MEDICAL TECHNOLOGIST SKILLS CHECKLIST

NAME: DATE:
In order to provide suitable assignments for you, this checklist is intended as a method of assessing your professional
proficiency. Please rate your skill level as accurately as possible by placing a check (√) in the appropriate box.
1 = No experience; Theory/observed only 2 = Limited competency; < 5 times per year; Needs supervision 3 = Acceptable
competency; > 5 times per year 4 = Competent; Performs on a daily or weekly basis; Proficient

SKILL LEVEL 1 2 3 4 SKILL LEVEL 1 2 3 4

Blood Bank Hematology cont…
Component Preparation Fibrin Split Products/FDP
Special Blood Typing Platelet Aggregation
Procedures Platelet Count
Patient Identification PT and PTT
Emergency Release Reticulocyte
Freezing Blood Sedimentation Rate
Antibody Identification Sickle Cell Prep
Antibody Titer PAS, Peroxidase, Leukocyte,
Blood Irradiation Aldaline, Phosphatase
Cold Agglutinins Thrombin Time
Direct Coombs Test Fetal Hemoglobin
Indirect Coombs Test Chemistry
Cross Match Acetone Analysis
Donor Unit Collections Atomic Absorption
Immediate Spin Cross Match Thin Layer Chromatography
Plasmapheresis Gas Chromatography
Rhogam CSF/Body Fluid Drug Monitoring
Kell, Kidd, Duffy, RH HR, MNS, CSF/Body Fluid Electrolytes
Lewis, P Electrophoresis
Type RH Immunoelectrophoresis
Urinalysis Osmolality
Automated Instrumentation Stool Analysis
Crystal Identification Instrumentation Used - Blood
Semen Analysis Gas
Macroscropic UA Instrumentation Used - Main
Microscopic UA Chemistry Unit
Hematology Serology/Immunology
Body Fluid Count Hemagglutination Inhibition
Bleeding Time Pregnancy Testing
Lee-White Clotting Time Meningitis Screen
Differential Body Fluids
Eosinophil Count Rubella Serology
Factor Assays ANA
Fibrinogen ASO Titer
Serology/Immunology cont… C3, C4, Total Complement
FTA-ABS Febrile Agglutinations
LE Cell Prep Microbiology/Virology cont…
Monostat Culture Plating
RAdial Immuno Diffusion Darkfield
Rheumatoid Factor Gram Stain
1|Page
 SKILL LEVEL 1 2 3 4 SKILL LEVEL 1 2 3 4
RPR Identification
Phlebotomy India Ink
Basic Safety Guidelines: gloves KOH Prep
and goggles M.I.C
Communication Skills Chlamydia Culture
Ability to Write Procedures Chlamydia Smear
Masks Malarial Examination
Use of Balance (weighing) Occult Blood
Anticoagulants - Knowledge of Organism Identification (Aerobic)
Tube Types and Uses Ova and Parasite Concentration
Calculation for Solution Prep: Ova and Parasite Identification:
Molarity and Molality Trichone
Finger Stick West Mount – Mobility
Heel Stick Wet Mount
M.L.A. RIA
Operation of Centrifuge Data Reduction
Pediatric Curves/Regression
Pipetting Counters
To Contain Background Counts
To Deliver Scintillation Counter
Venipuncture Hormone Testing
Volumetric Radiation Safety Techniques
Microbiology/Virology Instrumentation/Gamma
Blood Culture Counters
Cell Culture B12/Folates
Aerobic Culture Hepatitis
Anaerobic Culture Thyroid Testing
Anaerobic Identification Tumor Markers
Mycobacteria: Culture EMR
Sensitivities Allscripts
Virus Identification Epic
Virus Isolation HomeCare Home Base
Acid Fast Stain (Fluorescent) McKesson
Acid Fast Stain (Kinyoun) Meditech
C Difficili Assay Other Computerized
Concentration Techniques Documentation System

Please list any additional areas of expertise below:

SKILL LEVEL 1 2 3 4

2|Page
I hereby certify that ALL information I have provided on this skills checklist is true and accurate. I understand and
acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate
termination.

Name: Date:

3|Page