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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