SLT Laboratory Siwes Report
SLT Laboratory Siwes Report
SLT Laboratory Siwes Report
ON
STUDENT INDUSTRIAL WORK EXPERIENCE SCHEME
AT
661 NIGERIA AIR FORCE HOSPITAL LABORATORY
ALONG LOCAL AIRFORT ROAD, IKEJA. LAGOS.
BY
LAWRENCE AMARACHI CONFIDENCE
(20/06/0155)
PRESENTED TO THE
DEPARTMENT OF SCIENCE LABORATORY TECHNOLOGY (SLT),
SCHOOL OF SCIENCE ABRAHAM ADESANYA POLYTECHNIC IJEBU
IGBO
MARCH, 2022
CERTIFICATION
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1. TITLE PAGE………………………………………………………………………… i
2. CERTIFICATION…………………………………………………………………… ii
3. DEDICATION………………………………………………………………………. iii
4. ACKNOWLEDGEMENT ……………………………………………………… iv
5. ABSTRACT………………………..………………………………………………… v
6. TABLE OF CONTENT………………………………..
……………………………………………. vi
CHAPTER TWO
CHAPTER FOUR
Conclusion………………………………………………………………..….
4.1 Summary……………………………………………………….……...
COMMADER
445 NAFH
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STATISTICIAN
The 661 Nigerian Air Force Hospital Laboratory (661 NAFH), Ikeja has
won the International Organisation for Standardisation (ISO)
15189:2012 accreditation certificate for quality management
systems and excellent service delivery for the second consecutive
time.
“In 2013, the African Society for Laboratory Medicine using the
World Health Organization’s African Regional Office Checklist also
graded the Laboratory 5-Star rating while in 2016, the Laboratory
became accredited to ISO 15189:2012 standard making it the first
among 3 laboratories in Nigeria to become accredited to ISO 15189″.
(3)PARASITOLOGY SECTION:
This is the unit where clinical specimens are analyzed in search for
parasitic organisms. The clinical specimens analyzed include stool,
urine analysis.
(4) HEMATOLOGY
This section is concerned with Hemoglobin (blood penalty test),
FBC, malaria test, HB-genotype, ABO groups, Erythrocytes
Sedimentation Rate [ESR TEST]
(5)CHEMISTRY SECTION
This section is concerned with cholesterol, FBS and RBS, Lipid
profile etc.
(6)MICROBIOLOGY SECTION
Deals with urine, stool, HVS (urine Swab), urethral,
2.2 LABORATORY RULES AND REGULATIONS
I. Laboratory coat and hand gloves should be worn in the laboratory
II. Eating, drinking, smoking and dancing should be avoided in the
laboratory
III. Hands should be washed after handling a sample and when
leaving the laboratory
IV. All benches should be cleaned before and after the day work.
V. Avoid being bare footed, cover shoes should be worn in the
laboratory
VI. Hairs should be covered with Hair net.
VII. Fingers and nails should be cut short
VIII. Labeling of sample should be done with care
2.3 LABORATORY EQUIPMENTS AND THEIR USES
MICROSCOPE
AUTOCALVE:
This is used in sterilsation of glass wares and media used in the
laboratory to avoid contamination. It consists of chamberson
which the articles are placed and treated with steam At high
pressure.
INCUBATOR
It is used for incubating cultured plate for 24 hours -48 hours
at the temperature between 37oc-4000c so as to obtain proper
growth of microorganisms.
LABORATORY OVEN:
It is used for sterilization of Meta wares and also for
preservation.
CENTRIFUGE:
It is used for sedimentation of particles, is used in separating
components of different densities in a liquid, using centrifugal
force.
WEIGHING BALANCE:
This is used for measuring mounts of substance required for
analysis which measure in grams.
ELECTROPHORESIS MACHINE:
It is used for carrying out test on genotype.
REFRIGERATOR:
This is for the preservation of samples.
HAEMATOCRITE CENTRIFUGE
This is used for sampling blood with microhaeamatocrit
capillary tubes to know the blood percentage of an individual
SYRINGE:
They are used to give injection and also for collection of blood
sample through venous blood collection in the lab for
laboratory practical.
AIM:
The aim is to determine a patient’s blood group
Apparatus:
Anti sera A,B, and C clean and dry title applicators, sterile bloo
dlancet, sterile swap and hand glove.
TECHNIQUES:
After a patient thumb has being cleaned
with sterile swap and allow to dry, a puncture is made with the
lancet and the first drop of the blood is cleaned
off. And then pressed to get another drop of blood which is dro
oped at three division on a
tile. Add one volume of the respective anti-sera A B and 0 to th
e bloodsamplesUsing applicators mix the anti-sera with the
blood respectively Rock for 2-3 minutes and then record
your result.
2.6 GENOTYPE
Genotype or hemoglobin electrophoresis is used to separate and identify the
different hemoglobin by their migration within an electric field. Hemoglobin
variants separate at different rates due to different in their surface electric
charges as determined by the iramino acid structure .the predominant
Genotype are AA and AS ,SSwhile AC ,SC etc
Aim
:to detect ones
genotype. Apparatus: sterile swap, 2m1 syringe ,harid glove ,Tris buffercellulos
e acetate membrane, clean and dry tile ,application ,a positive
and negative control i.e. AS and. AA ,water, pasture’s pipettes,
electrophoresis machine.
PROCEDURE:
After blood collection using pasture’s pipette
The blood is placed using on a clean tile also your control placed at a different division.
Using another pasture’s pipette ,pipette small volume of water and add to the
respective blood samples. Then mix separate using an
Application to make the mixture light for easy separate of the samples. Using
respectively applicators place the sample on a cellulose acetate member
respectively .Pour l00mis of this EDTA borate buffer ip each of the
electrophoresis chamber. Put the cellulose acetate member in an
electrophoresis machine placed side down. Cover the tank and correct to
power supply leave for 25 minutes to separate.
RESULT
: if the result is AA when there are two lines when the Smigrate to the positive
electrode and then A to the negative electrode then is AS. When A migrates
only to the negative electrode then it
is AA and when the S riigrate to positive electrode and another Smigrate to the
positive electrode then it is SS.
CHAPTER THREE
SAMPLES
: Serum/plasma or urine of a pregnant woman.
MATERIAL:
Pregnancy test-strip
PROCEDURE
: Spin the blood sample in a centrifuge so as to separate the plasma and the blood.
Remove the P.T strip from the pouch and dip the pregnancy test inside the
available sample.
OBSERVATION:
Two distinct lines, one at the control line region and the other at the test line
region or just a single line at the control line region might be seen.
RESULT/CONCLUSION
: When two distinct line are seen the result is positive but if one line is seen,
the sample is negative.3
3.2 WIDAL TEST
Widal test is a test used for the diagnosis of typhoid fever, based on
agglutination of salmonella tophi by dilution of the patient serum. -
Aim:
To detect the presence of antibodies against salmonella organism that causes
paratyphoid (typhoid fever).
Principle:
This is based on agglutination reaction between antibodies present in the
serum, produced specifically against salmonella antigen and the salmonella
antigen suspension to form immune complex.
Materials:
• Chromatist widal kit
• Pasteur pipette
• White tile with eight (8) depressions
• Blood (serum)
• Test tube
• Glass rod
• Centrifuge
• Rocking machine.
Procedure:
1. The patient’s blood is collected •using a tourniquet and stringe.
2. The patient’s blood sample was transferred into a test tube and
spun for 10 minutes using the centrifuge to obtain the serum.
3. A drop of the serum was placed on each of the depressions on the
white tile using Pasteur pipette.
4. Equal amount of each of the salmonella antigen suspension
(salmonella ‘0’ and ‘H’ antigen suspensions) was dropped beside the
already dropped serum.
5. The fluid was mixed homogenously.
6. The white tile was rocked continuously for about 2 minutes and
the mixture was observed for agglutination.
Result:
The result is graded according to the degree of agglutination on each
fluid ranging from 1:20<1:80<1:160<1:320. The diagnostic tit revalue
of enteric fever is1:80. Hence, any titre value equal or greater than
1:80 is diagnostic of enteric fever. The table below is a sample
of Widal test result:
MATERIAL
: HBsAg test strip, Pasteur pipette, test tube, centrifuge and blood
(serum) sample
PROCEDURE:
The blood sample was transferred into a test tube2. The sample was spun
down by centrifugation at 3000 rpm for 10minutes to obtain serum.3.
Using Pasteur pipette, two drops of serum were placed on the absorbent
end of the test strip.4. The test strip was allowed to stand for 2 minutes
and the result was observed
RESULT:
POSITIVE:
Two distinct red lines, one line should be in control region (c) and
another line should be in the test region.
NEGATIVE
: One red line appears in the control region (c) no apparent red line
appears in the test region (C).
INVALID
: This occurs when the control Line fails to appear due to insufficient
specimen volume or incorrect procedural techniques
CHAPTER FOUR
4.0 SS
4.1 URINALYSIS:
This is a non-specific test that was used to detect the presence of
some metabolites in urines whose concentration was used to
determine the health condition of a patient such as diabetes,
metabolic abnormalities, liver disease, binary and hepatic
obstructions, hemolytic disease and urinary tract infection.
Routine urinalysis consists of three testing groups which
include urine microscopy, urine chemistry and urine
microscopy.
This was based on the dipping of the medi test combi-9 colour
sections into the urine sample to check for the following
parameters like
•PH
• Glucose
• Ascorbic acid
• Protein
• Nitrite
• Ketone
• Blood
• Bilirubin
• And urobilinogen
MATERIAL
: Test tube, combi-9, urinalysis strip, test tube rack and
sample container which contains the urine sample.
PROCEDURE
(1) A fresh urine sample of about l0mI was transferred from
the transparent sample container into a test tube and fixed in
the testtube rack.
(2) The combi-9 strip was dipped into the well-mixed urine
sample contained in the test tube.
(3) The combi-9 strip was brought out from urine sample and
theedge of the strip the supported over the mouth of the test
tube to remove excess urine.
(4) The result was read within 60 seconds by matching the
colour changes with the standard chromatic scale provided by
the manufacturer on the combi-9 container,
CHAPTER SEVEN7.0 RELEVANCE OF THE SIWES PROGRAMME
I benefit a lot during the programme which I believed is still relevant in the
following areas: It exposed me to work methods, techniques in handling
equipment’s that are not available in school
7.1 ADVICE TO THE COMPANY/ORGANIZATION
There should be formal training and orientation for the student sunder their
care. There should be appreciative measure on the part of the company
because a student will work when he/she is appreciated even if not monetary.
Monthly defense of what the student has learnt should be done.
7.2 ADVICE TO THE INSTITUTIONS
a. Quality orientation programmes should be organized for all intending I.T.
students and should be made compulsory (it should be on
departmental/faculty levels due to the significance of each disciplines)
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b. Many I.T students roam about because of lack of placement. The institution
should liaise (departmentally) with some industries/organizations who will
always be ready to assist. Each I.T students should be allowed tcr defend their
reports of SIWES programme instead of group defensed. Visiting of the
students by the institution should be taken with all seriousness.
7.3 ADVICE TO THE STUDENTS
SIWES is not money making ventures. Students should learn how to work now
to get all necessary pay in the future H. To those who refrain from active work,
going around for personal businesses or selfish interest should stop it because
the six months is not made for that but to acquire skills and knowledge .III. To
all who really participated in the SI
WES, please don’t for
get all you have learnt and never trade for anything.