Job Title: Medical Technologist
Job Code: MEDTECH
Department: Laboratory
Division: Operations
Salary Level: Non-Exempt 11
Reports to: Laboratory Supervisor/Manager
Last Revised: September 2021
Job Summary
Performs clinical procedures and testing in accordance with approved policies and procedures and clinically accepted standards. Provides technical expertise to the Supervisory Medical Technologist regarding assigned laboratory areas. Assesses, prepares and/or updates procedure manuals, performs and reviews quality control and maintenance manuals while being cross-trained to function in any area of the clinical laboratory. Performs scheduled duty on weekends, holidays, and on an emergency callback basis as well as when requested to do so in order to facilitate patient care.
Job Description
Chemistry/Immunology/Serology
Maintains records of preventative maintenance and corrective actions. Keeping equipment in working condition may include minor repairs and will require extensive knowledge of the problem and working with technical experts from equipment vendors.
Microbiology/Parasitology
Maintains records of preventative maintenance and corrective actions. Records include temperature checks, QC testing, rapid testing, and records of media QC testing. Keeping equipment in working condition may include minor repairs and will require extensive knowledge of the problem and working with technical experts from equipment vendors.
Hematology
Blood Bank
Urinalysis
Special Duties
Complexity of Duties
Incumbent provides technical expertise to the Supervisory Medical Technologist in any of the intralaboratory disciplines; chemistry, microbiology, hematology, immunology, serology, and blood banking. Keeps abreast of new developments by research or attending continuing education in assigned discipline area and passes this information on to other technologists and technicians in the Department. Incumbent will develop, assess, and maintain relevant documentation in accordance with all regulatory agencies and organizations. Incumbent will prepare special reports and perform special research as directed by the Supervisory Medical Technologist. Incumbent will be assigned an area of the laboratory for which they have the responsibility to assess, prepare or update procedure manuals, perform and review quality control and preventive maintenance procedures for this area on an ongoing and monthly basis. Incumbent must be sufficiently cross-trained to be able to perform in each of the areas of the clinical laboratory as delineated above. Required to independently assess, interpret, and evaluate all laboratory testing to determine if the desired results have been achieved. The assessment, interpretation, and evaluation will be accomplished through application of physiological science knowledge to in-vivo chemical, biological, and immunochemical methods and procedures in combination with the application of quality control use and interpretation.
Supervision Received
The incumbent is under the supervision of the Supervisory Medical Technologist for clinically associated duties, and all other associated duties and responsibilities. The Supervisory Medical Technologist approves the incumbent’s schedule. The incumbent will be assigned to one of three shifts (dayshift, second shift, and night shift) dependent on the needs of the laboratory. The incumbent will be required to work weekend shifts as needed, with time off through the week in equal proportions. The incumbent performs all assigned duties in accordance with defined regulations, policies, and procedures in order to accomplish each identified unit objective, priority, and deadline. Performs independently in carrying out each task and assignments that requires individual initiative and judgment when interpreting a procedure relative to each established policy and objective. Consults with the supervisor only on matters that may be in conflict with established regulations, policies, and procedures. The incumbent may work alone on a regular basis and must be able to work with no supervision.
Responsibility for Accuracy
The incumbent is responsible for all test results bearing his/her signature (may be electronic). The effective diagnosis and treatment of patients is dependent upon the accuracy and reliability of the incumbent’s laboratory testing procedures and resulting determinations. An inaccurate result reported by the technologist has the potential to create a patient fatality (ex. mistyped ABO blood transfusion, incorrect electrolyte values, etc.).
Contact with Others
Various laboratory-testing procedures may require direct personal contact with patients requiring tests. Additionally, the incumbent has direct communicative contact with Federal, State, Tribal, and county medical personnel, as well as nurses, midlevels, physicians, support personnel, and administrative personnel within the Cherokee Indian Hospital. Contact with repair personnel and technicians from laboratory equipment vendors is required.
Contact with the patient is required to accomplish the laboratory testing procedure requested by the patient’s physician and may include performing phlebotomy or capillary puncture or include instructions on how to collect other specimens.
Contact with the aforementioned personnel is needed to disseminate information relative to the policies and objectives of the unit. The incumbent must be able to communicate patient results effectively and to aide other caregivers in the appropriateness of certain testing, answer questions relating to medical technology literature, etc.
Confidential Data
Must maintain complete confidentiality of all administrative, medical, and personnel records, and all other pertinent information that comes to his/her attention or knowledge. Must adhere to all tribal confidentiality policies and procedures. Violations of such confidentiality shall be cause for disciplinary action.
Mental/Visual/Physical
Mental effort is required due to the multi-tasking the incumbent will be required to do. The incumbent will be required to have more than one task running in the laboratory at a time, which requires good prioritization and organizational skills. The incumbent will be working with and around sick or hurt patients, which requires mental distancing in emergency laboratory procedures which have to take precedence over his/her feelings. The incumbent is required to perform phlebotomy and capillary procedures, which cause pain and are not always successful. The incumbent must be able to succeed at acquiring the needed specimens while maintaining professional and comforting composure with the patient in spite of failed attempts. May occasionally move more than 15 pounds.
Incumbent is required to use a microscope to discriminate between cell types, bacteria types, and to perform crystal identification. Microscope use requires good/corrected eyesight. Close range visual acuity is also necessary in microbiology plate reading, immunological agglutination procedures, and in Blood Bank typing. A colorblind test is required of the incumbent. Incumbents who are colorblind are not allowed to perform certain color differentiating tests (ex. Occult blood testing). ).
Incumbent will be required to stand and walk for several hours at a time in all areas of the laboratory and the hospital. Certain procedures in the laboratory require manual dexterity, visual acuity, and physical effort to complete. Incumbent must occasionally assist patients in the collection of specimens that may or may not require physical effort. Incumbent will have to carry laboratory supplies, papers, manuals, and small instruments.
Environment
The laboratory environment carries risks and discomforts that require special safety precautions. In addition, the laboratory environment is a high-risk area for HIV and Hepatitis exposure. Work performance also involves risks of exposure to contagious diseases, carcinogenic materials, and caustic reagents. Full and appropriate safety precautions must be worn and used (ex. lab coats, gloves, eyewear, etc…) when performing laboratory work. Microbiology procedures must be performed under the Class II safety hood. The incumbent must practice correct and proper hand-washing protocols to maintain health. The incumbent must participate in the Employee Health Program to aide in preventing work related injuries.
The laboratory environment has a higher than normal amount of noise pollution due to the number of analyzers, centrifuges, refrigerators, and freezers that are running continuously.
Customer Service
Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.