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Clinical Lab Assistant

Transcript: Names of Bacteria on Petri Dish Blood Agar Plate (Sheep) CLINICAL LABORATORY ASSISTANT II Final Results The main purpose of the Microbiology lab is to grow culture on patients so that MD can give the quickest and most accurate care to the patients. The most used equipements is the incubators followed by the Vitech machine. The Vitech Machine is used for Microbial identification and antibiotic susceptibility. In November of 1967, the community of King County voted to build a hospital, and in 1972 Evergreen General Hospital, a small 76- bed facility, opened to the public of Bothell, Kenmore, Kirkland, and Redmond. Throughout the years, Evergreen General Hospital slowly expanded, adding multiple wings, a new Emergency Department, a hospice center, and finally in 2012 as part of a re-branding, Evergreen General Hospital was re-named to Evergreen Health Medical Center, becoming the hospital that we all know and love. The person that I interviewed is an employee at Evergreen Health Medical Center whose job title is Clinical Laboratory Assistant II. The laboratory is the life blood of the hospital. Doctors send in specimens with only ideas of the patient's diagnosis; it is up to the lab to properly test and record the results to ensure the patient gets the best care possible. The best thing that new hires can do is to ask questions. There are going to be a lot of new things and you will never know until you ask, so don't be afraid to! Job Duties and Responsibilities: Process and set up each specimen that comes through the lab from both in and out patient clinics Set up the proper test based on what the doctor ordered Ensure specimens are properly collected on the correct media and, Set up for optimal growth so that the technicians can read the specimens Transparent and open Communication Fast pace environment Everyone is assigned to specific task to make working smoother Saying “Thank you” Giving feedback and be open to feedback. One of the most important requirements for this field is critical thinking. You have to be quick to interpret what the doctor is looking for based on their clinic and the type of specimen that you receive. Working Environment This number increases depending on experience and qualifications. RATE OF PAY Among many awards given for the exceptional care provided, Evergreen Health is the only hospital in Washington to be awarded five stars from Medicare, and is ranked among the top 100 hospitals in America. Evergreen Health is also renowned for the exceptional benefits given to employees, the many health incentives, and the positive work environment, making Evergreen Health an amazing team to be apart of. Clinical Lab Assistant Advise to New CLA's Without a bachelors degree of science, starting pay as a Clinical Lab Assistant II in Washington state is around $16.10. Hands on Project in the Microbiology Lab S. Epidermis & E. Faecalis For the past five years Evergreen Health has been awarded for clinical excellence which is a huge accomplishment considering the lab processes anywhere from 3000-4000 tests a day! Working at Evergreen Health S. Aureus & K. Pneumoniae Microbiology Lab

Clinical Lab Correlations

Transcript: Neurological Consultation The patient is an 83-year old right handed female, that is complaining about balance and coordination issues. Recent symptoms Additional follow-up imaging was performed on 8/3/2016. The MRI showed two additional mass' measuring 3.1cm x 2.2cm and the other 8-9mm. Cabergoline is used for: Treating disorders associated with high levels of the hormone prolactin, either due to tumors in the pituitary gland or to unknown causes. The patient reports that she has had: weakness of her left leg. pain in the right arm. back pain. numbness/tingling in the arms. difficulty walking. Levothyroxine: Uses, Dosage, Side Effects. (n.d.). Retrieved February 27, 2017, from https://www.drugs.com/levothyroxine.html Clinical Lab Correlations Plan of Action She also had abnormal lab work. In the course of her workup they did an MRI of the brain and discovered she had a tumor. A pituitary tumor has expansion of the sella with appearance suggestive of a macroadenoma. The smaller subcentimeter rounded enhancing mass is causing edema, has hemorrhagic changes and a small subdural hemorrhage. Macroadenoma measuring 1.7x1.4x2.2 Prolactin average 5.2-26.5 ng/ml Her prolactin was 32.2 ng/ml Thyroid Stimulating Hormone (TSH) 0.5 to 4.0 mlU/L Her TSH was 4.6 mlU/L Levothyroxine is a thyroid medicine that replaces a hormone normally produced by your thyroid gland to regulate the body's energy and metabolism. Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. The pituitary gland secretes thyrotropin (TSH; Thyroid Stimulating Hormone) that stimulates the thyroid to secrete thyroxine (T4) and, to a lesser degree, triiodothyronine (T3). Illnesses REFERENCES Future Timeline Cabergoline: Indications, Side Effects, Warnings. (n.d.). Retrieved February 27, 2017, from https://www.drugs.com/cdi/cabergoline.html She has had: high blood pressure kidney disease urinary/bladder problems arthritis allergies spine injury Present illness The doctor explained to her and the family that he would like to hold off on surgery at this time. He wants to start her on cabergoline and levothyroxine and keep an eye on it. The larger mass has the appearance and location that is most compatible to a benign meningioma. After the new findings, the patient consulted with the Doctor on 9/30/2016 regarding stereotactic radiation. The patients case was presented at tumor board, and the consensus was that she proceed with radiation. Interestingly, the planning brain MRI 10/12/16 showed resolution of the right temporal lobe lesion and no new lesions. She is doing well and wants to decrease her medications. Approximately 3 years prior she fell off a ladder in her bathroom. She hit her head, had headaches, dizziness, impaired balance and coordination. 7 months later her prolactin went from 32.2ng/ml to 1.2ng/ml History

lab template

Transcript: By:Tegan Thibault Enjoy The End I Hope U Enjoyed!! Problem/Question Do wounds heal faster when they are covered by a band_aid or without a band aid? 1. Put a band-aid on ½ of the large wound. Data and ovservations Wounds Materials *1 large wound *1/2 of wound not covered with a band aid *1/2 with band aid *feed,water,food,light are the same. Data And Observations Hypothesis I think the no band aid side will heal faster!! Procedure

Clinical Lab Technician

Transcript: Responsibilities and Daily Activities Documentation Of Sources Training Needed: Can receive an associate degree from community colleges. Receive a certificate from a hospital or a vocational school. A small percentage learn their skills through on-the-job training. Pass a certification exam Some states require laboratory personnel to be licensed or registered Bennett, Samuel E.; Mosbaugh, Dale. "Laboratory Technician." Genetics. 2003. Retrieved November 13, 2014 from Encyclopedia.com: http://www.encyclopedia.com/doc/1G2-3406500165.html Angeli, E., Wagner, J., Lawrick, E., Moore, K., Anderson, M., Soderlund, L., & Brizee, A. (2010, May 5). General format. Retrieved from http://owl.english.purdue.edu/owl/resource/560/01/ Lowest Salary: $39,580 Mid-Range Salary: $57,580 Highest Salary: $78,900 Salary wide variety of experimental techniques advancement options vary on you skill of work. variety of work times, very flexible stays on call, in case of emergency 24/7 around 32 hours a week work shifts usually last to 4-8 hours a day Some colleges that offer Clinical Lab Technician spots Degree's: Bachelors Degree Two year associates degree Self Reflection Daily Responsibilities: set up and sanitize laboratories prepare specimens match blood compatibility analyze fluid chemical content collect blood samples examine immune system elements handle sophisticated laboratory equipment I can see myself doing this career for multiple reasons, but may reconsider for different ones. I could see myself doing this in the future because it has a good, flexible hour times and you can work around the clock easily. Not to mention there is a decent pay although you have to go to about four years of college to receive good advancement. when i chose this career i believed it was working for working with computers and such but this doesn't differ much. Clinical Lab Tech's seems to be a good choice for me because I prefer the high tech they do for the job, so i will consider it. Technicians at work Clinical Lab Technician Average Salary: $26,800 High school Classes: Math and Science Curriculum ( mathematics, Biology, and Chemistry) Work Times and Advancement Opportunities State Salary: $45,000 - $60,000 Education and Training

Chem lab clinical

Transcript: We took notice into Ms. Dawn's physical characteristics and took ion test such as: Chloride, Sulfate, Phosphate, and Na/K ions. We used "Dipsticks" to test our results for Urobilinogen, Protein, pH, Specific Gravity and Keytone. Test #2 The purpose of the Urinalysis test was to examine Mrs. Dawn urine to see diagnostic information about the biochemical processes occurring in her body. We tested pH, Specific Gravity, Keytones, Protein and Urobilinogen. Results: By: Brielle, Anna, & Brandon After completing all required test on Mrs. Dawn, we have come to the diagnosis of kidney damage. She had high Ck levels and protein in her urine which indicates tissue damage as well. Kinetics lab Urinalysis Test Pictures Urinalysis Test Test different enzymes in a sample Enzymes are biological catalyst Spectroscopy Creatine Kinase Lactate dehydrogenase Glucose Determination Test About Mrs. Dawn The purpose of this test is to see if there is a presence of glucose in Mrs. Dawns urine. We used a enzyme based glucometer, Clinistix, and One Touch Ultra Test Strips to calculate the presence of glucose in a blood sample. Through the series of tests, we came to the conclusion that Mrs. Dawn does have hyperglycemia which is something we will have to keep in mind during future testing. Patient #2: Jaysha Dawn Jaysha is a 25 year old female African American. Her height is 5 feet 2 inches, and weighs in at 120 pounds.Her symptoms are fatigue, increased urination and swelling of feet and legs. Her blood pressure was recorded as 185/95, which indicates hypertension. Urinalysis Test Glucose Determination Test Kinetics Graph

Clinical Lab Tech

Transcript: Description : Perform complex medical laboratory tests, diagnose diseases and determine treatment and even prevention of disease. Education and Salary: Atleast a Bachelors degree in medical technology. Annual salary average in Texas is $52,210 National Annual Salary average is $56,130 Working Conditions and typical tasks: Tasks- analyze test results, maintain laboratory, enter data. Working conditions- working with infectious diseases however if protocal is followed few hazards exsist. Hours vary as does condtions. Employment : Has increased in Texas by 12% Interests,Skills and work values: Involves working with ideas and hands on problem solving. Also involves being able to understand written sentences and paragraphs in work related documents. Another important skill would be talking to others to convey information correctly. One needs to also value lifestyle. Clinical lab Technician

powerpoint template

Transcript: Nobody knows babies like we do! Quality products . Good Customer service. Every Kid really loves this store.. BABYLOU ABOUT US About Us BabyLou was established in 2004. It has been more than a decade since we started, where we have ensured to take care of every need and want of every child and infant under one roof, true to the caption “NO BODY KNOWS BABIES LIKE WE DO”. Our benchmark is to provide 100% customer service and satisfaction and continue to deliver the same with a wide range of toys, garments and Baby Products. Play and Create We Are Best 01 02 03 Block games Building Blocks help Kids to use their brain. PLAY TO LEARN in Crusing Adventures Our Discoveries Enjoy a sunny vacation aboard a luxury yacht with the LEGO® Creator 3in1 31083 Cruising Adventures set. This ship has all the comforts you need, including a well-equipped cabin and a toilet. Sail away to a sunny bay and take the cool water scooter to the beach. Build a sandcastle, enjoy a picnic, go surfing or check out the cute sea creatures before you head back to the yacht for a spot of fishing. Escape into the mountains Disney Little Princes in Also available for your Babies..... Also... Out of The World… Our reponsibility BABYLOU…. Our Responsibility All children have the right to fun, creative and engaging play experiences. Play is essential because when children play, they learn. As a provider of play experiences, we must ensure that our behaviour and actions are responsible towards all children and towards our stakeholders, society and the environment. We are committed to continue earning the trust our stakeholders place in us, and we are always inspired by children to be the best we can be. Innovate for children We aim to inspire children through our unique playful learning experiences and to play an active role in making a global difference on product safety while being dedicated promoters of responsibility towards children.

Clinical Lab

Transcript: SIMONE AVESANI VR439463 URINE COLLECTION PRE-ANALYTICAL VARIABLES BLOOD COLLECTION LABORATORY ERRORS ERRORS Errors during laboratory exam: Pre-Analytical (61,9%) Analytical (15%) Post-Analytical (23,1%) PRE-ANALYTICAL ERRORS IN DETAIL Patient identification Patient preparation Tube filling errors Inappropriate container Errors in processing Transportation TYPE OF ERRORS Is important to distinguish between two types of errors: cognitive errors non-cognitive errors COGNITIVE COGNITIVE They are due to poor knowledge or judgment prevented by increased training, competency evaluation, and process aids NON-COGNITIVE NON-COGNITIVE interruptions in a process during even routine analysis involving automated The vast majority of errors can be reduced by improving the work environment ERROR WITH PATIENTS ERRORS WITH PATIENTS Most common and problematic errors during pre-analytical step Two of these errors are the patient identification and the patient preparation PATIENT IDENTIFICATION Required to provide correct results to the clinicians A good identification requires unique identifiers from the patient Information on laboratory requisitions or electronic orders must also match patient information in their electronic medical record. Today the majority of laboratories use barcoded labeling systems to preserve sample identification PATIENT IDENTIFICATION PATIENT PREPARATION PATIENT PREPARATION Each laboratory exam requires prerequisites if prerequisites are not respected the results will be incorrect Ex: blood distribution differs significantly in relation to body posture so it's vital to specify the position in which to take the sample (supine position when analytes/protein are requested) PROCESSING AND TRANSPORTATION PROCESSING AND TRANSPORTATION Transportation time may be a factor Ice packs useful to preserve specimens High temperatures could ruin our specimens Turbulence during transportation can even affect concentrations of certain analytes BLOOD COLLECTION Blood specimens must be collected in the right tube in order to get accurate test results Is important to have the correct anticoagulant in the tube Common mistake is to collect specimens for lithium analysis in a lithium heparin tube (falsely elevated lithium values) ANTICOAGULANTS EDTA : the anticoagulant of choice for complete blood count (also used for pre-transfusion testing) Heparin : anticoagulant recommended for the determination of pH blood gases, electrolytes, and ionized calcium Citrate : for coagulation testing Potassium oxalate (with sodium fluoride, sodium iodoacetate): to inhibit enzymes involved in the glycolytic pathway ANTICOAGULANTS BLOOD TUBE BLOOD TUBE Purple/lavender : EDTA Green : Heparin Grey: oxalate-fluoride tube Light blue : citrate Red : serum tube Yellow : microbiological blood culture tubes Royal blue : trace metal analysis URINE COLLECTION Urinalysis is one of the key diagnostic tests timing and collection techniques are important There are three different timings of collection: random collection morning collection (the best sample) 12-24-hour collection (better for quantitative analysis) COLLECTION COLLECTION For urine dipstick and pregnancy testing any clean and dry container is acceptable. For other specific exam, the sample should be collected in sterile plastic cups In some cases the containers could contain some other substances useful for the analysis as hydrochloric acid, boric acid, or glacial acetic acid CONSERVATION CONSERVATION Urine conservation at room temperature is acceptable at most for two hours After two hours it must be refrigerated, but usually not more than 12 hours

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