Medical Laboratory Technician
Competency-based
ONET: 29-2012.00
2
Years
122
Skills
Classroom instruction topics
- Introduction to Clinical Chemistry
- Internship II/Hematology, Coagulation and Urinalysis
- Introduction to Hematology
- Hematology II
- Immunology/Immunohematology
- Urinalysis
- Clinical Chemistry II
- Internship/Blood Banking
On-the-job training
- MLT 131 Hematology I
- Define the role of the Phlebotomist and Medical Laboratory Technician (MLT) in the full scope of the patient and healthcare team
- Apply OSHA safety standards at all times
- Identify pre-analytical conditions that affect biological specimens and assess their suitability for analysis
- Select, assemble and prepare venipuncture equipment when presented with a clinical situation.
- Explain and perform the following techniques using common and appropriate hematology terminology for: dermal punctures, manual hematocrit, peripheral smear preparation, erythrocyte sedimentation rate (ESR), reticulocyte preparation hematology analyzer ope
- Demonstrate fulfillment of quality control standards within the required deviation during operation and maintenance of hematology analyzers
- Assess Complete Blood Count (CBC) and Scatterplot results for acceptability
- Identify critical or abnormal values of hematology tests
- Perform and document the following tasks: analyze CBCs, perform manual differentials on peripheral smears, prepare acceptable peripheral blood smears, perform manual hematocrits, perform manual ESR, perform successful venipunctures, obtain blood from fin
- Define common medical and laboratory terms and abbreviations for effective communication
- MLT 132 Hematology II
- Perform complete blood counts including manual differentials and evaluate the results as they pertain to patient care.
- Perform manual and automated hematology and hemostasis testing and evaluate the results for accuracy using quality control and quality assurance methods.
- Evaluate laboratory data to predict the diagnosis, treatment, and/or prognosis of hematological and hemostasis disorders including but not limited to: anemias, leukemias, myeloproliferative disorders, and coagulation factor deficiencies.
- Distinguish normal and abnormal microscopic characteristics of blood cells through analysis of peripheral blood smears.
- Describe the origin and development of white blood cells, red blood cells, platelets and coagulation factors.
- Relate structure to physiology and function of white blood cells, red blood cells, platelets and coagulation factors.
- Calculate hematological indices.
- Diagram the coagulation cascade, listing the coagulation factors and their relation to the intrinsic, extrinsic, and common pathways.
- Perform Body fluid analysis including manual counts, calculations, differentials, and laboratory procedures for handling of body fluids
- MLT 231 Clinical Microbiology
- Evaluate patient specimens for acceptability for analysis.
- Determine proper media, temperature, and atmospheric requirements for the growth and culture of suspected pathogens.
- Distinguish between normal flora and pathogenic organisms based upon colony characteristics.
- Characterize key microscopic and macroscopic features of bacterial pathogens and normal flora isolates.
- Perform and interpret various staining techniques.
- Compare and contrast clinical laboratory procedures, interpret data, and predict the pathogen isolated.
- Perform and interpret various methods of antibiotic susceptibility to provide correct patient therapy data.
- MLT 232 Parasitology/Mycology
- Evaluate patient specimens for acceptability for analysis.
- Correlate clinical signs and symptoms associated with disease caused by parasites and fungus.
- Perform and prepare blood films, wet mounts, concentrations methods and staining techniques for parasites.
- Identify and describe the morphology and the life cycle, including infective stage and diagnostic stage of parasites presented.
- Describe the characteristics and structures of fungi.
- Analyze the appropriate specimen collection procedures, staining methods, and culture techniques used in the mycology laboratory.
- Recognize the different characteristics of fungal pathogens and diseases to aid in identification.
- Demonstrate the additional microbiology safety techniques used in the mycology laboratory.
- MLT 141 Immunohematology/Immunology
- Evaluate patient specimens for acceptability according to labeling and specimen requirements.
- Explain and apply the basic principles of immunology including altered immune responses as they relate to serology and immunohematology testing.
- Identify the processing responsibility of blood bank work including the need for exact technique void of shortcuts and the recording of legible, permanent, and accurate information.
- Describe the characteristics and genetics of the ABO and Rh systems and resolve ABO discrepancies.
- Describe the characteristics and genetics of the additional blood group systems and discuss how to identify antibodies using techniques including but not limited to: panels of cells, adsorptions, and elutions.
- Perform and analyze ABO and Rh typing, direct and indirect antiglobulin testing, and identification of antibodies.
- Perform pre-transfusion and compatibility testing and evaluate for safe product dispensing.
- Evaluate results of blood bank testing as they relate to potential and documented transfusion reactions.
- Describe the pathophysiology and laboratory investigation of transfusion reactions, autoimmune hemolytic anemia (AHA), and hemolytic disease of the newborn (HDN).
- Perform immunohematology procedures to evaluate the possibility of HDN and AHA and propose treatment options including calculating correct RhoGAM dosage as indicated by testing.
- Describe the appropriate pre-and post-transfusion testing associated with donor selection and preparation of components.
- Discuss principles and procedures associated with HLA matching.
- Monitor and evaluate quality control and quality assurance, maintenance, and corrective action for the blood bank laboratory.
- MLT 142 Urinalysis
- Explain collection of urine in regard to timing, preservatives, containers, and labels.
- Describe the anatomy of the kidney and urinary tract and how these relate to the process of urine formation.
- Perform a urinalysis including physical, chemical, and microscopic examination and explain the principles of the tests.
- Analyze and interpret urinalysis results to detect abnormalities, assign a diagnosis, and prescribe follow up testing.
- Explain the purpose of specialized renal function and metabolic disorder testing.
- Describe how various body fluids are formed, collected, and analyzed and correlate laboratory results of body fluids to disease and diagnosis.
- Perform and interpret testing on various body fluid tests including cerebral spinal fluids and other body fluids.
- MLT 241 Clinical Chemistry I
- Apply OSHA safety standards at all times
- Identify pre-analytical conditions that affect chemistry specimens and assess the suitability for analysis.
- Calculate problems for basic math, the metric system, and dilutions
- Perform manual dilutions and calculate the resulting concentration
- Analyze Levey-Jennings charts for shifts, trends or imprecision
- Select and demonstrate the use of appropriate laboratory measuring devices such manual pipets, automatic pipets, beakers, flasks, and graduated cylinders
- List a spectrophotometer’s major components, how to relate its readings to Beer’s Law and calculate the analyte’s concentration
- Discuss basic chemical theories and clinical applications for kidney and liver function test glucose, electrolytes, enzymes, lipids and hepatitis
- Identify normal and abnormal values for all chemistry tests discussed such as glucose, BUN, creatinine, electrolytes, bilirubin, total protein, albumin, cholesterol, and triglycerides
- Recognize and solve technical errors for chemistry procedures performed
- MLT 242 Clinical Chemistry II
- Illustrate compliance with all established OSHA safety standards
- Communicate using common clinical chemistry terminology relating basic chemical theories, clinical applications and disease correlations (where applicable) for: a. OSHA standards and safe practices in the clinical chemistry laboratory
- b. Basic chemistry instrumentation and immunoassay methodology
- c. Kidney, Liver and Thyroid functions
- d. Carbohydrate metabolism
- e. Biomarkers of cardiac damage and indicators of CVD
- f. NPN, hormones, lipids, proteins, iron, calcium, magnesium and phosphorus
- g. Acid-base balance and blood gasses
- h. Serum protein electrophoresis
- i. Therapeutic drug monitoring
- j. Toxicology
- Prepare, analyze and appraise quality control materials and calibrators for use in clinical chemistry procedures using dilutions, serial dilutions, percent and molarity solutions, if applicable, with 100% accuracy.
- Perform clinical chemical testing using a basic chemistry analyzer and measure analytes within 2 standard deviations of known quantities.
- Identify reference ranges and critical values for all discussed chemistry tests and correctly evaluate patient test results in clinical situations using those reference ranges.
- Evaluate chemistry test results for technical errors or abnormalities and formulate reasons for such results.
- Interpret specific biochemical marker results with normal and abnormal human physiology as related to specific overall body organs, systems, functions and of patient situations in health and disease.
- Actively participate in small work groups and cooperative learning teams, where each student will demonstrate professional qualities and behavior of a laboratorian as outlined in the student program guide.
- MLT 180 Internship I/Blood Banking
- Evaluate patient specimen acceptability for analyses and correctly identifies and dates each specimen and/or reagent.
- Report patient results according to established department protocol.
- Correlate patient results with patient’s condition.
- Perform and interpret various laboratory procedures.
- Operate clinical instruments, evaluate results, identify errors and resolve malfunctions instrumentation which includes but is not limited to: daily & weekly maintenance, routine operation, and basic result analysis.
- Apply and adhere to quality control standards for all clinical laboratory testing.
- Professionally communicate laboratory information to patients, physicians and other authorized sources utilizing a variety of formats.
- Develop and demonstrate professional attitudes, behaviors and practice.
- Display an understanding and commitment to patient confidentiality.
- Adhere to OSHA safety precautions while performing laboratory duties.
- MLT 182 Intern II Hematology/Coagulation and Urinalysis
- Evaluate patient specimen acceptability for analyses and correctly identifies and dates each specimen and/or reagent.
- Report patient results according to established department protocol.
- Correlate patient results with patient’s condition.
- Perform and interpret various laboratory procedures.
- Operate clinical instruments, evaluate results, identify errors and resolve malfunctions instrumentation which includes but is not limited to: daily & weekly maintenance, routine operation, and basic result analysis.
- Apply and adhere to quality control standards for all clinical laboratory testing.
- Professionally communicate laboratory information to patients, physicians and other authorized sources utilizing a variety of formats.
- Develop and demonstrate professional attitudes, behaviors and practice.
- Display an understanding and commitment to patient confidentiality.
- Adhere to OSHA safety precautions while performing laboratory duties.
- MLT 280 Clinical Chemistry
- Evaluate patient specimen acceptability for analyses and correctly identifies and dates each specimen and/or reagent.
- Report patient results according to established department protocol.
- Correlate patient results with patient’s condition.
- Perform and interpret various laboratory procedures.
- Operate clinical instruments, evaluate results, identify errors and resolve malfunctions instrumentation which includes but is not limited to: daily & weekly maintenance, routine operation, and basic result analysis.
- Apply and adhere to quality control standards for all clinical laboratory testing.
- Professionally communicate laboratory information to patients, physicians and other authorized sources utilizing a variety of formats.
- Develop and demonstrate professional attitudes, behaviors and practice.
- Display an understanding and commitment to patient confidentiality.
- Adhere to OSHA safety precautions while performing laboratory duties.
- MLT 282 Internship IV/ Microbiology
- Evaluate patient specimen acceptability for analyses and correctly identifies and dates each specimen and/or reagent.
- Report patient results according to established department protocol.
- Correlate patient results with patient’s condition.
- Perform and interpret various laboratory procedures.
- Operate clinical instruments, evaluate results, identify errors and resolve malfunctions instrumentation which includes but is not limited to: daily & weekly maintenance, routine operation, and basic result analysis.
- Apply and adhere to quality control standards for all clinical laboratory testing.
- Professionally communicate laboratory information to patients, physicians and other authorized sources utilizing a variety of formats.
- Develop and demonstrate professional attitudes, behaviors and practice.
- Display an understanding and commitment to patient confidentiality.
- Adhere to OSHA safety precautions while performing laboratory duties.
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