Job description of Medical Laboratory Technologists

Job description of Medical Laboratory Technologists


 A.  General Job
1.      Laboratory safety:
 a)   Safety of the laboratory staff
Technologists and other lab. Staff should be properly immunised.
Wears proper and protective dress and remain alert about personal protection.
Properly collect and label the high-risk specimens and samples.
        b)  Safety of the patient
Maintain safety measures in every individual procedure.
Keep arrangements of First Aid for emergency situations and complications.
        c)   Safety of equipments and instruments
Ensure cleanliness and maintains the laboratory room, equipment, apparatus and   glasswares according to manuals and instructions by subordinate staff.
d)      Arrangements and security of the laboratory
Ensures proper setting up of furnitures, equipment and instruments
Supervise and maintain the laboratory rooms.
Appropriate security measures to be ensured by laboratory staff.

2. Commitment to the patient
a)      Should be well behaved to the patients and attendants.
b)      Explains procedures and consequences to the patients and their attendants.
c)      Motivation and counselling where and needed.
d)      Takes consent of the patients and attendants where needed.

3. Handling of poisonous and infected materials.
a)      Proper labelling and storage of infected and poisonous materials.
b)      Proper handling of the reagents and chemicals as per instructions.

4. Continues updating and innovation of laboratory facilities.

5. Responsible for inter-departmental co-ordination and co-operation.

6. Arranges safe disposal of used and infected materials.

7. Responsible for quality control in all aspects of laboratory activities.

8. Preparing indents, collection of logistics, maintenance of ledger/register and reporting.

9. Supervision and training of junior colleagues.

B.   Specific Jobs
I.   Job description at Primary Health Care level

II. Job description at Secondary Health Care level.

III. Job description at Tertiary Health Care level.

IV. Job description at Teaching Institutes.



I.          Primary Health Care level

1.   Perform procedures, methods and examinations of different investigations of clinical pathology (Stool, Urine, Body fluids, and skin scraping), Haematology (TC, DC, Hb%, ESR, BT, CT, Blood grouping, Rh- typing, PBF study) and semen analysis.

2.      Perform procedures, methods and examinations of different investigations on Biochemistry and Serology such as Blood Glucose, Urea, Bilirubin, Total Protein, Albumin, ASO Titre, RA test, Widal Test, VDRL test, Pregnancy test, HbsAg test and other tests as feasible at the THC level.


3.      Perform procedures, methods and examinations of various specimens for gram staining, AFB staining, Giemsa staining and Albert staining.

4.      Perform Active Case Detection (ACD) and Passive Case Detection (PCD) related procedures, methods and examination of blood samples for malaria, filariasis and leishmaniasis.

5.       Prepare reagents required for laboratory investigations at the THC level.

6.       Maintain patient’s registers, records and prepare and sign. the reports and results of the tests.

7.       Perform transportation of samples and specimens, with proper labelling and caution, to referral centres.

8.       Ensures self-quality control at different stages of laboratory activities and perform other tasks as assigned.

9.       Technologists are accountable to supervising Medical Officer/ Residential Medical Officer in charge of the laboratory.

II.  Secondary Health Care level
They will perform procedures , methods and examination of wide range of laboratory tests in addition to all tests at Primary Health Care level.

The additional tests are:


1.      Perform procedures , methods and examination for different investigations of clinical pathology such as Sputum, vaginal swab, Urethral smear and Prostatic smear.

2.      Perform procedures , methods and examination for haematological examinations such as Reticulocyte count, Platelet count, Circulating Eosinophil count, Blood parasites and other tests that are feasible.

3.      Perform procedures , methods and examination for biochemical and serological investigations such as LFT’s, Lipid profile, Serum calcium, Uric acid and if possible Serum Electrolytes and also TPHA, Rose Waller test, Aldehyde test  & DAT for Kala-azar and Weil-Felix test.

4.      Perform procedures , methods and examination for bacteriological examination such as preparation of culture media, Culture and sensitivity tests of urine, stool, body fluid and swab.

5.      Ensures transportation of samples and specimens, with proper labelling and care to referral centres.

6.      Technologists are accountable and referable to clinical pathologist or junior consultant (Pathology) for authenticity, quality control and for responsibility and perform tasks as assigned.
 
III.  Tertiary Health Care level
They will perform procedures , methods and examination of wide range of laboratory tests in addition to all tests at Secondary Health Care levels.

The additional tests are:

1.      Haematology :
q  Bone Marrow study and Hb electrophoresis,
q  Absolute values - PCV, MCV, MCH, MCHC
q  Special staining – MPO, PAS, LAP, Sudan black stain, Peroxidase stain
q  Other Tests : LE cell, D- Dimer, Fibrinogen, PT, TT, APTT, FCFT, Factor Assay (Factor I - XII), Sickling test, Sea test etc.

2.      Clinical Pathology :
q  Urobilinogen, Bile salt, Bile pigment, Detection of Ketone bodies and all cytological staining  procedures and examinations.

3.      Clinical chemistry:
q  Blood gas analysis, Serum Iron, TIBC, Serum Ferritin, Protein electrophoresis, LDH, CPK, CKMP, ALK Phosphatase, Acid Phosphatase, Creatinine, Lithium, Hb A1 etc.

4.      Histopathology:
q  Collection, preservation, storage of specimen, preparation, staining and mounting slides for histopathological examination.

5.      Microbiology, Serology and Immunology:
q  Culture, sub-culture, Sensitivity tests
q  Antigen and antibody tests
q  Biochemical tests for the identification of micro-organisms
q  Immune and Auto-immune assays – Immunoglobulins, Plasma proteins, Hepatitis profile, HIV, Herpes Simplex virus (I and II), Cytomegalo virus, Complements (C3, C4)
q  Other tests: Hormone assay, Haemolysin test, Cancer markers, Fungus and Tissue Cultures and PCR.

6.      Transfusion Medicine (Blood Bank):
q  Antibody identification & Antibody titre
q  Preparation of Platelet concentrate, RCC, F.frozen plasma and AHG cryoprecipitate
q  Wash RBC and Rh genotype/phenotype
q  Cold agglutinin test, Haemolysin test, HLA typing, Tissue matching

7.      Operate and use available automated and latest instruments for laboratory examinations.

8.      Maintain quality control of all clinical and research (study) work in the laboratory.


*In special case, if necessary they will perform

9.      Analysis and research of diet and all kinds of food stuff.

10.  Analysis and also prepare weaning/supplementary food for children, provide nutrition education and develop nutrition education materials.

11.  Analysis of the purity/impurities of different types of food stuff and water.
12.  Iodine estimation of food, water, salt and also Arsenic estimation of water.

13.  Research and different type of chemical and microbiological test of food and water.

14.  Production of vaccines i.e. DPT, TT, ARV, IV fluid, Blood bag and different types of pathological, Biochemical, serological and microbiological reagents.

IV.  At the Teaching Institutes:

At the teaching Institutes the Medical Laboratory Technologists   personnel are positioned at three levels:

a.       Lecturer
b.      Instructor
c.       Technologist


a.      Lecturers:
·         They shall perform tutorial, demonstration, and lecture classes.
·         Facilitate practical demonstration and work of the students in the laboratory as a ‘facilitator’ of practical ‘teaching group’
·         They will perform large group teaching and supervise the junior colleagues.

b.      Instructors:
·         They will perform tutorial and demonstration classes relevant to practical items.
·         Ensure and guide the students to prepare practical note books.
·         Demonstrate elaborately procedures, methods and examinations of the practical works in the laboratory and follow students’ performance in the practical classes.
·         Supervise practical classes as a ‘Team leader’. 

c.       Technologists:
·         They shall run the procedures and examinations in all practical classes.
·         Run practical demonstration and works for the students.
·         Perform small group demonstration relevant to practical.
·         Prepare chemicals and reagents and maintain instruments, apparatus, glasswares and other laboratory material and logistics.
·         Responsible for laboratory set up and organisation including maintenance of registers, records and stock ledger under guidance of the supervisors.
·         Responsible for the security and safety of the laboratory especially in respect to chemicals and reagents, infection, fire, electric hazards and disposal of wastes.





 

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