NYC Health Hospitals
Clinical Laboratory Technologist Level 3 - Hematology
NYC Health Hospitals, New York, New York, us, 10261
NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Position Summary:Assists the Supervisor in the daily technical operations of the Hematology Laboratory. Works independently undergeneral direction to address laboratory needs as the occasion arises. Responsible for performing and assessing clinical laboratory tests on specimens for diagnostic and therapeutic purposes in a timely manner. Demonstrates knowledge' of the organization's Service Standards and incorporates them into the performance of Duties. Supervises subordinates in the absence of the Supervisor
Principal Responsibilities:
I.SUPERVISORY ASSISTANCE
Employee training/Technical Assistance with staffAssists with the supervision of the technical staff and provides support to the supervisor.
Performance Criteria:
a. Assists in monitoring and compliance of organization's Service Standards by laboratory employees.b. Ensures that the Supervisor is kept aware of work situations and the performance of each employee on an on-going basis.c. Trains newly hired technical staff effectively in the procedures of the department and pertinent policies
d. Trains new and current employees; oversees the technical performance of new employees during orientation and less qualified personnel assigned to the same area.e. Orient existing employees to new procedures and/ or changes in existing proceduresf. Offers continuing guidance and technical assistance to employees on work activities and proceduresg. Informs supervisor of problems with equipment, reagent, controls, etch. Notifies the supervisor when service is neededi. Assists with troubleshooting technical problems by utilizing expertise in the fieldj. Monitors the work of staff in order to provide clear and accurate feedback to supervisor regarding theirperformancek. Remind and document employees who are not complying with set standards.
l. Provide assistance in drafting and implementing operational standards related to technical aspects of the laboratory.
m. Provide assistance in monitoring laboratory productivity; including supervisory review of abnormal and critical results, following up on incompletes, and monitoring turn-around-time.n. Provide mentoring and guidance to employees in the absence of a supervisor.o. Reviews printouts and or reports from assigned areas for technical and clerical accuracy. Brings discrepancies to the attention of the supervisor.p. Maintains technical leadership by providing technical guidance during supervisor's absence, and or holidays.
II. LABORATORY SET-UPProcessing of Hematology specimen from pre- to post-analytical phase
Performance Criteria:
a. Receipt of Samples
Reviews labels and requisition forms for accuracy of data.Identifies discrepancies between forms and specimen labels.Labels and relabels specimen containers as necessaryCentrifuges/ aliquots specimens according to protocol.Prepares samples for distribution.Sorts specimen containers for distribution to .appropriate areas.Identifies and expedites 'STAT' requestRecords inappropriate requests ~ containing incomplete data and/ or unsuitable specimens.Informs supervisor/lead technologist of problem specimensb. Workstation
Performs preventive maintenance of centrifuge and pre-analytical analyzer.Keeps work-bench neat and organizedPrepares racks and trays to minimize clutter and ease work transitions
III. SPECIMEN PREPARATION AND TESTING
Prepares specimens to be tested; Performs manual and automated tests on blood, urine and body fluids according to established laboratory procedures.
Performance Criteria:
a. Identifies and prepares accurately specimens which have been collected by phlebotomy team, nurses or physicians in according to laboratory policies and procedures.b. Checks samples to ensure correct identification and that it matches with accompanying label to ensure accuracy of recording and reporting of results.c. Enters specimens in laboratory computer or write accurately, neatly and clearly in Manual Accession log.d. Divides specimen when multiple tests are ordered (e.g. CBC and Flow) on same specimen,e. Compiles daily worksheet in accordance with test(s) requestedf. Performs serological procedures on body fluids.g. Centrifuges specimens to separate cells from serumh. Completes all scheduled and stat tests in a timely fashion.
i. Report any incomplete assignments/tests to assure continuity of procedures.J• Perform all laboratory testing according to the Policy and Proceduresk. Maintains accurate and up-to-date maintenance log book in an accurate and timely mannerI. Properly document problems and workflow issues as well as corrective action takenm. Ensures that critical reports are communicated and documented as per laboratory Policies and Procedures
n. Performs all preventative Maintenance procedures on instruments as stated in the laboratory Policy and Procedures.o. Adheres to Laboratory's/Manufacturers' safety policies while operating and troubleshooting instruments. p. Operates instruments according to Laboratory/ Manufacture's established procedures.
IV.INTERPRETATION, VERIFICATION, AND RECORDING OF RESULTS
Analyzes, interprets, verifies, and reports test results.
Performance Criteria:
a. Exhibits sound judgment in handling, interpreting, verifying, and reporting test results.b. Verifies the completeness and accuracy of all lab resultsc. Makes a determination of normal and abnormal test values accurately as per laboratory Policies andProcedures.d. Promptly documents results in the hospital information systems and reports positive or abnormal results immediately to a Physician via telephone.e. Seeks information or ask assistance from supervisor when necessary regarding difficult or questionable results.f. Reviews incomplete test listsg. Notifies technician/technologist responsible for the presence of unverified results in the computer system
V.QUALITY CONTROL AND ASSURANCEMonitors testing equipment, solutions and work environment by following laboratory Quality Control procedure to [ ensure the overall reliability of test results.
Performance Criteria:
a. Perform proficiency testingb. Monitors and coordinates the successful and timely completion of all proficiency testing in the absence of the Supervisorc. Checks the expiration date upon receipt of controlsd. Enters or assigns tech to enter control values into data terminale. Inspects reagents, calibration and control solutions to ensure that they are of high quality, that lot numbers, expiration dates are noted, initialedf. Runs and interprets control values to ensure all values are within the laboratory Quality Control guielines.g. Runs and interprets control values to ensure standardization within deviation guidelines.h. Performs reagent validations, QC validation, and other activities related to laboratory qualityi. Performs instrument check proceduresj. Cleans and calibrates testing equipment according to established preventive maintenance guidelines.k. . Reads and records temperatures of pertinent pieces of equipment daily. Includes but not limited torefrigerators, freezers
I.Adhere to all laboratory infection and safety procedures
m. Disposes of needles and sharps in designated red binsn. Stores and disposes of contaminated and hazardous materials according to departmental procedures.o. Troubleshoots malfunctioning equipment and reports any prolonged instrument related problems to the Assistant Supervisor or Supervisor.p. Document all instrument problems and remedial action taken in appropriate log books.q. Communicates with manufacturer's service department dispatch office when unable to rectify inoperable instrument. Receive an ETA and document in shift-to-shift log book
VI.INVENTORY MANAGEMENT
Assist with inventory management
Performance Criteria:
a. Fallow lab reagent protocolb. Minimize reagent wastec. Monitors inventory of reagents, controls, and disposablesd. Informs Supervisors when inventory is low
VII.PLANNING AND TIME UTILIZATIONEfficiency in adapting to changes in order to facilitate adequate staffing and effective demonstration in identifying and acting on priorities in a timely manner.
Performance Criteria:
a. Demonstrates alertness and adaptability to changes in schedule and work conditions; respondsappropriately.b. Uses time effectively by completing all assigned tasks in a timely manner.c. Recognizes and deals with prioritiesd. Utilizes spare time to review stored collection of abnormal slides, textbooks, periodicals, tech samples, safety videos, etc to enhance theoretical knowledge and technical skills
VIII.EMPLOYEE TRAINING
Trains new and current employeesPerformance Criteria:
a. Oversees technical performance of new employees during orientation and less qualified personnel assigned to same area.b. Teaches new employees established procedures and orients existing employees to new or modifiedproceduresc. Remains available during all duty hours for consultation be other laboratory personnel to provide technical advice or assistanced. Provides technical leadership during supervisor's absence and or holidays
IX.SENIOR ASSIGNMENTS (TECHNICAL)Ensures adherence to and maintains one of the following areas: safety procedures and technical manualsPerformance Criteria:
a. Assists in scheduling and making workflow changes as necessaryb. Assigns differentials and adjust assignments when necessary to ensure the timely completion of testingc. Prepares work assignments for the next day in the absence of the supervisord. Prepares weekly work rotation schedule and updates the master schedule in the absence of the supervisore. Reviews printouts and/ or reports from assigned areas for technical and clerical accuracyf. Monitors daily results for completeness, accuracy, day-to-day precision
g. Monitors for trends or transcription errorsh. Monitors and coordinates proficiency testing in absence of supervisor; submits results to lab Director for signature
i. Maintains a current awareness of techniques in the field
j. Ensures compliance with regulatory requirements; brings discrepancies to the attention of the supervisork. Collects technical information required to ensure a complete and up-to-date record
X. TECHNICAL DEVELOPMENTParticipates in in-services, continuing education courses and complete 12 CE credits per yearPerformance Criteria:
e. Maintains an up to date knowledge of policies and procedures in assigned area and responds to, or initiates changes which enhance patient care, for supervisor's review.f. Maintains and improves technical expertise by attending continuing education programs and reading current literature in the field.g. Attends all in-service sessions as requiredh. Participates actively in developing, evaluating, and implementing approved new procedures, ormodifications to existing policies or procedures.
i. Participates in all CAP and State Proficiency Testing.
Other duties as assigned.
Minimum Qualifications1. Valid license as a clinical laboratory technologist, cytotechnologist, or histotechnologist issued by the NYSED.
In addition to meeting the qualification requirement of Assignment Level II, appointment to Level III requires:1. One (1) year of full-time paid experience as a technologist in a clinical laboratory or blood bank.
NYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programs
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Position Summary:Assists the Supervisor in the daily technical operations of the Hematology Laboratory. Works independently undergeneral direction to address laboratory needs as the occasion arises. Responsible for performing and assessing clinical laboratory tests on specimens for diagnostic and therapeutic purposes in a timely manner. Demonstrates knowledge' of the organization's Service Standards and incorporates them into the performance of Duties. Supervises subordinates in the absence of the Supervisor
Principal Responsibilities:
I.SUPERVISORY ASSISTANCE
Employee training/Technical Assistance with staffAssists with the supervision of the technical staff and provides support to the supervisor.
Performance Criteria:
a. Assists in monitoring and compliance of organization's Service Standards by laboratory employees.b. Ensures that the Supervisor is kept aware of work situations and the performance of each employee on an on-going basis.c. Trains newly hired technical staff effectively in the procedures of the department and pertinent policies
d. Trains new and current employees; oversees the technical performance of new employees during orientation and less qualified personnel assigned to the same area.e. Orient existing employees to new procedures and/ or changes in existing proceduresf. Offers continuing guidance and technical assistance to employees on work activities and proceduresg. Informs supervisor of problems with equipment, reagent, controls, etch. Notifies the supervisor when service is neededi. Assists with troubleshooting technical problems by utilizing expertise in the fieldj. Monitors the work of staff in order to provide clear and accurate feedback to supervisor regarding theirperformancek. Remind and document employees who are not complying with set standards.
l. Provide assistance in drafting and implementing operational standards related to technical aspects of the laboratory.
m. Provide assistance in monitoring laboratory productivity; including supervisory review of abnormal and critical results, following up on incompletes, and monitoring turn-around-time.n. Provide mentoring and guidance to employees in the absence of a supervisor.o. Reviews printouts and or reports from assigned areas for technical and clerical accuracy. Brings discrepancies to the attention of the supervisor.p. Maintains technical leadership by providing technical guidance during supervisor's absence, and or holidays.
II. LABORATORY SET-UPProcessing of Hematology specimen from pre- to post-analytical phase
Performance Criteria:
a. Receipt of Samples
Reviews labels and requisition forms for accuracy of data.Identifies discrepancies between forms and specimen labels.Labels and relabels specimen containers as necessaryCentrifuges/ aliquots specimens according to protocol.Prepares samples for distribution.Sorts specimen containers for distribution to .appropriate areas.Identifies and expedites 'STAT' requestRecords inappropriate requests ~ containing incomplete data and/ or unsuitable specimens.Informs supervisor/lead technologist of problem specimensb. Workstation
Performs preventive maintenance of centrifuge and pre-analytical analyzer.Keeps work-bench neat and organizedPrepares racks and trays to minimize clutter and ease work transitions
III. SPECIMEN PREPARATION AND TESTING
Prepares specimens to be tested; Performs manual and automated tests on blood, urine and body fluids according to established laboratory procedures.
Performance Criteria:
a. Identifies and prepares accurately specimens which have been collected by phlebotomy team, nurses or physicians in according to laboratory policies and procedures.b. Checks samples to ensure correct identification and that it matches with accompanying label to ensure accuracy of recording and reporting of results.c. Enters specimens in laboratory computer or write accurately, neatly and clearly in Manual Accession log.d. Divides specimen when multiple tests are ordered (e.g. CBC and Flow) on same specimen,e. Compiles daily worksheet in accordance with test(s) requestedf. Performs serological procedures on body fluids.g. Centrifuges specimens to separate cells from serumh. Completes all scheduled and stat tests in a timely fashion.
i. Report any incomplete assignments/tests to assure continuity of procedures.J• Perform all laboratory testing according to the Policy and Proceduresk. Maintains accurate and up-to-date maintenance log book in an accurate and timely mannerI. Properly document problems and workflow issues as well as corrective action takenm. Ensures that critical reports are communicated and documented as per laboratory Policies and Procedures
n. Performs all preventative Maintenance procedures on instruments as stated in the laboratory Policy and Procedures.o. Adheres to Laboratory's/Manufacturers' safety policies while operating and troubleshooting instruments. p. Operates instruments according to Laboratory/ Manufacture's established procedures.
IV.INTERPRETATION, VERIFICATION, AND RECORDING OF RESULTS
Analyzes, interprets, verifies, and reports test results.
Performance Criteria:
a. Exhibits sound judgment in handling, interpreting, verifying, and reporting test results.b. Verifies the completeness and accuracy of all lab resultsc. Makes a determination of normal and abnormal test values accurately as per laboratory Policies andProcedures.d. Promptly documents results in the hospital information systems and reports positive or abnormal results immediately to a Physician via telephone.e. Seeks information or ask assistance from supervisor when necessary regarding difficult or questionable results.f. Reviews incomplete test listsg. Notifies technician/technologist responsible for the presence of unverified results in the computer system
V.QUALITY CONTROL AND ASSURANCEMonitors testing equipment, solutions and work environment by following laboratory Quality Control procedure to [ ensure the overall reliability of test results.
Performance Criteria:
a. Perform proficiency testingb. Monitors and coordinates the successful and timely completion of all proficiency testing in the absence of the Supervisorc. Checks the expiration date upon receipt of controlsd. Enters or assigns tech to enter control values into data terminale. Inspects reagents, calibration and control solutions to ensure that they are of high quality, that lot numbers, expiration dates are noted, initialedf. Runs and interprets control values to ensure all values are within the laboratory Quality Control guielines.g. Runs and interprets control values to ensure standardization within deviation guidelines.h. Performs reagent validations, QC validation, and other activities related to laboratory qualityi. Performs instrument check proceduresj. Cleans and calibrates testing equipment according to established preventive maintenance guidelines.k. . Reads and records temperatures of pertinent pieces of equipment daily. Includes but not limited torefrigerators, freezers
I.Adhere to all laboratory infection and safety procedures
m. Disposes of needles and sharps in designated red binsn. Stores and disposes of contaminated and hazardous materials according to departmental procedures.o. Troubleshoots malfunctioning equipment and reports any prolonged instrument related problems to the Assistant Supervisor or Supervisor.p. Document all instrument problems and remedial action taken in appropriate log books.q. Communicates with manufacturer's service department dispatch office when unable to rectify inoperable instrument. Receive an ETA and document in shift-to-shift log book
VI.INVENTORY MANAGEMENT
Assist with inventory management
Performance Criteria:
a. Fallow lab reagent protocolb. Minimize reagent wastec. Monitors inventory of reagents, controls, and disposablesd. Informs Supervisors when inventory is low
VII.PLANNING AND TIME UTILIZATIONEfficiency in adapting to changes in order to facilitate adequate staffing and effective demonstration in identifying and acting on priorities in a timely manner.
Performance Criteria:
a. Demonstrates alertness and adaptability to changes in schedule and work conditions; respondsappropriately.b. Uses time effectively by completing all assigned tasks in a timely manner.c. Recognizes and deals with prioritiesd. Utilizes spare time to review stored collection of abnormal slides, textbooks, periodicals, tech samples, safety videos, etc to enhance theoretical knowledge and technical skills
VIII.EMPLOYEE TRAINING
Trains new and current employeesPerformance Criteria:
a. Oversees technical performance of new employees during orientation and less qualified personnel assigned to same area.b. Teaches new employees established procedures and orients existing employees to new or modifiedproceduresc. Remains available during all duty hours for consultation be other laboratory personnel to provide technical advice or assistanced. Provides technical leadership during supervisor's absence and or holidays
IX.SENIOR ASSIGNMENTS (TECHNICAL)Ensures adherence to and maintains one of the following areas: safety procedures and technical manualsPerformance Criteria:
a. Assists in scheduling and making workflow changes as necessaryb. Assigns differentials and adjust assignments when necessary to ensure the timely completion of testingc. Prepares work assignments for the next day in the absence of the supervisord. Prepares weekly work rotation schedule and updates the master schedule in the absence of the supervisore. Reviews printouts and/ or reports from assigned areas for technical and clerical accuracyf. Monitors daily results for completeness, accuracy, day-to-day precision
g. Monitors for trends or transcription errorsh. Monitors and coordinates proficiency testing in absence of supervisor; submits results to lab Director for signature
i. Maintains a current awareness of techniques in the field
j. Ensures compliance with regulatory requirements; brings discrepancies to the attention of the supervisork. Collects technical information required to ensure a complete and up-to-date record
X. TECHNICAL DEVELOPMENTParticipates in in-services, continuing education courses and complete 12 CE credits per yearPerformance Criteria:
e. Maintains an up to date knowledge of policies and procedures in assigned area and responds to, or initiates changes which enhance patient care, for supervisor's review.f. Maintains and improves technical expertise by attending continuing education programs and reading current literature in the field.g. Attends all in-service sessions as requiredh. Participates actively in developing, evaluating, and implementing approved new procedures, ormodifications to existing policies or procedures.
i. Participates in all CAP and State Proficiency Testing.
Other duties as assigned.
Minimum Qualifications1. Valid license as a clinical laboratory technologist, cytotechnologist, or histotechnologist issued by the NYSED.
In addition to meeting the qualification requirement of Assignment Level II, appointment to Level III requires:1. One (1) year of full-time paid experience as a technologist in a clinical laboratory or blood bank.
NYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programs