Breadcrumb Home Other Checklists Medical Laboratory Form Information Info Name * Last 4 digits of SSN * Contact Phone * Email * Proficiency Scale 1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently Medical Laboratory Blood Bank * Chem * Hemo * Micro * Serol * Medical Laboratory Patient Positioning * Fingerstick * Venipuncture * Warming the Puncture Site * Tourniquet Application & Removal * Decontamination of the Puncture Site * Tuberculosis Exposure Control Plan * Post Venipuncture Site Care * Order of Tube Collection * Arterial Blood Gas Kits * Occult Blood Packets * Heel Warmers * Pin Worm Kits * Serum Separators * Blood Culture Preparation Kits * Centrifuge * Capillary Blood Kits * Bacteria Media * Drug Screen Kits * Ova Parasite Containers * Legal Blood Draw Kits * Paternity Blood Draw Kits * RSV Kits * Chemistry Acetone Analysis * Atomic Absorption * B12/Folates * CSF Protein * Drug Monitoring * Electrolytes * Electrophoresis * Gas Chromatography * Hepatitis * Hormone Testing * Immunoelectrophoresis * Include Blood Gas * Main Chemistry Unit * Osmolality * Stool Analysis (Fecal Fats) * Thin Layer Chromatography * Thyroid Testing * Tumor Markers * RIA Background Counts * Counters * Curves/Regressions * Data Reduction * Instrumentation/Gamma * Radiation Safety Techniques * Scintillation Counter * Blood Bank Antibody Identification * Antibody Titer * Blood Irradiation * Component Preparation * Direct Coombs Test * Indirect Coombs Test * Cross Match * Donor Unit Collections * Emergency Release * Freezing Blood * Immediate Spin Cross Match * Patient Identification * Plasmapheresis * Plateletpheresis * Procedures * Rhogam Administration * Antigen Typing * Type, RH * Microbiology/Virology Concentration Techniques * Identification * Acid Fast Stain (Fluorescent) * Acid Fast Stain (Kinyoun) * Anaerobic Culture * Anaerobic Identification * Blood Culture * C. Difficile Assay * Cell Culture Technique (Viral) * Chlamydia Culture * Chlamydia Smear * Culture Plating * Darkfield * Gram Stain * India Ink * KOH Prep * Malarial Examination * Mycobacteria Culture * Occult Blood * Organism Identification * Ova & Parasite Concentration * Trichcone * Wet Mount * K.B. * M.I.C. * Virus Isolation * Wet Mount - Motility * Urinalysis Automated Instrumentation * Large Volume Automation Equipment * Small Volume Automation Equipment * Crystal Identification * Macroscopic Urinalysis * Microscopic Urinalysis * Semen Analysis * hematology Bleeding Time * Body Fluid Count * Complete Blood Count (CBC) * D-Dimer * Differential * Eosinophil Count * Factor Assays * Fetal Hemoglobin * Fibrin Split Products (FDP) * Fibrinogen * Lee-White Clotting Time * Platelet Aggregation * Platelet Count * PT & PTT * Reticulocyte Count * Sedimentation Rate * Special Stains (PAS, Peroxidase, Leukocyte Alkaline Phosphatase) * Sickle Cell Prep * Thrombin Time * Serology/Immunology * National Patient Safety Goals Accurate Patient Identification * Labeling * Effective Communication * Infection Control * Quality Control/Quality Assurance * Assist with On-Site Procedure * Age Specific Competencies Assist with On Site Procedure * Newborn/Neonate (Birth - 30 Days) * Infant (31 Days - 1 Year) * Toddler (Ages 2-3 Years) * Preschool (Ages 4-5 Years) * School Age (Ages 6-12 Years) * Adolescent (Ages 13-21 Years) * Young Adult (Ages 22-39 Years) * Adult (Ages 40-64 Years) * Older Adult (Ages 65-79 Years) * Elderly (Ages 80+ Years) *