Job Summary: Performs moderately complex to highly complex and specialized clinical laboratory tests/analyses using manual or automated techniques to obtain data for use in the diagnosis, management and treatment of disease/injury. Specific areas of accountability may include one, or a combination of, the following disciplines: transfusion service, microbiology, chemistry, coagulation, hematology, immunology, and urinalysis. Work includes 1) pretesting and processing samples, 2) performing, analyzing, interpreting, and confirming tests, 3) documenting and delivering timely test results and 4) operating and maintaining standard Lab instrumentation and equipment. Given the critical importance of test results to patient care and clinical outcomes, an incumbent is accountable for ensuring the accuracy of test results and related analyses based on adherence to established standards, procedures and regulatory requirements for test analysis, quality control, quality assurance, safety, blood-borne pathogen/infection control, specimen handling/processing and documenting/reporting patient results.
While controls may affect certain decision âmaking opportunities, an incumbent is expected to exercise sound judgment to monitor, control, and assess tests conditions, specimen quality, chemical/biologic reactions, and instrument function. An MLT is expected to seek advice from a Tech-in-Charge or an MT when the ability to resolve a problem is limited by training or experience. Work requires knowledge of the major disciplines of laboratory practice (e.g. blood bank, chemistry, hematology, coagulation, immunology, urinalysis, and microbiology).
An incumbent applies knowledge of scientific principles and theory to determine the causes or possible significance of abnormalities and departures from the norm when test results do not conform to expectations. Incumbents are also accountable for: 1) meeting technical training requirements, 2) maintaining awareness of procedure changes, 3) updating knowledge, skills and applying those competencies, and 4) following department standards for excellence. Performs pretesting and processing samples (Pre-Analytic). Phlebotomy Evaluates laboratory orders and specimens and test samples for appropriateness.
Processes specimens according to department protocol. Requests additional specimens/samples to replace compromised material. Ensures proper labeling and storage of all specimens. Prepares and stains slides of specimen material for microscopic examination and evaluation.
Performs, analyzes, interprets, and confirms testing of samples (Analytic). Performs testing in the general lab. Performs microbiology procedures to include culture set-up, MIC and/or sensitivity set-up; automated blood cultures, gram stain and special stain interpretations, rapid test kit testing and interpretation, PCR testing/interpretation, O&P and virology setups. Performs transfusion service testing such as ABORH, antibody screens, antibody identification, antigen phenotyping, compatibility testing, prenatal testing, and investigation of adverse reactions.
Prepares and modifies components (FFP, platelet apheresis, cryoprecipitate) for transfusion Recognizes and addresses unexpected test reactions, errors and discrepancies; identifies technical, instrumental or physiologic causes of problems (e.g. test conditions, chemical reactions, instrument function, patient variables, interfering drugs). Operates complex automated equipment and/or laboratory computer systems to perform designated tests. Records test data, makes calculations, compares laboratory results with normal values and investigates atypical results to determine cause.
Applies basic understanding of methodology used to check the accuracy of analytical results obtained by different methods. Evaluates and reports patient results for use in the diagnosis and treatment of disease for patients of all ages (Post-Analytic). Issues blood to the clinical unit. Prepares and packs coolers for the transport of blood components Verifies and finalizes test results, evaluates collected laboratory data, and produces and distributes test results.
Utilizes computer systems and databases in the performance of job duties, including looking up patient information and entering testing data/results. Reviews, communicates any Quality Assurance concern (QIM). Consults with management and medical staff concerning difficult or unusual data or results. MLT may act as a resource for other laboratory personnel as well as for âexternal customersâ such as physicians, and patient care staff.
May assist in developing the skills of new employees and students by providing on-the-job training and orientation. Prior to end of shift, ensure that the pending reports are clean and that both written and verbal communication to the oncoming shift is completed and documented. Performs and evaluates quality control to ensure quality patient care. Performs quality control activities to include testing, validation of results, and look backs.
Detects and troubleshoots test systems and identifies problems that could adversely affect test performance or reporting of test results and takes appropriate action. Determines validity of patient test sample value(s) based on testing of quality control materials. May participate in new methods development & evaluation of new equipment. Works to improve processes.
Maintains standard laboratory instrumentation and equipment. Sets up and adjusts laboratory equipment and apparatus appropriate for the designated test(s). Regularly cleans, performs/documents routine maintenance and calibrates instruments and equipment. Troubleshoots test systems and identifies problems that could adversely affect test performance or reporting of test results and takes appropriate action.
Certifies and corrects equipment/instrumentation malfunction within designated scope of responsibility Maintains appropriate levels of supplies and reagents. QualificationsEducation/Work Experience Requirements Associate degree and completion of an accredited MLT/MT program OR the equivalent education and experience that qualifies for national registration through the American Society of Clinical Pathologists (ASCP). One year of clinical laboratory experience in the last five years is preferred. Job Knowledge/Abilities: Demonstrated phlebotomy skills to include venous and capillary punctures.
Demonstrated technical skills in transfusion medicine to include: ABORH, antibody screens, antibody identification, antigen phenotyping, and compatibility testing, investigation of adverse reactions, and prenatal testing are required. Demonstrated technical skills in microbiology to include: culture set-up, MIC and/or sensitivity set-up; automated blood cultures, gram stain and special stain interpretations, rapid test kit testing and interpretation, PCR testing/interpretation are required. O & P Set-up and virology set-up desired. Knowledge of the principles, theories and accepted practices of clinical laboratory sciences as they relate to the performing laboratory tests.
Knowledge of FHS policies, standards and procedures, and legal/regulatory requirements applicable to work unit operations and services. Knowledge of the concepts, standards, techniques and instruments/equipment relating to the medical technology field sufficient to perform standard/specialized laboratory tests. Knowledge of the function and application of laboratory information systems. Knowledge of laboratory mathematics sufficient to calculate and correlate test results.
Knowlege of disease states and the clinical significance/application of various tests as aids in diagnosing the cause of disease. Knowledge of medical terminology sufficient to communicate with medical personnel regarding laboratory procedures and results. Knowledge of the standards and practices relating to laboratory safety, chemical hygiene and hazardous materials. Knowledge of applicable safety, quality control, quality assurance and specimen-handling guidelines and procedures.
Ability to assist in the development of new testing procedures and protocols. Ability to evaluate data against measurable criteria in test performance. Ability to operate, calibrate, maintain and troubleshoot laboratory instrumentation and equipment. Ability to guide and oversee the work of lower-level lab staff and students.
Ability to document laboratory tests and results accurately. Ability to utilize automated laboratory systems at an acceptable level of proficiency. Ability to distinguish colors and perform work with a microscope for extended periods of time. Ability to express ideas and convey technical information in verbal and written communication.
Ability to work quickly, accurately and effectively under stringent deadlines. Ability to understand and follow complex written and verbal instructions, formulae and charts. Ability to read, understand and communicate in English sufficient to perform the duties of the position. Ability to use office equipment and automated systems/applications/software at an acceptable level.
Ability to establish and maintain effective working relationships as required by the duties of the position. Licensure/Certification National Registration as an MLT(ASCP)CM, MLT(ASCP) or equivalent (e.g. AMT), or registry-eligible at date of hire. If not already held, national certification must be obtained within six months of date of hire.
Depending on assignment, current certification through Washington State as a Medical Assistant-Phlebotomy may be required. Where applicable, certification as a Medical Assistant-Phlebotomy must be obtained within eight (8) weeks of assignment. Phlebotomy duties will be assigned once the incumbent receives certification as a Medical Assistant-Phlebotomy. Catholic Health Systems and its employers are proud to be EEO/AA/M/F/VETS/DISABLED employers.
CB\ *hec* Job Laboratory Primary Location WA-Tacoma-St Joseph Medical Center * Shift Part Time * Scheduled Hours per 2-week Pay Period 64 * Weekends Required Every Other * Status Part Time
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