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MLT

Medical Lab Tech

  • Date Format: MM slash DD slash YYYY
  • Self-Assessment Rating Scale:

    No Experience
    Theory or observation only during the past 12 months

    Limited Experience
    Performed less than 12 times within the past 12 months and may need a review

    Experienced
    Performed at least once per month within the past 12 months and may need minimal assistance

    Highly Skilled
    Performed on at least a weekly basis over the past 12 months; proficient
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    1-3 years old (Toddler)
    3-5 years old (Preschool)
    5-12 years old (School Age Children)
    12-18 years old (Adolescents)
    18-39 years old (Young Adults)
    39-64 years old (Middle Adults)
    64+ years old (Older Adults)
  • YesNo
    ASCP MT/MLS
    ASCP MLT
    HEW
    AMT
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Patient identification process
    ABO/Rh/antibody screen and ID
    Crossmatch - Immediate spin/IgG
    Antigen typing
    Antibody typing - Gel method
    Antibody typing - Tube method
    Cold agglutinins
    Rhogam screening
    Coombs test - Direct
    Coombs test - Indirect
    Cord blood evaluation
    Thawing/cooling of blood products
    Donor collection procedures
    Issue blood product to patient care area
    Emergency release
    Elutions
    Transfusion reaction workshop
    Irradiating packed cells
    Splitting a baby unit
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Specimen preparation
    Acetone analysis
    Arterial blood gas
    B-12 folates
    Cardiacc enzymes
    Chromatography - Gas
    Chromatography - Thin layer
    Electrophoresis
    Hormone/thyroid
    Immunoassay
    Osmolality
    Therapeutic drug monitoring
    Tumor markers
    Analyzer use/troubleshooting
    Review and interpretation of QC
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Automated instrument use
    Differential manual
    Sed rate manual
    Reticulocyte count
    Fetal hemoglobin
    RBC morphology
    Platelet count
    Sickle cell prep
    Platelet morphology
    Body fluid manual cell count
    Body fluid manual diff.
    Special stains (e.g. PAS, LAP, Peroxidase)
    WBC stool
    Semen analysis
    PT/PTT/INR
    D-Dimer
    Fibrinogen
    Factor assays
    Fibrin degradation products
    Thrombin time
    Platelet function analysis
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    RPR/RPR titer
    Rheumatoid titer
    ANA
    LE prep
    HIV rapid
    HIV antibody detection
    Rubella
    CMV
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Plating micro specimens
    Reading plates
    Gram stains
    Kit testing - Monospot/ASP titer
    Kit testing - Flu/rapid strep/RSV
    Wet prep/KOH prep
    AFB stain/culture
    O&P
    CDiff
    Occult blood
    Chlamydia
    Processing specimens for viral/fungal cultures
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Crystal identification
    Macrosopic analysis
    Microscopic analysis
    Pregnancy testing
  • No ExperienceLimited ExperienceExperiencedHighly Skilled
    Patient identification
    PPE equipment (gloves, mask, etc.)
    Adult venipuncture
    Pediatric venipuncture
    Dermal stick (finger/heel)
    Butterfly draw
    Arterial draw
    Tube types and usage
    Centrifuge operations
    Bleeding time
    Blood culture collections
    Blood alcohol collections
    Drug screening collections
  • Equipment List