Attachment

PRACTICAL ATTACHMENT REPORT
PREPARED BY WUCSH SITE STUDENTS
1 @wolkite site 06/27/2024

Presentation outline
Introduction
significance of practical attachment
Swot analysis
Objective
Strategy
Action plan and activity
Discussion
Problem faced & solution attempted
Limitation
Conclusion
Recommendation
Acknowledgement
References

Introduction
 Medical laboratory -
 is a part of laboratory that is equipped with various biochemical
instrument and reagent for performing different lab diagnostic

activities by using biological specimen.
 In the current health care delivery system is very important to
improve quality of health care.
Practical attachment refers to a period of hands-on training or

work experience.
During a practical attachment allows students to gain practical

experience,
Introduction cont…
To develop relevant skills, and understand the day-to-day
activities & challenges.
Know based on colleges practical attachment program we

have assigned at wolkite university hospital to apply
theoretical knowledge in to practical skill at major courses
like:-
 hematology I &II,immunohematology,
 bacteriology I&II ,Virology,mycology,serology ,and
4 histopathology
@wolkite site from april 12-june 12 ,2024. 06/27/2024
Significance of practical attachment
To develop theoretical knowledge in to practical experience in the work

area.
To improve smooth communication with staff and our instructor and our
customer (our patients).
to get great experience, skills and knowledge; and also to get new idea by
sharing knowledge with staff member.
To reduce waiting time for a patient
reduce work load by practice members’ support in all service like sample
collection, registering book and other medical laboratory service.

SWOT ANALYSIS
S-strength
 Enough Laboratory equipment and laboratory set up
 Good staff
 Good management
 Laboratory is divided into different separated section

SWOT ANALYSIS cont…
W-weakness
 Narrowness of parasitology & urine analysis room
 Some of important tests are not done .
O- Opportunity
 community support
 Student come from d/t institutions
 Supported by federal ministry of health
 T-threaty
 Some MDR TB are detected with RR

Objectives
 General objective
 To Aapply theoretical knowledge that we gained

Practical in the major course in Hematology ,
bacterology , serology ,Immuno hematology ,mycology
,virology & histopatology at wolkite university
specialized Hospital from April 12- June 12 2024

Specific objectives
To Collect 4124 blood sample
 To Perform 2588 CBC
 To Perform 1536 ESR test
 To Determine 160 coombs test
 To perform 1200 ABO blood grouping
 To perform 1200 Rh blood grouping
 To perform 176 cross match

Specific objective cont.…..
 To perform 100 Gram stain
 To perform 140 AFB
 To determine 120 Gene expert
 To determine 440 Widal test
 TO Perform 440 weilflex test
 To Perform 264 Aso test
 To Perform 200 RF test
 To determine 336 HBsAg test

Specific objective cont.…..
To determine 336 Hcv test
TO Perform 224 H. Pylori-test
 TO Perform 280 VDRL test
 To prepare 16 KOH Wet mount
 To examine 16 KOH wet mount
 To perform 60 Viral load
 To Perform 56 CD4 Count at WUSH from April 12- June

2024
@wolkite site
11 06/27/2024
Strategy
 Strategy Used In order to achieve Our Plan we used the
following strategy :-
 Working Group to share new ideas
 Creating interpersonal r/ship with our instructorand lab
staff
 Making Group discussion
 use extra time

Bases for our plan
 To Prepare our plan we used d/t essential Sources from

WUSH Laboratory
 Such as:
 Laboratory registration book
 Laboratory Annual plan

Action plan and activity report
 Table 1. Practical attachment Action plan and report
prepared by hosanna college of health science third

year generic medical laboratory student at wolkite
university specialized hospital from April 12 –June
12/2024

s.no Course tittle Activities U/M T.plan of 8-weeks 2st two REMARK
week
P achv P ach
no % no %
1 Hematology I&II Collecting blood 4124 1031 51 50.5

sample 6
Performing CBC 2588 647 - -
Performing ESR 1536 384 33 87.2

5
Performing 160 40 37 92
2.
coombs test
immunohematolo
gy Determing ABO & 1200 300 32 108
Rh blood group 5
Performing cross 176 44 36 81

match
week
P achv P ach
no % no %
3 Bacteriology Performing graim 100 25 22 88

I&II stain
Performing AFB 140 35 30 85
Performing gene 120 30 26 86

xpert
Determing widal 440 110 95 86
4
test
Performing weil 440 110 95 86
filex
Performing ASO 264 66 60 90

Performing RF 200 50 45 90
week
P achv P ach
no % no %
3 serology Performing HBsag 336 84 89 105
Determing HCV ab 336 84 72 85.7
Performing 224 56 53 94
H.pylor
Performing VDRL 280 70 76 108
4
Mycology Preparing KOH 16 4 2 50

wet mount
Examining KOH 16 4 2 50
17 @wolkite site wet mount 06/27/2024

week
P achv P ach
no % no %
5 virology Counting CD4 56 14 12 85
Determining viral 60 15 14 93
Virology
load

DISCUSTION
Based on our second two week plan, some tests were lower
than we planned for example:-
 Performing CBC
 Performing cross match
 Collecting blood sample
 Preparing KOH wet mount
 Examining KOH wet mount
The reason behind under achievement due to lack of CBC

reagent, decreasing of patient fellow ,and physicians also can't
request some test.
Discussion cont…
 Generally, most of the tests are achieved because
 All students working properly in their assigned place
 All students are arriving on time each work place &
 The instructor has helped us with their knowledge & supervision
 the second two week clinical attachement stay
 we meet the Stated aim.
 gaining's different Practical skill
 achieving d/t Planned activity with good team sprit &
Cooperation

Problem faced
Illegibility of Physician hand writting
Language barrier to communicate effectively
 Lack of CBC reagent
 Lack of Drink water

SOLUTION ATTEMPTED
Communicate with the lab head in supply Reagents were
purchased by communicating with medical director
illgeblityof physician hand writing is checked by senior staff
using local language translator

LIMITATION
Differential count & Culture media is not performed in the hospital
 Test Like ELISA test can not performed in hospital
 Histopathological test can not done hospital

CONCLUSION
We obtained good practical skill; knowledge ;& atitude almost all courses
in the 2st 2-weeks.
Generally we have almost good achievements in all courses
And we will continue the remaining week activity such as
We work to gain better knowledge by discussing in groups,
Preparing discussion topics for each weeks.
Asking of questions our instructor & laboratory staffs.

RECOMMENDATIONS
First we would like to recommend HHSC should provide
adequate gloves & PPE.
Secondly we would like to recommend the WUSH should

provide supplies and reagents to avoid service interruption and
The hospital Should perform Differential Counts , Culture and ,
ELISA.
Thirdly we would like to recommend the WUSH should provide

adequate and clean patient toilets.

ACKNOWLEDGEMENT
First of all, we would like to thank HHSC

 Give us this practical attachment chance
Secondly we would like to thanks to HHSC.M.Ldepartment

 To select appropriate hospitals.
Thirdly we would like to thanks WuSH & their laboratory staff members
Fourthly we would like to thanks our instructor Mr. Dembelo (MSC) to for
support and guidance .
Finally, we would like to thanks our apparent ship members for good
commitment to our instructor & staff members
26 @worabe site 06/27/2024

References
1. Registration bbook of medical laboratory department Of

wolkite University Specialized Hospital 2016 E.
2. Annual Plan of Medical laboratory department of

WKUSH 2016 E.C
3. WUSH Health management information System

THANK YOU FOR YOUR ATTETION !!

TOP FIVE DISEASE
DYSPEPSIA
POLYNEUROPHATTIS
UTI
HYPERTENSION
P.NEUMONIA

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PRACTICAL ATTACHMENT REPORT

PREPARED BY WUCSH SITE STUDENTS

1 @wolkite site 06/27/2024

2 @wolkite site 06/27/2024

 is a part of laboratory that is equipped with various biochemical

instrument and reagent for performing different lab diagnostic

improve quality of health care.

Practical attachment refers to a period of hands-on training or

During a practical attachment allows students to gain practical

Know based on colleges practical attachment program we

 bacteriology I&II ,Virology,mycology,serology ,and

To develop theoretical knowledge in to practical experience in the work

To reduce waiting time for a patient

5 @wolkite site 06/27/2024

 Laboratory is divided into different separated section

6 @wolkite site 06/27/2024

 Some of important tests are not done .

 Student come from d/t institutions

 Supported by federal ministry of health

 Some MDR TB are detected with RR

7 @wolkite site 06/27/2024

 To Aapply theoretical knowledge that we gained

8 @wolkite site 06/27/2024

 To Perform 1536 ESR test

 To Determine 160 coombs test

 To perform 1200 ABO blood grouping

 To perform 1200 Rh blood grouping

 To perform 176 cross match

9 @wolkite site 06/27/2024

 To perform 140 AFB

 To determine 120 Gene expert

 To determine 440 Widal test

 TO Perform 440 weilflex test

 To Perform 264 Aso test

 To Perform 200 RF test

 To determine 336 HBsAg test

 To prepare 16 KOH Wet mount

 To examine 16 KOH wet mount

 To perform 60 Viral load

 To Perform 56 CD4 Count at WUSH from April 12- June

 Creating interpersonal r/ship with our instructorand lab

 use extra time

12 @wolkite site 06/27/2024

 To Prepare our plan we used d/t essential Sources from

 Laboratory registration book

 Laboratory Annual plan

13 @wolkite site 06/27/2024

prepared by hosanna college of health science third

14 @wolkite site 06/27/2024

1 Hematology I&II Collecting blood 4124 1031 51 50.5

Performing CBC 2588 647 - -

Performing ESR 1536 384 33 87.2

Performing cross 176 44 36 81

3 Bacteriology Performing graim 100 25 22 88

Performing AFB 140 35 30 85

Performing gene 120 30 26 86

Performing ASO 264 66 60 90

16 @wolkite site 06/27/2024

3 serology Performing HBsag 336 84 89 105