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Medical Laboratory Technician Program. THE LABORATORY. Generalists. Serving in all areas of the clinical laboratory. Understanding Laboratory Workflow. Doctor’s Order Results Reported Patient Sample
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Generalists Serving in all areas of the clinical laboratory
Understanding Laboratory Workflow Doctor’s Order Results Reported Patient Sample to Doctor Collected / Identified Analysis of Sample Specimen Delivered Sample Process
Workflow • Pre-analytical • Orders • Chain of Custody • Patient identification and prep • Analytical • In-lab vs. POCT • QC • Calibration • Maintenance • Post-analytical • sample transport / storage • result documentation
Hematology/Coagulation • Study of cells and other components found in the vascular system, bone marrow and other body fluids (such as synovial fluid, cardiac fluid, and spinal fluid). • Testing • in the diagnosis of blood disorders such as leukemia, anemia, and bleeding problems • monitoring patient blood who have infections or burns or who have undergone surgery or cancer treatment. • use microscopes and automated equipment. • CBC (Complete Blood Count) – Using analyzers, the MLT determines the amount of red blood cells, white blood cells, and platelets found in a cubic millimeter of blood. Hemoglobin and cell volumes/concentrations are also calculated. • Differential – Using a microscope, cells can be visually analyzed by the MLT to determine if infections, cancer or other abnormalities exist in a patient sample. • Bleeding Tests – PT and APTT are only a few of the tests used in coagulation studies to monitor patients who have bleeding disorders or who are taking anticoagulant drugs. • Website for Hematology: • www.hematology.org
Blood Bank - Immunohematology • Blood Grouping and Typing and Antibody Identification • Ensure Safe Blood Supplies (safe from AIDS, hepatitis and other infections • Transfusion Testing • Issues blood products such as packed cells, plasma, coagulation factors, and platelets. • plasmaphoresis, Rhogam tests, identification panels, transplantation, and paternity testing. • Website for Blood Bank: www.aabb.org
Clinical Immunology / Serology • Studies antigenic relationships to specific antibodies • Distinguish acute from chronic and present from past infections. • Some of the conditions studied include: lupus, rheumatoid arthritis, syphilis, toxoplasmosis, hepatitis, and AIDS. • Some procedures include: ELISA, electrophoresis, hemagglutination, fluorescence, and radio-immunoassay. • Website for Immunology: www.aai.org www.amli.org
Microbiology • Identification of viruses, bacteria, fungi and parasites • Procedures such as culturing, microscopic evaluation, chemical /serological / genetic testing / • Various illnesses such as pneumonia, tuberculosis, diarrhea, meningitis, and venereal diseases • Website for Microbiology: www.asm.org
Chemistry • Sophisticated instrumentation • Assays to help evaluate conditions such as diabetes, heart attack, hepatitis, and renal disorders • Analytical studies determine the physiologic levels of proteins, fats, sugars, enzymes, electrolytes, and other chemicals • Subdivisions of Chemistry include: Toxicology (therapeutic as well as drugs of abuse) and Endocrinology (hormones). • Website for Chemistry: www.aacc.org
Urinalysis • Kidney function assays • Microscopy, assay kits, and automated equipment • Assist the primary health care providers in diagnosing conditions such as diabetes, nephrosis, infections, pregnancy, and hemolysis
Phlebotomy • The Phlebotomist is trained in the process of blood collection using either venipuncture or capillary punctures. • Website for Phlebotomy: www.aspt.org
Types of Clinical Laboratories • Hospitals and Clinics • In-patients • Out-patients • Reference Laboratories • Commercial • Satellites / Phlebotomy Centers • Physician Office Laboratories (POL)
Opportunities • Veterinary offices • Armed forces • Pharmaceutical companies • Research and clinical work in facilities that specialize in cancer, neurologic disorders, and fertility studies
More Opportunities • Forensics • Genetics, epidemiology, medical publications, computer science, and quality assurance • Industry • development of new tests, procedures, and instrumentations. • sales, distribution, and service of new procedures, analyzers and reagents.
Organizational Structure Laboratory Management • Laboratory Medical Director • Laboratory Manager • Department/Technical Supervisor • Chief/Lead Technical Staff Laboratory Staff • Medical Technologist • Medical Laboratory Technician • Medical Laboratory Assistant • Phlebotomist
Beyond Science • Quality Improvement - Revenue / Cost • Standard Operating Procedures • Human Resources • QA