Medical Technologist I, ASCP/ 40 Hours/ Days/ BWH/ Pathology
Brigham & Women's Hospital
 Boston, MA

GENERAL SUMMARY/ OVERVIEW STATEMENT:

The Medical Technologist II, in their role as Testing Personnel and General Supervisor as defined by CLIA, may be delegated the responsibility of the technical oversight of the chemistry laboratory including the day-to-day supervision or oversight of the laboratory operation and personnel performing testing and reporting results.

Under general supervision, carries out all policies and performs all tests in accordance with the department’s standard operating procedures. Works independently in an efficient and organized manner to assure accurate results and records. Assists with training of staff. The work requires a professional level of knowledge to read and interpret accurately test results used by providers in the diagnosis and treatment of diseases.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  1. Must be accessible to test personnel at all times testing is performed and provide on-site telephone or electronic consultation to resolve technical problems in accordance with policies and procedures established in the Chemistry Laboratory.
  2. Is responsible for providing day-to-day supervision of high-complexity test performance by qualified testing personnel and
  1. Must be on-site to provide direct supervision when high complexity testing is performed by an individual qualified before 1/19/1993 (FR 493/1489(b)(5). Referred to Federal Register for exceptions when work can be reviewed within 24 hours by a general supervisor qualified under Fr 493.1461. and
  1. Is responsible for monitoring test analyses and specimen examinations to ensure that acceptable levels of analytical performance are maintained.
    Responsibilities as outlined by CLIA:
    Testing personnel are responsible for specimen processing, test performance and for reporting test results.
  1. Follow the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test results;
  2. Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens;
  3. Adhere to the laboratory's quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed;
  4. Follow the laboratory's established policies and procedures whenever test systems are not within the laboratory's established acceptable levels of performance;
  5. Be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the general supervisor, technical supervisor, clinical consultant, or director;
  6. Document all corrective actions taken when test systems deviate from the laboratory's established performance specifications; and
  7. If qualified under §493.1489(b)(5), perform high complexity testing only under the onsite, direct supervision of a general supervisor qualified under §493.1461.

Exception: For individuals qualified under §493.1489(b)(5), who were performing high complexity testing on or before January 19, 1993, the requirements of paragraph (b)(7) of this section are not effective, provided that all high complexity testing performed by the individual in the absence of a general supervisor is reviewed within 24 hours by a general supervisor qualified under §493.1461.

Additional responsibilities may include the following under the direction of the Technical Director and Clinical Supervisor:

  1. Performs routine and high complexity laboratory tests and procedures on blood and other body fluids, according to laboratory policies.
  2. Prepares samples and reagents for testing according to laboratory policies.
  3. Responsible for the accuracy, interpretation and reporting of all test results according to laboratory policies.
  4. Performs routine maintenance on equipment and quality control for all reagents.
  1. Keeps accurate records of quality control, maintenance and workload data according to laboratory policies.
  2. Responsible to document all corrective action procedures undertaken in the clinical laboratory.
  3. Refers problems and/or unusual results to appropriate parties and documents all corrective action procedures undertaken in the clinical laboratory.
  4. Performs clerical and support services as needed, such as answering the telephone, calling Super Stat, Code sample results, and /or alert values to the appropriate department or Licensed Care Provider, disposing of contaminated specimens, control of inventory, monitoring pending logs, and other assigned duties.
  5. Participates in Proficiency Testing program including the handling and analysis of Proficiency Testing material.
  1. Communicates with hospital personnel providing assistance related to laboratory policies and procedures, laboratory utilization, and test result interpretation.
  1. Additional responsibilities may include ordering and maintaining an appropriate level of inventory and laboratory supplies.
  2. Keeps current in developments in technical instrumentation and analytical techniques in clinical laboratory.
    Participates in internal and external continuing education.
  3. Promotes the mission and vision of Brigham and Women’s Hospital and laboratories, and a spirit of professionalism and excellence in performance among the laboratory staff.
  1. Adheres to hospital and laboratory policies and procedures and plans including infection control and safety plans.
  2. Performs any other duties as required, which may include but not limited to general laboratory duties such as processing specimens, logging in specimens, putting supplies away, washing pipettes, discarding laboratory samples, racking samples, etc.

QUALIFICATIONS:

  1. Must possess a minimum of a Bachelor of Science Degree in Medical Technology or Chemical, Physical, or biological science from an accredited college or university.
    Or
  2. Other qualifications as described in the Federal Register, 42 CFR, Subpart M 493.1403 – 1495.
  3. ASCP certification or equivalent preferred.
  4. Two years of experience as a Medical Technologist.
  5. If an internal candidate, evaluated at a score no lower than ‘Effective’ for the past two performance evaluations.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

  1. The knowledge, both practical and theoretical, of tests and procedures necessary to review findings and advise and direct subordinates in action.
  2. The manual/visual dexterity and skills necessary to operate adjust and make repairs to various types of automated and non-automated laboratory equipment.
  3. Must have a comprehensive understanding of laboratory equipment and its operation, maintenance and repair and analytic techniques.
  1. Must have understanding of computer technology and its application to chemical analytical procedures and quality control.
  2. Must have the ability to work independently, evaluate situations and act appropriately. Must be able to remain calm and productive under constant pressure and emergency situations, which produce a high level of stress and mental fatigue.
  1. Must have neat and orderly work habits.
  2. Must have the ability to pay careful attention to detail and to adhere to written protocols.
  3. Must be able to perform as a team member, provide leadership, guidance and direction to staff.
  1. Must be able to remain calm and efficient in stressful situations.
  2. Excellent interpersonal skills. Ability to interact professionally and effectively with numerous staff including physicians, hospital personnel, employees and patients.
  1. Excellent communication skills.
  1. Knowledge of Federal, State, Joint Commission and other regulatory regulations.