Medical Lab Assistant Skills Checklist

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Today's Date: * +

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Last Name: *

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GENERAL SKILLS 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 *

Supervisor experience	123
National Patient Safety Goals/Core Measures	123
Awareness of HCAHPS	123
Accurate Patient Identification	123
Demonstrates knowledge of anatomy	123
Use proper body mechanics	123
Use of transfer/lifting Devices	123
Infection Control	123
Universal Precautions	123
Isolation Precautions	123
Minimize fall risks	123
Crash Cart	123
Defibrillator	123
Care of patient in Restraints	123
Obtain Vital Signs	123
Patient/Family education	123
Ensures HIPAA compliance	123

GENERAL LABORATORY:

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 *

Centrifuge operation and maintenance	123
Refractometer operation and maintenance	123
Cytospin operation and maintenance	123
Hood operation and maintenance	123
Proper storage of specimens for later testing	123
Departmental record completion	123
Departmental sample preparation	123
Referral testing – sample requirements, packaging reporting	123
Patient and sample identification	123
Collection of samples	123
Specimen Labeling	123
General Venipuncture	123
Heel stick	123
Finger Stick	123
Whole blood bedside glucose testing	123
Preparation of peripheral blood smears	123
Collection of specimens for microbiology	123
Emergency identification procedure	123
Specimen collection for drug testing	123
Handling of biohazardous materials/waste	123
Guidelines for specimen rejection/acceptance	123
Standard precautions	123
Isolation precautions	123
Electronic documentation	123

TESTING:

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 *

Daily startup procedure	123
Run and review Q.C.	123
Perform CBC testing	123
Perform PT and APTT Testing	123
Perform urinalysis microscopic procedures	123
Perform dipstick procedures	123
Perform confirmation testing for positive results	123
Kit testing (RPR, H. Influenza, Monotest UPT, RSV, Strep A Screen, Rotavirus, etc.)	123
Culture Routine, Collection, and Setup	123
Culture Collection Procedure	123
Set Up Culture According to Protocols	123
Proper Planting Techniques	123
Seek Assistance for Critical or Absurd Results	123
Report Acceptable Results	123
Save/Archive/File Patient Results Per Policy	123
Perform Preventative Maintenance	123
Ability to Troubleshoot Instruments per Policy	123

DATA MANAGEMENT, RECORD KEEPING, & EMR 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 *

Epic Computerized charting	123
Cerner	123
Meditech	123
McKesson	123
Other computerized charting platforms	123
Data entry for patient and sample information	123
Accurate Record keeping for specimens, tests, and results	123
Report generating	123

QUALITY CONTROL & SAFETY:

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 *

Quality control checks	123
Equipment checks and tests	123
Problem identification and invalid result review	123
Adherence to safety protocols for handling biohazardous materials	123

COMMUNICATION & INTERPERSONAL SKILLS:

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 *

Effective communication with laboratory staff	123
Effective communication with other healthcare professionals	123
Effective communication with patients	123

CYTOLOGIC SPECIFIC:

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 *

Assist with collection of bronchoscopy	123
Assist with Fine Needle Aspiration	123
Assist with Cyst Aspiration	123
Assist with Buccal Smears	123
Assist with Renal Biopsies	123
Assist with Effusions	123
Assist with Pleural Biopsies	123
Assist with Cytogenetics Prep	123
Logging and Accessioning of Specimens	123
Fixation of Specimens	123
Staining and Coverslipping	123
Processing of Specimens by Centrifuge Method	123
Processing by Cytocentrifuge Method	123
Filing Slides, Requisitions, and Reports	123
Carbowax Preparation	123
Cresyl Violet Preparation	123
3% Amphyl Preparation	123
10% Bleach Preparation	123
Scott’s Tap Water Preparation	123
Saponin Preparation	123
Centrifuge Operation and Maintenance	123
Fume/Biological Hood Operation and Maintenance	123

BASIC MEDICAL KNOWLEDGE:

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 *

Medical terminology and abbreviations	123
Test Accuracy	123
Patient Safety	123

PROBLEM-SOLVING, CRITICAL THINKING, ETHICAL & PROFESSIONAL CONDUCT:

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 *

Ability to identify and troubleshoot common issues that may arise	123
Decision-making ability based on protocols and guidelines	123
Maintain patient confidentiality and adhere to ethical standards	123
Follow professional codes of conduct	123

WORK SETTING:

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 *

Hospital	123
Outpatient	123
Small Facility	123
Large/Regional Teaching Facility	123
Clinic setting	123

AGE-SPECIFIC 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 *

Newborn / neonate (birth-30 days)	123
Infant (31 days-1 year)	123
Toddler (ages 2-3 years)	123
Preschool (ages 4-5 years)	123
School age (ages 6-12 years)	123
Adolescent (ages 13-21 years)	123
Young adult (ages 22-39 years)	123
Adult (ages 40-64 years)	123
Older adult (ages 65-79 years)	123
Elderly (ages 80+ years)	123

Attestation

ATTESTATION: *

I certify that the information provide above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *