Lab/MLT Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Work Settings
*
Rows
1
2
3
4
Free Standing Lab
Reference Lab
Acute Setting
Blood Bank
*
Rows
1
2
3
4
Patient Identification Process
ABO/Rh/Antibody Screen & ID
Crossmatch - Immediate Spin/IgG
Antigen Typing
Antibody Typing: Gel Method
Antibody Typing: Tub Method
Cold Agglutinins
Rhogam Screening
Cord Blood Evaluation
Thawing/Cooling of Blood Products
Donor Collection Procedures
Issue Blood Product to Pt. Care Area
Emergency Release
Transfusion Reaction Workup
Chemistry
*
Rows
1
2
3
4
Specimen Preparation
Acetone Analysis
Arterial Blood Gas
B -12 Folates
Cardiac Enzymes
Chromatography - Gas
Chromatography - Thin Layer
Electropheresis
Hormone/Thyroid
Immunoassay
Osmolality
Stool Analysis
Therapeutic Drug Monitoring
Tumor Markers
Analyzer Use/Troubleshooting
Review & Interpretation of QC
Hematology/Coagulation
*
Rows
1
2
3
4
Automated Instrument Use
CBC Manual
Differential Manual
Sed Rate Manual
Reticulocyte Count
Fetal Hemoglobin
RBC Morphology
Platelet Count
Platelet Morphology
Body Fluid Analysis
Special Stains - e.g. PAS, LAP, Peroxidase
PT/PTT/INR
D-Dimer
Fibrinogen
Factor Assays
Fibrin Degradation Products
Thrombin Time
Platelet Function Analysis
Immunology/Serology
*
Rows
1
2
3
4
RPR/RPR Titer
Rheumatoid Titer
ANA
LE Prep
HIV Rapid
HIV Antibody Detection
Rubella
CMV
Microbiology
*
Rows
1
2
3
4
Cultures
Sub Cultures
Sensitivities
Kit Testing - Monospot/ASO Titer
Kit Testing - Flu/Rapid Strep/RSV
Wet Prep/KOH Prep
AFB Stain/Culture
O&P
Chlamydia
Processing Specimens for Viral/Fungal Cultures
Vitek
Urinalysis
*
Rows
1
2
3
4
Crystal Identification
Macroscopic Analysis
Microscopic Analysis
Pregnancy Testing
Phlebotomy
*
Rows
1
2
3
4
Patient Identification
PPE Equipment (Gloves/Mask, etc.)
Adult Venipuncture
Pediatric Venipuncture
Dermal Stick (Finger/Heel)
Butterfly Draw
Arterial Draw
Tube Types and Usage
Centrifuge Operation
Bleeding Time
Blood Culture Collection
Blood Alcohol Collection
Drug Screening Collection
General Equipment
*
Rows
1
2
3
4
Beckman
Hitachi
Ortho Vitros
Roche
Lab Information Systems
*
Rows
1
2
3
4
Meditech
Cerner
Horizon
Sunquest
Orchard
Undertaking
*
The Information I Provided is True & Accurate
Name
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit
Should be Empty: