Essential Functions and Skills
I. STUDENT ABILITIES AND SKILLS
The abilities and skills students must possess in order to complete the training associated with the BCCC MLT Program are referred to as Essential Functions or Technical Standards. These essential functions or technical standards are a group of minimal physical and cognitive abilities as well as sufficient mental and emotional stability to confirm that students are able to complete the entire course of study, participate fully in all aspects of training, and be deployable as competent MLT students, with or without reasonable accommodation.
The BCCC MLT program has the ethical responsibility for the safety of patients with whom students will come in contact, and to the public to assure that its students can become fully competent Clinical Laboratory Professionals. It is important that persons admitted to our programs possess the intelligence, integrity, compassion, humanitarian concern, and physical and emotional capacity necessary to practice clinical laboratory skills. Students must verify that they meet these essential functions or technical standards at the time of entry to our program and maintain them during their training. Students are obligated to alert the Dean of Health Sciences of any change in their ability to fulfill the essential functions or technical standards. Students who do not meet the essential functions/technical standards are at risk of dismissal from the program.
These essential functions/technical standards are based upon the minimum tasks performed by students in a Medical Laboratory Technology Program as recommended by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). NAACLS is recognized by the Council for Higher Education Accreditation (CHEA). These Essential Functions will be reviewed annually by the BCCC Medical Laboratory Technician Advisory Committee.
Essential Function I: Observation
- Distinguish red, yellow, and blue colors, distinguish clear from cloudy,
- Distinguish and discriminate objects in the range of 1 micron through the microscope.
- Observe demonstrations and exercises in which biological fluids are tested.
- Perceive pertinent detail in objects or in pictorial or graphic material; to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures, and widths and lengths of line; to comprehend forms in space and understand relationships of plane and solid objects; the ability to visualize objects of two or three dimensions.
Essential Function II: Communication
- Communicate effectively and sensitively with patients, their families, and members of the health team.
- Communicate effectively with patients from different social and cultural backgrounds, as well as develop effective professional rapport with patients and co-workers.
- Record diagnostic results clearly, accurately and efficiently.
- Communicate effectively in English with patients, family and other health care professionals in a variety of patient settings.
- Comprehend English when spoken in person or via the telephone.
Essential Function III: Motor
- Maneuver in the laboratory, around instruments, in confined spaces, and in patient rooms. Movement includes utilizing shoulders, arms, and neck; bending; twisting the body; standing; reaching and grasping overhead, in front of the body, and down.
- Manipulate small objects and control adaptive devices with gloved hands.
- Manipulate instruments, perform manual procedures, and have sufficient eye/hand and eye/hand/foot coordination to perform required duties in a laboratory.
Essential Function IV: Intellectual-Conceptual, Integrative and Quantitative Abilities
- Demonstrate through a variety of modalities including, but not limited to, classroom instruction; small group, team and collaborative activities; individual study; preparation and presentation of reports; use of computer technology.
- Assimilate a large amount of complex, technical and detailed information.
- Discern abstract and concrete variables, define problems, collect data, establish facts, and draw valid conclusions.
- Interpret instructions furnished in oral, written, diagrammatic, or schedule form.
- Perceive pertinent detail in verbal or tabular material; observe differences in copy, proofread words and numbers, and avoid perceptual errors in arithmetic computation.
- Synthesize, coordinate, analyze, compile, compute, copy, and compare data.
Essential Function V: Behavioral and Social Attributes
- Function effectively under stress and to adapt to an environment that may change rapidly, without warning, and/or in unpredictable ways.
- Accept responsibility, exercise good judgment, and promptly complete all responsibilities attendant to the diagnosis and care of patients. They must understand the legal and ethical standards of the medical profession.
- Work effectively, respectfully and professionally as part of the healthcare team, and interact with patients, their families, and health care personnel in a courteous, professional, and respectful manner.
- Contribute to collaborative, constructive learning environments; accept constructive feedback from others; take personal responsibility for making appropriate positive changes.
- Interact with individuals and / or groups from a range of social, cultural, emotional, and intellectual backgrounds.
- Comprehend and follow instructions; perform simple and repetitive tasks; maintain a work pace appropriate to a given workload
- Relate to other people beyond giving and receiving instructions
- Perform complex or varied tasks, make generalizations, evaluations or decisions without immediate supervision, accept and carry out responsibility for directions
- Maintain own health and safety, and present a professional appearance.
Essential Function VI: Ethical and Legal Standards
- Comprehend and comply with the legal and ethical standards of the medical profession.
- Possess attributes that include compassion, empathy, altruism, integrity, responsibility, and tolerance.
- Recognize limitations in their knowledge, skills and abilities and to seek appropriate assistance with their identified limitations.
Other Essential Functions:
- Sufficient olfactory (smell) sense to maintain patients’ and environment safety.
- Ability to work indoors, be around moving machinery; fumes, gases, odors, irritating particles, possibly be exposed to toxic or caustic chemicals, blood and body fluids, noise, radiation or electrical energy, vibration
- Work in confined spaces
- Use a computer monitor
- Work alone, with others, and/or around others
- Ability to wear safety glasses, face mask/shield, protective clothing, and protective gloves in the laboratory.
Career Entry Competencies National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) Standards
Perform routine urinalysis according to CLSI Standards to include; physical, chemical, and microscopic testing. Use automated urinalysis equipment following manufacturer guidelines. Recognize abnormal cells, casts, and crystals. Introduction into laboratory safety, statistics, and phlebotomy. Course: WMLTP 0131. 126 course hours
Perform routine Hematology procedures according to CLSI Standards to include; CBC, Reticulocyte Count, Cerebrospinal Fluid and other body fluids, Erythrocyte Sedimentation Rates, Differentials, and Red Blood Cell morphology. Recognize abnormal cells. Perform Sickle Cell screening tests. Courses: WMLTP 0133 . 90 course hours
Perform routine Hemostasis procedures according to CLSI Standards to include; PT, PTT, D dimer, and FSP. Recognize abnormal results and take appropriate action. Course: WMLTP 0133 90 course hours
Perform Microbiology procedures according to CLSI Standards to include; specimen culturing, Gram staining and interpretation, reading of plates, biochemical procedures and interpretation, and processing of parasitology, mycology and AFB specimens. Course: WMLTP 0120 139 course hours
Perform routine Blood Bank procedures according to CLSI Standards to include; group and type, antibody detection and identification, compatibility testing, elutions, inventory and ordering of blood, and component preparation. Courses: WMLTP 0132. 90 course hours
Perform select rapid identification serological procedures according to CLSI Standards. Discuss ANA, anti-DNA and Thyroid Ab methods as they relate to immune disorders/diseases. Courses: WMLTP 0132, WMLTP 0105. WMLTP0132 90 hours. WMLTP0105 135 course hours
Perform routine Clinical Chemistry testing according to CLSI Standards to include; accessioning and organization of specimens, tests included in a health screening profile, correlation of test results and association of tests with appropriate analyzers. Courses: WMLTP 0105 135 course hours
Demonstrate a basic working knowledge of nucleic acid extraction, resolution and detection. Course: WMLTP 0131 126 course hours, WMLTP 0120 139 course hours
Perform quality assurance procedures in all sections of the Laboratory according to CLSI Standards. Recognize results that are out of control and take appropriate action. Courses: All WMLTP Courses
Demonstrate the principles of Laboratory Instrumentation; ability to learn operation of semiautomated and automated analyzers within a reasonable time frame. Courses: WMLTP 0105 135 course hours, WMLTP 0131 126 course hours , WMLTP 0132 90 course hours, WMLTP 0120 139 course hours
Demonstrate preventive maintenance on instrumentation. Courses: WMLTP 0105 126 course hours, WMLTP 0131 126 course hours, WMLTP 0133 90 course hours, WMLTP 0120 139 course hours
Demonstrate accurate record keeping in all sections of the laboratory. Courses: All WMLTP Courses
Demonstrate effective communication with patients and members of the health care delivery team; verbal, written, and through information systems. Courses: All WMLTP courses
Demonstrate professional ethics, standards of practice, and regulatory compliance. Follow instructions and accept direction. Courses: All WMLTP Courses
Maintain safety practices at all times according to OSHA guidelines. Courses: All WMLTP courses, emphasized in WMLTP 0131 126 course hours
II PROFESSIONALISM AND THE AFFECTIVE DOMAIN
A. AMERICAN SOCIETY FOR CLINICAL LABORATORY SCIENCE (ASCLS)
CODE OF ETHICS
The Code of Ethics of the American Society for Clinical Laboratory Science (ASCLS) sets forth
the principles and standards by which Clinical Laboratory Professionals practice their profession.
1. Duty to the Patient
Clinical Laboratory Professionals are accountable for the quality and integrity of the laboratory services they provide. This obligation includes maintaining individual competence in judgment and performance and striving to safeguard the patient from incompetent or illegal practice by others. Clinical Laboratory Professionals maintain high standards of practice. They exercise sound judgment in establishing, performing and evaluating laboratory testing. Clinical Laboratory Professionals maintain strict confidentiality of patient information and test results. The safeguard the dignity and privacy of patients and provide accurate information to other health care professionals about the services they provide.
2. Duty to Colleagues and the Profession
Clinical Laboratory Professionals uphold and maintain the dignity and respect of the profession and strive to maintain a reputation of honesty, integrity and reliability. They contribute to the advancement of the profession by improving the body of knowledge, adopting scientific advances that benefit the patient, maintaining high standards of practice and education, and seeking fair socioeconomic working conditions for members of the profession. Clinical Laboratory Professionals actively strive to establish cooperative and respectful working relationships with other health professionals with the primary objective of ensuring a high standard of care for the patients they serve.
3. Duty to Society
As practitioners of an autonomous profession, Clinical Laboratory Professionals have the responsibility to contribute from their sphere of professional competence to the general well-being of the community. Clinical Laboratory Professionals comply with relevant laws and regulations pertaining to the practice of clinical laboratory science and actively seek, within the dictates of their consciences, to change those which do not meet the high standards of care and practice to which the profession is committed
Pledge to the Profession: As a clinical laboratory professional, I strive to:
- Maintain and promote standards of excellence in performing and advancing the art and science of my profession
- Preserve the dignity and privacy of others
- Uphold and maintain the dignity and respect of our profession
- Seek to establish cooperative and respectful working relationships with other health professionals
- Contribute to the general well-being of the community.
- I will actively demonstrate my commitment to these responsibilities throughout my professional life
B. CHARACTER AND PROFESSIONALSIM
As you participate in your Medical Laboratory Technician program, you will be expected to demonstrate that you have learned what is required to become a Laboratory Professional. There are three learning domains, all important, all interrelated, into which your learning may be categorized: Cognitive; Psychomotor; Affective.
Students learn the facts and theories (cognitive), then transfer that knowledge into practice using varies skills sets to performing tasks (psychomotor).
The affective domain includes objectives that emphasize values, attitudes, and interest.
The following affective objectives will be used to evaluate the student for all student laboratories and all coordinated practice rotations:
AFFECTIVE OBJECTIVES FOR STUDENT LABORATORIES
1. Arrives on time.
2. Works well with others.
3. Recognizes and confirms abnormal test results.
4. Organizes himself/herself to complete workload in a timely manner, work area clean, supplies maintained.
5. Adheres to the rules and regulations of the laboratory.
6. Follows directions.
AFFECTIVE OBJECTIVES FOR COORDINATED PRACTICE ROTATIONS
1. Communicates effectively and confidently with patients.
2. Communicates effectively and confidently with other health care staff.
3. Takes initiative.
4. Recognizes mistakes or discrepancies and takes appropriate corrective actions including asking questions when appropriate.
5. Accepts constructive criticism and makes appropriate adjustments.
6. Displays professional integrity including confidentiality.
7. Responds to volume or stat pressures with organization and efficiency.