Serving in all areas of the clinical laboratory Doctor’s Order Results Reported to Doctor Identified Analysis of Sample Delivered Sample Process Patient Sample Collected / Specimen Pre-analytical Analytical Orders Chain of Custody Patient identification and prep In-lab vs. POCT QC Calibration Maintenance Post-analytical sample transport / storage result documentation 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 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 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 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 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 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 The Phlebotomist is trained in the process of blood collection using either venipuncture or capillary punctures. Website for Phlebotomy: www.aspt.org Hospitals and Clinics Reference Laboratories In-patients Out-patients Commercial Satellites / Phlebotomy Centers Physician Office Laboratories (POL) Veterinary offices Armed forces Pharmaceutical companies Research and clinical work in facilities that specialize in cancer, neurologic disorders, and fertility studies 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. 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 Quality Improvement - Revenue / Cost Standard Operating Procedures Human Resources QA GENERAL EDUCATION CORE Composition Humanities, Arts & Literature Social Sciences Science Core Mathematics Credits ENGL-121 College Composition SPCH-105 Fundamentals of Public Speaking PSYC-101 General Psychology BIOL-101 General Biology BIOL-200 Microbiology/Lab MATH-138 Statistics 3 3 3 4 4 4 REQUIRED COURSES RELATED TO MAJOR BIOL-203 BIOL-204 CHEM-101 CHEM-201 MLTS-201 MLTS-202 MLTS-203 MLTS-204 MLTS-205 MLTS-206 MLTS-251 MLTS-252 MLTS-253 MLTS-254 Anatomy and Physiology I Anatomy and Physiology II General Inorganic Chemistry I Organic Chemistry I X Introduction to the Medical Laboratory X Clinical Chemistry X Clinical Hematology X Clinical Immunology / Immunohematology X Clinical Microbiology I X Clinical Microbiology II X Chemistry Clinical Practice X Hematology Clinical Practice X Immunology / Immunohematology Clinical Practice X Microbiology Clinical Practice 4 4 4 4 3 3 4 4 3 3 2 2 2 2 65 Proposed Course Schedule for MLT Associate of Applied Science Degree (A.A.S. Degree): (Total of 65 credits) First Year Summer Sessions BIOL-101 ENGL-121 General Biology College Composition Total 4 credits 3 credits 7 credits Total 3 credits 4 credits 4 credits 4 credits 15 credits Total 3 credits 3 credits Total 4 credits 4 credits 4 credits 3 credits 15 credits Total 3 credits 3 credits 6 credits Total 4 credits 4 credits 3 credits 11 credits Chemistry Clinical Practice Hematology Clinical Practice Immunology/Immunohematology Clinical Practice Microbiology Clinical Practice Total 2 credits 2 credits 2 credits 2 credits 8 credits First Year Fall Semester SPCH-105 BIOL-203 CHEM-101 MATH-138 Fundamentals of Public Speaking Anatomy and Physiology I General Inorganic Chemistry I Statistics First Year Winter Intersession PSYC-101 General Psychology First Year Spring Semester BIOL-204 BIOL-200 CHEM-201 MLTS-201 Anatomy and Physiology II Microbiology / Lab Organic Chemistry I Introduction to the Medical Laboratory Second Year Summer Sessions MLTS-202 MLTS-205 Clinical Chemistry Clinical Microbiology I Second Year Fall Semester MLTS-203 MLTS-204 MLTS-206 Clinical Hematology Clinical Immunology / Immunohematology Clinical Microbiology II Second Year Spring Semester MLTS-251 MLTS-252 MLTS-253 MLTS-254 As an entry-level Medical Laboratory Technician, the Howard Community College graduate will be able to: 1. Demonstrate and evaluate proper techniques when performing blood collection procedures – with emphasis on personal and patient safety. 2. Demonstrate proper handling of patients / specimens and evaluate situations that may cause adverse issues while employing strong critical thinking and problem solving skills. 3. Demonstrate competence with laboratory mathematics and quality control methodologies. 4. Discuss and comply with medical regulations as related to medical ethics particularly with patient confidentiality. 5. Demonstrate proper educational techniques – with emphasis on oral and written presentations. 6. Demonstrate informational literacy and perform / present basic research – with emphasis on the use of computer technology. 7. Analyze and interpret the clinical properties and components of blood and other body fluids. 8. Evaluate normal versus abnormal results with focus to clinical correlation and quality assurance when testing components of blood and other body fluids. 9. Evaluate and compare the different types of testing procedures used in the clinical laboratory with special consideration of the pre-analytical, analytical and post-analytical phases of testing. 10. According to established good laboratory practice, perform / interpret common laboratory procedures utilized in a clinical laboratory and indicate when follow-up testing is recommended. 11. Demonstrate compliance with established professional and safety protocols. 12. Demonstrate professionalism, strong communication skills and a commitment to continuing education. 13. With emphasis on global awareness and diversity, discuss the various roles of the MLT within the healthcare field as well as within the community.