ML 225 - Lab for ML 224

Credit Hours: 1.5

Laboratory exercises on hospital and capillary collection specimens include use of point of care instrumentation, introduction to state-of-the-art instruments, special procedures, coagulation testing and case studies of a variety of blood dyscrasias using critical thinking skills. Venipuncture training on simulated arms is also included. Affective evaluations must be satisfactory.

Course Outcomes
Upon completion of this course, the student will be able to:

correctly perform multiple semi-automated hemoglobin determinations using HemoPoint and microhematocrits within 60 minutes and obtain values within a specified range of hospital results;
correctly perform specialized tests such as the Reticulocyte Count and Dispette ESR within 60 minutes;
calculate reticulocyte counts, corrected reticulocyte counts, absolute values, corrected WBC’s, indices, and correlate values recognizing possible errors;
relate values to bone marrow activity;
identify normal/abnormal parameters of the procedures performed;
relate major disease states causing abnormal parameters;
use quality control as indicated for selected tests;
list the usefulness of a stained blood film as a quality control tool for the correlation of indices, white blood cell counts, and platelet count parameters;
complete case study portfolios on selected non-malignant and malignant dyscrasias of the erythrocyte, leukocyte, and coagulation systems;
identify follow-up/additional tests required for confirmation of diagnosis in the anemias, leukemias, and coagulation systems;
perform venipuncture on simulator arms safely and properly;
perform micro collection methods safely and properly within 90 minutes;
perform PT, APTT, and selected coagulation tests using Thromboscreen, CoaguChek, and the Fibrometer;
perform the phase platelet count using ThromboTic and calculate results;
perform all laboratory tests with minimal supervision, maximum accuracy and integrity and report them in a concise manner using appropriate units, and proper hospital forms/computer entry.
log-in all samples for each lab exercise;
strictly follow lab safety rules, privacy requirements on all procedures on and off campus;
perform/observe daily operation of Hematology and Coagulation instrumentation at the hospital sites and routine/special testing procedures;
relate operational principals, maintenance and calibration protocols, QC, common sources of error /interference and the corrective action (if any) routinely employed on common Hematology instruments such as the Sysmex, Advia, and Coulter LH series, as well as on common coagulation instruments such as the Stago STA Compact, Beckman Coulter IL -TOP series or as specified by the clinical site;
perform/observe operational procedures for the other instrumentation;
attend all assigned hospital clinical rotations, follow all protocols, perform tests as instructed, complete an Activity Log Record and evaluate each clinical site.

Prerequisites: ML 215, ML 217
Corequisites: ML 224, ML 227
F (N)