Laboratory Workflow

Report
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
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Pre-analytical
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Analytical
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Orders
Chain of Custody
Patient identification and prep
In-lab vs. POCT
QC
Calibration
Maintenance
Post-analytical
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sample transport / storage
result documentation
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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
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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.
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Website for Hematology:
www.hematology.org
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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
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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
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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
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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
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The Phlebotomist is trained in the process of
blood collection using either venipuncture or
capillary punctures.
Website for Phlebotomy: www.aspt.org
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Hospitals and Clinics
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Reference Laboratories
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In-patients
Out-patients
Commercial
Satellites / Phlebotomy Centers
Physician Office Laboratories (POL)
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Veterinary offices
Armed forces
Pharmaceutical companies
Research and clinical work in facilities that
specialize in cancer, neurologic disorders, and
fertility studies
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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
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Laboratory Staff
 Medical Technologist
Medical Laboratory Technician
Medical Laboratory Assistant
 Phlebotomist
Quality Improvement - Revenue / Cost
 Standard Operating Procedures
 Human Resources
 QA
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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.

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