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LAB ASSISTANT

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Age of Patients Cared For

Newborn/Neonate (birth to 30 days) *

Infant (1 month to 1 year) *

Toddler (1 year to 3 years) *

Preschooler (3 years to 5 years) *

School Age Child (5 years to 12 years) *

Adolescents (12 to 18 years) *

Young Adults (18 to 39 years) *

Middle Adults (39 to 64 years) *

Older Adults (64 to 79 years) *

Elderly Adults (over 79+ years) *

General Laboratory

Centrifuge Operation and Maintenance *

Refractometer Operation and Maintenance *

Cytospin Operation and Maintenance *

Hood Operation and Maintenance *

Proper Storage of Specimens for Later Testing *

Departmental Record Completion *

Departmental Sample Preparation *

Referral Testing – Sample Requirements, Packaging, Reporting *

Patient and Sample Identification *

Collection of Samples *

Specimen Labeling *

General Venipuncture *

Heel Stick *

Finger Stick *

Whole Blood Bedside Glucose Testing *

Preparation of Peripheral Blood Smears *

Collection of Specimens for Microbiology *

Emergency Identification Procedure *

Specimen Collection for Drug Testing *

Handling of Biohazardous Materials/Waste *

Guidelines for Specimen Rejection/Acceptance *

Standard Precautions *

Isolation Precautions *

Electronic Documentation *

Testing

Daily Startup Procedure *

Run and Review Q.C. *

Follow Policy/Procedure Corrective Action for Out-of-Range Q.C. *

Perform CBC Testing *

Perform PT and APTT Testing *

Perform Urinalysis Dipstick Procedures *

Perform Urinalysis Microscopic Procedures *

Perform Confirmation Testing for Positive Results *

Kit Testing (RPR, H. Influenza, Monotest UPT, RSV, Strep A Screen, Rotavirus, etc.) *

Culture Routine, Collection, and Setup *

Culture Collection Procedure *

Proper Planting Techniques *

Seek Assistance for Critical or Absurd Results *

Report Acceptable Results *

Save/Archive/File Patient Results Per Policy *

Perform Preventative Maintenance *

Ability to Troubleshoot Instruments per Policy *

Cytology Specific

Assist with Collection of Bronchoscopy *

Assist with Fine Needle Aspiration *

Assist with Cyst Aspiration *

Assist with Buccal Smears *

Assist with Renal Biopsies *

Assist with Effusions *

Assist with Pleural Biopsies *

Assist with Cytogenetics Prep *

Logging and Accessioning of Specimens *

Fixation of Specimens *

Staining and Coverslipping *

Processing of Specimens by Centrifuge Method *

Processing by Cytocentrifuge Method *

Filing Slides, Requisitions, and Reports *

Carbowax Preparation *

Cresyl Violet Preparation *

3% Amphyl Preparation *

10% Bleach Preparation *

Scott’s Tap Water Preparation *

Saponin Preparation *

Centrifuge Operation and Maintenance *

Fume/Biological Hood Operation and Maintenance *

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