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MT (CLS) Checklist

WORK SETTING EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Inpatient Acute Care Facility
Trauma Center
Academic/Teaching Facility
Outpatient Care Facility
Long term care/Skilled Nursing
Clinic/Ambulatory
Home Health Setting
BLOOD BANK:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Component Preparation
Special Blood Typing
Procedures
Patient Identification
Emergency Release
Freezing Blood
Antibody Idenification
Antibody Titer
Blood Irradiation
Cold Agglutinins
Direct Coombs Test
Indirect Coombs Test
Cross Match
Donor Unit Collections
Immediate Spin Cross Match
Plasmapheresis
Plateletpheresis
Rhogam
Kell, Kidd, Duffy, RH HR, MNS, Lewis, P
Type RH
URINALYSIS:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Automated Instrumentation
Crystal Identification
Semen Analysis
Macroscopic U.A.
Microscopic U.A.
HEMATOLOGY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Body Fluid Count
Bleeding Time
Lee-White Clotting Time
Differential
Eosinophil Count
Factor Assays
Fibrinogen
Fibrin Split Products/FDP
Platelet Aggregation
Platelet Count
PT and PTT
Reticulocyte
Sedimentation Rate
Sickle Cell Prep
PAS, Peroxidase, Leukocyte, Aldaline Phosphatase
Thrombin Time
Fetal Hemoglobin
CHEMISTRY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Acetone Analysis
Atomic Absorption
Thin Layer Chromatography
Gas Chromatography
CSF/Body Fluid Drug Monitoring
CSF/Body Fluid Electrolytes
Electrophoresis
Immunoelectrophoresis
Osmolality
Stool Analysis
Instrumentation Used - Blood Gas
Instrumentation Used - Main Chemistry Unit
IMMUNOLOGY/SEROLOGY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Hemagglutination Inhibition
Pregnancy Testing
Meningitis Screen
Body Fluids
Rubella Serology
ANA
ASO Titer
C3, C4, Total Complement
Febrile Agglutinations
FTA-ABS
LE Cell Prep
Monostat
Radial Immuno Diffusion
Rheumatoid Factor
RPR
TORCH Studies
PHLEBOTOMY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Basic Safety Guidelines: gloves and goggles
Communication Skills
Ability to Write Procedures
Masks
Use of Balance (weighing)
Anticoagulants - Knowledge of Tube Types and Uses
Calculation for Solution Prep: molarity and molality
Finger Stick
Heel Stick
MLA
Operation of Centrifuge
Pediatric
Pipetting
To Contain
To Deliver
Venipuncture
Volumetric
MICROBIOLOGY/VIROLOGY:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Blood Culture
Cell Culture
Aerobic Culture
Anaerobic Culture
Anaerobic Identification
Mycobacteria: Culture
Sensitivities
Virus Identification
Virus Isolation
Acid Fast Stain (Fluorescent)
Acid Fast Stain (Kinyoun)
C Difficili Assay
Concentration Techniques
Culture Plating
Darkfield
Gram Stain
Identification
India Ink
KOH Prep
M.I.C.
Chlamydia Culture
Chlamydia Smear
Malarial Examination
Occult Blood
Organism Identification (Aerobic)
Ova and Parasite Concentration
Ova and Parasite Identification: Trichone
West Mount - Mobility
Wet Mount
RIA:

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *
Data Reduction
Curves/Regression
Counters
Background Counts
Scintillation Counter
Hormone Testing
Radiation Safety Techniques
Instrumentation/Gamma Counters
B12/Folates
Hepatitis
Thyroid Testing
Tumor Markers