Standard

MLT 119- MLT Licensure Review II

Course Description

Provides a review of basic knowledge from previous courses and helps the student prepare for national certification examinations for the medical laboratory technician level. Topics include: Review of: Immunohematology - Donor unit collection and storage; Pretransfusion testing; Transfusion reactions, and management of diseases; Clinical chemistry - Carbohydrates, Electrolytes, Acid-base balance, Nitrogenous compounds, Enzymes,Endocrinology, Liver functions, Lipids, Toxicology and drug monitoring; Microbiology - Fundamentals and basic techniques, identification of bacteria, anti-microbial sensitivity, disease correlation to organisms, parasitology, mycology, mycobacteriology, and virology.

Competency Areas	Hours
Immunohematology	Class	0
Clinical Chemistry and Solutions	D. Lab	0
Microbiology	P. Lab/O.B.I.	3
Parasitology, Mycology, Mycobacteriology, and Virology	Credit	1
Test-taking Skills	Contact	30

Prerequisite:	MLT 101 - MLT 108
Corequisite:	MLT 109 - MLT 113

Course Guide

Competency	After completing this section, the student will:		Hours
			Class	D.Lab	P.Lab/ O.B.I.
Immunohematology			0	0	7
Genetic Theory and Clinical Applications		Review genetic reasons for blood type inheritance, hemolytic disease of the newborn and inheritance of antibodies.
Donor Unit Collection		Review proper procedure of donor unit selection for compatibility testing.
		Review proper donor unit selection in unusual circumstances: emergency, surgery, coagulation abnormalities, and pediatrics/elderly.
		Review proper techniques for collection of donor units, donor selection, and treatment for donor reactions.
Pretransfusion testing		Review procedures and interpretation of all pretransfusion tests.
		Review sources of error in the procedures and interpretation of pretransfusion testing.
		Review importance and procedure of quality control in pretransfusion testing.
		Discuss Case Studies related to interpretation and troubleshooting problems in pre-transfusion testing.
Management of disease states and transfusion reactions		Review use of transfusion products to manage disease states, including, but not limited to: packed red cells, specially treated packed red cells, cryoprecipitate, fresh frozen plasma, coagulation factors, RhoGam, platelets, and special set-ups.
		Review symptoms of transfusion reactions.
		Review the transfusion reaction investigation procedures.
		Successfully complete a mock registry exam on topics related to Immunohematology with a minimum score of 70%.
Clinical Chemistry and Solutions			0	0	8
Carbohydrates, Electrolytes and Acid-Base Balance		Review test methods, procedures, normal values, interpretation, interference, and correlation to disease states.
Nitrogenous Compounds		Review test methods, procedures, normal values, interpretation, interference, and correlation to disease states.
Enzymes and Endocrinology		Review test methods, procedures, normal values, interpretation, interference, and correlation to disease states.
Liver Functions and Lipids		Review test methods, procedures, normal values, interpretation, interference, and correlation to disease states.
Toxicology and Drug monitoring		Review test methods, procedures, normal values, interpretation, interference and correlation to disease states.
		Review timing and specimen selection of specimen collection and correlation to proper test results.
		Review peak and trough testing.
		Review body systems and related testing profiles.
		Successfully complete a mock registry exam including these topics with a minimum score of 70%.
Microbiology			0	0	8
Microbiology fundamentals		Review specimen handling, proper media selection, inoculation techniques, smear techniques, stains, microscopics, atmosphere conditions and temperature regulation.
		Review safety procedures and infection control measures.
Basic Techniques		Review sources of specimens and correlation to testing techniques, sterile technique, enhancement of growth conditions for identification of organisms.
Clinical bacteriology		Review various pathogenic organisms, appearance on media, biochemical testing, and identification techniques.
		Correlate presence of bacteria to disease states, critical values and normal flora.
Anti-microbial Sensitivity		Review use of anti-microbial sensitivities in determining procedures and identifications of resistant, and sensitive organisms.
		Review multi-drug-resistant organisms and infection control techniques.
		Successfully complete a mock registry exam on these topics with a minimum score of 70%.
Parasitology, Mycology, Mycobacteriology, and Virology			0	0	5
Specimen Collection and Handling		Review proper specimen collection and handling for these special tests
Test procedures		Review testing procedures to identify these types of pathogenic organisms.
Clinical significance		Correlate these organisms with disease states and critical values.
		Review special infection control techniques associated with mycology, mycobacteriology and virology.
		Successfully complete a mock registry exam including these topics with a minimum score of 70%.
Test Taking Skills			0	0	2
Preparation for the Registry		Review special topics: Study skills, rest, relaxation techniques, arriving on time and feeling confident.
		Review multiple choice test taking skills: elimination, guessing, changing answers, and practice.
		After the completion of 2 quarters of this entire course, the student must, within 3 attempts, successfully complete a comprehensive mock registry exam with a minimum score of 70%.

Suggested Resources

ASCP, (2000), BOR study guide to Clinical Laboratory Certification Examination, ASCP press.

Beck, (2002), NCA Review for the Clinical Laboratory Sciences, 4^th ed., LWW.

Cuviello, P. (2000), Reference manual for Medical Technology, 3^rd ed. , Vol. I & II,

Hubbard, J. (1997), A Concise Review of Clinical Laboratory Science, W&W.

ISCLT/AAB, PER Handbook. Study Guide. ISCLT.

Polansky, V. (1999). Medical Laboratory Technology: Pearls of Wisdom, Boston Medical Corp.