Medical Technologist (CLS) Skills Checklist

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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 Facility123
Trauma Center123
Academic/Teaching Facility123
Outpatient Care Facility123
Long term care/Skilled Nursing123
Clinic/Ambulatory123
Home Health Setting123
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 Preparation123
Special Blood Typing123
Procedures123
Patient Identification123
Emergency Release123
Freezing Blood123
Antibody Idenification123
Antibody Titer123
Blood Irradiation123
Cold Agglutinins123
Direct Coombs Test123
Indirect Coombs Test123
Cross Match123
Donor Unit Collections123
Immediate Spin Cross Match123
Plasmapheresis123
Plateletpheresis123
Rhogam123
Kell, Kidd, Duffy, RH HR, MNS, Lewis, P123
Type RH123
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 Instrumentation123
Crystal Identification123
Semen Analysis123
Macroscopic U.A.123
Microscopic U.A.123
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 Count123
Bleeding Time123
Lee-White Clotting Time123
Differential123
Eosinophil Count123
Factor Assays123
Fibrinogen123
Fibrin Split Products/FDP123
Platelet Aggregation123
Platelet Count123
PT and PTT123
Reticulocyte123
Sedimentation Rate123
Sickle Cell Prep123
PAS, Peroxidase, Leukocyte, Aldaline Phosphatase123
Thrombin Time123
Fetal Hemoglobin123
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 Analysis123
Atomic Absorption123
Thin Layer Chromatography123
Gas Chromatography123
CSF/Body Fluid Drug Monitoring123
CSF/Body Fluid Electrolytes123
Electrophoresis123
Immunoelectrophoresis123
Osmolality123
Stool Analysis123
Instrumentation Used - Blood Gas123
Instrumentation Used - Main Chemistry Unit123
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 Inhibition123
Pregnancy Testing123
Meningitis Screen123
Body Fluids123
Rubella Serology123
ANA123
ASO Titer123
C3, C4, Total Complement123
Febrile Agglutinations123
FTA-ABS123
LE Cell Prep123
Monostat123
Radial Immuno Diffusion123
Rheumatoid Factor123
RPR123
TORCH Studies123
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 goggles123
Communication Skills123
Ability to Write Procedures123
Masks123
Use of Balance (weighing)123
Anticoagulants - Knowledge of Tube Types and Uses123
Calculation for Solution Prep: molarity and molality123
Finger Stick123
Heel Stick123
MLA123
Operation of Centrifuge123
Pediatric123
Pipetting123
To Contain123
To Deliver123
Venipuncture123
Volumetric123
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 Culture123
Cell Culture123
Aerobic Culture123
Anaerobic Culture123
Anaerobic Identification123
Mycobacteria: Culture123
Sensitivities123
Virus Identification123
Virus Isolation123
Acid Fast Stain (Fluorescent)123
Acid Fast Stain (Kinyoun)123
C Difficili Assay123
Concentration Techniques123
Culture Plating123
Darkfield123
Gram Stain123
Identification123
India Ink123
KOH Prep123
M.I.C.123
Chlamydia Culture123
Chlamydia Smear123
Malarial Examination123
Occult Blood123
Organism Identification (Aerobic)123
Ova and Parasite Concentration123
Ova and Parasite Identification: Trichone123
West Mount - Mobility123
Wet Mount123
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 Reduction123
Curves/Regression123
Counters123
Background Counts123
Scintillation Counter123
Hormone Testing123
Radiation Safety Techniques123
Instrumentation/Gamma Counters123
B12/Folates123
Hepatitis123
Thyroid Testing123
Tumor Markers123

Attestation

ATTESTATION: *