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SCHOOL OF HEALTH SCIENCE

MEDICAL LABORATORY TECHNOLOGY (MLT)

PROGRAM HANDBOOK 2017-2018

I. ACCREDITATION

II. DESCRIPTION OF THE PROFESSION

III. PROGRAM MISSION, GOALS, and OBJECTIVES

IV. ENTRY-LEVEL COMPETENCIES

V. CLINICAL EXTERNSHIP AFFILIATIONS

VI. OUTCOMES

VII. ADVISORY BOARD

VIII. POLICIES

A. Uniform Policy Standards

B. Laboratory Ratios

C. Health Screen

1. Hepatitis Information for the Health Care Worker

2. Phlebotomy/Invasive Procedures

3. Essential Functions/Technical Standards

4. Physical Examination and Immunizations

D. Emergencies and First Aid

E. Liability Insurance

F. Externship Prioritization

G. Criminal and Office of the Inspector General History Check

H. Clinical Practicum Expectations and Rules for Health Science Programs

I. Performance of Service Work

J. Medical Laboratory Technology Certification Exams

K. Teach-Out Plan

IX. FORMS

A. Medical Laboratory Technology Program Student Handbook Acknowledgement

B. Invasive Procedure Release Form

C. Essential Functions and Technical Standards

D. Health History, Immunizations and Physical Examination Record

E. Hepatitis B Acknowledgement

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MEDICAL LABORATORY TECHNOLOGY (MLT)

PROGRAM HANDBOOK

I. ACCREDITATION

The MLT program at the Indianapolis East Campus has been awarded accreditation and the Fort

Wayne is pursuing accreditation by the National Accrediting Agency for Clinical Laboratory

Sciences (NAACLS), 5600 N. River Road, Suite 720, Rosemont IL 60018-5119, 773.714.8880,

[email protected], http://www.naacls.org.

Note: Please see the Accreditation section of the College’s Catalog for information regarding

institutional accreditation and states in which the program is available.

II. DESCRIPTION OF THE MEDICAL LABORATORY TECHNICIAN PROFESSION:

PREAMBLE

Objectives

The purpose of these Standards and the Description of the Profession is to establish, maintain, and

promote standards of quality for educational programs in the clinical laboratory sciences and to

provide recognition for educational programs which meet or exceed the minimum standards

outlined in this document.

The Standards are to be used for the development and evaluation of medical laboratory technician

programs. Paper reviewers and site visit teams assist in the evaluation of the program’s compliance

with the Standards. Lists of accredited programs are published for the information of students,

employers, and the public.

DESCRIPTION OF THE MEDICAL LABORATORY TECHNICIAN PROFESSION

The medical laboratory technician is qualified by academic and applied science education to

provide service in clinical laboratory science and related areas in rapidly changing and dynamic

healthcare delivery systems. Medical laboratory technicians perform, evaluate, correlate and

assure accuracy and validity of laboratory information; direct and supervise clinical laboratory

resources and operations; and collaborate in the diagnosis and treatment of patients. The medical

laboratory technician has diverse and multi‐level functions in the areas of collecting, processing,

and analyzing biological specimens and other substances, principles and methodologies,

performance of assays, problem solving, troubleshooting techniques, significance of clinical

mailto:[email protected]

http://www.naacls.org/

http://catalog.harrison.edu/content.php?catoid=15&navoid=2151#Accreditation_and_Approvals

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procedures and results, principles and practices of quality assessment, for all major areas practiced

in the contemporary clinical laboratory.

Medical laboratory technicians practice independently and collaboratively, being responsible for

their own actions, as defined by the profession. They have the requisite knowledge and skills to

educate laboratory professionals, other health care professionals, and others in laboratory practice

as well as the public.

The ability to relate to people, a capacity for calm and reasoned judgment and a demonstration of

commitment to the patient are essential qualities. Communications skills extend to consultative

interactions with members of the healthcare team, external relations, customer service and patient

education. Laboratory professionals demonstrate ethical and moral attitudes and principles that are

necessary for gaining and maintaining the confidence of patients, professional associates, and the

community.

Description of Entry Level Competencies of the Medical Laboratory Technician

At entry level, the medical laboratory technician will possess the entry-level competencies

necessary to perform routine clinical laboratory tests in areas such as Clinical Chemistry,

Hematology/Hemostasis, Immunology, Immunohematology/Transfusion medicine, Urine and

Body Fluid Analysis, Microbiology, and Laboratory Operations. The level of analysis ranges from

waived and point of care testing to complex testing encompassing all major areas of the clinical

laboratory. The medical laboratory technician will have diverse functions in areas of pre‐analytical, analytical, post‐analytical processes. The medical laboratory technician will have

responsibilities for information processing, training, and quality control monitoring wherever

clinical laboratory testing is performed.

At entry level, the medical laboratory technician will have the following basic knowledge and

skills in:

A. Application of safety and governmental regulations compliance;

B. Principles and practices of professional conduct and the significance of continuing

professional development;

C. Communications sufficient to serve the needs of patients, the public and members of the

health care team.

Reference: www.naacls.org

III. MEDICAL LABORATORY TECHNOLOGY PROGRAM MISSION STATEMENT,

OBJECTIVES, and GOALS

MLT Program Mission Statement:

The mission statement of the Medical Laboratory Technology Program is consistent with the

College’s Mission Statement.

The mission of Harrison College’s Medical Laboratory Technology (MLT) program is to

develop students and graduates who possess the highest standards of ethical and professional


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conduct while also preparing them with entry-level competencies in the field of laboratory

science for successful laboratory careers as a part of the broader healthcare team.

Program Objectives: The program’s objectives align with the NAACLS description of entry-

level competencies above and include development of a student to:

1. Analyze and interpret the results of clinical laboratory tests for accuracy and

correlation with other test results

2. Perform biological testing in clinical laboratory disciplines according to policies and

procedures

3. Maintain laboratory instrumentation according to industry guidelines

4. Maintain and promote good lab practices

Program Goals:

1. To prepare graduates to demonstrate proper procedures for the collection, safe

handling, and analysis of biological specimens.

2. To prepare graduates to utilize and interpret scientific principles, laboratory principles,

and measurement technologies for generating laboratory data on biological specimens.

3. To prepare graduates to perform and interpret laboratory testing with accuracy and

precision, with respect to timeliness of results and relay of critical information to

providers.

4. To develop graduates to operate equipment properly, troubleshoot, and perform

preventive maintenance and corrective maintenance.

5. To prepare graduates to interpret clinical significance, clinical procedures, and

correlate laboratory test data accurately.

6. To prepare graduates to utilize principles of quality assurance and quality control to all

aspects of laboratory services: pre-analytical, analytical, and post-analytical.

7. To develop graduates to comply with established laboratory safety regulations and

regulations governing regulatory compliance related to lab/pathology services.

8. To prepare graduates to demonstrate ethical behavior and professionalism, maintain

confidentiality of patient information, and participate in continuing education for one's

professional development.

9. To instill a commitment to the future of the medical laboratory profession through

involvement in national professional societies and/or community outreach.

10. To prepare graduates to integrate and relate lab data generated by the various clinical

departments, interpreting and following up discrepancies, and confirming results.

11. To prepare graduates for a place on the evolving healthcare team, emphasizing

collaboration and teamwork as well as leadership skills, while placing patient needs

and care as the priority.

IV. ENTRY-LEVEL COMPETENCIES

In order to reach the program’s objectives and goals, students are routinely evaluated in the

psychomotor, cognitive, and affective learning domains for entry-level competency attainment.

Entry-level competencies are skills that are expected of new Medical Laboratory Technicians by

employers and in-field professionals.

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The program’s objectives for each of the entry-level competencies in the affective, cognitive, and

psychomotor learning domains are as follows:

A. AFFECTIVE ENTRY-LEVEL COMPETENCY OBJECTIVES:

Upon completion of lectures and laboratories, the student will demonstrate:

INTEGRITY

1. Professional Courtesy and Respect

a. Is attentive to demonstration and teaching

b. Treats others with respect

c. Responds appropriately to instructors and supervisor

d. Treats all patients with compassion

2. Honesty

a. Does not lie or falsify any information

b. Does not cheat

c. Performs all work independently, when asked

3. Confidentiality

a. Does not gossip

b. Does not discuss patient information outside of the laboratory

ATTITUDE/DISCIPLINE

1. Motivation

a. Arrives to the laboratory prepared for the day

b. Asks questions to clarify instruction or directions

c. Participates in discussions

d. Seeks additional learning opportunities, as time allows

2. Time Management

a. Completes work on time

b. Is punctual

c. Utilizes free time appropriately

d. Follows attendance policy

3. Dependability

a. Stays on task without supervision

b. Does not leave work area without permission

c. Follows procedures exactly

4. Compliance

a. Follows all laboratory safety policies

b. Follows the dress code and maintains good hygiene

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TEAMWORK

1. Cooperation

a. Shares with and helps other students, if applicable

b. Adapts easily to changes in routine

c. Maintains composure in stressful situations

d. Follows instructions

2. Interpersonal skills

a. Respects the authority of instructors and supervisors

b. Follows appropriate lines of authority to resolve questions and problems.

c. Displays enthusiasm

d. Is polite at all times

e. Abides by institutional cell phone and internet policies

B. COGNITIVE ENTRY-LEVEL COMPETENCY OBJECTIVES:

Through a myriad of assessment methods in individual coursework, the MLT student will be evaluated on

the following cognitive entry-level competencies.

Upon completion of the program, the student will:

1. Analyze and interpret the results of clinical laboratory tests for accuracy.

2. Correlate laboratory data with other pertinent test results for determination of data validity, clinical

conditions, and needed analysis, if applicable.

3. Identify the need for urgency of reporting critical and STAT results to a patient care provider.

4. Explain laboratory science principles and medical laboratory regulations.

5. Apply scientific principles and regulations to medical laboratory procedures and processes.

6. Describe the correlation of principles and regulations to maintaining quality assurance, accuracy, and

validity of laboratory tests.

7. Possess requisite knowledge necessary to apply appropriate safety measures in the laboratory and

related health care environment.

8. Explain how lab findings relate to disease states and clinical findings to include recommending

additional testing, if applicable.

9. Predict sources of error given laboratory data and clinical findings to include recommended

solutions.

10. Defend the importance of certification and/or licensure to include continuing education.

11. Discuss the importance of membership in a professional laboratory society or group.

12. Demonstrate effective communication skills for the betterment of the healthcare team and the

patients it serves.

Individual course cognitive objectives may be found within each course’s syllabus.

C. PSYCHOMOTOR ENTRY-LEVEL COMPETENCY OBJECTIVES:

The Harrison College MLT Program has identified the following skills as entry-level competencies

in the psychomotor domains. The graduate competencies are evaluated in the student laboratory

courses and in Externship.

Entry-level competencies are evaluated by instructors according to specified skill

criteria. Eighty percent (80%) of skills for each course must be passed at least a “Basic

Knowledge” level by the end of the course to successfully pass the course. One hundred percent

(100%) of skills must be passed at least a “Basic Knowledge” level prior to Externship. Eighty

percent (80%) of skills from each course must be passed at least at a “Competent” level by

graduation to meet graduation requirements.

By the completion of the program, the MLT student will:

MLT1130 Laboratory Calculations Entry-Level Competencies:

1. Follow safety guidelines to maintain a safe testing environment (ABHES 1d,e,f and 2c).

2. Use laboratory glassware and pipette devices properly (ABHES 1b).

3. Calculate clinical results using standard curves (ABHES 4c).

4. Accurately perform, interpret, document, and troubleshoot quality assurance data

(ABHES11a,b,d1).

MLT1250 Clinical Techniques and Principles I Entry-Level Competencies:


2. Differentiate acceptable and unacceptable specimens for laboratory analysis (ABHES 1i).

3. Prepare peripheral blood smears to meet both macroscopic and microscopic criteria.

4. Perform and document manual urine chemical testing results within one variation of the

known value for each parameter (ABHES 5.a).

5. Use laboratory glassware and pipette devices properly (ABHES 1.b).

6. Determine the concentration of an unknown chemistry analyte to the satisfaction of the

instructor (ABHES 10.a.2).

7. Perform and interpret agglutination testing with no errors.

8. Evaluate Gram stain reactions and morphologies.

9. Accurately perform, interpret, document and troubleshoot quality assurance data

(ABHES 11a,b,d2-3).

MLT1260 Clinical Techniques and Principles II Entry-Level Competencies:

1. Properly dons and removes personal protective equipment (ABHES 1e, 2c).

2. Perform 10 venipuncture procedures to the satisfaction of the instructor (ABHES 12a, 2c).

3. Perform 5 capillary puncture procedures to the satisfaction of the instructor (ABHES 12b, 2c).

4. Perform 2 butterfly venipuncture procedures to the satisfaction of the instructor, to include

blood cultures (ABHES 12c, 2c).

5. Differentiate serum and plasma based upon the specimen obtained.

6. Place tubes in the appropriate order of draw for venipuncture.

7. Identify acceptable and unacceptable specimens for patient testing (ABHES 1i).

8. Prepare specimens for testing to include centrifugation and storage or transport

(ABHES 1d, 1i, 2c).

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9. Process a 24 hour urine for testing (ABHES 2c).

10. Select microbiology media appropriate for specific specimen types (ABHES 8b).

11. Adhere to policies and procedures for fire, chemical, and electrical safety (ABHES 1f).

12. Process electronic patient information (ABHES 1c).

13. Perform requisition processing (ABHES 1h).

14. Complete a chain of custody form (ABHES 2b).

15. Operate and maintain a microscope (ABHES 1g).

16. Perform a Gram stain procedure in the proper order (ABHES 8a).


(ABHES 11 a,b).

MLT1430 Urine and Body Fluids Entry-Level Competencies:

1. Follow safety guidelines to maintain a safe testing environment (ABHES 1d,e,f, 2c).

2. Differentiate acceptable and unacceptable urinalysis specimens (ABHES 1i).

3. Accurately assess color and clarity of urine specimens within one degree of measure from the

known value (ABHES 5a).

4. Identify urinary microscopic elements in both images and urine specimens within one semi-

quantitative variation of the known value for each parameter (ABHES 5a).

5. Perform and document manual urine chemical testing results within one variation of the

known value for each parameter (ABHES 5a).

6. Identify when confirmatory urinalysis testing should be performed based upon patient data

and parameters to include actual performance of testing (ABHES 5a).

7. Calculate cell counts using the universal formula (ABHES 5b).


(ABHES 11 a,b).


MLT1460 Immunoserology Entry-Level Competencies:



3. Differentiate acceptable and unacceptable immunology specimens.

4. Perform and interpret latex agglutination testing with no errors (ABHES 9b1,2,4).

5. Determine the endpoint and accompanying titer of a serial dilution for a positive reaction

(ABHES 9c).

6. Perform and interpret infectious disease rapid kit tests.


(ABHES 11a,b)

MLT1480 Microbiology I Entry-Level Competencies:


2. Differentiate acceptable and unacceptable microbiology specimens.

3. Demonstrate appropriate agar selection for bacterial identification by specimen type

(ABHES 8b).


5. Perform Gram stains with no errors (ABHES 8a).

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7. Select appropriate incubation techniques (ABHES 8c).

8. Perform and interpret biochemical testing to include: (ABHES 8e)

a. Catalase test

b. Oxidase test

c. Staph ID latex agglutination test

9. Accurately identify the following microbes utilizing the Gram stain and appropriate biochemical

tests:

a. Staphylococcus species

b. Staphylococcus aureus

c. Streptococcus species

d. Escherichia coli

10. Perform identification of normal flora versus pathogenic growth (ABHES 8d).

11. Monitor temperatures of laboratory equipment and troubleshoot, if necessary (ABHES 8d)


(ABHES 11a,b).

13. Identify critical (panic) values and demonstrate documentation with read-back.

MLT2480 Microbiology II Entry-Level Competencies:



3. Differentiate acceptable and unacceptable microbiology specimens.

4. Demonstrate appropriate agar selection for bacterial identification by specimen type

(ABHES 8b).

5. Select appropriate incubation techniques (ABHES 8c).

6. Perform Gram stains with no errors (ABHES 8a).


8. Accurately identify the following microbes utilizing the Gram stain and the appropriate

biochemical tests:

a. Staphylococcus aureus

b. Staphylococcus species

c. Streptococcus species

d. Escherichia coli

9. Accurately identify the following microbes according to their microscopic characteristics:

a. Aspergillus sp.

b. Penicillium sp.

c. Enterobius vermicularis

d. Giardia lamblia

10. Perform identification of normal flora versus pathogenic growth (ABHES 8d).

11. Perform and interpret a Kirby-Bauer antibiotic susceptibility test.

12. Monitor temperatures of laboratory equipment and troubleshoot, if necessary (ABHES 8d).


(ABHES 11a,b).

MLT2530 Hematology I Entry-Level Competencies:


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2. Differentiate acceptable and unacceptable hematology specimens.



5. Prepare five peripheral blood smears to meet both macroscopic and microscopic criteria.

6. Calculate RBC Indices (MCV, MCH, and MCHC).

7. Perform and interpret sedimentation rates within 2 mm, or 1SD (whichever is greater), of the

known value (ABHES 6a4).

8. Perform and interpret manual hematocrits to within 2% of the known value (ABHES 6a1).

9. Perform and interpret manual reticulocyte counts to within 20% of known value

(ABHES 6a5).

10. Identify and grade red blood cell morphology to within one semi-quantitative variation of

the known value (ABHES 6a3).


(ABHES 11a,b).

MLT2540 Hematology II Entry-Level Competencies:


2. Differentiate acceptable and unacceptable hematology specimens.



5. Identify and grade red blood cell morphology to within one semi-quantitative variation of the

known value (ABHES 6a3).

6. Calculate absolute white blood cell counts when provided with the total white blood cell

count and relative data.

7. Perform white blood cell estimates to within 25% of the known value.

8. Perform platelet estimates to within 25% of the known value.

9. Perform five normal white blood cell manual differentials to within 10% of the known values

(ABHES 6a3).

10. Perform seven abnormal white blood cell differentials to within 10% of the known values

and to the satisfaction of the instructor (ABHES 6a3).

11. Differentiate acceptable and unacceptable coagulation specimens.

12. Perform a Prothrombin Time/INR, matching unknown values within +/- 20% of the known

value (ABHES 6c1).

13. Perform an activated partial thromboplastin time (aPTT), matching unknown values within

+/- 20% of the known value (ABHES 6c3).

14. Perform and interpret D-Dimer testing and quality control with no errors (ABHES 6c5).


(ABHES 11a,b,).

MLT2630 Clinical Chemistry I Entry-Level Competencies:


2. Pipette various volumes of fluid appropriately, to the satisfaction of the instructor

(ABHES1b).

3. Accurately determine a vessel’s liquid volume with no errors (ABHES 1b).


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(ABHES 11a,b,d1-2).

5. Calculate creatinine clearance results when provided with specimen data.

6. Differentiate acceptable and unacceptable specimens for the analytes being evaluated.

7. Determine the concentration of an unknown analyte to the satisfaction of the instructor

(ABHES 10a1-3).

8. Determine the final concentration of an unknown analyte by performing a dilution and the

accompanying calculation.

9. Appropriately utilize clinical chemistry instrumentation to obtain specimen analyte data

to include troubleshooting, if applicable (ABHES 1d).

MLT2640 Clinical Chemistry II Entry-Level Competencies:


2. Pipette various volumes of fluid appropriately, to the satisfaction of the instructor

(ABHES 1b).

3. Accurately determine a vessel’s liquid volume with no errors (ABHES 1b).

4. Accurately perform, interpret document and troubleshoot quality assurance data

(ABHES 11a,b, d1-2)

5. Differentiate acceptable and unacceptable specimens for the analytes being evaluated.

6. Determine the concentration of an unknown analyte to the satisfaction of the instructor

(ABHES 9b3, 10a1).

7. Determine the final concentration of an unknown analyte by performing a dilution and the

accompanying calculation.

8. Identify critical (panic) values and demonstrate documentation with read back.

9. Appropriately utilize clinical chemistry instrumentation to obtain specimen analyte data to

include troubleshooting, if applicable (ABHES 1d).

MLT2660 Immunohematology Entry-Level Competencies:

1. Follow safety guidelines to maintain a safe testing environment (1d,e,f, 2c).

2. Differentiate appropriately labeled blood bank specimens and blood bank records with no

errors.

3. Pre pare a 3-5% cell solution to the satisfaction of the instructor.

4. Interpret, grade and record agglutination reactions within one variation of the known results

for positive results and no errors for negative reactions.

5. Perform, interpret, and record ABO and Rh testing with no errors (ABHES 7a1).

6. Identify when an ABO discrepancy exists and determine an appropriate course of action.

7. Perform, interpret, and record Direct Coombs Tests with within one variation of the known

results for positive results and no errors for negative reactions.

8. Perform, interpret, and record Indirect Coombs Tests with within one variation of the known

results for positive results and no errors for negative reactions (ABHES 7a2).

9. Perform and identify unexpected alloantibodies utilizing an antibody identification panel and

selected cells, if needed (ABHES 7a2).

10. Perform, interpret, and record immediate spin crossmatch results to the satisfaction of the

instructor (ABHES 7a3).

11. Perform appropriate follow-up testing in accordance with the blood bank flowchart to ensure

accurate and through testing of all patient samples.

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12. Select appropriate blood product(s) for patients based upon previous history, current clinical

condition, and current test results.


(ABHES 11a,b).


MLT2670 Immunohematology II Entry-Level Competencies:


2. Differentiate appropriately labeled blood bank specimens and blood bank records with no

errors.

3. Prepare a 3-5% cell solution to the satisfaction of the instructor.

4. Interpret, grade and record agglutination reactions within one variation of the known results

for positive results and no errors for negative reactions.

5. Perform, interpret, and record ABO and Rh testing with no errors (ABHES 7a1).

6. Perform, interpret, and record Direct Coombs Tests with within one variation of the known

results for positive results and no errors for negative reactions (ABHES7a4).

7. Perform, interpret, and record Indirect Coombs Tests with within one variation of the known

results for positive results and no errors for negative reactions (ABHES 7a2).

8. Perform and identify unexpected alloantibodies utilizing an antibody identification panel and

selected cells, if needed.

9. Perform, interpret, and record immediate spin crossmatch results to the satisfaction of the

instructor (ABHES 7a3).

10. Perform, interpret, and record AHG crossmatch results to the satisfaction of the instructor

(ABHES 7a3).

11. Perform a Hemolytic Disease of the Fetus and Newborn (HDFN) workup with no errors

(ABHES7a4).

12. Calculate the dosage of Rhogam needed when provided with Kleihauer-Betke results

(ABHES7a4).

13. Perform appropriate follow-up testing in accordance with the blood bank flowchart to ensure

accurate and through testing of all patient samples.

14. Select appropriate blood product(s) for patients based upon previous history, current clinical

condition, and current test results.

15. Accurately perform, interpret, document, and troubleshoot quality assurance data (ABHES

11a,b).


17. Accurately perform serological dilution titer(s) (ABHES 9c).

MLT2680 Medical Laboratory Capstone Entry-Level Competencies:


2. Differentiate acceptable and unacceptable specimens.



(ABHES 11a,b).

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EXT2770 MLT Micro Chemistry Urine Externship Competencies:

1. Microbiology:

General Bacteriology and Culturing:

o Temperature control and monitoring of incubators, refrigerators, and freezers

(ABHES 8c)

o Selection of media by specimen type (ABHES 8b)

Specimens:

o Specimen-appropriate transport devices, times, and temperatures &

troubleshooting specimens (ABHES 8c)

o Blood cultures – work up 5 (ABHES 8f)

Gram Stain: (ABHES 8a)

o Externs must successfully STAIN 10 Gram stains.

o Externs must successfully READ 10 gram stains.

Testing Protocols and Procedures: (ABHES 8e)

o Catalase – correctly perform & interpret 3 tests

o Coagulase (Staphaurex-latex agglutination, or tube method) – correctly perform &

interpret 3 tests

o Cytochrome oxidase – correctly perform & interpret 3 tests

o Spot Indole – correctly perform & interpret 3 tests

Anaerobes

o Anaerobe chamber or Gas pack – use and function

o Anaerobic media selection

2. Chemistry:

General Chemistry Instrumentation:

o Calibration schedules & theory, to include performing an instrument calibration

(ABHES 11c)

o Extern must correctly perform 4 daily QC to include: Frequency protocol, Data

review (Westgard, LJ), Resulting (ABHES 11d1)

o Extern must successfully run 20 patients to include processing electronic patient

information, such as: monitoring instrument flags and messages, manual

programming of sample data, barcoded data entry, and offline dilutions

Specimens:

o Critical (panic) value identification and their documentation with read-back

Testing Protocols and Theory:

o Extern must correctly run 30 patients by automated sample analysis to include

review of: (ABHES 10a1,2,4,6)

Renal (Kidney) Testing – BUN, Creatinine, GFR

Hepatic (Liver) Testing – TP, Albumin, Total Bili, Direct Bili, Indirect

Bili, ALT (SGPT), AST (SGOT), ALP, GGT

Cardiac Testing – Troponin, CK, CK-MB, LD, BNP

Protein and other Nitrogen Containing Compounds Testing – Ammonia,

Iron, Iron Studies (TIBC, % Saturation, Ferritin), Transferrin, Uric acid,

BUN

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Carbohydrate Testing – Glucose, lactic acid

Enzyme Testing – AST (SGOT), ALT (SGPT), ALP, GGT, Amylase,

Lipase

Electrolyte Testing – Na, K, Cl, CO2, HCO3, Anion gap, Ca

Mineral Testing – Mg, Phosphorus

Special Chemistry Protocols & Theory: (ABHES 10a5)

o Extern must correctly run 10 patients by automated sample analysis to include

review of: Therapeutic Drug Monitoring (TDM)

Immunology-Serology Specimens:

o Specimen collection

o Acceptable specimens and troubleshooting unacceptable specimens

Immunology-Serology Testing Theory and Protocols:

o Rapid (Kit) Testing for Infectious Mononucleosis (EBV) – Extern must correctly

perform and interpret 2 tests. (ABHES 9b2)

o Testing for Influenza – Extern must correctly perform & interpret 2 tests.

3. Urinalysis:

Safety

o General safety in the Urinalysis and Fluids department

Urine Instrumentation

o Extern must correctly perform daily QC to include: Frequency protocol, Review

of data, Resulting

Urine Specimens

o Acceptable specimens and troubleshooting unacceptable specimens

Urine Macroscopic & Chemical Exams (ABHES 5a)

o Dipstick reader technique

o Select color and clarity

o Indications for microscopic examination

o Indications for culture

o Extern must correctly perform 20 chemical examinations.

Urine Microscopic (ABHES 5a)

o Extern must correctly perform 20 microscopic examinations to include:

Identification and quantitation of sediment components

Fecal Examination

o Correctly perform and interpret 3 Fecal Occult Blood tests.

EXT2790 MLT Blood Bank Hematology Coag Externship Competencies:

1. Blood Bank (Immunohematology):

General & Safety:

o Grading agglutination

o Daily reagent rack QC

o Importance of labeling and identifying patients’ specimens

o Importance of checking patients’ previous records

ABO & Rh:

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o Extern must correctly perform & document with appropriate reaction grading and

interpretation 10 ABO-Rh tests to include: Front type (forward grouping), Back

type (reverse grouping), Rh (D) testing, Weak D (DU) testing (ABHES 7a1,4,

7b4)

Antibody Screen (ABSC):

o Extern must correctly perform and interpret 10 ABSCs and document on attached

worksheet. (ABHES 7a2,4, 7b4)

Antibody Identification (ABID): (ABHES 7b1,2)

o Review antibody enhancement procedure(s)

o Extern must correctly perform 3 ABID panel cross-offs & interpret the ABID

results with proper documentation

Crossmatch (Compatibility Testing): (ABHES 7a3)

o Transfusion reaction workup

o Extern must correctly perform & interpret 5 crossmatches and document on the

attached form to include: Immediate spin crossmatch, Coomb’s (AHG)

crossmatch

Cord Blood Testing:

o Note differences between neonatal and adult ABO and DAT testing (ABHES 7a4,

7b4)

Direct Antiglobulin Testing (DAT):

o Extern must correctly perform & interpret 3 DATs. (ABHES 7a4, 7b4)

Rhogam (RhIg) Rh Immune Globulin: (ABHES 7a4, 7b4)

o Protocol for antenatal injection

o Protocol for postnatal (postpartum) injection

Blood Products (Units) from local Blood Services [American Red Cross (ARC), Indiana

Blood Centers (IBC), etc.]:

o Receiving units into lab inventory – Extern must receive in 5 units.

o Retyping units (donor retyping)

Issuing Products:

o Review procedure for each type of product

2. Hematology & Coagulation:

Hematology General & Safety:

o Calculating RBC indices

o Microscope maintenance and documentation

Hematology Specimens:

o Preferred and acceptable specimens

o Platelet clumping

o Abnormally low WBC counts

o Capillary and Low Volume collections

Hematology Instrumentation:

o Extern must correctly perform daily QC to include: Frequency protocol, Data

review (Westgard, LJ), Resulting (ABHES 11d1)

o Extern must correctly run 30 patients by automated or manual sample analysis to

include review of the following CBC data: result linearity, reference ranges,

critical values, calling & documenting results with read-back, Pathologist review

16 9/13/17

criteria, sample dilutions, electronic patient information (order comments, delta

checks), criteria for manual slide review (ABHES 6a1,2)

Peripheral Blood Smears: (ABHES 6a3)

o Smears – Extern must make 10 blood smears with appropriate feathered edge (no

streaks), & two-thirds of the slide in length.

o Extern must correctly perform peripheral smears to include:

20 normal WBC diffs with morphology (to ± 10% of the reviewer’s

results)

10 abnormal WBC diffs with morphology (to ± 10% of the reviewer’s

results)

10 abnormal RBC morphologies (identify & properly quantify morph.)

20 WBC estimates

20 Platelet estimates

Comparison of manual and automated results

Correction of WBC count for nRBCs or megakaryocytes

Erythrocyte Sedimentation Rate (ESR):

o Extern must correctly perform an automated or manual ESR (if manual, must read

result within 2% of the reviewer’s result). (ABHES 6a4)

Coagulation Instrumentation:

o Extern must correctly perform daily QC to include: Frequency protocol, Review

of data, Resulting

o Critical result value identification and their documentation with read-back

Coagulation Testing:

o Specimen requirements

o Extern must successfully run 20 patients for a PT-INR (Prothrombin Time) to

match known results within 15%. (ABHES 6c1)

V. CLINICAL EXTERNSHIP AFFILIATIONS (as of 10.1.2017)

Harrison College’s Indianapolis East MLT program holds clinical externship affiliation

agreements with clinical and industrial laboratories. The current listing of clinical affiliations

may be found below:

American Health Network Indianapolis, IN

Community Hospital of Anderson Anderson, IN

Decatur Memorial Hospital Greensburg, IN

Dukes Memorial Hospital Peru, IN

Eskenazi Health Services Indianapolis, IN

Fayette Regional Health System Connersville, IN

Hancock Regional Hospital Greenfield, IN

Hendricks Community Hospital Danville, IN

Indiana Internal Medicine Consultants Greenwood, IN

Indiana University Health Sites throughout Indiana to include but not limited

to Avon and Carmel

17 9/13/17

Major Health Partners Shelbyville, IN

Marion General Hospital Marion, IN

Monroe County Hospital Bloomington, IN

Patients Choice Laboratories Indianapolis, IN

PCL Alverno Sites throughout Indiana to include but not limited

to Indianapolis, Crawfordsville, Lafayette, and

Mooresville

Premier Healthcare Bloomington, IN

Putnam County Hospital Greencastle, IN

Reid Hospital and Health Care Services Richmond, IN

Richard L. Roudebush Veterans

Affairs (VA) Medical Center Indianapolis, IN

Rush Memorial Hospital Rushville, IN

Schneck Medical Center Seymour, IN

St. Vincent Medical Group Indianapolis, IN

Clinical affiliations with the Fort Wayne campus include the following:

Bluffton Regional Medical Center Bluffton, IN

Lutheran Hospital Fort Wayne, IN

Marion General Hospital Marion, IN

Parkview Huntington Hospital Huntington, IN

Parkview Hospital Randallia Fort Wayne, IN

Parkview Whitley Hospital Columbia City, IN

Parkview Wabash Hospital Wabash, IN

St. Joseph Hospital Fort Wayne, IN

VI. OUTCOMES

The Harrison College MLT Program strives for regulatory excellence for both the College and

the MLT Program. As such, as part of the programmatic NAACLS program review process, the

program discloses the outcomes for which standards NAACLS deems appropriate. Individual

campus outcome data may be located on the Harrison College website.

https://harrison.edu/programs/school-of-health-sciences/medical-laboratory-technology

VII. ADVISORY BOARD

The MLT program’s advisory board serves to guide the program in meeting its mission and

goals. Meetings are held semi-annually. The board is comprised of representatives from both

Harrison College and the surrounding community.

https://harrison.edu/programs/school-of-health-sciences/medical-laboratory-technology

18 9/13/17

Current Indianapolis East campus MLT advisory board members include:

Program Administration and Faculty:

Erica Lelle MT (ASCP), MLT Program Director, Harrison College

Angela Blackburn MT (ASCP), Instructor, Harrison College

Clinical Site Supervisors:

Angie Redd MT(ASCP) Technical Coordinator/Water Lab Director, Hancock Regional

Hospital

Joy Oglesby MA, MT(ASCP), Laboratory Supervisor, St. Vincent Medical Group, Inc.

Program Graduates:

Rhonda Goodrich, Med Tech I, Indiana University Health

Rachel Wood, Med Tech I, Indiana University Health

Current Practitioners:

Cozetta Case BS, MLT(ASCP), Laboratory Manager, Lab Corp/Urology of Indiana

Kathleen Braniff MT(ASCP), Clinical Lab Consulting, LLC

Employers:

Jeffrey Schepper MT(ASCP), Lab Director Indiana Internal Medicine Consultants

Kathleen Sharp MS, MT(ASCP)SM, Administrative Director for Pathology and

Laboratory Services, Eskenazi Health

Current Student:

Tammie Arms, MLT Student, Harrison College Indianapolis East

Distance Education Specialists:

Pamela McNutt MA, RMA(AMT), Program Director, Instructor, and Academic Advisor,

National American University

Ryan Keller MA, BS, Co-Owner, Kaleidoscope Leadership Development; Chief

Operating Officer, Certell, Inc.

Additionally, the MLT Program Director is the representative member of the program with the

Consortium of Indiana Medical Laboratory Educators (CIMLE), which also provides guidance

and input into the program.

Current Fort Wayne campus MLT advisory board members include:

Program Administration and Faculty:

Luke Knoke, Campus President, Harrison College

Allegra McMillen MLS (ASCP)CM, MLT Program Chair, Harrison College

Chelsey Gerig, MLS(ASCP)CM, MLT Adjunct Faculty, Harrison College

Employers:

Asheet Chauhan, MT (ASCP), Laboratory Manager, Parkview Huntington Hospital

19 9/13/17

Bobbi Case, BS, MT(ASCP), Assistant Laboratory Director, Community Hospitals and

Wellness Centers

Current Practitioners:

Brian Goff MA, MLS (ASCP)CM, Education/Safety Specialist, Parkview Health Laboratories

Veronica Rubalcada, MLT(ASCP)CM Regional Study Coordinator, Covance Central

Laboratory Services

Wyatt Boucher, BS, MLT(ASCP), Medical Technologist, St. Joseph Hospital

Clinical Site Supervisors:

Michele Gillespie MBA, MT (ASCP), Administrative Director of Patient Care Experience

and Laboratory Services, St. Joseph Hospital

Stephen Martinsky MBA, MT(ASCP), Laboratory Manager, Marion General Hospital

Catherine “Cathy” Shaffner MOL, MT(ASCP), SH(ASCP) Program Director of Medical

Technology, University of Toledo

Distance Education Specialist:

Cecile Sanders, MT(ASCP), CLS(NCA), Adjunct Professor, Austin Community College,

Austin, Texas

Graduate:

Benjamin Hacker, MLT(ASCP)CM MLT Program Graduate, Indianapolis East

Current Student:

Kathleen (Huff) Stout, MLT Student, Harrison College, Fort Wayne

VIII. POLICIES

A. UNIFORM STANDARDS POLICY

HARRISON COLLEGE Allied Health Professional Dress Code Policy

The Program Director/Chair at each campus is responsible for the decisions regarding the

start date and professional dress for Health Science program students including approved

scrub colors. Health Science program students are to wear scrubs, appropriate footwear,

and personal protective equipment (PPE) every day during student laboratory experiences

and during Externship.

Students may be asked to leave class and be counted absent if out of compliance with

the HARRISON COLLEGE School of Health Science Professional Dress Code.

Scrubs/Uniform Standards

1. Scrubs/lab jacket are to be spotless, wrinkle free, and neat. They are not to be worn

at another job before or after classes where they can be stained or damaged.

2. Scrubs should fit well, not too tight or too loose.

3. HARRISON COLLEGE scrubs are to be worn.

20 9/13/17

4. Clean, plain, white shirts may be worn under the scrub or the HARRISON

COLLEGE lab coat for warmth. The Program Director/ Chair may approve another

color.

5. Name badges are to be worn with scrubs. Analog watches with a second hand should

be worn.

6. Shoes must have a closed heal and toe, be impermeable, and clean and practical.

Socks are to be worn with shoes at all times.

7. Proper and modest undergarments are to be worn under scrubs.

8. Hair is to be clean, neat, off the collar, and out of the face.

9. Nails are to be short, clean, natural, and only clear polish is to be used.

10. Personal hygiene is to be maintained, including daily bath or shower, brushing and

flossing of teeth, and use of deodorant.

11. Make up is to be used in moderation.

12. Jewelry must be modest in nature as to not interfere with laboratory activities or

communication.

13. Tattoos are to be covered.

14. All sciences health students are to adhere to the dress code standards established by

HARRISON COLLEGE when not wearing scrubs/lab coats.

All Health Sciences program students are to adhere to the dress code standards

established by HARRISON COLLEGE when enrolled in courses at campuses

where scrubs are not required.

B. LABORATORY RATIOS

The MLT program abides by the recommendations from its accreditor(s). In keeping with

these guidelines, no MLT prefixed course shall have more than a 10:1 student to instructor

ratio.

C. HEALTH SCREEN

1. Hepatitis Information for The Health Care Worker

Hepatitis B is a serious disease of the liver caused by a virus. HBV is spread by direct

contact with blood or certain body fluids from a person who has Hepatitis B. Most people

do not know that they are carriers of HBV unless they have a blood test. The symptoms

take six weeks to six months to develop after exposure. A person may not have symptoms,

but can still carry the virus in their body.

The possible symptoms include:

Whites of the eyes or skin turn yellow

May not feel like eating, stomach pain

Nausea, vomiting

Fever

Pain in joints

Very tired

Dark urine

It is recommended by the Center for Disease Control and Prevention and the Indiana

Department of Health that those health care workers and those training for a health care

21 9/13/17

profession, who risk exposure to blood in the workplace, be immunized against

Hepatitis B. An HBV-infected health professional should not perform exposure-prone

invasive procedures.

The Hepatitis B immunization consists of a three vaccine series. Testing for HBV

antigens should be done one to two months after the third vaccine. It is considered safe

for pregnant woman. Students should consult their personal healthcare provider or

local health department to arrange for the HBV vaccination series. Electing NOT to

receive the Hepatitis B vaccine series may result in Risk of the Hepatitis B infection

upon exposure. Additional information on Recommended Adult Immunization

Schedule is available on the Indiana Department of Health and the Center for Disease

Control and Prevention web sites.

Clinical externship sites may require Health Science program students to have a

Hepatitis C screening/titer results included with the History and Physical

Documentation.

2. Requirements for Performing Phlebotomy/Invasive Procedures

Medical Laboratory Technology Program Students may be asked to volunteer as human

subjects for specimen collection and point of care procedures. Such practice is for

educational purposes only. We greatly appreciate the participation of these volunteers.

The Medical Laboratory Technology students are required to practice clinical skills not

only on mannequins but also on live subjects in the clinical lab setting. Medical

Laboratory Technology students may participate in invasive procedure activities only

after proof of immunizations, or if immunization records are not available, a positive

serology titer for the following. These recommendations are aligned to what is

recommended by the Centers for Disease Control and Prevention and may be found

here: http://www.cdc.gov/vaccines/adults/rec-vac/hcw.html

Vaccines Recommendations in brief

Hepatitis B If you don't have documented evidence of a complete hep B vaccine series, or if you

don't have an up-to-date blood test that shows you are immune to hepatitis B (i.e., no

serologic evidence of immunity or prior vaccination) then you should

Get the 3-dose series (dose #1 now, #2 in 1 month, #3 approximately 5 months

after #2).

Get anti-HBs serologic tested 1–2 months after dose #3.

MMR

(Measles,

Mumps, &

Rubella)

If you were born in 1957 or later and have not had the MMR vaccine, or if you don't

have an up-to-date blood test that shows you are immune to measles or mumps (i.e.,

no serologic evidence of immunity or prior vaccination), get 2 doses of MMR (1 dose

now and the 2nd dose at least 28 days later).

http://www.cdc.gov/vaccines/adults/rec-vac/hcw.html

http://www.cdc.gov/vaccines/vpd-vac/hepb/default.htm#vacc

http://www.cdc.gov/vaccines/vpd-vac/measles/default.htm#vacc




22 9/13/17

Vaccines Recommendations in brief

If you were born in 1957 or later and have not had the MMR vaccine, or if you don't

have an up-to-date blood test that shows you are immune to rubella, only 1 dose of

MMR is recommended. However, you may end up receiving 2 doses, because the

rubella component is in the combination vaccine with measles and mumps.

Tdap

(Tetanus,

Diphtheria,

Pertussis)

Get a one-time dose of Tdap as soon as possible if you have not received Tdap

previously (regardless of when previous dose of Td was received).

Get Td boosters every 10 years thereafter.

Pregnant HCWs need to get a dose of Tdap during each pregnancy.

Vaccination records must be submitted to the MLT Program Director/Chair prior to

participation in invasive procedures or active enrollment in the MLT1250 course.

Non-MLT program adult volunteers (age 18 and above) must sign a release form prior

to participation in invasive procedures.

3. Essential Functions / Technical Standards

To participate in the program successfully, an individual must be able to

perform each essential function. The applicant/student will be adequately informed

of all demands and expectations of a program or profession so that he/she can

determine his/her ability to meet these expectations. The essential functions are the

non-academic physical, thinking and emotional demands of the program. All

applicants and enrolled students of the Medical Laboratory Technology program will

be expected to meet the essential functions and technical standards. Reasonable

accommodation may be made to enable individuals with special needs to

perform the essential functions. The student must submit a letter requesting the

specified accommodation and provide documentation from the student’s personal

physician to qualify valid and reasonable requests.

Harrison College reserves the right to remove anyone from the program who poses a

serious threat to the health and safety of other students, patients, or employees due to

an inability to meet each of the essential functions and technical standards in the Health

Science program.

4. Physical Examination And Immunizations

The Medical Laboratory Technology students are required to provide proof of

immunization, or titer, proof of a recent physical exam, criminal background

check, and urine drug screen to participate in the Externship courses. The health

screen must be recent (within 6 months of the first day of Externship). Personal health

http://www.cdc.gov/vaccines/vpd-vac/pertussis/recs-summary.htm




23 9/13/17

records will not be maintained after a student ceases attending HARRISON

COLLEGE. The physical exam is to verify that the student is capable of performing

the essential functions of the program without posing any serious threat to the safety of

themselves or others. Any behavior that poses a threat to the health and/or safety

of others may result in removal from the program.

The student is required to provide to the Program Director/Chair:

Record of a physical examination conducted prior to participating in externship by

the student’s personal physician or healthcare provider at the student’s cost.

Documentation of immunization history from the student’s personal physician,

county health department, or school records, prior to performing invasive

procedures. If unable to obtain these records, the student must provide a titer of the

required vaccination for proof of immunity. Immunization requirements may

change based on Indiana State Board of Health, CDC guidelines, and/or clinical

facility policies.

o Two documented Measles/Mumps/ Rubella vaccines or proof of positive

titer for each

o Tetanus/Diphtheria/Pertussis vaccine or proof of positive titers

o Hepatitis B vaccine series, positive titer, or signed informed waiver

Negative one step tuberculin (TB) skin test within 12 months prior to externship,

or proof of negative chest x-ray.

Urine Drug Screen Results (Harrison College provides an agency for students to

use in order to fulfill this requirement) prior to participating in externship. Students

will be required to bear the expense of drug screening, and are responsible for

inquiring about employment and licensure regulations in any other state they may

choose to practice.

The following may also be required by externship or clinical practicum site per

facility policy:

o Negative second step tuberculin (TB) skin test

o Annual Influenza vaccine

o Meningococcal vaccine or proof of positive titer

o Varicella vaccine or proof of positive titer

D. EMERGENCIES AND FIRST AID

Routine and emergency medical care is the responsibility of the student and their

personal physician. Any associated costs of such medical care are the student’s

responsibility. HARRISON COLLEGE staff and faculty are to call 911 for urgent

and emergency treatment. Medical faculty will perform first aid in an emergency

situation, as trained.

E. LIABILITY and HEALTH INSURANCE

Blanket Liability Insurance is provided for the health science programs in which students

perform hands-on or invasive procedures during lab or externship. The liability insurance

fee is automatically attached to a specific class, depending on the program. Liability

insurance covers students in malpractice claims. HARRISON COLLEGE does not

provide personal health insurance. Health insurance may be a requirement at

24 9/13/17

externship facilities. If this is the case, students are responsible for the acquisition

and cost of such policies.

F. EXTERNSHIP (CLINICAL PRACTICUM EXPERIENCE) PRIORITIZATION

Per regulatory guidelines, all students who are scheduled for externship experience must

receive an external clinical experience. Students are prioritized for externship according

to the following criteria:

1. overall academic performance

2. attendance

3. affective domain assessments

4. disciplinary history

If a scheduled experience does align with the commencement of the academic term, an

externship student may receive supplemental laboratory assignments.

G. LIMITED CRIMINAL HISTORY and OIG CHECK

Many externship sites require limited criminal history checks performed before accepting

student externs. The costs for obtaining the background check is the student’s

responsibility. Please refer all questions on limited criminal history checks to the Program

Director/Chair.

HARRISON COLLEGE desires to academically advise students of the difficulties they

may face in obtaining an externship or clinical placement, graduate employment, or

licensure in occupations that, by law or institution policy, exclude people with certain

criminal convictions.

Professional certification/licensing boards in the State of Indiana and elsewhere may refuse

to issue a license if an individual has a felony or other conviction on record. Prospective

students are advised that a conviction of a criminal offense may affect externship or clinical

eligibility, and placement in employment. Certain hospitals, medical clinics and offices

require students submit to fingerprinting, criminal background checks, and drug screening

to receive appropriate clearance before they will be permitted to participate in externship

or clinical rotations at those institutions.

Students will be required to bear the expense of criminal background checks, and are

responsible for inquiring about employment and licensure regulations in any other state

they may choose to practice. Conviction records are kept by the State Police and are

accessible upon written request and payment of a nominal fee. Police (municipal, county,

state, game wardens and FBI) and prosecutors (district, state and United States attorneys)

also retain certain records. Sealed and expunged records are not available.

Signing a request for criminal background check authorizes the pertinent governmental

agencies to disclose to appropriate officials of the College or medical facility the facts and

circumstances of criminal conviction(s), incarceration(s), probation(s) and/or parole(s).

This includes instances in any state or country where the applicant has pleaded guilty or

25 9/13/17

was found to be guilty by a judge or jury to charges of committing a crime, other than

minor traffic offenses.

Convictions for prostitution, rape, sexual or violent crimes.

Any crimes involving abuse or neglect, or knowledge of abuse and failure to report

it to authorities.

Conviction of substance abuse.

Conviction of any federal offense, such as larceny, forgery, fraud, and sexual

misconduct

Any prior conditional license, license suspension, fine, or revocation of license.

In addition, externship sites and employers may also require a background check through

the Office of the Inspector General (OIG) for individuals appearing on the exclusions

lists due to healthcare fraud and abuse violations.

H. CLINICAL PRACTICUM EXPECTATIONS AND RULES FOR HEALTH SCIENCE

PROGRAMS

Externship courses are Core Courses and are to be taken during the final quarter.

Each student will be assigned an externship during their final term and may rotate to

various departments of the clinical laboratory after all prerequisite classes, health

screens, and pre-requisite documentation have been completed.

Students are assigned a(n) externship location(s) during their final term in a

clinic, hospital, or other laboratory setting by the program director/chair and/or

Dean.

If a student declines (refuses) to complete their externship at a facility provided by

Harrison College, Harrison is under no obligation to place a student at another

facility.

Externship/practicum requirements may be completed at one or more locations.

Students are responsible for providing their own transportation to and from the

externship practicum site.

Harrison College will strive to place students within a 60 mile radius of the campus.

However, some sites may require students to drive a distance longer than 60 miles

from the local Harrison College campus.

Students are expected to make suitable arrangements for transportation, childcare (if

applicable), and work schedules that affect the ability to meet all expectations of the

clinical affiliate site(s).

Duration of externship is 400 hours unless otherwise noted in the syllabus.

The students are required to complete the clinical rotation requirements within the

400 hours of externship experience, averaging around 40 hours per week.

Externships are offered during normal day shift lab hours, generally between 6 am

and 5 pm, Monday through Friday.

Students are to wear the approved HARRISON COLLEGE uniform and name badge

while on externship.

26 9/13/17

Externs will be evaluated on performance of medical laboratory procedures and

professional conduct.

Students are required to earn a minimum of 80% in the course and successfully

complete 80% of the entry-level competencies at a competent level entry-level to pass

externship courses as a condition of graduation for the program. Students earning

below 80% will be required to apply for re-entry into the program. Re-entry decisions

will be made by a committee made up of the program instructors, the program

director/chair, the dean, the registrar, student affairs specialist, and possibly an

instructor outside the department. Reentry into the program is not guaranteed.

Students will be under the supervision of site staff with in-field knowledge, and

must comply with the facility’s policies and procedures.

All student activities associated with the curriculum, especially while students are

completing an externship practicum, will be educational in nature. The program

director/chair or designated instructor will monitor student progress.

The students will be expected to perform psychomotor skills and demonstrate

affective behaviors presented previously in the classroom and/or clinical lab.

Students are responsible for submitting weekly time sheets, signed by the site

supervisor documenting the number of hours worked each week to determine the total

number of hours completed. They will also be responsible for submitting weekly

logs/journals that document their experiences.

Students will comply with laws and regulations protecting personal health

information with the understanding that breach of confidentiality will result in legal

action.

The student may be dismissed from the site at the request of the site supervisor if

absences are excessive, generally two (2) or more absences, or according to the

externship site’s interpretation of excessive absences.

The externship practicum site has the right to terminate the experience of any student

whose performance, behavior, skills, attendance, punctuality, professional behaviors

or attitude are, in the site’s opinion, detrimental to the site, or to the care and safety

of patients/clients.

HARRISON COLLEGE reserves the right to suspend or dismiss a student if his/her

conduct is detrimental to the educational aims and purpose of the program or to fellow

students. This may include (but not limited to) acts of forgery, cheating, fraud, theft,

HIPAA violations, tampering or destruction of property, threats of harm, procession

or under the influence of drugs or alcohol, or any other criminal activity.

If the extern student is released from a site for disciplinary reasons, the Program

Director/Chair, Dean, and/or the Campus President shall decide the conditions under

which the student should be allowed to continue in the program or if disciplinary

action is to be taken, and whether the student will be allowed to continue under

specified conditions. The conditions may include, but are not limited to, a written

request for consideration from the student, tutoring, and an approved plan to correct

performance and conduct. The student may be required to retake the course and

complete a full externship at another site.

If the student must change sites due to personal reasons, the program director/chair

will attempt to find a suitable site for the completion of the course. The student may

27 9/13/17

be required to complete a full externship practicum at another site and/or be required

to retake the course.

I. PERFORMANCE OF SERVICE WORK

Students may not be substituted for regular staff during their student experiences.

Service work by students in clinical settings outside of academic hours must be

noncompulsory.

J. MEDICAL LABORATORY TECHNOLOGY CERTIFICATION EXAMS

The American Society for Clinical Pathology (ASCP) Board of Certification (BOC)

offers a Medical Laboratory Technician (MLT) certification examination for students

graduating from ABHES and/or NAACLS accredited programs.

The Program Director/Chair will provide instructions for certification exam registration

prior to graduation. Graduation from the program is not contingent upon a student passing

any type of external certification or licensure examination.

K. TEACH-OUT PLAN

Indianapolis East Campus

In the unfortunate circumstances that the Harrison College Indianapolis East campus

would experience an unforeseen act of nature, terrorism, or any other tragedy and was no

longer able to host students for MLT classes at its location, the following plan is in place

to accommodate students enrolled in the MLT program:

Accommodating courses at the Harrison College Indianapolis Northwest campus will

ensure that all currently enrolled students can complete the program with the intention to

finish as closely as possible to the original end date. If the option of transitioning students

to another Harrison College campus is unavailable, clinical affiliate sites will be

considered as alternative venues for education until the Indianapolis East campus is able

to resume classes on-site.

Fort Wayne Campus

In the event that a catastrophic incident occurs resulting in an interruption of Harrison

College’s ability to operate the Medical Lab Technology (MLT) program at the Fort

Wayne campus, attempts will be made by Harrison College to transition courses to

clinical affiliate sites or Harrison College campuses. Accommodating courses at clinical

affiliate sites or Harrison campuses will ensure that all currently enrolled students can

complete the program, with the intention to finish as closely as possible to the original

end date. Acceptable Harrison College campuses must already offer the MLT program

and be NAACLS accredited to be considered for transitioned students. Harrison

campuses will be considered on an individual student basis, dependent upon the ability of

the student(s) to travel to those locations.

28 9/13/17

If the option of transitioning students to another Harrison College campus is unavailable,

clinical affiliate sites will be considered as alternative venues for education until the Fort

Wayne campus is able to resume classes on-site. Harrison College is affiliated with the

Parkview Health System, Incorporated, which includes the Parkview community

hospitals and Parkview Regional Medical Center (PRMC), among other Parkview

entities. Traditionally, Harrison MLT students in externship only participate with

Parkview’s community hospitals, due to PRMC hosting the only other medical laboratory

science program in Fort Wayne, and neither entity wants to risk compromising the

student educational experience for either program. In the event of a catastrophic incident,

however, Harrison and the PRMC laboratory administration have a gentlemen’s

agreement that would allow Harrison MLT faculty to hold MLT specific courses at their

facility until the Fort Wayne campus is accessible.

In the event of program closure due to an administrative decision by Harrison College,

unrelated to a catastrophic incident, all students currently enrolled in the MLT program at

the Fort Wayne campus will be allowed to complete the program at the Fort Wayne

campus. NAACLS will be notified of the detailed closure plan regarding the program, its

students, faculty, and resources within 30 days of the closure decision

IX. FORMS

Appropriate forms to be signed and returned to the Program Director/Chair: A. Medical Laboratory Technology Program Handbook Acknowledgement


C. Essential Functions and Technical Standards

D. Health History, Immunizations and Physical Examination Record

E. Hepatitis B Acknowledgement

Prepared 7-08 by: John Sparkman, MT (ASCP), MBA, Medical Laboratory Technician Program Administrator and

Vicki Thomas, Manager of Allied Health Compliance

Revised by Steve Beeler, MLS (ASCP)cm, MBA, Medical Laboratory Technology Program Coordinator; Karen

Wilson, CMA, BGS, Medical Program Coordinator

Revised by: Stacey Millam M.S. MLS(ASCP)cm Medical Laboratory Technician Program Chair and Vicki Thomas,

Manager of Allied Health Compliance

Revised by: Erica Lelle, M.Ed. MT (ASCP) Medical Laboratory Technology Program Chair and Vicki Thomas,

Associate Dean of Health Sciences 7-2016

Revised by Erica Lelle, M.Ed. MT(ASCP), Medical Laboratory Technology Program Director and Allegra

McMillen MLS(ASCP)CM, Medical Laboratory Technology Program Chair

Revision Dates: 8-09, 8-10, 9-11, 11-2012, 10-2013, 9-2014, 7-2016, 12-2016, 3-2017, 9-2017

29 9/13/17

Harrison College

Medical Laboratory Technology Program

Handbook Acknowledgement

I have received, read, and understand the Harrison College School of Health Sciences Medical

Laboratory Technology Handbook and all attached forms. By my signature, I agree to follow all

HARRISON COLLEGE policies and comply with completion of all appropriate forms to be signed

and returned to the MLT Program Director/Chair:

A. School of Health Science Medical Laboratory Technology Program Handbook

Entry-Level Competencies

Uniform Standards Policy

Criminal Background Check

Drug Screen Requirements

Practicum/Externship Hours, Travel Expectations, and General Expectations

MLT Specific Policies


C. Medical Laboratory Technology Accreditation Acknowledgement Form

D. Essential Functions and Technical Standards

E. Health History, Immunizations and Physical Examination Record

F. Hepatitis B Acknowledgement

Student Name (please print):__________________________________________

Student Signature: ___________________________________________________

Date: ___________________________

____________________________________________________________________

Program Director/Chair Signature

Date: _______________________

30 9/13/17

Harrison College

Phlebotomy/Invasive Procedure Release Form

Medical Laboratory Technology students must practice phlebotomy/clinical invasive

procedure skills not only on mannequins but also on live subjects. These may include

injections and phlebotomy procedures. Student participants are used for educational

purposes only and may participate in invasive procedure activities only after their

vaccination records have been submitted to the program director/chair.

I hereby release Harrison College of any and all liability related to practicing

phlebotomy/clinical invasive procedure skills.

Student Name (please print):_______________________________________________

________________________________________ __________

Student Signature Date

________________________________________ __________

Program Director/Chair Signature Date

Developed: 12-1-05; Revised: 12-07, 5-09, 8-10, 7-16; Reviewed 9-11

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Medical Laboratory Technology Accreditation Acknowledgement Form

Medical Laboratory Technician (MLT) certification is not a requirement for graduation or

employment. Certification in the field of medical laboratory professions in the state of Indiana

is a voluntary process for individuals who meet minimum educational and skills requirements.

Certification provides a measurement for the standard of practice (the knowledge and skills)

desirable for medical laboratory personnel.

The Harrison College campuses are accredited through the United States Department of

Education. Harrison College has also elected to go through a voluntary additional accreditation

though the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) to have

the Medical Laboratory Technology program compared to national standards established by the

profession. The Harrison College Medical Laboratory Technology program utilizes curriculum

to meet or exceed the minimum national standards for curriculum and entry-level competencies

used for the development and evaluation of MLT programs for accreditation.

The Medical Laboratory Technology program at the Indianapolis East campus has been awarded

accreditation by the National Accrediting Agency for Clinical Laboratory Sciences, 5600 N.

River Road, Suite 720, Rosemont IL 60018, 773.714.8880, http://www.naacls.org.

The Medical Laboratory Technology program at the Fort Wayne campus is currently pursuing

accreditation by the National Accrediting Agency for Clinical Laboratory Sciences, 5600 N.

River Road, Suite 720, Rosemont IL 60018, 773.714.8880, http://www.naacls.org.

Graduates from ABHES and/or NAACLS accredited programs are eligible to register for

certification examinations offered by the American Society for Clinical Pathology (ASCP) Board

of Certification (BOC). Graduates from non-ABHES and/or NAACLS accredited programs are

eligible to register for the certification examination offered by the American Medical

Technologists (AMT). Certification is not a requirement for program graduation. All questions

concerning exam dates and fees should be discussed with the Medical Laboratory Technology

Program Director/Chair.

I have read and understand the above information.

Student Name (please print):________________________________________________

____________________________________________________ __________________

Student Signature Date

Developed 12/2016

Revised 8/2017



32 9/13/17

ESSENTIAL FUNCTIONS / TECHNICAL STANDARDS

for applicants and enrolled students in the School of Health Science

Medical Laboratory Technology Program

To participate in this program successfully, an individual must be able to perform each

essential function. The applicant/student needs to be adequately informed of all demands and

expectations of a program or profession so that he/she can determine his/her ability to meet these

expectations. The following are essential functions of the non-academic demands of the program

which all applicants and enrolled students of the Medical Assistant, Surgical Technology, Medical

Laboratory Technology, and Massage programs will be expected to meet. The requirements listed

below are representative of the knowledge, skill, technical standard and/or ability required.

Reasonable accommodations may be made to enable individuals with special needs to

perform the essential functions.

LANGUAGE SKILLS REQUIREMENTS

Read, interpret, comprehend and apply information from documents and instruments

frequently utilized in the field of specialty such as safety rules, operating and maintenance

instructions, physician orders, patient charts, SDS sheets, syringes, supplies, graphs,

computer screens, incident/accident reports, correspondence, procedure manuals and soft

goods, in the English language.

Speak effectively before individuals or groups of people using the English language.

Communicate, understand and respond to verbal, written, and electronic messages effectively

utilizing fluent English, according to program demands.

Hear and respond to verbal and telephone communications.

MATHEMATICAL SKILLS REQUIREMENTS

Perform the fundamental mathematical calculations of adding, subtracting, multiplying, and

dividing in all units of measure using whole numbers, common fractions, and decimals.

Measure, calculate, reason, analyze, synthesize, evaluate, integrate, and apply information

which may require long periods of concentration.

Comprehend three-dimensional relationships and understand the spatial relationships of

structures.

PHYSICAL DEMAND REQUIREMENTS

Stand, walk, bend, stoop, crouch, crawl, climb, balance, and/or sit for long periods of time in

one location with minimum or no breaks. Certain functions may require being confined in

tight spaces with limited opportunity for rest periods or nourishment for as long as 6 hours.

Exert sufficient force to push, pull, and lift up to 20 pounds frequently, 50 pounds

occasionally.

Reach and fully extend the arms and hands (both) to grasp, manipulate objects, squeeze,

adjust pressure, and differentiate temperature.

Demonstrate sufficient visual acuity to place an object the size of a hair strand onto a slide

with/without corrective lenses and while wearing safety glasses.

33 9/13/17

Adjust focus to read a document, evaluate and differentiate color, diameter, patterns, and/or

structural detail at a near vision of 20 inches or less, from a distance of 20 feet, and while

viewing microscopic specimens, with both eyes.

Use both hands to manipulate instruments, supplies, body tissues, patient extremities, and

equipment with manual dexterity, speed, eye-hand coordination, and depth perception. Tasks

may require repetitive motion.

Hear and understand muffled communication without visualization of the communicator’s

mouth and/or lips within 20 feet regularly.

Hear activation and/or warning signals on equipment.

Distinguish odors sufficient to maintain environmental safety and respond to patient needs.

TECHNICAL STANDARDS

Be free of reportable communicable diseases and chemical abuse.

Demonstrate immunity to rubella, rubeola, and hepatitis B, or be vaccinated against these

diseases, or be willing to sign a waiver of release of liability with regard to these diseases.

Students must also test to be non-reactive for tuberculosis by means of PPD screening or

chest films.

Possess short- and long-term memory sufficient to perform tasks such as (but not limited to)

mentally tracking supplies.

Use sufficient and sound judgment to recognize and correct performance and to problem-

solve unexpected observations and/or outcomes.

Possess the emotional health required for full utilization of intellectual abilities such as

exercising sound judgment, promptly completing all responsibilities, working in and adapting

to changes and stressful environment(s), displaying flexibility, and functioning independently

in the face of taxing workloads, and recognizing and appropriately seeking assistance for

uncertainties and/or problems that may arise.

WORK ENVIRONMENTAL FACTORS

Program participants will be exposed to body fluids and chemicals used for testing and

treatments. Medical Laboratory Technology participants are expected to perform

invasive procedures such as injections and blood draws on live people as a competency

requirement before externship. Proper use of Standard Precautions will be taught prior to

this exposure.

Program participants are regularly exposed to a moderate level of noise from telephones,

electronic office equipment, medical testing equipment, and patients.

34 9/13/17

I, THE APPLICANT/STUDENT AFFIRM THAT HAVE READ, UNDERSTAND AND AM

ABLE TO MEET EACH OF THE ESSENTIAL FUNCTIONS AND TECHNICAL

STANDARDS REQUIRED IN THE MEDICAL LABORATORY TECHNOLOGY,

PROGRAM.

I understand that I am required to provide, to the Program Director/Chair, documentation

of my immunization history from my healthcare provider. I also understand that:

I am to be scheduled for an appointment with my personal healthcare provider for a

physical examination conducted within six months prior to the externship or clinical

practicum courses.

The physical exam is to verify that I am capable of performing the essential functions of

the program without posing any direct threat to the safety of myself or others.

If it is determined my participation in the Medical Laboratory Technology Program would

result in a direct threat to the health and/or safety of others, Harrison College reserves the

right to remove me from the program.

_____________________________________________________________________________

Printed name

_____________

Signature Date

Program Director/Chair ___________________________________________________

Date_________

Developed: 12-1-05; Revised: 12-07, 5-09, 8-10, 7-16; Reviewed 9-11

35 9/13/17

Hepatitis B Acknowledgement

Harrison College strongly recommends that all medical students receive the Hepatitis B vaccine

series beginning the first month of their program.

Any member of a health care team who comes in contact with blood, body fluids, or body tissue

has an increased chance of developing this type of viral hepatitis. The risk can be assessed by

testing persons exposed for the presence of HBV antigens. Health care workers who do not have

the protection afforded by the HBV antibodies should be immunized with the Hepatitis B vaccine.

Student Statement

I understand:

I MAY NOT be allowed to participate in some classroom procedures or serve at some

externships until I receive the inoculations.

I should contact my family physician for information regarding the Hepatitis B vaccine

to determine if there is a medical reason why I should not receive the vaccine.

I understand that I should have my titer level checked for antigens to determine if I need

the Hepatitis B vaccine series.

I will provide HARRISON COLLEGE with a copy of my immunizations.

I have read and understand the recommendations made by Harrison College regarding the Hepatitis

B immunizations. I acknowledge that I have received an exact copy of this form.

Student Name (please print):________________________________________________

__________________________________ ______________________

Student Name Date

INFORMED REFUSAL

I, ______________________________, have read the attached information and recommendations

and elect NOT to receive the Hepatitis B inoculation. I hereby release Harrison College from any

and all responsibility for this choice and action.

__________________________________ ________________________

Student Name Date

Reason for refusal: ______________________________________________________________

Developed: 1/29/04; Revised: 5/07, 5/09; 7/16 Reviewed 8-10, 9-11, 7-16

36 9/13/17

HARRISON COLLEGE

HEALTH HISTORY, IMMUNIZATIONS &

PHYSICAL EXAMINATION RECORD

To be completed and signed by your personal physician or healthcare provider.

Identification Data Please print the following information.

Name____________________________________________________ Date__________

Address_________________________________________________________________

________________________________________________________________________

Home Phone___________________________ Work Phone_______________________

Date of Birth______________________________ Male_________ Female_________

Tests and Immunizations Write the date next to the test or immunization and provide a copy of

immunization history. Titers may be required if supportive documentation cannot be obtained.

Evidence of Immunity

Date 2nd Date 3rd Date Titer

Influenza

Tetanus/Diphtheria/Pertussis

Measles/Mumps/Rubella

Varicella

Meningococcal

Hepatitis B

Tests

____________TB Test Date Results__________________________________

____________TB second step Date Results_________________________________

If positive TB conversion, must have chest x-ray and provide results

Other

__________________________________________________________________________

Allergies List all allergies (foods, drugs, and environment)

______________________________________________________________________________

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PHYSICAL EXAMINATION FORM

Name___________________________________________________________ Date_________

Vital Signs, Height and Weight

Temperature_____________________ Pulse_____________ Respiration____________

Blood Pressure___________________ Height_____________ Weight_______________

Health History that may affect ability to perform job duties and affect patient safety:

____Asthma ____Hay fever ____Cancer

____Back problems ____Glaucoma ____Hernia

____Ulcers ____Tumor ____Gall/Kidney Stones

____Leukemia ____Kidney Disease ____Anemia

____Diabetes ____Gout ____Rheumatism/Arthritis

____High Blood Pressure ____Lung Disease ____Tuberculosis

____Seizures ____Heart Disease ____Strokes

____Thyroid Disease ____Mental Disorders ____Clinical Depression

____Migraines ____ Smoking ____ Alcohol/Drug Abuse

____ HIV/AIDS ____ Hepatitis (please circle) A, B, C, D

Childhood Diseases Visual Acuity

Measles (rubeola)

Mumps Left Eye ___________

Rubella

Chickenpox (varicella) Right Eye ___________

Whooping Cough

Scarlet Fever Date of last Eye Exam ___________

Diphtheria

Pneumonia Eye Exam Recommended Y ____ N ____

Rheumatic Fever

Polio

Mono

Please identify any of the following which may affect work performance and patient safety:

_____________________________________________________________________________

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Student Name_________________________________________________________________

Current Medications None________________

______________________________________________________________________________

______________________________________________________________________________

Accidents/Injury

______________________________________________________________________________

______________________________________________________________________________

Recent Surgery History List surgeries within the last five (5) years.

______________________________________________________________________________

______________________________________________________________________________

Dietary

Restrictions___________________________________________________________________

Physical/Mental Limitations Please specify limitation

Mobility/Standing

______________________________________________________________________________

Speech/Hearing/Vision/Sensory

______________________________________________________________________________

______________________________________________________________________________

Range of

Motion________________________________________________________________________

Grasp/Manipulate_______________________________________________________________

Lifting/Pulling__________________________________________________________________

Cognition/Mental/Emotional Limitation_____________________________________________

Other_________________________________________________________________________

Physician Signature_______________________________________ Date _____________ Developed: 12-1-05; Revised: 12-07, 5-09, 8-10, 9-11, 5-16, 11-2012

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