MLTS 2290 and 2291
MLT CLINICAL PRACTICUM III and IV
COURSE SYLLABUS
Fall 2004
TEXT: No textbooks required. Each hospital has the latest edition of thetextbook for their specific area plus GALILEO, INTERNET, and MEDNETare available to the students. A set of questions for each dept. is given to the student to be turned in to the Program Director.
COURSE DESCRIPTION:
Twenty weeks of full-time supervised experience in an affiliated clinical laboratory. Students will rotate among designated laboratory sections where they will work side by side with, and under the supervision of a medical technologist and the laboratory director to develop professional skills in the practice of medical laboratory technology. After completion of 2290/2291 and other requirements the student is eligible to take a National Registry Exam. The N.R.E. is not a requirement for the A.A.S. degree.
WORK ETHICS COMPONENT:
(AFFECTIVE DOMAIN)Identification and demonstration of effective work ethics will be an integrated component of the course. The work ethics traits that will be identified and evaluated are:
1. Attendance: Attends class; arrives/leaves on time; notifies instructor in advance of planned absences; makes up assignments punctually.
2. Character: Displays loyalty, honesty, trustworthiness, dependability, reliability, initiative, self-discipline, and self-responsibility.
3. Teamwork: Respects rights of others; is a team worker, is cooperative; is assertive; displays a customer service attitude; seeks opportunities for continuous learning; displays mannerly behavior.
4. Appearance: Displays appropriate dress, grooming, hygiene, and etiquette.
5. Attitude: Demonstrates a positive attitude; appears self-confident; has realistic expectations of self.
6. Productivity: Follows safety practices; conserves materials; keeps work area neat and clean; follow directions/procedures.
7. Organizational Skills: Manifests skill in personal management, time management, prioritizing, flexibility, stress management, and dealing with change.
8. Communication: Displays appropriate nonverbal and verbal skills.
9. Cooperation: displays leadership skills; appropriately handles criticism and complaints; demonstrates problem-solving capability; maintains appropriate relationship with supervisors and peers; follows chain of command.
10. Respect: Deals appropriately with cultural/racial diversity; does not engage in harassment of any kind.
WORK ETHICS GRADING STRUCTURE:
3 = Exceeds expectations
2 = Meets expectations
1 = Needs improvement
0 = Unacceptable
Students must wear goggles while in lab.
Students are responsible for individual medical insurance. Re: accidents
Student must have liability insurance from DSC (Be sure to keep up to date during practicum. Dates run from September 1, 2004 to September 1, 2005.)
Students must follow all HIPPA laws.
COURSE OBJECTIVE:
(Hematology Objectives - includes Urinalysis)
UNIT I: CELL COUNTS.
A. Under the supervision of a medical technologist or MLT and c/o the aid of
references, the MLT student will be able to:
1. List diluting fluids for following tests:
a. White Blood Cells, RBC= s, platelets, CSF
b. Read results on electronic counters and interpret normal from abnormal
2. Perform the above listed tests with 98% accuracy.
3. Calculate the results from information obtained from the above listed
tests.
UNIT II: SEDIMENTATION RATE AND MICRO-HCT.
A. The MLT student with the use of the proper equipment and following the
procedure outlined in the section procedure manual will be able to perform an
erythrocyte sedimentation rate and micro-hct with 100% accuracy.
UNIT III: COULTER MODEL STKR, S-560 and Cell-Dyne.
A. Upon completion of training on the hematology instruments, the MLT student
will be able to:
1. Run blood samples through and correlate results with 100% accuracy.
2. Write the Coulter Theory/Cell-Dyne Theory.
3. Perform and record daily quality control as outlined in Hematology
Section Manual.
4. Perform start-up procedures.
5. Read and correlate the histogram and scatterplot to the results
obtained.
UNIT IV: DIFFERENTIALS.
A. Under the supervision of an MT or MLT, the MLT student will be able to:
1. With the use of a microscope (c/o aid of reference materials) be able to
identify by listing all types of normal leukocytes in peripheral blood with
90% accuracy.
2. Differentiate between normal and abnormal leukocytes, with aid of
reference materials, and in peripheral blood with 100% accuracy.
3. Evaluate red cell morphology, c/o aid of reference materials, by
assigning a grade value (+) within + 1 grade value of accuracy for the
following: (1) size, (2) shape, (3) color.
4. Evaluate estimated platelet count - high, low, normal - form peripheral
smear with 90% accuracy.
UNIT V: ANA's
A. The MLT student will be able to distinguish between the patterns using the
ANA Tutor (at the college computer program).
UNIT VI: MALARIAE SMEARS
A. Under the supervision of an MT or MLT, the MLT student will be able to:
1. Prepare and read positive malaria smears with use of reference material
with 90% accuracy.
UNIT VII: PT, APTT, QUANT., FIBRINOGEN, BT
A. Under the supervision of an MT or MLT, with Hematology Section Manual, the
MLT student will be able to:
1. With the use of proper equipment and/or reagents perform a PT, APTT,
D-dimer, Quant., Fibrinogen and BT with 100% accuracy.
2. Perform and record daily Qual. Cont.
3. List normal values.
UNIT VIII: ROUTINE URINALYSIS
A. Under the supervision of an MT or MLT, the MLT student will be able to:
1. Determine the positive and negative reactions of the urine Chemical
Dipstick within + 1 grade.
2. With the aid of a microscope and reference materials identify
microscopic elements with 95% accuracy.
UNIT IX: PREGNANCY TEST
A. The MLT student with aid of the Urinalysis section manual will be able to:
1. List function of each reagent used in test.
2. Set up and read with 100% accuracy the test.
Upon completion of this rotation MLT student will be given a standard
comprehensive exam in Hematology/urinalysis in addition to the bench tests/quizzes.
(Chemistry Objectives)
UNIT X: CHEMISTRY BENCH PERFORMANCE
A. Upon completion of instruction with the department instrumentation, the MLT
student will be able to:
1. Follow the daily operation procedure on each instrument under the
supervision of a staff technologist.
2. Answer questions concerning the principles of operation.
3. Determine the acceptability of quality control that is run on each
instrument.
4. Perform routine daily maintenance of each instrument.
5. The above mentioned will pertain to the current instrumentation at each
facility.
UNIT XI: EXAMINATIONS
A. Upon completion of this unit, the MLT student will be able to:
1. Understand the operational theory of each instrument in Unit X.
2. Perform calculations involving quality control, constituent
concentration, and reagent concentration.
Upon completion of this rotation each MLT student will be given a standard
comprehensive exam in Chemistry in addition to the bench tests/quizzes.
(Blood Bank Objectives)
UNIT XII: DONOR REQUIREMENTS
A. Student will review AABB donor requirements and observe phlebotomy
techniques at Blood Assurance (if time allows).
UNIT XIII: ANTIGEN TYPING
A. Type blood samples, including ABO cell typing, ABO serum reverse
grouping and Rh-hr cell grouping with 100% accuracy. When indicated, test
for other RBC's antigens, (Kell Lewis, etc.), will be performed in accordance
with the reagent manufacturer's instructions.
UNIT XIV: CROSSMATCHES
A. Complete five (5) routine crossmatches performing all procedures
according to the AABB Standards, with a minimum amount of supervision.
Students will correctly label, store and log the crossmatched blood. Students
will release six (6) units of crossmatched blood or blood components
correctly logging all records with 100% accuracy.
UNIT XV: NEONATAL STUDIES
A. With 100% accuracy, correctly perform neonatal studies on three (3) cord bloods: infant ABO grouping, Rh typing, A or B cells if applicable and Direct Coomb's to maternal antibody screening, antibody identification and Freeze Elution titration if appropriate. Students will complete all necessary records.
UNIT XVI: RHO IMMUNOGLOBULIN
A. With 100% accuracy, perform two (2) complete RHO Immunoglobulin studies with a minimum amount of supervision, including infant typing, maternal studies, fetal screening, and release to proper agent. Students will correctly label, store and log all components involved.
UNIT XVII: TRANSFUSION REACTION WORK-UP
A. With 100% accuracy, perform one transfusion reaction work-up, performing
all procedures and logging all records with a minimum amount of supervision.
UNIT XVIII: IDENTIFICATION OF ANTIBODY
A. With 100% accuracy, identification of antibody unknowns will be determined
using available techniques including an enzyme panel.
UNIT XIV: QUALITY CONTROL
A. Student will be shown major aspects of Blood Bank quality control. Many of
these procedures will actually be performed by the student.
Upon completion of this rotation each MLT student will be given a
comprehensive standard exam (in addition to the bench quizzes/tests) on
Immunohematology.
(Microbiology Objectives)
UNIT XX: IDENTIFICATION OF AEROBIC AND ANAEROBIC, GRAM POSITIVE AND NEGATIVE COCCI, GRAM POSITIVE AND NEGATIVE RODS.
A. Under the supervision of a medical technician or medical laboratory
technician, and utilizing limited references (procedure manual, API index and
recorder) the MLT student will be able to identify micro-organisms on the
basis of the following:
1. Staining characteristics
2. Cultural conditions
a. Colonial morphology - size, shape, pigmentation, hemolysis
b. Nutritional requirements
c. Cultural conditions
3. Biochemical reactions
a. API
b. Coagulase
c. Oxidase
d. Catalase
e. Bile-aesculin hydrolysis
f. Automated Identification
g. Coagglutination
h. Spot indol
i. Beta-Lactamase
j. Haemophilus I.D.
4. Serological identification
a. Salmonella
b. Shigella
c. Haemophilus influenza
5. Source of specimen
The MLT student will be able to perform the above tests with 95% accuracy
and correlate and record the results.
UNIT XXI: MYCOLOGY
A. Under the supervision of a MT or MLT and utilizing limited references as
specified by the instructor for selected procedures the MLT student will be
able to culture for fungus, yeast-like fungi, and yeasts on the basis of the
following:
1. Cultural characteristics
a. Nutritional requirements
b. Cultural conditions
2. Biochemical reactions
a. Uni-yeast-tek
b. Germ tube
3. Source of specimen
The MLT student will be able to correlate and record the results on above tests with 95% accuracy.
UNIT XXII: RAPID STREP
A. Under the supervision of an MT or MLT and with reference material, the MLT
student will be able to perform and interpret the rapid strep test with 95%
accuracy.
UNIT XXIII: PROFESSIONAL MANNER
A. At all times, students will be able to perform in a professional manner expected of a Medical Laboratory Technician as stated by the evaluation form.
Upon completion of this rotation the MLT student will be given a standard
comprehensive exam (in addition to the bench quizzes/tests) in Microbiology.
COURSE EVALUATION:
"See Clinical Evaluation Sheet."
All MLT students must maintain at least a "C" (75) in their clinical courses. The grading scale will be as follows:
100 - 90 = A 79 - 75 = C Below 60 = F
89 - 80 = B 74 - 60 = D
GRADES:
10% of the grade will come from the affective domain (A Work Ethics@ ).
90% of the grade will come from a.) bench quizzes/tests and b.) the comprehensive exam given in each department, all quizzes, tests, exams will count the same and be averaged (90%).
GENERAL OBJECTIVE:
To expose MLT students to a more in-depth orientation at the clinical site, and to assure they meet the MLT competencies as stated in the MLT Student Handbook.
Students with disabilities or special needs of any type should contact Disability Support Services in the Ace Center to request reasonable accommodations for academic programs and other activities of Dalton State College. Students must personally register with Disability Support Services by providing adequate documentation to verify the disability and/or need. A minimum of five to ten business days is needed for approved accommodations to be arranged. The ACE Center is located on the lower level of Pope Student Center. Please notify your instructor or person responsible for MLT students at each facility.