MT/MLT Skills Checklist

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Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

Age of Patients Cared For
Newborn (birth - 30 days)*
- 1
- 2
- 3
- 4
Infant (30 days - 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 - 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 - 5 years)*
- 1
- 2
- 3
- 4
School Age (5 - 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 - 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 - 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 - 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64+ years)*
- 1
- 2
- 3
- 4
Certifications
ASCP MT/MLS*
- Yes
- No
ASCP MLT*
- Yes
- No
HEW*
- Yes
- No
AMT*
- Yes
- No
Blood Bank
Patient Identification Process*
- 1
- 2
- 3
- 4
ABO/Rh/Antibody Screen & ID*
- 1
- 2
- 3
- 4
Crossmatch- Immediate Spin/ IgG*
- 1
- 2
- 3
- 4
Antigen Typing*
- 1
- 2
- 3
- 4
Antibody Typing: Gel Method*
- 1
- 2
- 3
- 4
Antibody Typing: Tube Method*
- 1
- 2
- 3
- 4
Cold Agglutinins*
- 1
- 2
- 3
- 4
Rhogam Screening*
- 1
- 2
- 3
- 4
Coombs Test Direct*
- 1
- 2
- 3
- 4
Coombs Test Indirect*
- 1
- 2
- 3
- 4
Cord Blood Evaluation*
- 1
- 2
- 3
- 4
Thawing/ Cooling of Blood Products*
- 1
- 2
- 3
- 4
Donor Collection Procedures*
- 1
- 2
- 3
- 4
Issue Blood Product to Pt. Care Area*
- 1
- 2
- 3
- 4
Emergency Release*
- 1
- 2
- 3
- 4
Elutions*
- 1
- 2
- 3
- 4
Transfusion Reaction Workshop*
- 1
- 2
- 3
- 4
Irradiating Packed Cells*
- 1
- 2
- 3
- 4
Splitting a Baby Unit*
- 1
- 2
- 3
- 4
Chemistry
Specimen Preparation*
- 1
- 2
- 3
- 4
Acetone Analysis*
- 1
- 2
- 3
- 4
Arterial Blood Gas*
- 1
- 2
- 3
- 4
B-12 Folates*
- 1
- 2
- 3
- 4
Cardiac Enzymes*
- 1
- 2
- 3
- 4
Chromatography- Gas*
- 1
- 2
- 3
- 4
Chromatography- Thin Layer*
- 1
- 2
- 3
- 4
Electropheresis*
- 1
- 2
- 3
- 4
Hormone/ Thyroid*
- 1
- 2
- 3
- 4
Immunoassay*
- 1
- 2
- 3
- 4
Osmolality*
- 1
- 2
- 3
- 4
Therapeutic Drug Monitoring*
- 1
- 2
- 3
- 4
Tumor Markers*
- 1
- 2
- 3
- 4
Analyzer Use/ Troubleshooting*
- 1
- 2
- 3
- 4
Review & Interpretation of QC*
- 1
- 2
- 3
- 4
HEMATOLOGY / COAGULATION
Automated Instrument Use*
- 1
- 2
- 3
- 4
Differential Manual*
- 1
- 2
- 3
- 4
Sed Rate Manual*
- 1
- 2
- 3
- 4
Reticulocyte Count*
- 1
- 2
- 3
- 4
Fetal Hemoglobin*
- 1
- 2
- 3
- 4
RBC Morphology*
- 1
- 2
- 3
- 4
Platelet Count*
- 1
- 2
- 3
- 4
Sickle Cell Prep*
- 1
- 2
- 3
- 4
Platelet Morphology*
- 1
- 2
- 3
- 4
Body Fluid Manual Cell Count*
- 1
- 2
- 3
- 4
Body Fluid Manual diff.*
- 1
- 2
- 3
- 4
Special Stains- e.g. PAS, LAP, Peroxidase*
- 1
- 2
- 3
- 4
WBC Stool*
- 1
- 2
- 3
- 4
Semen Analysis*
- 1
- 2
- 3
- 4
PT/PTT/INR*
- 1
- 2
- 3
- 4
D-Dimer*
- 1
- 2
- 3
- 4
Fibrinogen*
- 1
- 2
- 3
- 4
Factor Assays*
- 1
- 2
- 3
- 4
Fibrin Degradation Products*
- 1
- 2
- 3
- 4
Thrombin Time*
- 1
- 2
- 3
- 4
Platelet Function Analysis*
- 1
- 2
- 3
- 4
IMMUNOLOGY / SEROLOGY
RPR/ RPR Titer*
- 1
- 2
- 3
- 4
Rheumatoid Titer*
- 1
- 2
- 3
- 4
ANA*
- 1
- 2
- 3
- 4
LE Prep*
- 1
- 2
- 3
- 4
HIV Rapid*
- 1
- 2
- 3
- 4
HIV Antibody Detection*
- 1
- 2
- 3
- 4
Rubella*
- 1
- 2
- 3
- 4
CMV*
- 1
- 2
- 3
- 4
MICROBIOLOGY
Plating Micro Specimens*
- 1
- 2
- 3
- 4
Reading Plates*
- 1
- 2
- 3
- 4
Gram Stains*
- 1
- 2
- 3
- 4
Kit Testing- Monospot/ ASO Titer*
- 1
- 2
- 3
- 4
Kit Testing- Flu/Rapid Strep/ RSV*
- 1
- 2
- 3
- 4
Wet Prep/ KOH Prep*
- 1
- 2
- 3
- 4
AFB Stain/ Culture*
- 1
- 2
- 3
- 4
O&P*
- 1
- 2
- 3
- 4
CDiff*
- 1
- 2
- 3
- 4
Occult Blood*
- 1
- 2
- 3
- 4
Chlamydia*
- 1
- 2
- 3
- 4
Processing Specimens for Viral/ Fungal Cultures*
- 1
- 2
- 3
- 4
URINALYSIS
Crystal Identification*
- 1
- 2
- 3
- 4
Macroscopic Analysis*
- 1
- 2
- 3
- 4
Microscopic Analysis*
- 1
- 2
- 3
- 4
Pregnancy Testing*
- 1
- 2
- 3
- 4
PHLEBOTOMY
Newborn/Neonate (birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (over 79+ years)*
- 1
- 2
- 3
- 4
Patient Identification*
- 1
- 2
- 3
- 4
PPE Equipment (Gloves, Mask, Etc.)*
- 1
- 2
- 3
- 4
Adult Venipuncture*
- 1
- 2
- 3
- 4
Pediatric Venipuncture*
- 1
- 2
- 3
- 4
Dermal Stick (Finger/Heel)*
- 1
- 2
- 3
- 4
Butterfly Draw*
- 1
- 2
- 3
- 4
Arterial Draw*
- 1
- 2
- 3
- 4
Tube Types and Usage*
- 1
- 2
- 3
- 4
Centrifuge Operations*
- 1
- 2
- 3
- 4
Bleeding Time*
- 1
- 2
- 3
- 4
Blood Culture Collections*
- 1
- 2
- 3
- 4
Blood Alcohol Collections*
- 1
- 2
- 3
- 4
Drug Screening Collections*
- 1
- 2
- 3
- 4
Please list the LIS Systems You Have Used*
Please list the Chemistry systems you have used*
Please list the Hematology systems you have used*
Please list the Urinalysis systems you have used*
Please list the Coagulation systems you have used*
Please list the blood bank systems you have used*
Please list the microbiology systems you have used*
Please list any miscellaneous systems you have used*
Please list the EMR systems you have used*
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*
*
I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*
Your Recruiter*
Name*
First Last
Email*
Phone*
TODAY'S DATE*
MM slash DD slash YYYY

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Skills Checklist

MT/MLT Skills Checklist

Age of Patients Cared For

Certifications

Blood Bank

Chemistry

HEMATOLOGY / COAGULATION

IMMUNOLOGY / SEROLOGY

MICROBIOLOGY

URINALYSIS