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Medical Technologist Skills Checklist | ||||||
| NAME | |||||||
| LAST 4 OF SSN | |||||||
| DATE | |||||||
| I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination. | |||||||
| Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below. | |||||||
| Proficiency Scale: |
1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently |
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| Rating Stars (Click) | Blood Bank | 1 | 2 | 3 | 4 | ||
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Component Preparation | ||||||
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Special Blood Typing | ||||||
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Procedures | ||||||
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Patient Identification | ||||||
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Emergency Release | ||||||
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Freezing Blood | ||||||
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Antibody Identification | ||||||
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Antibody Titer | ||||||
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Blood Irradiation | ||||||
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Cold Agglutinins | ||||||
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Direct Coombs Test | ||||||
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Indirect Coombs Test | ||||||
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Cross Match | ||||||
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Donor Unit Collections | ||||||
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Immediate Spin Cross Match | ||||||
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Plasmapheresis | ||||||
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Rhogam | ||||||
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Kell, Kidd, Duffy, RH HR, MNS, Lewis, P | ||||||
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Type RH | ||||||
| Rating Stars (Click) | Urinalysis | ||||||
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Automated Instrumentation | ||||||
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Crystal Identification | ||||||
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Semen Analysis | ||||||
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Macroscopic UA | ||||||
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Microscopic UA | ||||||
| Rating Stars (Click) | Hematology | ||||||
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Body Fluid Count | ||||||
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Bleeding Time | ||||||
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Lee-White Clotting Time | ||||||
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Differential | ||||||
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Eosinophil Count | ||||||
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Factor Assays | ||||||
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Fibrinogen | ||||||
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Fibrin Split Products/FDB | ||||||
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Platelet Aggregation | ||||||
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Platelet Count | ||||||
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PT and PTT | ||||||
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Reticulocyte | ||||||
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Sedimentation Rate | ||||||
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Sicle Cell Prep | ||||||
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PAS, Peroxidase, Leukocyte, Aldaline, Phosphatase | ||||||
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Thrombin Time | ||||||
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Fetal Hemoglobin | ||||||
| Rating Stars (Click) | Chemistry | ||||||
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Acetone Analysis | ||||||
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Atomic Absorption | ||||||
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Thin Layer Chromatography | ||||||
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Gas Chromatography | ||||||
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CSF/Body Fluid Drug Monitoring | ||||||
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CSF/Body Fluid Electrolytes | ||||||
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Electrophoresis | ||||||
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Immunoelectrophoresis | ||||||
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Osmolality | ||||||
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Stool Analysis | ||||||
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Instrumentation Used - Blood Gas | ||||||
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Instrumentation Used - Main Chemistry Unit | ||||||
| Rating Stars (Click) | Serology/Immunology | ||||||
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Hemagglutination Inhibition | ||||||
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Pregnancy Testing | ||||||
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Meningitis Screen | ||||||
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Body Fluids | ||||||
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Rubella Serology | ||||||
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ANA | ||||||
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ASO Titer | ||||||
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C3, C4, Total Complement | ||||||
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Febrile Agglutinations | ||||||
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FTA-ABS | ||||||
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LE Cell Prep | ||||||
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Monostat | ||||||
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Radial Immuno Diffusion | ||||||
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Rhumatoid Factor | ||||||
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RPR | ||||||
| Rating Stars (Click) | Phlebotomy | 1 | 2 | 3 | 4 | ||
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Basic Safety Guidelines: gloves and goggles | ||||||
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Communication Skills | ||||||
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Ability to Write Procedures | ||||||
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Masks | ||||||
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Use of Balance (weighing) | ||||||
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Anticoagulants - Knowledge of Tube Types and Uses | ||||||
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Calculation for Solution Prep: Molarity and Molality | ||||||
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Finger Stick | ||||||
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Heel Stik | ||||||
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M.L.A. | ||||||
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Operatoin of Centrifuge | ||||||
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Pediatric | ||||||
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Pipetting | ||||||
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To Contain | ||||||
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To Deliver | ||||||
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Venipuncture | ||||||
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Volumetric | ||||||
| Rating Stars (Click) | Microbiology/Virology | 1 | 2 | 3 | 4 | ||
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Blood Culture | ||||||
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Cell Culture | ||||||
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Aerobic Culture | ||||||
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Anaereobic Culture | ||||||
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Anaereobic Identification | ||||||
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Mycobacteria Culture | ||||||
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Sensitivities | ||||||
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Virus Identification | ||||||
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Virus Isolation | ||||||
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Acid Fast Stain (Fluorescent) | ||||||
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Acid Fast Stain (Kinyoun) | ||||||
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C Difficili Assay | ||||||
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Concentration Techniques | ||||||
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Culture Plating | ||||||
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Darkfield | ||||||
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Gram Stain | ||||||
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Identification | ||||||
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India Ink | ||||||
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KOH Prep | ||||||
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M.I.C | ||||||
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Chlamydia Culture | ||||||
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Malarial Examination | ||||||
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Occult Blood | ||||||
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Organism Identification (Aerobic) | ||||||
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OVA and Parasite Concentration | ||||||
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Ova and Parasite Identification: Trichone | ||||||
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West Mount - Mobility | ||||||
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Wet Mount | ||||||
| Rating Stars (Click) | RIA | 1 | 2 | 3 | 4 | ||
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Data Reduction | ||||||
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Curves/Regression | ||||||
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Counters | ||||||
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Background Counts | ||||||
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Scintillation Counter | ||||||
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Hormone Testing | ||||||
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Radiation Safety Techniques | ||||||
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Instrumentation/Gamma Counters | ||||||
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B12/Folates | ||||||
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Hepatitis | ||||||
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Thyroid Testing | ||||||
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Tumor Markers | ||||||
| Rating Stars (Click) | EMR | 1 | 2 | 3 | 4 | ||
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Allscripts | ||||||
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Cerner | ||||||
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Epic | ||||||
| HomeCare Home Base | |||||||
| McKesson | |||||||
| Mediatech | |||||||
| Other Computerized Documentation System | |||||||