MEDICAL LAB TECH SKILLS EVALUATION #2 - Page 1
MEDICAL LAB TECH SKILLS EVALUATION #2 - Page 1
Personal Information
Name
*
First
Last
Title / Specialty
*
Email
*
Phone
-
(###)
-
###
####
Chemistry
Acetone Analysis
Very Experienced
Some Experience
No Experience
Atomic Absorption
Very Experienced
Some Experience
No Experience
CSF / Body Fluid Chemistriess
Very Experienced
Some Experience
No Experience
Electrophoresis
Very Experienced
Some Experience
No Experience
Gas Chromatography
Very Experienced
Some Experience
No Experience
Immuneoelectrphoresis
Very Experienced
Some Experience
No Experience
Osmolality
Very Experienced
Some Experience
No Experience
Stool Analysis
Very Experienced
Some Experience
No Experience
Thin Layer Chromatography
Very Experienced
Some Experience
No Experience
Instrumentation Used
Include Blood Gas
Very Experienced
Some Experience
No Experience
Drug Monitoring
Very Experienced
Some Experience
No Experience
Main Chemistry Unit
Very Experienced
Some Experience
No Experience
Electrolytes
Very Experienced
Some Experience
No Experience
Urinalysis
Very Experienced
Some Experience
No Experience
Macroscopic
Very Experienced
Some Experience
No Experience
Microscopic
Very Experienced
Some Experience
No Experience
Crystal Identification
Very Experienced
Some Experience
No Experience
Semen Analysis
Very Experienced
Some Experience
No Experience
Automated Instrumentation
Very Experienced
Some Experience
No Experience
Blood Bank
Patient Identification
Very Experienced
Some Experience
No Experience
Procedures
Very Experienced
Some Experience
No Experience
Cross Match
Very Experienced
Some Experience
No Experience
Immediate Spin Cross match
Very Experienced
Some Experience
No Experience
Type RH
Very Experienced
Some Experience
No Experience
Antibody Titer
Very Experienced
Some Experience
No Experience
Antibody Identification
Very Experienced
Some Experience
No Experience
Coombs Test
Direct
Very Experienced
Some Experience
No Experience
Indirect
Very Experienced
Some Experience
No Experience
Rhogam
Very Experienced
Some Experience
No Experience
Component Preparation
Very Experienced
Some Experience
No Experience
Freezing Blood
Very Experienced
Some Experience
No Experience
Cold Agglutinins
Very Experienced
Some Experience
No Experience
Donor Unit Collections
Very Experienced
Some Experience
No Experience
Blood Irradiation
Very Experienced
Some Experience
No Experience
Phasmaperesis
Very Experienced
Some Experience
No Experience
Plateletpheresis
Very Experienced
Some Experience
No Experience
Emergency Release
Very Experienced
Some Experience
No Experience
Special Blood Typing (Kell,Kidd,Duffy,RH-HR,MNS,Lewis,P)
Very Experienced
Some Experience
No Experience
Hematology
CBC
Very Experienced
Some Experience
No Experience
Differential
Very Experienced
Some Experience
No Experience
Reticulocyte Count
Very Experienced
Some Experience
No Experience
Platelet Count
Very Experienced
Some Experience
No Experience
Sickle Cell Prep
Very Experienced
Some Experience
No Experience
Eosinophil Count
Very Experienced
Some Experience
No Experience
Sedimentation Rate
Very Experienced
Some Experience
No Experience
Bleeding time
Very Experienced
Some Experience
No Experience
PT and PTT
Very Experienced
Some Experience
No Experience
Fibrinogen
Very Experienced
Some Experience
No Experience
Factor Assays
Very Experienced
Some Experience
No Experience
Thrombin Time
Very Experienced
Some Experience
No Experience
Fibrin split Products/FDP
Very Experienced
Some Experience
No Experience
Platelet Aggregation
Very Experienced
Some Experience
No Experience
Lee-White Clotting Time
Very Experienced
Some Experience
No Experience
Fetal Hemoglobin
Very Experienced
Some Experience
No Experience
Body Fluid Count
Very Experienced
Some Experience
No Experience
Special Stains (PAS,Peroxidase,Leukocyte,Aldaline, Phospatase
Very Experienced
Some Experience
No Experience
Phlebotomy
Venipuncture
Very Experienced
Some Experience
No Experience
Fingerstick
Very Experienced
Some Experience
No Experience
Heel Stick
Very Experienced
Some Experience
No Experience
Pediatric
Very Experienced
Some Experience
No Experience
Pipettig
Very Experienced
Some Experience
No Experience
M.L.A.
Very Experienced
Some Experience
No Experience
To Deliver
Very Experienced
Some Experience
No Experience
To contain
Very Experienced
Some Experience
No Experience
Volumetric
Very Experienced
Some Experience
No Experience
Operation on Centrifuge
Very Experienced
Some Experience
No Experience
Knowledge of Tube Types & Uses
Very Experienced
Some Experience
No Experience
Anticoagulants
Very Experienced
Some Experience
No Experience
Calculation for Solution Preparation
Very Experienced
Some Experience
No Experience
Molarity, molality
Very Experienced
Some Experience
No Experience
Use of Balance (weighing)
Very Experienced
Some Experience
No Experience
