Course Description:
Supervised instruction in the performance of hematological procedures
and coagulation studies in an affiliate hematology laboratory. Taught 40
hours per week for five weeks.
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How the
Course is Presented:
Each student is scheduled
individually in the hematology laboratory. The student receives
instruction and performs the routine work in the laboratory under the
direct supervision of the clinical hematology instructors. Suggested time
frame follows:
Rotation Length: 5 weeks = 25
days
-
Hematology Specimen Processing 1-2
days
- Set-up: Sed rates, retics, smears,
etc.
-
Logging-in
-
Slide staining
-
Computer operation
-
Cell Counter ~ 4 days
-
Operation
-
Recognizes reportable
results/determines
-
Need for manual procedures
-
QC
-
Maintenance
-
Differentials/Slide Sets ~ 5-7 days
-
Primary instruction on:
-
Anemia
-
Infection
-
Leukemia & Myelodysplastic
Syndrome
-
Coagulopathy (e.g. DIC, HUS, etc.)
-
Miscellaneous Manuals 2-4 days
-
Retic Count
-
Manual Cell
-
Microhematocrit
-
Cytospin Diffs
-
Coagulation 5 days
-
PT
-
APTT
-
Fibrinogen
-
D-dimer
-
If applicable:
-
Platelet functional studies
-
Factor Assay
-
Protein C/S
-
Antithrombin
-
Computer 1-2 days
-
Data Entry
-
Inquiries
-
Delta checks
- QA/Management Project 2-4 days
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Clinical Rotation
Theory - How Theory is Covered:
Hematology and Hemostasis theory
has been covered under prerequisite MLS Courses. Clinical site instructors
of Clinical Hematology are not responsible for repeating theory lectures.
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Clinical Rotation Performance
Objectives:
For MLS 352: Students will be
able to:
-
Receive, process, and distribute
specimens.
-
Use appropriate safety precautions
in handling specimens and performing assays.
-
Operate automated equipment
including slide stainer, cell counter, and Coagulation instrumentation
as follows:
-
Set-up, specimen handling, performance, daily
maintenance, QC procedures, minor trouble shooting, recording and
communication of results according to lab protocol must be included in
the operation.
-
Performance of test on automated equipment will
include tests as listed on checklist.
-
Other automated procedures may be added by the
clinical lab as available and deemed appropriate.
-
Perform the following manual procedures including
specimen preparation and handling, procedure performance, QC, minor
trouble-shooting and evaluation, reference curves and calculation where
appropriate, recording, reporting and communication of results according
to lab protocol for:
-
Differential
-
Retic Count
-
Sed Rate
-
Manual Cell Counts
-
Other manual procedures, such as
Sickle Cell may be added by the clinical area as they are available.
For MLS 452:
-
The student should observe or assist a Hematology
supervisor in performing any of the following quality assurance or
managerial duties:
-
method comparison
-
analysis of long term QC data
-
new method write-up and institution
-
new instrument evaluation
-
new procedure evaluation
-
reagent lot number performance verification
- supervisor discretion
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Clinical Rotation
Professional Development:
The affective domain objectives are
the same as those for all MLS courses and are listed in MD LAB 320
Syllabus.
Evaluation:
Grades for the Basic Hematology/Hemostasis
Rotation, MLS 352, will be based on the following two areas. Performance
and Professionalism areas must each be passed with a grade of 72% or
better, in order for the final grade to be calculated.
Performance Evaluation
| - Performance Checklist (P/F) |
|
66% of final grade |
Professionalism
| - Professional Development
Form |
|
34% of final grade |
|
Grades for the Advanced Hematology Rotation, MLS 452, will be based on
the following two areas which must each be passed with a grade of 72% or
better, to calculate the final grade.
| Theory Exam
|
50% of final grade |
| QC Project |
50% of final grade |
|
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Bibliography:
-
McKenzie,
S.B. Textbook of Hematology, 2nd edition. Williams &
Wilkins, 1996.
-
Scariano, J.K. MLS 320
Laboratory Syllabus/Manual, 1999.
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