Clinical Laboratory Scientist and Technician Job Description and Duties #medical #laboratory #technician


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Clinical Laboratory Technologist Job Description and Duties

The Basics

What you ll do: As a medical and clinical laboratory technologist or technician, you ll work behind-the-scenes, processing laboratory tests that doctors count on to correctly diagnose and treat patients. You ll identify abnormal blood cells, detect cancerous tumors, perform cultures and identify bacteria and viruses, and assure safe transfusion of blood products. Additionally, you ll monitor testing quality and support staff in general lab operations.

Where you ll work: Hospitals, clinics, private laboratories, public health organizations, research and development departments of pharmaceutical companies.

Degree you ll need to practice: Associate s degree or postsecondary certificate for technicians; bachelor s degree for technologists.

Median annual salary: $59,430*

Job Environment

Medical technologists act as supervisors for medical technicians, who perform many of the same duties in a physician s office or lab. On the job, you ll collect and analyze body fluids, tissue and other substances to determine normal or abnormal findings. You ll operate sophisticated equipment and instruments to identify the results.

Both technicians and technologists perform tests and procedures that physicians or other healthcare personnel order. However, technologists perform more complex tests and laboratory procedures than technicians do. In these roles, you ll work side by side in doctor s offices, clinics, diagnostic labs and research environments.

Medical laboratory technicians often wear eye shields, gloves and other gear to prevent the spread of infection and to protect themselves from solutions and reagents used in testing.

Career Advancement

If you enjoy working as a medical or clinical lab technician, and would like to advance and gain more responsibility and autonomy in the field, you can move into a technologist position. There, you can specialize in a variety of areas such as:

  • Blood bank technology (immunohematology)
  • Clinical chemistry technology
  • Cytotechnologist
  • Immunology
  • Microbiology
  • Molecular biology
  • Phlebotomy
  • Histotechnology

Clinical laboratory technologists. also called clinical laboratory scientists, must pass a national certification examination given by one of these professional agencies:

  • American Society for Clinical Pathology (ASCP)
  • National Credentialing Agency for Laboratory Personnel (NCA)
  • American Medical Technologists (AMT)
  • American Association of Bioanalysts (AAB)

*The salary information listed is based on a national average, unless noted. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.


Lab Technician: How do I Become a Laboratory Tech? #certification #for #lab


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Lab Technician: How Do I Become a Laboratory Tech?

Should I Become a Lab Technician?

Laboratory technicians collect, examine and test body fluids, tissue cells and other substances. These technicians typically perform their job duties under the guidance of laboratory technologists or laboratory managers. They may work at hospitals, medical laboratories, physician offices and university labs. Many lab technicians spend most of their work shifts on their feet, and they may need to work overnight if their labs run around the clock. Although these workers often deal with toxic materials, very little risk of infection exists.

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Career Requirements

Few schools in the Houston, TX, area have top ranking lab technician programs. Read on to find out more about what one of these.

Learn about the education and preparation needed to become a lab tech. Get a quick view of the requirements as well as details.

Find out how to become a hospital laboratory aide. Research the education and training requirements, and learn about the.

A handful of schools in the Indianapolis, IN, area have medical laboratory science programs. Read on to find out more about.

  • EdD in Organizational Leadership – Health Care Administration
  • MBA: Health Systems Management
  • MS in Health Care Administration
  • Master of Public Administration – Health Care Management
  • BS in Health Sciences: Professional Development & Advanced Patient Care
  • Bachelor of Science in Behavioral Health Science
  • BS in Health Care Administration
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    • AS in Medical Assistant
    • Certification – Medical Assistant
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    • MSHS in Health Care Quality
    • Graduate Certificate in Health Care Quality

  • Synovial Fluid Analysis #synovial #fluid #analysis, # #2006 #21st #abnormal #abnormally #activities


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    Synovial Fluid Analysis

    Synovial fluid analysis is a group of tests that examine joint (synovial) fluid. The tests help diagnose and treat joint-related problems.

    Alternative Names

    Joint fluid analysis; Joint fluid aspiration

    How the test is performed

    A sample of synovial fluid is needed for this test. Synovial fluid is normally a thick, straw-colored liquid found in small amounts in joints, bursae, and tendon sheaths.

    After the area is cleaned, the health care provider will insert a sterile needle through the skin and into the joint space. Once in the joint, fluid is drawn through the needle into a sterile syringe.

    The fluid sample is sent to the laboratory. The laboratory technician will check the sample’s color and clarity, and then place it under a microscope to check it for red and white blood cells, crystals (in the case of gout), and bacteria. In addition, there may be a chemical analysis, and if infection is a concern, a sample will be cultured to see if any bacteria grow.

    How to prepare for the test

    Normally, no special preparation is necessary, but contact your health care provider before the test to make sure. Tell your doctor if you are taking blood thinners, as they can affect test results.

    How the test will feel

    Occasionally, the health care provider will first inject local anesthesia with a small needle, which will sting. The aspiration is done with a larger needle and may also cause some pain. The procedure usually lasts less than one minute.

    Why the test is performed

    The test can help diagnose the cause of pain or swelling in joints. Removing the fluid can also help relieve joint pain.

    This test may be used to diagnose:

    • Gout
    • Infection
    • Other inflammatory joint conditions
    • Joint injury
    • Osteoarthritis

    What abnormal results mean

    Abnormal joint fluid may look cloudy or abnormally thick.

    Blood in the joint fluid may be a sign of injury inside the joint or a body-wide bleeding problem. An excess amount of normal synovial fluid can also be a sign of osteoarthritis.

    What the risks are

    • Infection of the joint — unusual but more common with repeated aspirations
    • Bleeding into the joint space

    Special considerations

    Ice or cold packs may be applied to the joint for 24 to 36 hours after the test to reduce the swelling and joint pain. Depending on the exact problem, you can probably resume your normal activities after the procedure. Talk to your health care provider to determine what activity is most appropriate for you.

    References

    Knight JA, Kjeldsberg CR. Cerebrospinal, synovial, and serous body fluids. In: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 21st ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 28.

    Review Date: 7/10/2009

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. Copyright 2010 A.D.A.M. Inc. as modified by University of California San Francisco. Any duplication or distribution of the information contained herein is strictly prohibited.

    Information developed by A.D.A.M. Inc. regarding tests and test results may not directly correspond with information provided by UCSF Medical Center. Please discuss with your doctor any questions or concerns you may have.

    Getting Care


    Laboratory Tests and Hepatitis C – Viral Hepatitis #hcv, #laboratory, #test, #hepatitis


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    Viral Hepatitis

    Contents

    Introduction

    Laboratory tests for hepatitis C are divided into four general categories:

    • Screening: Screening for hepatitis C virus (HCV) is done with a serologic test for the HCV antibody (Ab).
    • Confirmatory: Diagnosis of chronic hepatitis C requires the presence of HCV RNA, commonly called hepatitis C viral load.
    • Genotype: Once it is determined that HCV RNA is present, the specific genotype and subtype of the virus can be determined with a genotype test.
    • Drug resistance: Mutations of some proteins in HCV can allow the virus to have resistance to direct-acting antivirals (DAAs), commonly referred to as resistance-associated variants (RAVs) or resistance-associated polymorphisms (RAPs).

    HCV Serologic Testing (HCV Ab)

    Enzyme immunoassays for Detection of Hepatitis C Antibody

    The HCV Ab test is used for initial screening for hepatitis C. The test is performed by enzyme immunoassays (EIAs), which detect the presence of hepatitis C antibodies in serum. The result of the test is reported as positive or negative. Third-generation EIAs have a sensitivity/specificity of approximately 99%. However, the presence of HCV Ab does not indicate whether the infection is acute, chronic, or resolved. A positive antibody test result should be followed up with an HCV RNA test to confirm that viremia is present.

    False-Negative and False-Positive HCV Ab Results

    Despite the extremely high sensitivity and specificity of the EIA test for the antibody, it is still possible to have both false-positive and false-negative results.

    False-Negative HCV Ab
    1. A false-negative HCV Ab result may occur if the test is performed during the window period after acute HCV infection but before seroconversion (when the HCV Ab converts from negative to positive). The average time from infection until seroconversion is 8 weeks and is referred to as the “serologic window.” If acute infection is suspected to have taken place within the past 8 weeks, it would be appropriate to order the HCV RNA test. If the HCV Ab test result is negative within the first 8 weeks after infection, it would be appropriate to retest the antibody after 8 weeks to check for seroconversion.
    2. A false-negative HCV Ab result may also occur in immunocompromised individuals such as those infected with HIV, recipients of organ transplants, and patients receiving chronic hemodialysis. If the HCV Ab result is negative in immunocompromised patients, but there is strong suspicion of HCV infection, it would be appropriate to order the HCV RNA test.
    False-Positive HCV Ab
    1. A false-positive HCV Ab result may occur because of cross-reactivity with other viral antigens or the presence of immunologic disorders, such as lupus or rheumatoid arthritis.

    Time for Processing HCV Ab Test Results

    The turnaround time for 3rd-generation EIAs is at least 1 day. Many labs do not perform the tests on site and must send specimens to another lab for processing, which may further increase the turnaround time.

    A point-of-care test is also available. The OraQuick HCV Rapid Antibody Test is an FDA-approved test that can be performed with a fingerstick (or venous blood draw). It is also a CLIA-waived test and therefore can be used in clinic offices and outreach facilities. Results are reported as reactive or nonreactive within 20 minutes. Just as for the standard HCV Ab test done in the lab, a positive OraQuick test must be confirmed by an HCV RNA test. The sensitivity and specificity of the test is similar to that of the laboratory-based assays.

    Recombinant Immunoblot Assay for Confirmation of HCV Ab

    Recombinant immunoblot assay (RIBA) is a highly specific test that in the past was used as a confirmatory test of antibody results. It still required HCV RNA testing for the diagnosis of chronic infection. The RIBA test is no longer in use or available in the United States.

    HCV RNA Testing

    The presence of HCV RNA is required to confirm chronic HCV infection. Therefore, a positive HCV Ab screening result must be followed by a test for the HCV RNA. The HCV RNA tests can detect virus within 1-2 weeks following exposure.

    Appropriate Uses of the HCV RNA Test

    There are 4 major reasons that HCV RNA tests are used:

    1. To confirm a positive HCV Ab result and make the diagnosis of current HCV infection
    2. To measure a patient’s baseline viral load prior to starting HCV therapy
    3. To monitor a patient’s response to therapy
    4. To determine whether a patient has achieved a sustained virologic response (SVR)

    More rarely, HCV RNA is used when either very acute HCV infection is suspected or a false HCV Ab is suspected.

    It would not be appropriate to repeatedly order HCV RNA viral load screening for a patient who is not on or was recently on HCV treatment, or to use the HCV viral load to determine the severity of the patient’s infection or the patient’s risk of developing significant liver disease.

    HCV Antibody and HCV RNA Test Result Interpretations

    The HCV RNA is detectable but the number of international units is so low that it cannot be quantified accurately. This indicates extremely low level of virus is present.

    ” 12 IU/mL” or ” 15 IU/mL” or ” 25 IU/mL” All of these are “less than the LLOQ”

    HCV RNA is undetectable. No virus is detected at all in the patient’s serum specimen.

    HCV Genotype Testing

    There are at least six HCV genotypes. These are classified as genotypes 1-6. There are also 30 subtypes of HCV, which are referred to as genotypes 1a, 1b, 2a, etc. Identifying HCV genotypes is essential for selecting treatment regimens and predicting treatment response. Within genotype 1, it is also important to determine whether the patient is subtype 1a or 1b, as this determines treatment duration and the need for ribavirin in the treatment regimen. Patients only need to be genotype tested once in their lifetime, as the genotype remains the same throughout the course of infection. Repeating a genotype test is warranted only if there is suspicion that a patient may have been reinfected with a different genotype after achieving an SVR.

    Genotype testing is performed by analyzing the sequences of various regions of the HCV genome. Most genotype assays rely on the amplification of short HCV RNA regions from clinical specimens, followed by a type-specific assay, such as restriction fragment length polymorphism (RFLP) analysis, line probe reverse hybridization, or sequence analysis. Most assays target the 5′ untranslated region (5′ UTR), as it is the most conserved region throughout the HCV genome and is most suitable for reverse transcription polymerase chain reaction (RT-PCR) amplification.

    HCV Resistance Testing (RAV testing)

    DAAs are drugs that target specific steps in the life cycle of the hepatitis C virus. When these steps are disrupted, replication of HCV is stopped. DAA drug classes include NS5A inhibitors, NS5B polymerase inhibitors, and NS3/4A protease inhibitors. Resistance Associated Variants (RAVs) refer to mutations that occur in the target enzymes that confer resistance to DAAs. RAV testing is done in most patients who have failed a prior DAA-containing regimen before they initiate re-treatment with another DAA regimen. For example, genotype 3 patients are recommended to have RAV testing if they are treatment experienced before starting re-treatment with sofosbuvir/velpatasvir and to determine whether ribavirin is needed. RAV testing is occasionally done in treatment-naive patients if it may change the regimen or the duration of treatment. For example, genotype 1a patients who are treatment naive should be RAV tested before starting treatment with elbasvir/grazoprevir to determine whether ribavirin is needed or whether an extended duration of treatment is needed. Genotyping of the NS5A, NS5B, and NS3/4A genes to identify RAVs can now be accomplished by RT-PCR and population-based sequencing methods at the VA Palo Alto Public Health Reference Laboratory (PHRL) and at commercial laboratories including Monogram Biosciences (LabCorp) and Quest Diagnostics. HCV drug resistance testing should be ordered only by experienced HCV clinicians.

    References

    1. Centers for Disease Control and Prevention. Testing for HCV infection: an update of guidance for clinicians and laboratorians. MMWR Morb Mortal Wkly Rep. 2013 May 10;62(18):362-5.
    2. Carrazin C. The importance of resistance to direct acting antiviral drugs in HCV infection in clinical practice. J Hepatol. 2016 Feb;64(2):486-504.

    Quality and Compliance – Mayo Medical Laboratories #mayo #clinic, #mayo #medical #laboratories,


    Policies

    Mayo Medical Laboratories measures quality not simply by accreditation and licensure, but also by how efficiently esoteric laboratory results are interpreted and applied to a patient s clinical situation.

    Our quality and standardization programs exceed the high level of testing proficiency and standardization that auditors require.

    We are continuously improving all processes and services supporting patient care. We combine the efficiency of automation and Lean principles to simplify and streamline processes.

    Content includes information regarding Certifications and Licensure, Quality and Compliance, Accreditation and Regulatory standards, Personnel, and Glossary of common terms.

    For more information, view the complete Quality and Compliance document. This document includes information about Certifications and Licensure, Quality and Compliance, Accreditation and Regulatory standards, Personnel, and a Glossary of common terms.

    HIPAA

    Mayo Clinic is fully committed to compliance with all privacy, security and electronic transaction code requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). All services provided by Mayo Medical Laboratories that involve joint efforts will be done in a manner which enables our clients to comply with HIPAA and the College of American Pathologists (CAP) Laboratory General Checklist (CAP GEN. 41303) .

    Licenses and Certificates

    You can view licenses and certificates for all of the following:


    Clinical Laboratory Sciences, Bachelor of Science #clinical #laboratory #sciences, #bachelor #of #science


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    Clinical Laboratory Sciences, Bachelor of Science

    The B.S. program in Clinical Laboratory Sciences is a 138-credit program covering University core requirements, basic science, and clinical laboratory medicine. In addition, students gain valuable experience by fulfilling clinical rotations in all areas of laboratory medicine. Graduates of this NAACLS-accredited and licensure qualifying program are able to practice as a clinical laboratory technologist upon passage of the ASCP certification exam.

    Academic Standing/Certification/Outcomes

    Academic Standing
    Admission requirements for the Bachelor of Science in Clinical Laboratory Sciences are identical to those currently outlined for admission to a four-year Bachelor of Science degree in the College of Pharmacy and Health Sciences at St. John s University.

    Accreditation
    The clinical laboratory sciences program holds accreditation through the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS), 5600 N. River Rd. Suite 720, Rosemont, IL 60018.

    Certification
    Graduates of the clinical laboratory sciences program receive a bachelor of science degree and are eligible to sit for the American Society for Clinical Pathology (ASCP) national certification exam. This certification is recognized across the country and enables graduates to practice in any state.

    Licensure
    Successful completion of the courses leading to the Bachelor of Science in Clinical Laboratory Sciences and passing the ASCP national certification exam allow graduates to apply to the New York State Department of Education for a license to practice as a clinical laboratory technologist. In addition, graduates who go on to practice in other states with licensure laws are eligible to apply for that state s license, based on passing the certification exam.

    Career Outcomes

    The Bachelor of Science degree with a major in Clinical Laboratory Sciences is designed to prepare graduates to become highly trained clinical laboratory technologists. During the professional phase of this program, students will gain valuable hands-on experience practicing in the field at University affiliated clinical sites.

    The program will prepare graduates to:

    • Develop skill in performing laboratory tests with accuracy and precision
    • Demonstrate extensive knowledge in human anatomy and physiology as well as the pathology of disease
    • Examine and evaluate quality control results and institute procedures for correction if results are not with the standards of the laboratory to ensure accurate laboratory results
    • Become a member of a quality management team within the institution and help develop a working program assuring accurate and timely results
    • Demonstrate the ability to effectively communicate orally to convey ideas and information to individuals with diverse capabilities and interests (physicians, other medical personnel, staff members and patients)
    • Recognize the need to continued educational growth within the profession as a means toward professional competence through participation in professional seminars and college courses
    • Understand the published research in clinical laboratory sciences necessary to broaden knowledge in the field
    • With attendance at seminars and lectures, develop the ability to agree or disagree with scientific presentations based on scientific theories and principles

    Clinical laboratory science professionals can obtain employment in many areas. Most are employed in hospital labs, but opportunities exist in physician office labs as well as private labs. Challenging employment opportunities exist in industry, research, or public health and pharmaceutical labs. The clinical laboratory science professional s analytical, scientific, and technical skills are a valuable and desired asset. Career options beyond laboratory analysis for which clinical laboratory science professionals are qualified include consulting, marketing, research and product development, lab information systems, sales and technical support, management, and education.

    Global Approach to Education

    Students also benefit from St. John s focus on an international academic experience. The University offers extensive study abroad courses during the academic year as well as the winter and summer semesters. Students can live and learn at St. John s Rome, Italy, campus and Paris, France, location.