Henderson Community College

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					               Henderson Community College/Madisonville Community College
                                 Clinical Technician Program
                                       Program Objectives
Upon completion of the Clinical Laboratory Technician Program, the graduate should be able to:

1. perform laboratory tests in all areas of the clinical laboratory;
2. maintain laboratory materials and equipment;
3. prevent and detect technical errors;
4. solve problems as they occur in the clinical laboratory;
5. carry out an established quality assurance program;
6. practice medical ethics;
7. demonstrate professionalism;
8. follow established clinical laboratory safety guidelines;
9. demonstrate basic skills in computer operations and/or software applications;
10. communicate effectively using standard written English;
11. communicate in a clear oral and non-verbal fashion and employ active listening skills;
12. organize, analyze and make information useful by employing mathematics;
13. demonstrate an awareness of one’s interaction with the biological/physical environment;
14. demonstrate an awareness of one’s self as an individual, as a member of a multicultural
    society, and/or as a member of the world community;
15. recognize the impact of decisive ideas and events in human heritage;
16. develop and perform basic search strategies and access information in a variety of formats,
    print and non-print;
17. analyze, summarize, and interpret a variety of reading materials;
18. think critically and make connections in learning across the disciplines;
19. elaborate upon knowledge to create new thoughts, processes, and/or products; and,
20. demonstrate an awareness of ethical considerations in making value choices.

              Henderson Community College/ Madisonville Community College
                         Clinical Laboratory Technician Program
                                Entry Level Competencies

Upon completion of the Clinical Laboratory Technician Program, the graduate should be
competent in:

   1. collecting, processing, and analyzing biological specimens and other substances;

   2. performing analytical tests of body fluids, cells, and other substances;

   3. recognizing factors that affect procedures and results, and taking appropriate actions
      within predetermined limits when corrections are indicated;

   4. performing and monitoring quality control within predetermined limits;

   5. performing preventative and corrective maintenance of equipment and instruments or
      referring to appropriate sources for repairs;

   6. applying principles of safety;

   7. laboratory personnel, other health care professionals, and with the public;

   8. recognizing the responsibilities of other laboratory and health care personnel and
      interacting with them with respect for their jobs and patient care;

   9. applying basic scientific principles in learning new techniques and procedures;

   10. relating laboratory findings to common disease processes, and

   11. establishing and maintaining continuing education as a function of growth and
       maintenance of professional competence.


 Defines/identifies the basic principles, procedures and fundamental characteristics related
  to microbiology, hematology, chemistry, body fluids, immunology and blood bank.

 Selects/prepares/performs laboratory procedures including specimen collection,
    instrumentation, reagents and controls related to microbiology, hematology, chemistry,
 body fluids, immunology and blood bank.

 - Calculates results from supplied information and/or obtained data as related to
 microbiology, hematology, chemistry, body fluids, immunology, and blood bank.

 Associates laboratory findings, clinical information and quality control data in order to
 determine the accuracy of routine test results related to microbiology, hematology,
    chemistry, body fluids, immunology and blood bank.

 Evaluates/analyzes laboratory procedures and/or findings in order to recognize common
 procedural and/or technical problems and take corrective action according to predetermined
  criteria in microbiology, hematology, chemistry, body fluids, immunology
 and blood bank.

American Society of Clinical Laboratory Science's job description for a two-year entry
level CLT.

SERVICE: Scientific/Technical

Level: 1

DISCIPLINE: Generalists, Clinical Laboratory Sciences


Within the Scientific/Technical (S/T) Service, there are three types of laboratory personnel: the
generalists, the categorical list, and the specialist. Within the S/T Level 1, only one type of
laboratory personnel is recognized, the generalists. The S/T Level 1 Generalists at career entry is
able to:

   1. Perform all of the repetitive (high volume) tests in a modern clinical laboratory.

   2. Identify direct causes (technical or instrumental) of problems and make simple
      corrections by using preset strategies.

   3. Use and monitor quality control procedures within predetermined parameters.


   1. Collects and prepares human samples for analysis. Stores and transports
      samples using appropriate preservation methods. Specimens may include
      blood, urine, sputum, feces, exudates, secretions and other body fluids.

   2. Following prescribed procedures, performs high volume, less difficult
      analytical tests in chemistry, hematology/hemostasis, immunology,
      immunohematology, and microbiology. Examples of the tests performed
      at this level follow the position summary.

   3. Calculates the results of tests performed if necessary.

   4. Operates equipment or instruments necessary to perform high volume, less
      difficult analytical tests. Recognizes instrument malfunction and makes
      simple corrections using present strategies or notifies an S/T Level II or
      Level III laboratorian.

   5. Prepares reagents and media according to prescribed procedures.

   6. Performs and records all quality control procedures required for the tests assayed.
      Recognizes unacceptable quality control results. Corrects problems according to
      present strategies or notifies an S/T Level II or Level III laboratorian.

   7. Recognizes abnormal or unusual test results and notifies an S/T Level II or
      Level III laboratorian, and/or follows institutional procedures for reporting
      critical values.

   8. Reports results in writing, orally or by computer, conforming to
      established procedures.

   9. Performs and records routine instrument checks and maintenance

   10. Takes inventory according to prescribed lists.

   11. Observes established safety measures.

   12. Maintains the work area in clean, orderly, well-labeled condition.

   13. Participates in continuing education.

   14. Performs related work as assigned.


Works under general supervision, but must have telephone access to an S/T Level II or S/T Level
III laboratorian when trouble-shooting problems, or unusual or abnormal test results are


   1.    Absolute integrity in the accurate performance and reporting of

   2.    Professional discretion with patient information.

   3.    Ability to communicate effectively with other hospital personnel
         and with patients.

   4.    Rigid accuracy in the identification and reporting of numbers,
         names, and results.

   5.    Willingness to work any shift and/or weekends

   6.    Ability to work under stress.

                           NURSING AND ALLIED HEALTH

Purpose: Trover Foundation-Regional Medical Center complies with the standards of the Joint
Commission for the Accreditation of Healthcare Organizations (JCAHO). In fulfilling these
standards it is necessary for all students engaging in clinical experiences to comply with those
standards that pertain to providing a safe environment for their patients. All allied health and
nursing students will comply with the requirements of the hospital in order to meet JCAHO
standards. These include:

Background Check: All students will provide the college and the hospital with an initial
Kentucky State Background Check (Courtnet). The cost is $10.00 and a form will be provided to
the student. The student may not attend clinical experiences until the check has been completed.
A student with multiple offenses or those that bear directly on the practice as a professional may
not be able to complete their clinical experiences at RMC. This may require the student to
withdraw from the program.

Urine Drug Screening: All students will complete an initial drug screening before attending
clinical experiences. Students will be responsible for the cost (????). RMC lab will be
responsible for obtaining the specimen. (Occucare???). Students who test positive will be
required to meet with the Program Coordinator and additional administrative personnel. Students
who test positive for illegal drugs may not be able to complete the clinical experiences at the
facility. The student may be counseled to withdraw from the program should there be no other
facility available for the student to complete the clinical requirements.

Impairment: Should a student in the clinical setting appear to be impaired by drug usage, the
instructor will ask the student to leave the unit and be escorted to the lab by security for a drug
screening. The student will be responsible for the cost. Should the screening results be positive
the student will be required to meet with the Program Coordinator and other personnel to
determine if the student will be allowed to continue in the program.

Results of Background Check and Screening: The student will provide the Program
Coordinator with copies of the results of the background check and drug screening by the
appropriate date prior to beginning clinical experiences. The Program Coordinator will maintain
the copies in a separate file to maintain security. The Program Coordinator will issue a letter to
the facility that the students have submitted appropriate documents and that the student can
participate in the clinical experience. Should there be any question of the eligibility of the
student; the Program Coordinator may inquire to the officials of the facility the nature of the
concern maintaining confidentiality of the student. All files will be maintained by the Program
Coordinator until the student graduates from the program.


Henderson                          Madisonville
Randa Hawa, MS, MT (ASCP)          Karol Conrad. MS, MT(ASCP)
Program Coordinator                Program Director
Room AT205 E                       Health Campus
Work: (270)830-5318                Work: (270)824-7552
Home: (812)490-2552                Home: (270)533-9804

Brenda Bennett, MS, MT(ASCP)
Room AT 205 G
Work: (270)830-5317
Home: (270)826-9154


Henderson Methodist Hospital       Trover Foundation
Dr. Primilina Corpus, FCAP         Dr. Justin Sedlak, MD
Pathologist                        Pathologist


Henderson                           Madisonville
Henderson Lab & X-ray               Caldwell County Hospital
1413 North Elm                      101 Hospital Drive
Henderson, KY 42420                 Princeton, KY 42445
Phone: (270) 826-6277                              (270)825-3411
                                    Phone: (270) 365-0456

Methodist Hospital                  Crittenden County Hospital
1305 North Elm                      P.O. Box 386
Henderson, KY 42420                 Marion, KY 42064
Phone: (270) 827-7140               Phone: (270) 965-1058

Methodist Hospital – Union County   Jackson Purchase Medical Center
Highway 60 East                     1099 Medical Center Circle
Morganfield, KY                     Mayfield, KY 42066
Phone: (270) 389-3030               Phone: (270) 251-4100

Warrick Hospital                    Jennie Stuart Medical Center
1116 Mills Avenue                   320 West 18th Street
Evansville, IN 47601                Hopkinsville, KY 42241
Phone: 812-897-7161                 Phone: (270)887-0152

                                    Muhlenberg Community Hospital
                                    440 Hopkinsville Street
                                    Greenville, KY 42345
                                    Phone: (270) 338-8365

                                    MultiCare Specialists
                                    444 South Main Street
                                    Madisonville, KY 42431
                                    Phone: (270)821-9188

                                    Murray-Calloway County Hospital
                                    803 Poplar
                                    Murray, KY 42071
                                    Phone: (270) 762-1117

                                    Trover Foundation
                                    900 Hospital Drive
                                    Madisonville, KY 42431
                                    Phone: (270)825-3411


Henderson                               Madisonville
Methodist Hospital                      Caldwell County Hospital
Rayanna Phillips – Coordinator          Marlene Thorpe – Laboratory Supervisor
Joy Sharp                                        Dennis Austin
Cindy Hammond                           Crittenden County– Medical Director
                                                 Dr. Piech Hospital
Jane Hanor                              Nancy Todd – Lab Blakeman – Chemistry/
                                                 Marlena manager
Judy Jackson                                            Microbiology Supervisor
Kena Rigdon                             Jackson Purchase – Hematology
                                                 Carmen Medical Center
Carol Richardson                        Bruce Rives – Laboratory Manager

                                        Jennie Stuart Medical Center
Henderson Lab & X-ray                   Mike Stokes – Laboratory Supervisor
Phyllis Mitchell - Coordinator          James Gross – Technical Director
Claudia Behnke                          Dr. Piech – Medical Director               Supervisor
Carol Hoffman                           Marlena Blakeman – Chemistry Supervisor
                                        Jeanna Hester - Microbiology Supervisor
Methodist Hospital (Union County)       Carmen Purdel - Hematology Supervisor
Mattingly – coordinator                 Betty Hall – Bloodbank Supervisor

Warrick Hospital                        Muhlenberg Community Hospital
Paul Hummel – Coordinator               Sandy Ruggles – Laboratory Manager
Cindy Lossie
Nadine Bunch                            Multi-Care
                                        Barbara Patterson – Laboratory Manager

                                        Murray-Calloway County Hospital
                                        Linda Cavitt – Laboratory Manager

                                        Trover Foundation
                                        Robert Schaeffer - Coordinator RMC
                                        Becky Jones - Coordinator Stat Lab
                                        Melissa Blackwell – Blood bank Clinical
                                        Linda Cansler – Blood bank Supervisor
                                        Robert Johnson – Chemistry Supervisor
                                        Sheryl Stockton– Microbiology Supervisor
                                        Truman Taylor – Hematology Supervisor


 Your appearance and conduct are the standards on which most of the lay public's impressions
  on the field of Clinical Laboratory Science are based. It is expected that you will be
  concerned about this and will conduct yourself accordingly.
 In keeping with the objectives of the profession, your work with patients demands dignity,
  respect, understanding, and kindness. The patients come to your care under serious
  circumstances, and your conduct while caring for them must be fitting and proper.
 Always remember that you have access to information that is extremely personal; avoid
  betrayal of confidences even in "shop talk". Any sharing of information about a patient
  should be based on your need to understand and help solve a problem, never as a topic of idle
  conversation. A good general rule to apply to the treatment of your patients is to imagine
  how you yourself, or a member of your immediate family would want to be treated.


 Being fully cognizant of my responsibilities in the practice of medical technology, I affirm
  my willingness to discharge my duties with accuracy, thoughtfulness and care.
 Realizing that the knowledge obtained concerning patients in the course of my work must be
  treated as confidential, I hold inviolate the confidence and trust placed in me by patient and
 Recognizing that my integrity, and that of my profession must be pledged to the absolute
  reliability of my work, I will conduct myself at all times in a manner appropriate to the
  dignity of my profession.


 Your performance in the laboratory will be continually evaluated both by practical
  examinations and informal evaluations at the discretion of the individual instructor.
 A student must pass both the didactic and practical parts of the course.
 The faculty reserve the right to withdraw a student from Clinical Training if the above
  criteria are not satisfied.
 While at the clinical facility, your performance will also be evaluated.
 The objectives for this part of the program are included in the handbook.


 Check lists and performance criteria are provided to document competency in each area of
 The technologist or faculty member must initial the "Competent" column when they judge
  that you have met the performance objectives.
 It is your responsibility to have the list checked during each clinical rotation. It is expected
  that you satisfactorily perform at least 90% of the activities listed. You should keep a
  notebook with all of these in it so that at the end of the year you can verify your competency
  in each area of the lab. This is a requirement for each rotation. An example is included in
  your handbook. Additional copies will be available in the college lab. Be absolutely sure to
  take one of these to each new rotation on your first day. This is your responsibility!
 Competency is exhibited by performing within the time frames and degree of accuracy stated
  for each area.


Personnel in the health care field must present to the general public, as well as to patients, a
manner and appearance which will instill security and confidence. Patients have a variety of
opinions, beliefs and convictions. Personal appearance, beyond reasonable expectations, may
alarm patients and visitors and interfere or even prevent the acceptance of needed medical

Professional standards of appearance are important to the overall quality of patient care. For
example, a high level of personal cleanliness is maintained as a standard for hospital
employment. Poor oral hygiene offensive body odors, unkempt hair and other signs of poor
personal hygiene cannot be tolerated.

The following standards are therefore established for all HCC/MCC Clinical Laboratory
Technology Students.

   1. White shoes and neutral or white stockings must be worn at all times. The
      shoes must be appropriate low-heeled clinic shoes. Canvas tennis shoes or
      sandals are not permitted.

   2. Professional white or cache colored uniforms are worn to all facilities.
      Scrubs in the appropriate colors are acceptable. For women, skirt length
      should be at or below knee length.

   3. Hair of a length that extends over the collar should be neatly tied back in
      order to meet safety regulations. Hair must be worn in a neat and well-
      groomed fashion.

   4. All fingernails are to be kept trimmed and clean.

   5. All jewelry worn must be kept to a minimum; for example, only simple
      wedding ring, neat wrist watches and small simple earrings, nothing that

   6. No strong perfumes, colognes or aftershaves should be used.

   7. Proper safety attire must be worn at all times, according to clinical laboratory policy
      including eye protection, etc.

      Note: Students are subject to any special requirements of the individual clinical facility.


Since clinical training is of major importance in the educational process, absences will not be
allowed. Absences of more than 10% of a rotation will result in a grade of “E” for the clinical
component. There are no excused absences from the clinical rotation schedule.

Students who are going to be absent from their clinical affiliate must notify the hospital clinical
coordinator AND the college clinical coordinator. Notification must be done as early as possible
the morning of the day of the scheduled clinical assignment. If the student is aware the day
before, the appropriate individuals should be notified immediately.


If the college is closed due to snow or inclement weather the student is excused from clinic.


Students are responsible for their own transportation, although the school will endeavor, where
possible, to schedule assignments so that rides may be shared.


Students are responsible for the cost of their meals, transportation, and other expenses incurred.


The CLT Program adheres to all policies regarding students as set forth in the College Student
Handbook. Be certain to familiarize yourself with the contents of this publication. This is your


Students will not be assigned experiences in a manner that would permit them to replace a
regular employee.



1.    During the clinical rotation the students will follow the school attendance policy as it
      relates to the clinical lab and conform to the shift hours, lunch periods, and break times
      specified by each hospital.

2.    Following the laboratory rotation in each department, the student will be able to plan,
      organize, and complete routine tests as guided by the laboratory instructor.

3.    The student will demonstrate acceptance of supervision by putting into practice directions
      and suggestions given by the laboratory instructor.

4.    The student will demonstrate acceptable professional attitude by showing concern for
      patients' welfare, cooperating with co-workers, and communicating effectively.

5.    The student will demonstrate professional integrity by being honest and straight-forward
      at all times during all clinical activities and in all relationships.

6.    The student should demonstrate initiative by activities such as using time effectively,
      seeking further information, and performing additional assignments.

7.    The student will recognize capabilities and work with self-confidence, but will also
      recognize limitations and not exceed duties specified by the laboratory instructor.

8.    The student will perform consistently accurate and precise work as measured by lab
      standards for each test.

9.    The student will, at all times, practice safe work habits and specimen handling techniques
      according to established laboratory procedures.

10.   During the clinical rotation, the student will develop ability to produce a reasonable
      volume of work under normal laboratory conditions.

11.   Under the guidance of the laboratory instructor, the student will understand principles
      underlying test procedures and effectively apply theory to practice.

12.   After completing clinical rotation, the student will follow exactly commonly used
      laboratory procedures with minimum supervision.

13.   The student will exhibit knowledge of the proper use and care of equipment, supplies, and
      other lab resources as specified in lab procedures and demonstrated by instructors.

14.   The student will consistently perform routine quality control measures, understand their
      significance, and initiate remedial measures when appropriate or instructed to do so.

15.   The student will, at all times, record and report test results accurately, and completely,
      following guidelines established in the laboratory.


1.    Neatness, cleanliness, and good taste in dress and action are desirable attributes. Your
      uniform or lab coat should be clean.

2.    Punctuality should be an important part of your daily habits.

3.    Pay as much attention to the proper collection of specimens as you would in the
      examination of the specimen. Remember, your test results are reliable only if your
      specimen was properly obtained.

4.    Label specimens so that the label cannot come off and the specimen can be definitely

5.    Handle all laboratory apparatus and glassware carefully. Rough handling, if it does not
      break a piece of equipment, may alter its accuracy and introduce an unsuspected error
      which will therefore appear in each succeeding analysis.

6.    Pursue a definite program of instrument maintenance and inspection.

7.    Be familiar with the properties of various chemical. Know what is poisonous and

8.    Follow laboratory procedures meticulously.

9.    Know the correct methods for disposing of specimens and dangerous solutions or other

10.   Laboratory findings are CONFIDENTIAL MEDICAL INFORMATION and are not to
      be discussed with or transmitted to unauthorized persons. DO NOT show laboratory
      reports to unauthorized persons.

11.   Avoid making copies of laboratory reports if possible. Each act of copying increases the
      risk of errors being entered onto copy reports. Most errors in lab reports are due to clerical
      mistakes! Be neat!

12.   DO NOT trust your memory! Acquire the habit of using pencils, paper, identification
      tags, and labels.

13.   Be aware of the safety and first-aid procedures used in your lab.

14.   Keep up with the latest developments in your field of work in the lab (i.e., READ).
      Subscribe to journals and use the hospital library and/or start your own personal library.

15.   Cooperate with the other hospital or clinical staff. Be courteous to patients. Remember,
      patients are ill and any effort on your part to make their stay more pleasant will be

16.   Patient identification is absolutely critical prior to phlebotomy. It is assault to stick a
      patient without their approval.


    Clinical hours may vary from campus to campus:

       At Henderson Campus:
       8 1/2 hours with 1/2 hour for lunch or with special arrangements with the
                      EX: 7:00 - 3:30                         8:00 - 4:30
                               7:30 - 4:00                    8:30 - 5:00
       (Some clinical facilities take an hour for lunch, then 8:00 - 5:00.)

       At Madisonville Campus:
       Monday: 7-11:30; Tuesday, Wednesday and Friday: 7:00 – 2:00 or 6:00 to 1:00 (with a
       30 minute lunch)


       15 minutes in a.m. and p.m.

       Discuss this with your department supervisor. Complete what you are doing before you
       go. Go with other techs or students in your department--don't wait until the whole class
       can go.

       Cigarette breaks are limited to coffee breaks. All medical facilities are smoke free.
       Smoking areas are outside the building.


You are expected to be at the clinical site at the time assigned--NOT LATE. Be ready to go to
work as soon as you arrive. Be sure to complete your time card on a daily basis and have your
clinical supervisor sign at the end of each week. An example is included in this handbook.
Additional forms are available in the college lab.

If you absolutely cannot come in: Phone one of the college instructors and call the hospital
BEFORE time for you to be there.

*If hours present in the lab are less than 4 hours, then a half day will be rescheduled at the
discretion of the clinical facility and CLT program.

*If the student is sent home by laboratory personnel for reasons beyond the student’s
control, no extra lab time needs to be rescheduled. This needs to be reported by the
student to the program coordinator. The student cannot ask to be sent home without being
required to make up lost time.

Make-ups will be scheduled after consultation with clinical faculty and college coordinator.
Expect to work on Saturday/Sunday for make-up times.


Each facility will assign designated parking. Most facilities have an employee's parking lot
which you may use.


Neat, clean, white or cache uniform; name tag; and polished white shoes. Students are expected
to maintain a neat and orderly appearance at all times. Name tags must be worn. See “Personal
Appearance Policy”.


If you are not busy in your department--ask your supervisor if there is anything you can be
doing--QC, studying slides, etc. Or you can always study--related to your department.

GENERAL COMMENTS: Ask questions--show interest.

BE ALERT--You are assuming responsibility and should become aware of abnormalities in
reports. Information to which you have access is "classified" information. You are not to
discuss who the patient is, what they had done, or anything else outside the laboratory.


If a situation arises where you feel you are in conflict with the clinical instructor or other
personnel consult with the coordinator assigned to students at that facility. Also report any
problems to the college coordinator to resolve the problem.

Problems arising from absences, tardiness, dress, emotional problems, etc. will be referred
to the CLT Program Coordinator.


Part of the student's laboratory training in the affiliated clinical site may include a weekend,
second or third shift rotation to be scheduled at the discretion of the Chief Technologist with the
concurrence of the CLT clinical coordinator. Alternative shift training will begin when the Chief
Technologist judges the student's skills and capabilities are sufficient enough to benefit from the
weekend/second-shift environment.

The goals of weekend and alternative shift hours are to:

1.    Give the student laboratory experience they cannot obtain during a daytime clinical
2.    Teach the student how to function with a reduced number of staff members in the
3.    Make the student aware of weekend, second and third shift limitations of the laboratory.
4.    Acquaint the student with other responsibilities that CLTs may assume during weekend
      and second shift hours.

Second shift means @ 3 PM to 11 PM. Third shift means @ 11 PM to 7 AM. Weekend shifts
can include any routinely scheduled hours. The student is required to make arrangements with
the clinical facility, to inform CLT program instructors in writing of dates, hours, and supervisor
at least 1 week prior to an alternative shift. If alternative hours are scheduled other than during
the regular semester, no compensatory hours may be taken during the semester.
       Students will take no night call.
       Students will be granted the holiday schedule of the college.
       There will be no independent work or signing out of work by the student.

Professional aptitude of the students will be monitored by the supervising instructor in each
department. An evaluation will be completed at the end of each clinical rotation. A copy of each
evaluation form is included in this handbook in order to familiarize the student with the type of
behaviors on which each will be evaluated.

Numerical evaluations of student performance will be pooled from all rotations for the semester
and converted to a grade.

      The points assigned are as follows:
       5 = Outstanding Performance
       4 = Above Average Performance
       3 = Average Performance
       2 = Below Average Performance
       0 = Does not meet minimal standards

These evaluations points are averaged for 70% of your grade. 10% is based on your workbook;
and 20% comes from your comprehensive final exam. Clinical evaluations of each student are
reviewed when received. If a student's clinical evaluations indicate major problems or an
unsatisfactory performance, the student will be notified. A conference with the clinical and/or
program coordinator will be held.

Students will have the opportunity to evaluate clinical instructors at the end of each semester.
This provides feedback to the clinical coordinator and college officials regarding the
effectiveness of on-site instruction.


In the event a student wishes to appeal a clinical evaluation, he or she should notify the program
coordinator in writing. The written request should clearly specify the issue(s) to be appealed.

A conference with the student, program coordinator/director and college clinical coordinator
will be held in an attempt to resolve the dispute. The program coordinator/director shall then
issue a written decision on the appeal.

Any further appeal must follow KCTCS required procedures for student appeals.

An individual student may not confront, dispute or take any other action that might be
misconstrued as coercion towards any volunteer clinical faculty.

Should an appeal require voluntary faculty input, that input will be obtained in the appropriate
appeal process. Students will not discuss issues of appeal or dispute with any voluntary faculty
without the presence of a program official.


It is an important personal responsibility to practice safe working habits at all times.


This student has successfully completed the laboratory safety component of Henderson's
Community College CLT program.

Safety instruction covered Physical, Chemical and Biological hazards commonly encountered in
the clinical laboratory environment. Topics covered included, but were not limited to:

      Biohazards (including HIV & Hepatitis)
      Protective Devices
      CDC's Universal/Barrier Precautions
      Cuts, Abrasions
      Falls, Spills
      Emergency First Aid
      Burns, Scalds
      Flammables/Toxics/Poisons Carcinogens /Fumes & Vapors
      Spill Handling
      Waste Disposal
      Labeling Systems
      Material Safety Data Sheets
      Fire Extinguishers
      Appropriate Use of Fume/Biological Hoods

The student should obtain a completed clinical site safety checklist from each clinical site
during his/her first rotation there. These are to be submitted to the clinical coordinator by the
end of the semester.

                           CLINICAL SITE SAFETY CHECKLIST

      Fire Extinguishers

      Fire Blanket

      Emergency Eye Wash


      Fume Hood

      Biological Hood

      Spill Clean Up Kit


      Material Safety Data Sheets

      Evacuation Routes

      Sharps Disposal

      Biohazards Waste Containers


      Safety Glasses

      First Aid Kit

      Please check off each item located. Sign below to signify that you understand the purpose
and/or appropriate use of each.

        Student's Signature                                       Instructor's Signature

                Date                                                  Clinical Site

         Henderson Community College/Madisonville Community College
                      Bi-Weekly Proficiency Evaluation
STUDENT:                                                                            DATE:


                                    PSYCHOMOTOR SKILLS
Proceeded rapidly and skillfully.                                                                                     5
Exhibited average dexterity, precision, and coordination.                                                             4
Was slow and deliberate in carrying out designated steps.                                                             3
Was awkward and lacked coordination in manipulative activities.                                                       2
Could not successfully accomplish manipulative skills required to perform the procedure.                              0

                                     INTERACTIVE SKILLS
Interactive behaviors were exceptional and professional.                                                              5
Interactive behaviors were efficient and effective.                                                                   4
Interactive behaviors were appropriate.                                                                               3
Interactive behaviors were detrimental to the procedure.                                                              2
Interactive behaviors were irresponsible or irrelevant.                                                               0

                          COMPLREHENSION OF PROCEDURE
Demonstrates comprehensive knowledge of related concepts beyond requirements (95-100%).                               5
Demonstrates above average knowledge of related concepts (86-94%).                                                    4
Demonstrates an average knowledge of related concepts (77-85%).                                                       3
Demonstrates limited knowledge of related concepts (70-76%).                                                          2
The student has inadequate knowledge of basic concepts related to the task at hand (less then 70%).                   0

Enthusiastic about the clinical area, very conducive to learning.                                                     5
Interested in the clinical area; very attentive and tries hard.                                                       4
Acceptable behavior; could put forth more effort.                                                                     3
Indifferent to the clinical area.                                                                                     2
Antagonistic towards work in this area, not conducive to learning environment.                                        0

Is the student’s progression at this time commiserate with the skills expected of one at this point in the clinical
training?      Yes    No If no, explain:

                Henderson Community College/Madisonville Community College

                                     PROFICIENCY EVALUATION

STUDENT:                                                              DATE:


CLINICAL SITE: ___________________________

                                          5   4   3    2   0   Seldom Accurate
Consistently accurate
Top Performer
                                          5   4   3    2   0   Too slow for clinical lab
Seeks added responsibilities
                                          5   4   3    2   0   Has to be told to do anything
Consistently performs tasks in an         5   4   3    2   0   Unorganized and nonproductive
organized and productive manner.
PSYCHOMOTOR SKILLS                                             Could not accomplish skills required to
Proceeded rapidly and skillfully
                                          5   4   3    2   0   perform the procedures
Exceptional and professional
                                          5   4   3    2   0   Has to be told to do anything
Justifies complete confidence
                                          5   4   3    2   0   Unreliable
                                          5   4   3    2   0   Poor
                                          5   4   3    2   0   Poor
Consistently recognized possible          5   4   3    2   0   Problems must be pointed out
APPEARANCE/CONDUCT                        5   4   3    2   0   Often unprofessional
Professional Appearance
Always adheres to established rules of
                                          5   4   3    2   0   Behavior often requires correction
DISPLAYED                                                      Does not accept constructive criticism,
                                          5   4   3    2   0   or does not demonstrate change
Accepts criticism and demonstrates
Demonstrates a strong sense of personal
                                          5   4   3    2   0   Always makes excuses
                                                               Only motivated by the demands of
Intrinsically motivated                   5   4   3    2   0   others.
Attitude is always positive               5   4   3    2   0   Attitude is always negative.
Continuously displays respect for                              Blatant violation of patient
patient confidentiality
                                          5   4   3    2   0   confidentiality.

Uses universal precautions in handling                                   Negligent in handling of patient
specimens (gloves, lab coats, goggles or
                                             5      4      3     2   0   specimens.
Practices lab safety during procedures
                                                                         Irresponsible when performing
including disposal of contaminated           5      4      3     2   0   laboratory procedures.
materials and waste
Performs proper disinfectant technique                                   Does not properly disinfect laboratory
of laboratory work area.
                                             5      4      3     2   0   work area.

                                        SECTION B: ATTENDANCE
Report to the clinical site on time with no tardies or absenteeism                                          5
Less than 2 tardies with no absenteeism                                                                     -5
3 – 5 tardies or one day of absenteeism (7 hours)                                                          -10
More than 5 tardies or two days of absenteeism (14 hours)                                                  -20
More than three days of absenteeism (21 hours)                                                         incomplete


      CLINICAL INSTRUCTOR                                                               DATE

      STUDENT’S SIGNATURE                                                               DATE

THIS SECTION TO BE DONE BY CLT PROGRAM                                                            SCORE



         Henderson Community College/Madisonville Community College
                                 Task List

STUDENT:                                                                     DATE:

PROECEDURE: Clinical Chemistry                                               GRADE:

                                                                        Procedures                   Performed        Needs
TASK TO PERFORM                                                         Explained
                                                                                                   Independently   Improvement
Process specimens to include centrifugation, separation, and labeling
(minimum of 25)
Operate automated chemistry instrument for analysis of specimen
chemical constituents.
Perform daily quality control procedures and evaluate data correctly.
Perform therapeutic drugs.
Perform toxicology drug screens.
Perform quantitative bHCG.
Perform lipid profile to include cholesterol, triglycerides, HD>, and
LDL. (minimum of 10).
Perform reoutine chemistry analysis to include electrolytes, glucose,
BUN, creatinine, LD, ALT, CK, AST. (minimum of 25)
Perform cardiac profiles.
Perform blood gas analysis. (minimum of 10)
Perform thyroid testing to include (T-3 uptake, T-3, and TSH).
Perform B-12/folate.
Perform daily maintenance on instruments as needed.
Perform resulting and inquiry functions of the laboratory computer
Use operation manuals for all automated and manual procedures.
Observe osmolality procedure if performed at clinical facility.
Observe electrophoresis if performed at clinical facility.


         Henderson Community College/Madisonville Community College
                                 Task List
STUDENT:                                                                      DATE:

PROECEDURE: Hematology Clinicals                                              GRADE:

                                                                         Procedures                   Performed        Needs
TASK TO PERFORM                                                          Explained
                                                                                                    Independently   Improvement

Perform hematology analyzer startup procedure.
Operate hematology analyzer for analysis of specimen for complete
blood count. (minimum of 25 samples).
Perform startup procedure for coagulation instrument.
Prepare patient specimens for coagulation testing (check tube draw,
check for clots, certrifuge, storage is test delayed).
Operate coag instrument to perform prothrombin times and APTT
(minimum of 15 samples).
Perform D-dimer of FDP’s.
Perform erythrocyte sedimentation rates (minimum of 10).
Perform procedures to correct for lipemia or cold agglutinins.
Perform daily startup procedure for hematology slide stainer.
Prepare peripheral blood smear slide.
Perform daily quality control procedures and evaluate date correctly.
Perform differentials (minimum of 20).
Perform venipuncture procedures (minimum of 10).
Perform hematocrit procedure on neonates.
Know panic values and the proper procedure for reporting values to the
Use operation manuals for all automated and manual procedures.


         Henderson Community College/Madisonville Community College
                                 Task List
STUDENT:                                                                       DATE:

PROECEDURE: Immunohematology Clinicals                                         GRADE:
                                                                         Procedures                   Performed        Needs
TASK TO PERFORM                                                          Explained
                                                                                                    Independently   Improvement

Perform ABO & Rh (minimum of 10 correctly).
Perform Type and Screens (minimum of 8 with at least 4 having positive
Perform A-sub-group testing.
Perform Cord Blood workups to include ABO/Rh testing, direct Coombs
and Du testing (minimum of 10).
Perform Donor Processing to include history, pulse, blood pressure and
temperature (minimum of 10).
Perform cold agglutinin titer.
Perform Rhogam workup to include fetal screen (minimum of 2).
Perform antibody identification (at least 4 with autocontrols).
Perform Direct Antiglobulin Testing (DAT) as needed with cord blood
and negative donors.
Perform weak D’s as needed per criteria.
Perform compatibility testing (crossmatch) (minimum of 10).
Perform immunohematology quality control procedures and evaluate
Perform donor phlebotomy/venipuncture procedure (minimum of 3 if
Prepare blood bags for blood donation.
Observe preparation of platelet or cryoprecipitate component pools for
Observe preparation of platelet concentrates from whole blood.
Observe preparation of FFP from whole blood.
Observe preparation of red blood cells from whole blood by
sedimentation or centrifugation.
Observe transfusion reaction workup.
Observe warm and cold autoabsorption techniques for the detection of
Perform capillary puncture (minimum of 10).
Know panic values and the proper procedure for reporting values to the
Use operation manuals for all automated and manual procedures.


         Henderson Community College/Madisonville Community College
                                 Task List
STUDENT:                                                                        DATE:

PROECEDURE: Microbiology Clinicals                                              GRADE:
                                                                           Procedures                   Performed        Needs
TASK TO PERFORM                                                            Explained
                                                                                                      Independently   Improvement
Select appropriate media for each type of specimen received for culture,
using protocol manual.
Inoculate appropriate media for wound specimens.
Inoculate appropriate media for fecal specimens.
Inoculate appropriate media for respiratory specimens.
Inoculate appropriate media for miscellaneous body fluids.
Inoculate appropriate media for urine specimens.
Perform Gram Stains on smears (minimum of 20).
Perform incubation of cultures under proper conditions for optimal
growth for the following:
 Anaerobes
 Aerobes
 CO2
 Microaerophilics
Interpret culture and stains characteristics to detect normal flora,
potential pathogens/contaminants for:
 Feces
 Urine
 Respiratory
 Wounds
 Body Fluids
Perform colony count on urine specimen cultures.
Perform processing of blood cultures.
Perform quality control procedures and evaluate date correctly.
Perform susceptibility test procedures.
Prepare organisms for identification using an automated system.
Perform culture screen for additional testing and identification
(minimum of 25).
Perform catalase.
Perform slide coagulase test/staph latex test.
Perform oxidase test.
Perform streptex.
Perform rapid indole test.
Perform haemophilus ID.

                                      Policy,    Performed       Performed        Needs
                                      Rules,       Under       Independently   Improvement
                                    Procedures   Supervision
TASK TO PERFORM                     Explained

Perform anaerobe ID.
Perform salt/esculin.
Perform hippurate.
Perform PYR.
Perform optochin.
Perform wet mounts KOH prep.
Perform India ink.
Perform yeast ID/germ tube.


         Henderson Community College/Madisonville Community College
                                 Task List
STUDENT:                                                                      DATE:

PROECEDURE: Urinalysis                                                        GRADE:
                                                                         Procedures                   Performed        Needs
TASK TO PERFORM                                                          Explained
                                                                                                    Independently   Improvement

Prepare, dispense and centrifuge urine specimen (minimum of 20).
Perform and report urine specimen physical properties, chemical tests,
and specific gravity (minimum of 20).
Perform quality control procedures for urinalysis and evaluate data
Perform and report microscopic examination of urine sediment
(minimum of 10).
Prepare and process timed urine specimen containers.
Perform daily maintenance on semi-automated urinalysis analyzer.
Operate semi-automated chemistry analyzer for urinalysis.
Perform venipunture procedure (minimum of 10).
Mark N/A beside the test not performed in your department.


        Henderson Community College/Madisonville Community College
                                Task List
STUDENT:                                                                 DATE:

PROECEDURE: Serology                                                     GRADE:
                                                                    Procedures                   Performed        Needs
TASK TO PERFORM                                                     Explained
                                                                                               Independently   Improvement
1. Perform RPR test procedure.
2. Perform mononucleosis test.
3. Perform Streptolysin latex screening test.
4. Perform qualitative BHCG.
5. Perform RA test procedure.
6. Perform C-reactive protein test (CRP).
7. Perform Helicobacter pylori.
8. Perform rotavirus.
9. Perform daily quality control procedures for serology and
    evaluate data correctly.
10. Perform startup procedure for coagulation instrument.
11. Prepare patient specimens for coagulation testing (check tube
    draw, check for clots, centrifuge, storage is test delayed).
12. Operate coag instrument to perform prothrombin times and
    APTT. (minimum of 15 samples)
13. Perform venipunture procedure (minimum of 10).
Mark N/A beside the test not performed in your department.


The CLT Clinical Handbook is written by the Program Coordinators in conjunction with the
Henderson and Madisonville Community Colleges’ Policies and Procedures, the Essentials as
outlined by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)
Essentials of Accredited Education Programs for the Clinical Laboratory Technician/Medical
Laboratory Technician, and the Clinical Affiliates Policies and Procedures; and input from
the CLT Advisory Committee and Clinical Instructors.

The Clinical Laboratory Technology programs at Henderson Community College and
Madisonville Community College are jointly accredited by the National Accrediting Agency for
Clinical Laboratory Sciences (NAACLS), 8410 West Bryn Mawr Avenue, Suite 670, Chicago, IL
60631-3415; (773) 714-8880;


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