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Rebuilding Iraqi Laboratories

Rebuilding Iraqi Laboratories. By: Capt Tracy Harrelson. Re-Establishing Iraqi relationships Part II Main Focus:. Partnered with Iraqi Task Force and MEDCOM Developed Lab testing initiative proposal to be submitted to Iraqi Ministry of Health.

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Rebuilding Iraqi Laboratories

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  1. Rebuilding Iraqi Laboratories By: Capt Tracy Harrelson

  2. Re-Establishing Iraqi relationships Part II Main Focus: • Partnered with Iraqi Task Force and MEDCOM • Developed Lab testing initiative proposal to be submitted to Iraqi Ministry of Health. • Wrote and translated three lab OIs and submitted design for wall chart for Iraqi Lab techs. • Submitted EXSUM to 332nd EMDG to partner with the training and establishing of Iraqi Lab tech training. • Iraqi Physician, Nurses and Lab tech monthly CME

  3. طريقة إستعمال صبغة غرام 3 2 1 نسكب الكرستال فايوليت على المسحة ونترك السلايد لمدة دقيقة واحدة بعدها نغسل السلايد بالماء بعدها نسكب اليود على المسحة(السلايد) ونتركها لمدة دقيقة واحدة 6 5 4 6 بعدها نغسل السلايد ثانبةً بالماء ثم نسكب مزيل اللون على السلايد لمدة 5 ثواني بعها نغسل السلايد بالماء 6 7 8 9 بعد ذلك نسكب ال(سافرانين) على السلايد ونتركه لمدة دقيقة واحدة بعدها نغسل السلايد بالماء نضع السلايد جانبا حتى يجف

  4. IQATF EXSUM • Propose a user friendly diagnostic testing for integration into Iraqi clinics. • Emphasize to the Iraqi physicians a negative result is as important as a positive result. • Importance of surveillance • Decrease the incidence of unnecessary treatment and encourage more people to see the doctors rather the local pharmacies.

  5. Gram Negative Bacilli* % of Isolates Susceptible Sep09-Jan10

  6. APPENDIX I • Reference Texts and Charts • Fundamentals of Urine 1 • TieztFundmental Lab (reference book) 1 • Bialy’s & Scott Diagnostic Microbiology 1 •  Lab Test Handbook 1 • Micro chart I 1 • Micro chart II 1 • Para chart I 1 • Para chart II 1 • Hemato chart • Query Baghdad General Hospital - their reference material?  • What are Gold Standard Iraqi references & Other Arabic texts? •  Iraqi university microbiology texts;   Annals of Saudi Medicine texts

  7. APPENDIX III • Name of Test # • Manufacturer • HCG Qualitative* 50 • QuickVue • Cardiac Enzymes - CK-MB, Troponin 20 • Nanogen • Flu A/B 50 • Binax • Rapid Strep 50 • Quidel • H. Pylori • QuickVue • Tiphidot 200 • TyphiDot • Parsite Panel - Giardia, E. histolitica, C. parvum 200 • BIOSITE  •  Hepatitis Panel - HBV/HCV 200 • Oraquick •  HIV1&2 ( HBV/HIV/HCV by Medmira vs. HIV alone) • OraQuick • CHEM8+ 30 • Abbott(i-STAT) • Urinalysis dip-sticks 500

  8. Lab Supply Items •  Gloves 2000 •  Urine collection cups 1000 •  Sharps container, 5 qt 10 •  Bag/red biohazard 200 •  Sani Cloth wipe, 100 container 2000 •  Purell hand sanitizer 20

  9. Iraqi Lab training • Cultural issues experienced in December. • Requested permission for 332nd Lab to present an hour “show and tell” to the Iraqi Physician CME on 12 Feb.

  10. Iraqi Physician CME 12 Feb

  11. SSgt Castenda demonstrating i-STAT

  12. Members of Iraqi Physician CME:Capt Harrelson, MSgt VanDeGutche, SSGt Luna, SSgt Castenada, SrA Chattin, Spc Lysendrou, Mr. Guy Clark, Iraqi Task Force Advisor

  13. AFTER ACTION REPORT • Iraqi Physicians Continuing Medical Education – Intensive Care Purpose: To improve the medical knowledge and standards of intensive care management • The afternoon was session was set for skills training and the main focus of the class was on the lab Trainees: • Medical College: Dr. HaqqiIsmael (General Medicine) • Yethrib Clinic: Dr. SalahMahdi Ahmad • IbnFirnas Clinic: Mr. Faez (Nurse

  14. PHYSICIANS EVALUATIONS • What did you like about the conference today? • - The lab tests hands-on section • - Very good • - Conclusive, nice • 2. What would you like to see changed about the conferences? • How can we improve? • - None • - Lectures were informative • 3. Would you plan to attend another conference again next month? • - Yes • 5. Would you recommend this conference to others? • - Yes • 6. What topic(s) would you like to discuss in future conferences? • - Multiple subjects • - Infective (parasites/helminthic) dz • - Mineral & vitamin deficiencies • - Adult & pediatric anemia

  15. Positive Results: Mr. Faez, Ibn Firnaz Nurse Administrator requested all of his lab techs attend the Nurse CME and spend time working with JBB lab techs

  16. FEBRUARY 17, 2010

  17. i-STAT Training

  18. SrA Chattin teaches rapid Malaria detection

  19. Sgt Totton demonstrates rapid HIV testing to Dr. Emann & Iraqi Techs

  20. Ibn Firnaz Lab techs Inaugural lab CME.

  21. FEEDBACK • Techs expressed interest in monthly CME • Learn more about anemia • Parasitology • Microbiology • Chemistry • JBB established a monthly CME for Iraqi Lab techs

  22. Spc Sudduth demonstrates rapid HIV testing to Iraqi Nurses

  23. JBB’s progress in improving Iraqi Medicine • Established monthly Iraqi Physician CME • Iraqi Nurse CME • Iraqi Lab tech CME • Iraqi Kids Day • Iraqi Training Facility

  24. Iraqi Training Facility

  25. Iraqi Training Facility

  26. Iraqi Kids Day

  27. Iraqi Girls Health Day

  28. Teaching proper teeth brushing

  29. Demonstrating Stop, Drop & Roll

  30. Iraqi Medical Future • Continuing work with Iraqi Task Force Advisor and MEDCOM in order to gain approval and funding for lab diagnostic from Iraqi Ministry of Health • Submitting proposals to US government agencies for improving Iraqi lab and Diagnostic conditions • Partnering with Various civilian agencies to gain permission for lab testing trials • JBB continues to train/teach Iraqi medical community

  31. Special thanks to Lt Col Fox for continuing the Iraqi Lab program

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