The laboratory department falls under the diagnostic division of the hospital. The main activities of the laboratory are diagnosis of diseases from patient samples, training of students from universities and middle colleges taking medical laboratory b courses, research and participation in disease surveillance. It is further subdivided into the following sections;
Memorial wing laboratory
All these sections are open from 8.00a.m to 5.00p.m EXCEPT the emergency lab which runs on a 24hrs basis.
These laboratories carry out both routine tests and specialized tests.
The laboratories are managed by a well trained competent youthful workforce of 168 staff.
The section offers the following tests
Liver function tests (LFTs)
Renal function tests (RFTs)
Occult blood in stool
Bence jones proteins
Glucose tolerance tests
There are two hematological counters which have been validated and give up to 19 parameters. This lab does the following tests;
Full haemogram (including erythrocyte sedimentation rate)
Peripheral blood films
Bone marrow studies
This laboratory has a total of 6 staff and does the following tests;
Syphilis tests: - VDRL, RPR and TPHA
Anti streptolysin O test (ASOT)
Hepatitis B surface antigen
Hepatitis C virus test
Thyroid stimulating hormone
Triiodothyroxine hormone (T3)
Tetraiodothyrixine hormone (T4)
Alfa feto proteins
Fertility hormone:- festosterone, follicle stimulating hormone, leutinising hormone, estradiol, prolactin and progesterone
Prostate specific antigen (PSA)
Anti nuclear Antigen (ANA)
This lab has a total of 10 qualified staff. It carries out the following tests;
i. Culture and sensitivity for
Sputum (both ordinary and mycobacterial)
Catheter tips and other tips
ii. Cryptococal antigen (CRAG)
It has a total of three qualified staff and performs the following tests;
Stool for ova and cysts
Urine for urinalysis
Blood smear for malaria parasites
Blood for form ol gel test
This lab handles biopsies and autopsies from the hospital and also from other hospitals in western province of Kenya. It has a total of six competent staff and two pathologists.
Quality Control and Quality Assurance Program In The Laboratories
The Moi Teaching and Referral Hospital staff are dedicated to quality control and quality assurance. In this, the laboratories have well established internal and external quality control programs.
Internal quality control
In all the laboratories, the use of controls and standards is mandatory for all the tests done. Apart from the controls and the standards, samples are counterchecked using other machines available in the hospital laboratories.
External Quality Control
The Moi Teaching and Referral Hospital laboratories have external quality programs among which are;
American Proficiency Institute. The institute sends at least three test events per year to be analyzed by various sections and the results sent back for evaluation.
HUQAS – this is quality assurance program by HUMAN. It is mainly on biochemistry tests.
In both programs, the laboratory has consistently performed well.
Apart from the above the laboratories have been receiving blind specimen from NETSPEAR (Network for Surveillance of Pneumococal disease in East African Region).