry/Immunology MedTech

Kristine B. Baloloy, RMT

MT II

Clinical Chemistry/Immunology MedTech

Laila M. Aycocho, RMT

MT II

Clinical Chemistry/Immunology MedTech

Roxanne Margaret S. Listana, RMT

MT II

Microbiology MedTech

Venice B. Delima, RMT

MT II

Blood Bank Nurse

Christian V. Dela Cruz, RN

N II

Clinical Chemistry/Immunology MedTech

Emmalyn M. Mias, RMT

MT I

Hematology MedTech

Hilario R. Allorde, RMT

MT I

Blood Bank/ Serology MedTech

Jennylyn L. Moraleda, RMT

MT I

Microbiology MedTech

Marichu A. Silos, RMLT

MT I

Microbiology MedTech

Mark Jeffer G. Taduran, RMT

MT I

Clinical Microscopy/ DTL Lab Tech

Nikita D. Samson, RMT

MT I

Hematology MedTech

Rosalie N. Nantes, RMT

MT I

Clinical Microscopy/ DTL MedTech

Russel Jeane L. Vargas, RMT

MT I

Blood Bank/ Serology MedTech

Margarette C. Segovia, RMT

MT I

Blood Bank Nurse

Genive S. Bagalay, RN

N I

Blood Bank Nurse

Judy Ll. Azotea, RN

N I

Blood Bank Nurse

Lea H. Olivar, RN

N I

Blood Bank Nurse

Mark Errol D. Supena, RN

N I

Blood Bank Nurse

Salve Regina N. Pilla, RN

N I

Hematology MedTech

Anthony Robert B. Dio, RMT

MLT III

Receiving/ Releasing Section Clerk

Jeanette B. Panong, RMLT

MLT III

Clinical Microscopy/ DTL Lab Tech

Jeniffer B. Bumalay, RMT

MLT III

Hematology MedTech

Mariel M. Literal, RMT

MLT III

Histopathology Lab Tech

Jude B. Sabater, RMLT

MLT III

General Lab Aide

Meriam B. Garcia

LA II

Receiving Section Aide

Yolanda E. Manila

LA II

Histopathology Lab Tech

Jasper N. Relente

LA I

Releasing Section Aide

Danilo C. Gorordo

AA VI

Releasing Section Aide

Rennie Howell B. Gonzales

AA IV

Releasing Section Aide

Alcer V. Labrador

AA I

Receiving/ Releasing Section Clerk

Arvyn Atainza Cestina

AA I

Blood Bank Nurse

Leilanie G. Manlangit, RN

AA I

Microbiology MedTech

Gereza May Bongares, RMT

J.O.

Receiving/Releasing Section Aide

Cate Aby A. Samson

J.O.

Clinical Chemistry/Immunology MedTech

Carlo A. Samson, RMT

J.O.

Receiving/Releasing Section Aide

Mauricio Mirabueno

J.O.

BRTTH LABORATORY RATES

LABORATORY TEST

ROUTINE-CHARITY-OPD RATE

PAY-PHILHEALTH-STAT RATE

CBC with Platelet Count

245

255

CBC

245

255

Hemoglobin/ Hematocrit

245

255

Platelet Count

245

255

Reticulocyte count

345

350

Blood Typing

130

140

Clotting Time/ Bleeding Time

60

80

Prothrombin time/ PT/ Protime

635

645

PT-INR--PTR-PTA%

635

645

aPTT

975

985

ESR

195

215

Urinalysis

95

105

Pregnancy Test

210

225

Fecalysis

85

90

Occult blood

130

145

Crossmatching

950

1000

BUA

175

180

BUN

175

180

Creatinine

175

180

Glucose

175

180

Cholesterol*

175

180

Triglycerides*

290

300

HDL*/LDL*

390

400

Lipid Profile (****)

875

905

Total Protein

290

300

Albumin

290

300

Albumin/Globulin/AG ratio

290

300

TPAG

585

595

SGOT/AST

290

300

SGPT/ALT

290

300

Alkaline Phosphatase

345

375

LDH/ Lactate dehydrogenase

390

400

Amylase

390

400

Na

295

305

K

295

305

Cl

295

305

Ca

295

305

Electrolytes (3 parameters)

875

915

Total bilirubin

420

430

B1B2

420

430

Total bilirubin, B1B2

585

595

Phosphorous

440

450

Mg

440

450

OGTT/ Glucose Tolerance Test

650

660

GCT

490

500

HBa1c

875

890

ABG

1170

1180

HBA1c

880

890

Cerebrospinal Fluid Protein/UCFP

390

420

PSA

1410

1420

CEA

960

970

AFP

960

970

B-HCG

960

970

TSH

600

625

Total T3

600

625

Total T4

600

625

Free T3

600

625

Free T4

600

625

CK

900

950

CK-MB

900

950

Troponin I

1065

1100

Luteininzing Hormone/ LH

1750

1850

Follicle Stimulating Hormone/ FSH

1750

1850

CA 125 (ovary)

1750

1850

CA 19-9 (pancreas)

1750

1850

CA 15-3 (breast)

1750

1850

HBsAg (screening)

260

270

Hepa Profile (7 parameters)>>>>>

4925

4935

HBsAg (quant)>

725

725

Anti-HBS>

625

635

HBeAg> & Anti-Hbe>

1400

1400

Anti-HAV Total>

725

725

Anti-HAV IgM>

725

725

Anti-HBc Total>

725

725

HCV

625

635

HIV

755

765

RPR

235

245

Treponema pallidum

325

335

Dengue Duo (NS1, IgG, IgM)

700

720

Salmonella typhi, IgG & IgM (Typhidot)

700

720

ASO

550

560

CRP

550

560

Rheumatoid factor/ RF

550

560

Malaria, Card

495

520

Malarial smear

110

120

Filarial smear

110

120

PBS/ Peripheral blood smear

160

180

Acid fast stain

200

220

Gram's stain

200

220

Culture and Sensitivity

1500

1600

KOH

160

270

ABG

1170

1185

Pap smear

170

170

Cell cytology (w/o cell block)/ FNAB

700

700

Cell cytology (w/ cell block)

1250

1250

Histopathology (small specimen)

1000

1000

Histopathology (medium specimen)

1500

1500

Histopathology (large specimen)

2500

2500

Histopathology (extra large specimen)

5000

5000