medical laboratory technician program

99 Pages·2017·1.84 MB·English

by  Tamara L. Rahal

Fall 2017 –
Summer 2018
MEDICAL
LABORATORY
TECHNICIAN
PROGRAM
Clinical Education Guide
NEW RIVER COMMUNITY & TECHNICAL COLLEGE | 280 University Drive, Beaver, WV 25813
CLINICAL EDUCATION GUIDE
For Students and Clinical Faculty
INTRODUCTION
Effective clinical education in the Medical Laboratory Technician Program at New River
Community & Technical College (New River CTC) can only be accomplished
when each participant fully understands the various responsibilities and other important factors
involved during the practicum experiences. This Clinical Education Guide should provide both
the student and clinical affiliate with the necessary information regarding policies, procedures,
and expectations which govern the student during the internships. This Clinical Education Guide
should not be considered a complete official statement of all policies of New River CTC and
the Medical Laboratory Technician Program, but rather this should serve as a guide to assist
the affiliates in providing the appropriate educational experience for the students and to assist
the students in achieving their goals. This training guide is supplemental to the New River CTC
student manual and the MLT Program Policies & Procedures manual.
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TABLE OF CONTENTS
SECTION 1 – PROGRAM OVERVIEW
New River Community & Technical College - Faculty and Administration…………………………………………………… 1
Health Sciences Division – Administration ………………………………………………………………………………………..…………….1
Medical Laboratory Technician Program ………………………………………………………………………………….……………………..1
Clinical Affiliates - Faculty and Administration……………………………………………………………………………………..…………2
List of Current Clinical Affiliates …………………………………………………………………………….………………………………………..2
MLT Program Mission Statement……………………………………………………………..……………………………………………………..3
MLT Program Training Objectives ……………………………………………………………………………………………………………………3
MLT Program Training Methods ………………………………………………………………………………………………………………………3
MLT Program Training Materials …………………………………………………………………………………………………….…………….. 3
MLT Program Assessment & Evaluation ………………………………………………………………………………………………………….3
MLT Program Policies ………………………………………………………………………………………………………………………….……….. 4
Service Work …………………………………………………………………………………………………………………..…………………………….. 4
Alternate and Clinical Waiting Lists ……………………………………………….…………………………………………..………………….. 4
Outside Employment ……………………………………………………………………………………………………………….……………………. 4
Student Injury ………………………………………………………………………………………….……………………………………………………. 5
Clinical Electronic Device Policy …………………………………………………………………………………………………………………….. 5
Program Probation/Dismissal/Withdrawal/Re-Entry ………………………………………………………………….…………………. 6
Program Philosophy ……………………………………………………………………………….……………………………………………………… 8
Program Goals ……………………….……………………………………………………………………………….……………………………………… 8
Program Supporting Goals ……………………………………………………………………………………………………………………………… 8
Program Entry Level Competencies ………………………………………………………………………………….…………………………….. 9
MLT Program Curriculum ………………………………………………………….……………………………………………………………….... 10
Required Textbooks for MLT Program …………………………………………………………………………………………………………. 11
Student Pre-requisites for Clinical Education ………………………………………….…………………………………………………….13
Criminal Background Checks …………………………………………………………………………………………………………………………..13
Health Requirements ……………………………………………………………………………………..…………………………………………….. 13
Successful Completion of Didactic Courses …………………………………………………………………………………………………… 13
Clinical Education/Practicum Courses …………………….…………………….………………………………………………………………. 13
General Rotation Schedule ………………………………….……………………………………………………………………………………….. 13
New River CTC Student Badge ……………………………………………….……………………………………………………………………… 13
Hospital Identification Card/Badge ……………………………………………………………….………………………………………………. 13
Practicum Internship Pre-Requisite Checklist …………………………………………………………….………………………………….. 14
Dress Code and Personal Appearance…………………………………………………………………………………………………………….15
ASCP BOC Professional Certification Application Information……………….……………………………………………………...17
SECTION 2 - EDUCATIONAL GUIDELINES & POLICIES
Clinical Education Expectations ………………………………….………………………..……………………………………………………….. 18
MLT Clinical Education Rotation Calendar …………………..………………………………………………………………………………… 19
Clinical Education Guidelines …………………………………………………………………………………………………………………………. 20
Rules and Regulations ………………………………………………………………………….………………………………………………………… 20
Attendance ……………………………………………………………………………….…………………………………………………………………… 20
Miscellaneous ……………………………………………………………………………………………………………………………………………….. 21
Clinical Education Supervisor Responsibilities …………………………….………………………………………………………………….23
Description ………………………………………………………………………………….…………………………………………………………………. 23
Qualifications ……………………………………………………………………………….………………………………………………………………… 23
Responsibilities …………………………………………………………………………..…………………………………………………………………..23
Clinical Instructor Responsibilities …………………………………...……………………………………………………………………………..25
Objectives ……………………………………………………………………….……………………………………………………………………………….25
Responsibilities …………………………………………………………………………..………………………………………………………………….. 25
Student Responsibilities …………………………………………………………….……………………………………………………………….. 26

Objectives ………………………………………………………………………………………………………………………………………………………. 26
Training Methods …………………………………………………………………….………………………………………………………………………26
Materials & Resources for Training Include ……………………………………………………………………………………………………. 26
Assessment & Evaluations ……………………………………………………………………………………………………………………………… 26
SECTION 3 – EVALUATION FORMS & INSTRUCTIONS
Appraisal of Intern Performances ……………………………………………..…………………………………………………………………… 27
Student Evaluation of Clinical Site …………………………………..…………………………………………………………………………….. 29
SECTION 4 – PHLEBOTOMY/SPECIMEN PROCESSING
Phlebotomy/Specimen Processing Performance Checklist ………………………………………..………………………………………30
SECTION 5 - HEMATOLOGY
Hematology/Coagulation Performance Checklist ………………………………………..…………………………………………………….35
SECTION 6 - IMMUNOLOGY
Immunology Performance Checklist ……………………………………………………..……………………………………………………………43
SECTION 7 – URINE & BODY FLUIDS
Urinalysis Performance Checklist ………………………………………………………………………….……………………………………………50
SECTION 8 - IMMUNOHEMATOLOGY
Transfusion Services & Donor Center Performance Checklist ………………………….…………………………………………………57
SECTION 9 – MICROBIOLOGY
Microbiology Performance Checklist …………………………………………………………..……………………………………………………..66
Mycology Performance Checklist ……………………………………..……………………………………………………………………………….75
Parasitology Performance Checklist …………………………………………………………………………………………………………………..80
SECTION 10 – CLINICAL CHEMISTRY
Chemistry Performance Checklist …………………………………………..……………………………………………………………………………87
SECTION 11 – CLINICAL TIMESHEET
Clinical Affiliation Hours Log .......…………………………………………..……………………………………………………………………………95
FACULTY AND ADMINISTRATION
Health Sciences Division - Administration:
Dean of Transfer & Department Chair:
Pre-Professional Programs Paula Johnson
(acting) Program Director
Dr. Richard Pagan Paramedic/EMS Programs
VP, Academic Affairs R164
R210 304-929-2450
304-929-5493 [email protected]
[email protected]
Medical Laboratory Technician Program
Program Director/Faculty: Clinical Coordinator/Faculty:
Diane Tyson, MS, MLS(ASCP)CM Robert Stanton, MLS(NCA)
R137 Instructor – Heme, Coag, Chem, Micro
304-929-5038 R181
[email protected] 304-929-5487
[email protected]
Program Administrative Associate:
Tamara Rahal
R188
304-929-3324
[email protected]
Clinical Instructors - Several employees from the area hospitals, called Clinical
Instructors, assist in teaching “at the bench” in each of the clinical sites.
Clinical Education Supervisors - At each clinical site there is a Clinical Education Supervisor
that coordinates the student experiences at that site, usually the Laboratory Manager.
Advisory Committee - An advisory committee, composed of professionals from various
hospital and educational institutions, exists to provide guidance and input into the programs.
This program is in the process of obtaining NAACLS accreditation.
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CLINICAL AFFILIATES - FACULTY AND ADMINISTRATION
LIST OF CURRENT CLINICAL AFFILIATES
The following clinical affiliates have current signed affiliation agreements with New River Community
and Technical College MLT program:
Please note that communications and assignments are handled by the program officials. Students are
not to call affiliates directly. Only after assignments have been made can students contact the affiliate
site directly.
Beckley Appalachian Regional Hospital
306 Stanaford Rd.
Beckley, WV 25801
Laboratory Manager/CES: Ms. Carla L. Johnson
304-255-3389
Greenbrier Valley Medical Center Raleigh General Hospital
202 Maplewood Ave. 1710 Harper Rd.
Ronceverte, WV 24970 Beckley, WV 25801
Laboratory Manager/CES: Mr. Gary Mink Laboratory Manager/CES: Ms. Janet Halstead
304-647-4411 304-256-4157
Raleigh Regional Cancer Center
275 Dry Hill Rd.
Beckley, WV 25801
Laboratory Manager/CES: Ms. Debbie Lacek
304-253-6060
New River Health Associates Summers Co. Appalachian Regional Hospital
57 Sutphin Lane 1500 Terrace St.
Scarbro, WV 25917 Hinton, WV 25951
Laboratory Manager/CES: Ms. Barbara Bennett Laboratory Manager/CES: Ms. Teresa Keys
304-465-2085 304-466-2906
Plateau Medical Center Summersville Regional Medical Center
430 Main St. 400 Fairview Heights Rd.
Oak Hill, WV 25901 Summersville, WV 26651
Laboratory Manager/CES: Ms. Debbie Robbins Laboratory Manager/CES: Ms. Erin Massey
304-469-8628 304-872-8441
Pocahontas Memorial Hospital VA Medical Center
150 Duncan Rd. 200 Veterans Dr.
Buckeye, WV 24924 Beckley, WV 25801
Laboratory Manager/CES: Ms. Kathy Irvine Laboratory Manager/CES: Ms. Becky Browning
304-799-1040 304-255-2121
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MEDICAL LABORATORY TECHNICIAN PROGRAM INFORMATION
MISSION STATEMENT
The Associate of Applied Science degree in Medical Laboratory Technician provides the academic and
practical experience necessary to attain entry-level competency in the practice field. This educational
model has a strong academic structure and offers intensive technical development. This model also
emphasizes the critical importance of leadership in the field of clinical laboratory science through the
application of principles related to problem solving and evaluation, education, communication, research
and management. The faculty of the MLT Program has a responsibility for the impact the student
enrolled in the MLT Program may have on patient testing. In order to fulfill this responsibility, the
program has established minimum technical standards that must be met, with or without reasonable
documented accommodation, in order to participate in the program and graduate.
TRAINING OBJECTIVES
At the conclusion of 16 weeks in clinical training period, a MLT intern will be able to:
• Perform laboratory analyses in all disciplines of the clinical laboratory
• Describe the clinical significance of laboratory assays and test results
• Employ good laboratory practice by demonstrating proper patient identification, careful
handling of specimens, reliable assay performance and accurate and timely reporting of results
• Correlate test results with disease states
• Operate and troubleshoot a variety of laboratory instruments and analyzers including the LIS
• Implement systems of quality control, maintenance of records, equipment maintenance and
professional communications
• Describe the function and implementation of laboratory management
• Behave professionally at all times
TRAINING METHODS
The various means used in the MLT internship program to conduct training are:
• Didactic materials provided in pre-clinical lectures and student practice
• Scheduled clinical laboratory training at an affiliated laboratory for clinical rotations
• Computer-based courses and tutorials
• Laboratory practicals, including unknowns
• Observation of demonstrated laboratory techniques and skills
• Self-study and self-assessment
TRAINING MATERIALS
• Required textbooks, purchased for campus session
• Written procedures, operator’s manuals and package inserts
• Flowcharts, tables and graphs
• Computer tutorials, videotapes and online education modules
• Practice materials
• Self-study & research
ASSESSMENT & EVALUATION
The effectiveness of training may be assessed and evaluated with New River CTC provided materials
such as:
• Written examinations or quizzes, oral quizzes
• Record review
• Direct observation of psychomotor skills using provided materials such as unknowns
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• “Appraisal of Intern Performance” forms to be complete by trainers
• Training checklists and evaluations submitted by clinical instructors

MLT PROGRAM POLICIES

Service Work

Occasionally, there are health fairs or blood drives for which the students may volunteer to help, which
is fine as a volunteer.

It is the policy of the MLT program that students will receive no financial remuneration for the clinical
practicum experience.

Students are not allowed to work as regular staff (eg phlebotomist or tech) during the internship
rotation. They must be supervised at all times, and cannot work independently as part of the laboratory
staff.

Students may seek employment in the laboratory in which they are assigned for the clinical practicum.
This is termed “service work” and must be performed outside the scheduled hours of the clinical
practicum. Any service work must be noncompulsory, paid, supervised on site and subject to employee
regulations.

Alternate and Clinical Waiting Lists

Students are offered admission to the program to begin coursework in the Fall term. Students are
assigned to the clinical sites near the end of the Spring term just prior to the practica/internships. To
obtain maximum experiences for internship, students may be assigned to more than one clinical site.

Students will complete a Clinical Preference form and indicate his/her first, second, third choices for
internship sites, as well as the reason for the first choice. We will make every effort to place you in your
first choice, if possible. However, there are other factors that will also need to be considered by the
program officials. The decision made by the program officials will be final.

Our policy states:
“The number of students admitted is based on the capacity of the clinical facilities to accommodate
students. If there are not enough clinical sites to accommodate all students in a given year, selection will
be made from an alternate list based upon the student’s most recent numerical ranking (GPA).”

In the event that more students are admitted to the program than the availability of clinical site
placement, students will be assigned clinical placement based upon their current GPA. If the student
does not receive a “C” in the core courses or specified supportive courses, the student will be unable to
participate in any practicum experiences.

Outside Employment

Full time students are advised to limit outside employment to twenty (20) hours per week and must
arrange their work schedule so that it does not interfere with their educational objective. Working more
than twenty (20) hours per week may impede students’ learning and affect their success in the program.

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Students may NOT use scheduled work hours for their practicum/internship hours.
The program places restrictions on employment of students at affiliations where they are receiving
clinical training. The restrictions imposed are:
1. students must not be working during the scheduled hours of training.
2. students should only be employed in the area and/or perform procedures which they have
previously demonstrated competence and are considered entry-level.
3. students should not be employed in an area where there is no supervision.
Student Injury
Student Injury at Clinical Site
Accidents will be reported immediately to the Clinical Education Supervisor at the site. The CES will
notify the Program Director or Clinical Coordinator and complete the clinical site’s incident report form.
The student will be financially responsible for their own medical treatment. A New River CTC Incident
Report Form will also need to be completed.
Patient Incident
If an incident, such as fainting during a phlebotomy procedure, occurs, the following must be done:
1. If a person on campus has an incident, the New River CTC Incident Report Form will need to be
completed by the instructor immediately.
2. This incident form will need to be submitted to the dean within 24 hours.
If an incident occurs to a patient that is the fault of the student, the clinical facility will complete an
incident report form and notify the Clinical Coordinator immediately. A New River CTC Incident Report
Form will also need to be completed and Clinical Coordinator will notify the dean immediately.
Clinical Electronic Device Policy
In order to:
• Focus on patient care, where the laboratory is an integral part of the delivery of high quality
diagnostic health care services, and
• Minimize distractions and time away from the department and its functions, and
• Allow the clinical affiliate laboratory department to run with maximum efficiency and attention
to detail,
the following Electronic Device Policy has been developed for our students at the clinical site:
Use of personal electronic devices is unnecessary and acts as a distraction during normal laboratory
operations. Personal electronic devices are to be turned off while the students are “on the clock” during
the daily clinical experiences. The personal electronic devices may be used during the student’s
break/lunch, but must be returned to the off position once the student returns to the workplace. If
anybody needs to contact the student in case of an emergency, he/she may call the laboratory on the
institution’s regular phone, or leave a message for the student to call back during break/lunch.
Electronic devices include, but are not limited to:
• iPod or other MP3 audio player
• Palm pilot or other PDA type devices
• Cellular telephones
• Portable media players such as DVD or CD players
• TENS or musculoskeletal stimulator units except at the written direction of a physician due
to electrical field interferences.
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• Net pads or Net books (including iPads)
• Electronic readers
• Hand held games
• Pagers
This means no audio, verbal, or texting. Any non-work related electronic device must be turned off and
must remain off during working hours. If the student needs a timing device, then a watch can be used.
Any violation of this policy may result in dismissal from the program.
Program Probation/Dismissal, Withdrawals, Re-Entry
Probation
Upon failure to achieve a “passing” grade in a clinical department rotation or discipline, the student will
be placed on academic probation. The student will be allowed to attend another clinical site for that
rotation as soon as the schedule allows. If the student fails the rotation at the second clinical affiliate,
the student will be dismissed from the program and will not be allowed to reapply to the program.
Dismissal
Any conduct violation, as delineated in the MLT Policy & Procedure Handbook, “Unprofessional Behavior
of a Student,” such as cheating, stealing, etc, either in the academic or clinical setting, will result in
dismissal.
A student will be dismissed from the program when he/she:
1) Fails to attain a "C" (75 %) in a core didactic course (lab or lecture) or a “passing” in a second
clinical education discipline rotation.
2) Fails to meet the program course's pre-requisites.
3) Removes (steals) any laboratory equipment or supplies from New River CTC or clinical facility.
A student who fails to achieve/attain a 75 % (C), according to the above terms, will receive an “F” in the
course and will subsequently be dismissed from the program.
Withdrawal/Dismissal Involving Didactic Coursework:
Students may apply to re-enter the Program one time after dismissal/withdrawal from the program
(involving didactic program courses), following the re-entry procedure outlined below. The student will
be responsible for any financial costs incurred for the repeating these courses.
If the student originally failed the didactic course (lecture or lab component), the student must reapply
to the program, and retake all courses in the program.
If a student fails a (second) core course after being admitted into the program a 2nd time, he/she will be
dismissed from the program, without the opportunity to re-enter.
Students re-admitted into the program have only one opportunity to reinstate and complete the
program. Any subsequent core course failures will result in dismissal from the program, and the student
will not be accepted for re-entry into the program. For students who have been re-admitted into the
program, subsequent re-admissions for any personal/medical leaves will be considered on an individual
basis.
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