Laboratory Skills Competency Checklist - Clinical Chemistry I | CLS 2211, Lab Reports of Chemistry

Download Laboratory Skills Competency Checklist - Clinical Chemistry I | CLS 2211 and more Lab Reports Chemistry in PDF only on Docsity! WEBER STATE UNIVERSITY Introduction to Clinical Chemistry I CLS 2211 Laboratory Skills Competency Checklist The CLS 2211 student has studied the following items in class this semester to prepare them for laboratory skills portion of their education: Reagent preparation Laboratory mathematics (including conversions) Water and glass quality standards Dilution protocols Calibration and Quality Control concepts Clinical chemistry basics of: • Carbohydrates • Heme metabolism • Non-protein Nitrogen compounds • Electrolytes • Blood Gases Various instrumentation and assay methodologies It is understood that the student may be introduced to methodologies and concepts not yet covered in this semester’s coarse in the daily workload. Instrument knowledge and competency should be based on instrumentation used at the students clinical facility while clinical correlation competency should be based on the concepts covered in this semesters coarse? The student should perform the following tasks (as deemed appropriate for students by the clinical facility): Perform Routine Quality Control procedures on all clinical chemistry analyzers. Reconstitute controls and reagents used in the chemistry section of the laboratory. Become familiar with general laboratory and chemical safety practices. Participate in instrument maintenance (daily, weekly and monthly). Participate in instrument troubleshooting. Recognize common interferences or clinically unbelievable results encountered in the clinical chemistry laboratory. Perform routine testing of patient samples (previously analyzed samples may be used). Participate in the reporting of results including STATs and critical values. Perform dilutions (Primary and secondary). Participate in the calibration of analyzers. Become familiar with validation processes used in the laboratory for new instrumentation or analytes. Students should work with their respective mentors to complete the listed objectives. Accuracy, precision, timely reporting of results, and demeanor must comply with the laboratory’s acceptable standards. While working in the laboratory, the student must meet all laboratory compliance standards including patient confidentiality, communication, laboratory safety, and equipment and work area maintenance. The student’s laboratory competency evaluation should be completed by the clinical mentor in the presence of the student, so as to allow verbal feedback to the student regarding progress and performance. Use the following competency scale to complete the competency checklist found on the pages that follow. LEVEL 1: Discussed: Process was discussed, principle explained, and the student acknowledges understanding of the process. LEVEL 2: Demonstrated: Process has been performed and demonstrated by the mentor. Student has observed demonstration and has been allowed to ask questions as needed. The student acknowledges and understanding of the process of principle by verbally explaining the process or principle back to the mentor. LEVEL 3: Practiced: Student has practiced the process under the direction and maximum supervision of the mentor. The student demonstrates knowledge of how to perform the process or task by actual performance under direct, maximum supervision, but without having to demonstrate any particular competency at that task or process. LEVEL 4: Maximum Supervision: The student has performed the process under direct, maximum supervision of the student’s mentor, and with the level of competency required by the laboratory to perform that task or process. LEVEL 5: Minimum Supervision: The student can perform the process satisfactorily with only minimum, or non-direct supervision by the students mentor, and the performance meet the level of competency required by the laboratory for that task or process. N/A: Not available/Applicable: Due to the nature of the laboratory the student does not have access to equipment or method. Osmometry – Carbohydrate Studies (Discussion of tolerance testing should include Epinephrine tolerance test, Xylose tolerance test and Lactose tolerance test) ___/4 Perform freeze-point osmometry or VP depression. ___/5 Perform CSF Glucose and/or Lactate assays. ___/5 Perform plasma lactic acid. ___/5 Perform serum/plasma glucose on fasting and random samples. ___/5 Perform or discuss Glycosylated Hemoglobin assays. Unit 5: Clinical Chemistry of Heme. Metabolism and Non-Protein Nitrogen Compounds Perform Neonatal and Adult Bili. ___/5 Demonstrate understanding of specimen integrity issues regarding the collection of bilirubin. ___/5 Perform Ammonia, BUN, Creatinine and uric acid assays (serum/plasma and urine if applicable) ___/5 Perform and manually calculate Creatinine clearances and 24 hour excretions. ___/5 Unit 6: Electrolytes Perform Na, K, Cl, Co2, Ca, Mg, Phos, Iron, TIBC ___/5 Perform and discuss ionized calcium assays (understand collection and specimen integrity requirements) ___/5 Calculate and interpret – Anion gaps. (Calculation) ___/5 Perform Lithium assays ___/5 Evaluate electrolyte results to scrutinize sources of significant error. ___/5 Unit 7: Blood Gas Analysis Explain and/or demonstrate proper collection, processing and storage of blood gas samples ___/4 Identify sources of error commonly encountered with blood gas analysis. ___/4 Perform or discuss calibration of a blood gas analyzer. ___/4 Interpretation and Acceptance of Results Discuss recording, reporting, and documenting results ___/5 Explain "Panic values" or "Critical Values" and demonstrate how and when to report them. ___/5 Explain "Linear Limits " "Linear Ranges" or "Reportable Ranges" and demonstrate how to handle and report samples outside these limits. ___/5 AFFECTIVE OBJECTIVES: Comments Honesty: Student demonstrates honesty by maintaining strict patient confidentiality. ___/5 Student demonstrates honesty by accepting control values only when within acceptable limits. ___/5 Student demonstrates honesty in all areas of laboratory work, to include performing and documenting daily and weekly maintenance procedures, preventative maintenance, temperature checks, etc. ___/5