MAP 225 - Med Lab Procedures I

1. State ethical and legal guidelines as they relate to patient care
   1. Demonstrate sensitivity to patient rights
   2. Protect the integrity of the medical record
2. Describe criteria for releasing laboratory test results
3. Adhere to the ethical guidelines of the medical laboratory
4. Comply with OSHA regulations related to the medical laboratory
   1. Identify safety techniques that can be used in responding to accidental exposure to: blood, other body fluids, needle sticks, chemicals
   2. Comply with safety signs, symbols and labels
   3. Demonstrate proper use of sharps disposal containers
   4. Define the principles of standard precautions
   5. Define personal protective equipment (PPE) for: all body fluids, secretions and excretions; blood; non-intact skin; mucous membranes
   6. Participate in bloodborne pathogen training
   7. Select appropriate barrier/personal protective equipment (PPE)
   8. Perform handwashing
   9. Demonstrate proper disposal of biohazardous material: sharps; regulated wastes
5. Comply with CLIA regulations
   1. Identify CLIA waived tests associated with common diseases
   2. List three levels of C:IA testing
   3. Define POL
6. Quality Assurance Practices
   1. Describe 4 requirements for patient specimen testing
   2. Identify quality assurance practices in healthcare
   3. Perform quality control measures
   4. Perform quality control tests on chemical strips
   5. Complete quality control charts
   6. Label specimens properly
   7. Reassure a patient of the accuracy of the test results
   8. Report relevant information concisely and accurately
7. Identify laboratory personnel by levels of responsibility
   1. Recognize the duties and responsibilities of the pathologist
   2. Describe the duties and responsibilities of the medical technologist/clinical laboratory scientist
   3. Recognize the duties and responsibilities of the Medical Laboratory Technician (MLT).
8. Examine specimens using the binocular microscope
   1. Identify the components of a compound microscope
   2. Name the objective lenses
   3. Use the adjustment control knobs to focus specimen
   4. Demonstrate 3 ways to adjust the light intensity
   5. Calculate total magnification
   6. Adjust for optical distance and optical difference
9. Clean the microscope and perform routine maintenance
10. Define parfocal, optical distance, and optical difference
11. Microbiology
    1. Obtain specimen and perform CLIA waived microbiology test
    2. Identify bacterial morphology of cocci, bacilli and spirilla
    3. Dispose of biohazardous waste in accordance with OSHA guidelines
    4. Identify between a simple stain and a differential stain
    5. Gram stain a bacterial slide
    6. Define aerobe, anaerobe, and facultative anaerobe
    7. List 5 factors that influence the growth of bacteria
    8. Define normal flora
    9. Identify beta hemolysis from alpha hemolysis on a blood agar plate
12. Explain causative organisms of common infectious diseases
    1. State morphological characteristics of fungi, protozoa and viruses
    2. Identify two diseases caused by bacteria, fungi, protozoa and viruses
13. Obtain a throat swab
    1. Procure material for obtaining specimen
    2. Identify appropriate area for specimen collection
    3. Obtain specimen without contaminating swab
14. Obtain specimen and perform CLIA waived immunology test
    1. Perform rapid Strep A test
    2. Execute test according to test kit instructions
    3. Record results on patient chart
    4. Document in CLIA log
15. Obtain specimen and perform CLIA waived urinalysis
    1. State normal colors of urine
    2. Identify possible causes of abnormal colors
    3. Perform chemical analysis of urine by reagent strip and reagent tablet methods
    4. Define components tested
    5. State expected normal findings for blood, glucose,protein, bilirubin,urobilinogen, nitrites, leukocytes, ketones, pH and specific gravity
    6. Describe changes that occur in chemical constituents if specimen is left at room temperature
    7. Differentiate between normal and abnormal test results
16. Perform urine pregnancy test
    1. Define human chorionic gonadotropin (HCG)
    2. List three conditions other than pregnancy that will cause an elevated HCG level
    3. Obtain the type of urine specimen that is best for testing for HCG concentration
    4. Identify 3 technical errors that could affect test results
    5. Interpret test results accurately
    6. Record test results properly
17. Correlate chemical findings with microscopic findings
18. Relate abnormal chemical urinalysis results to renal physiology, extrarenal disorders, and urinary tract infections
19. Explain the difference between specific and nonspecific tests for urine sugar
    1. State morphological characteristics of fungi, protozoa, viruses and rickettsia
    2. List 2 diseases caused by bacteria, fungi, protozoa, viruses, and rickettsia
20. Perform microscopic analysis of normal and pathological urine
    1. Prepare specimen for microscopic analysis
    2. Identify red blood cells, white blood cells, bacteria,casts, crystals and parasites by microscopic analysis
21. List 6 (six) changes that take place in microscopic elements if urine specimen is not preserved
    1. Perform rapid Strep A test
    2. Execute test according to test kit instructions
    3. Record results on patient chart
22. Relate abnormal microscopic findings to renal physiology, extrarenal disorders and urinary tract infections.
23. Use laboratory equipment
    1. Balance centrifuge
    2. Monitor incubator temperature
    3. Choose appropriate equipment for procedures being performed
24. Applied mathematics
    1. Use appropriate metric units for weight, volume and distance measurements
    2. State the value of metric prefixes: milli, centi, deci, kilo, nano and micro
25. Utilize critical thinking skills
    1. Formulate questions to determine if important information is lacking
    2. Reject information that is not accurate, relevant, precise or clear
    3. Double check all facts
    4. Examine the situation and evaluate the problem without bias or judgement
    5. Assess the situation for reason and logic
    6. Determine and state the goal to be accomplished
    7. Follow steps for implementation/problem solving
    8. Evaluate outcomes