Medical Laboratory Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  Medical Laboratory         Rating Stars (Click) 1 2 3 4
  Blood bank  
  Chem  
  Hemo Micro  
  Serol  
  Medical Laboratory         Rating Stars (Click) 1 2 3 4
  Patient positioning  
  Fingerstick  
  Venipuncture  
  Warming the puncture site  
  Tourniquet application & removal  
  Decontamination of the puncture site  
  Tuberculosis exposure control plan  
  Post venipuncture site care  
  Order of tube collection  
  Arterial blood gas kits  
  Occult blood packets  
  Heel warmers  
  Pin worm kits  
  Serum separators  
  Blood culture preparation kits  
  Centrifuge  
  Capillary blood kits  
  Bacteria media  
  Drug screen kits  
  Ova parasite containers  
  Legal blood draw kits  
  Paternity blood draw kits  
  RSV kits  
  Chemistry         Rating Stars (Click) 1 2 3 4
  Acetone analysis  
  Atomic absorption  
  B12/folates  
  CSF protein  
  Drug monitoring  
  Electrolytes  
  Electrophoresis  
  Gas chromatography  
  Hepatitis  
  Hormone testing  
  Immunoelectrophoresis  
  Include blood gas  
  Main chemistry unit  
  Osmolality  
  Stool analysis (fecal fats)  
  Thin layer chromatography  
  Thyroid testing  
  Tumor markers  
  RIA         Rating Stars (Click) 1 2 3 4
  Background counts  
  Counters  
  Curves/regressions  
  Data reduction  
  Instrumentation/gamma  
  Radiation safety techniques  
  Scintillation counter  
  Blood Bank         Rating Stars (Click) 1 2 3 4
  Antibody identification  
  Antibody titer  
  Blood irradiation  
  Component preparation  
  Direct  
  Indirect  
  Cross match  
  Donor unit collections  
  Emergency release  
  Freezing blood  
  Immediate spin cross match  
  Patient identification  
  Plasmapheresis  
  Plateletpheresis  
  Procedures  
  Rhogam  
  Antigen typing  
  Type  
  RH  
  Microbiology/Virology         Rating Stars (Click) 1 2 3 4
  Concentration techniques  
  Identification  
  Acid fast stain (fluorescent)  
  Acid fast stain (kinyoun)  
  Anaerobic culture  
  Anaerobic identification  
  Blood culture  
  C. difficile assay  
  Cell culture technique (viral)  
  Chlamydia culture  
  Chlamydia smear  
  Culture plating  
  Darkfield  
  Gram stain  
  India ink  
  KOH prep  
  Malarial examination  
  Myobacteria culture  
  Occult blood  
  Organism identification  
  Ova & parasite concentration  
  Trichcone  
  Wet mount  
  K.B.  
  M.I.C.  
  Virus isolation  
  Wet mount-motility  
  Urinalysis         Rating Stars (Click) 1 2 3 4
  Automated instrumentation  
  Large volume automation equipment  
  Small volume automation equipment  
  Crystal identification  
  Macroscopic U.A  
  Microscopic U.A  
  Semen analysis  
  Hematology         Rating Stars (Click) 1 2 3 4
  Bleeding time  
  Body fluid count  
  CBC  
  D-dimer  
  Differential  
  Eosinophil count  
  Factor assays  
  Fetal hemoglobin  
  Fibrin split products/FDP  
  Fibrinogen  
  Lee-White clotting time  
  Platelet aggregation  
  Platelet count  
  PT & PTT  
  Reticulocyte count  
  Sedimentation rate  
  Special stains (PAS  
  peroxidase  
  leukocyte alkaline phosphatase)  
  Sickle cell prep  
  Thrombin time  
  Serology / Immunology         Rating Stars (Click) 1 2 3 4
  ANA  
  ASO titer  
  C3-C4-total complement  
  Cold agglutinins  
  C-reactive protein  
  ELISA testing  
  Febrile agglutinations  
  Fluorescent testing  
  FTA-ABS  
  Hemagglutination inhibition  
  LE cell prep  
  Monospot  
  Pregnancy testing  
  Radial immuno diffusion  
  Rheumatoid factor  
  RPR  
  Rubella serology  
  TORCH studies  
  National Patient Safety Goals         Rating Stars (Click) 1 2 3 4
  Accurate patient identification  
  Labeling  
  Effective communication  
  Infection control  
  Quality control/quality assurance  
  Assist with On-site procedure  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Newborn / neonate (Birth-30 days)  
  Infant (31 days-1 year)  
  Toddler (2-3 years)  
  Preschool (ages 4-5 years)  
  School Age (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adult (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adult (ages 65-79 years)  
  Elderly (80+ years)