Organization Profile Form

Medical Laboratory Assistant CMLA (AMT)
Organization Profile
Organization Name*
School Type*

High SchoolCommunity CollegeCareer SchoolTechnicalUniversity
High School Affiliate*
Name of Partnered Organization
Campus Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact name*

First Name Last Name
Title*
Business Email*
example@example.com
Phone Number*
Website Address and/or Academic Program Links*
example: www.amt-university.org
Current certification agency used (check all that apply)*

AMTASCPNCCTNHANoneOther
Current certification agency used
(if other)
Program Curriculum
Number of Classroom Clock Hours (as indicated in catalog)*
(Convert credit hours to clock hours)
Number of Fundamental Laboratory Technology Hours (in the classroom)*
(Convert credit hours to clock hours)
Number of Clinical Laboratory Experience Clock Hours*
(Convert credit hours to clock hours)
Minimum program requirements

Check all areas below which apply to your curriculum
Laboratory Safety and Quality
Safety Standards, Infection Control Procedures, and OSHA Regulations

Regulatory and standard-setting agenciesInfection control and safety practicesPractices for infection control, isolation techniques, aseptic techniques, and methods of disease preventionPublic health reporting practices for national and state-notifiable diseases (HCV, HIV, lead)OSHA Bloodborne Pathogens Standard and Needle Safety Precaution ActPractices as outlined in the OSHA Hazard Communication StandardGlobally Harmonized System of Classification and Labeling of Chemicals (GHS)Use of the Material Safety Data Sheets (MSDS)
Quality Assessment, Quality Control, and Confirmatory Testing

Quality Assessment and Quality ControlDeviations from Prescribed Use of Waived TestsConfirmatory and Supplemental Testing
Total Selected - Work Area 1
Pre-examination (Preanalytical) Considerations
Phlebotomy

General KnowledgeIdentify the correct patient properlyPhysiological aspects of blood collectionPerform capillary punctures (adult/infant)Prepare patient for testsSelect proper sitesPerform VenipunctureProper post-care of sitesProper tube draw sequence for collecting specimensRequirements for identification/appropriate containers for specimensHandle blood samples to maintain specimen integrity
Preexamination Processes and Specimen Collection

Instruct patients in the proper collection and preservation of various urine samplesRecognize patient problems related to syncope, nausea, and other complicationsInstruct patients in the collection of other specimens (e.g., semen, feces, sputum)Properly collect and handle specimens with time/temperature requirementsHandle and preserve body fluids for chemical analysisPrepare and stain slides for further analysisProcess specimens for shippingRecognize the suitability of specimens for urinalysis proceduresPrepare, store, and dispose of specimens for test analyses according to standard operating procedureIdentify and report potential preexamination errors (specimen collection, labeling, transporting, and processing)
Total Selected - Work Area 2
Examination (Analytical) Considerations
Chemistry

General KnowledgeEndocrinologyHepatic (liver) Function TestsCarbohydrate Metabolism TestElectrolytesKidney Function TestsInstrumentationToxicologyPoint-of-Care and Waived Clinical Chemistry Testing
Hematology

General KnowledgeInstrumentationCoagulation and HemostasisPoint-of-Care and Waived Hematological TestingErythrocyte Procedures
Immunology, Serology, and Immunohematology

General KnowledgeAnalytic ProceduresSpecial ProceduresSerological Tests for SyphilisPoint-of-Care and Waived Immunological, Serological, and Immunohematological Procedures
Microbiology

General KnowledgeMedia, Techniques, and CulturesSpecial Tests
Urinalysis

General KnowledgeMicroscopic TechniquesPoint-of-Care and Waived Urinalysis ProceduresGeneral Knowledge of Microscopy
Anatomy and Physiology

Employ basic terminologyBasic knowledge of anatomyBasic knowledge of physiology systems
Total Selected - Work Area 3
Patient Test Management, Communications, and Foundations
Legal, Ethical, Confidential, and Professional Considerations

Principles of liability in the laboratoryUse of consent formsGeneral knowledge of Provider-Performed Microscopy (PPM)Professional appearance and ethical conduct in the performance of dutiesThe Health Insurance Portability and Accountability Act (HIPAA)American Hospital Association’s Patient’s Bill of Rights and the Patient’s Bill of Rights
Clerical Skills, Communications, and Interpersonal Relations

Chart or file laboratory-generated reportsMaintain inventory levels - order and restock suppliesEnter, retrieve, and verify patient collection data and special notations using health information technologyManage supplies appropriately recognizing test kit, QC, or reagent expiration date vs. “open date” expiration dateEmploy billing and coding for procedures within the laboratory assistant’s scope of practiceAcknowledge, report/notify, and document critical values appropriatelyInform patients of special test requirementsUnderstand the significance of critical valuesDevelop and use proper and professional verbal and non-verbal communication skills with staff, patients, and familiesUse proper technique and etiquette for answering the telephone and providing information
Total Selected - Work Area 4
Chemistry

General knowledgeInstrumentationHeptic (liver) function testsCarbohydrate metabolism testEndocrinologyElectrolytesKidney function testsPoint-of-care testing
Hematology

InstrumentationCoagulation and hemostasis
Immunology and serology

General knowledgeSerological tests for syphilisAnalytic proceduresSpecial proceduresImmunohematology
Microbiology

General knowledgeMedia preparation, techniques and culturesSpecial tests
Urinalysis

General knowledgeAnatomy and physiologyAnalytic proceduresMicroscopic techniques
Total Program Requirements Selected
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Medical Laboratory Assistant CMLA (AMT)

Organization Profile

Program Curriculum

Minimum program requirements

Laboratory Safety and Quality

Pre-examination (Preanalytical) Considerations

Examination (Analytical) Considerations

Patient Test Management, Communications, and Foundations