Medical Laboratory

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale

(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Skill Level
1
2
3
4
1
2
3
4
General Duties
Awareness of HCAHPS
Administrative procedures
MDS Coordinator Admit/discharge patients
Blood glucose monitoring
Coordinate scheduling
Documentation
Dressing changes
Familiarity with advanced directives
HIPPA regulations
Isolation techniques
Observe for adverse medication reaction
Alert licensed staff of medication reaction
Patient education
Position/transfer patients
Prepare reports
Pulse oximetry
Lab draw
Screen/direct provider calls
Screen/direct patient calls
Urine dipstick
Universal precautions
Vital signs
Wound care
Patient's health history
Patient's physical exam
Patient procedures
Diagnostic testing and procedures
Discharge instructions
Therapeutic procedures
Cardiac
Assist with emergency
Perform 12 lead EKG
Use of cardiac monitor
Vascular
Apply/monitor noninvasive BP monitor
Intake and output
Discontinue peripheral IV
Manual BP
Phlebotomy draws
Pulmonary
Apply nasal cannula/face mask
Incentive spirometry
O2 saturation monitor
Neurology
Assist with lumbar puncture
Neurological evaluation
Seizure precautions
Orthopedic
Cast care
Crutch walking
Traction
Gastrointestinal
Assist with feeding
Nutritional evaluation
Instruct/obtain clean catch urine
Straight/Foley catheter female
Straight/Foley catheter male
Medication Administration
Vitamins, minerals, herbs
Antibiotics
Antifungal
Antiviral
Psychotropic
Ophthalmic medications
Aural medications
Respiratory system medications
Cardiovascular system medications
Gastrointestinal system medications
Urinary system medications
Reproductive system medications
Endocrine system medications
Musculoskeletal system medications
Nervous system medications
Intramuscular (IM)
Subcutaneous (SQ)
Intradermal
Z-track
Age Specific Competencies
Newborn/neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)
Medical Laboratory
Blood bank
Chem
Hemo
Micro
Serol
Patient positioning
Fingerstick
Venipuncture
Warming the puncture site
Tourniquet application & removal
Decontamination of the puncture site
Tuberculosis exposure control plan
Post venipuncture site care
Order of tube collection
Arterial blood gas kits
Occult blood packets
Heel warmers
Pin worm kits
Serum separators
Blood culture preparation kits
Centrifuge
Capillary blood kits
Bacteria media
Drug screen kits
Ova parasite containers
Legal blood draw kits
Paternity blood draw kits
RSV kits
Chemistry
Acetone analysis
Atomic absorption
B12/folates
CSF protein
Drug monitoring
Electrolytes
Electrophoresis
Gas chromatography
Hepatitis
Hormone testing
Immunoelectrophoresis
Include blood gas
Main chemistry unit
Osmolality
Stool analysis (fecal fats)
Thin layer chromatography
Thyroid testing
Tumor markers
RIA
Background counts
Counters
Curves/regressions
Data reduction
Instrumentation/gamma
Radiation safety techniques
Scintillation counter
Blood Bank
Antibody identification
Antibody titer
Blood irradiation
Component preparation
Direct
Indirect
Cross match
Donor unit collections
Emergency release
Freezing blood
Immediate spin cross match
Patient identification
Plasmapheresis
Plateletpheresis
Procedures
Rhogam
Antigen typing
Type, RH
Microbiology/Virology
Concentration techniques
Identification
Acid fast stain (fluorescent)
Acid fast stain (kinyoun)
Anaerobic culture
Anaerobic identification
Blood culture
C. difficile assay
Cell culture technique (viral)
Chlamydia culture
Chlamydia smear
Culture plating
Darkfield
Gram stain
India ink
KOH prep
Malarial examination
Myobacteria culture
Occult blood
Organism identification
Ova & parasite concentration
Trichcone
Wet mount
K.B.
M.I.C.
Virus isolation
Wet mount-motility
Urinalysis
Automated instrumentation
Large volume automation equipment
Small volume automation equipment
Crystal identification
Macroscopic U.A
Microscopic U.A
Semen analysis
Hematology
Bleeding time
Body fluid count
CBC
D-dimer
Differential
Eosinophil count
Factor assays
Fetal hemoglobin
Fibrin split products/FDP
Fibrinogen
Lee-White clotting time
Platelet aggregation
Platelet count
PT & PTT
Reticulocyte count
Sedimentation rate
Special stains (PAS, peroxidase, leukocyte alkaline phosphatase)
Sickle cell prep
Thrombin time
Serology / Immunology
ANA
ASO titer
C3, C4, total complement
Cold agglutinins
C-reactive protein
ELISA testing
Febrile agglutinations
Fluorescent testing
FTA-ABS
Hemagglutination inhibition
LE cell prep
Monospot
Pregnancy testing
Radial immuno diffusion
Rheumatoid factor
RPR
Rubella serology
TORCH studies
National Patient Safety Goals
Accurate patient identification
Labeling
Effective communication
Infection control
Quality control/quality assurance
Assist with On-site procedure