Medical Laboratory Technician - Associate Degree program

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MEDICAL LABORATORY TECHNICIAN ASSOCIATE DEGREE PROGRAM

VICTORIA, TEXAS

SELF EVALUATION STUDY

(2001 STANDARDS)

PRESENTED

JUNE, 2008

TO

THE NATIONAL ACCREDITING AGENCY FOR

CLINICAL LABORATORY SCIENCES

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Sponsoring Institution Program Fact Sheet

Program Level: Medical Laboratory Technician-Associate Degree Institution: The Victoria College Address: 2200 E. Red River City, State, Zip Code: Victoria, TX 77901 Email: [email protected] Program URL: __www.victoriacollege.edu_ _______ Agencies that accredit the institution (e.g., JCAHO for hospitals; regional academic associations for colleges; CAP, AABB, FDA, etc. for laboratories): Commission on Colleges of the Southern Association of Colleges Administrative officer of the organizational unit in which the program is located: Name: Jimmy Goodson, Ed.D. Title: President Program Director: Larry S. Dunn

Credentials: M.S., MT(ASCP)

Number of students per class: 14

Number of classes: 2

List academic and/or clinical affiliate(s). Please use a separate sheet if necessary. INSTITUTION CITY/STATE ACCREDITED BY Citizens Medical Center Victoria, TX JCAHO

DeTar Healthcare Victoria, TX JCAHO

Memorial Medical Center Port Lavaca, TX CLIA

Cuero Community Hospital Cuero, TX CLIA

Gulf Coast Medical Center Wharton, TX JCAHO

NOTE: If the sponsoring institution is a hospital, a Clinical Facility Fact Sheet must also be completed. (2/2002)

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Program Overview June 2008

Medical Laboratory Technology

The Victoria College Medical Laboratory Technology Program

Established 1982

DeTar Healthcare Systems Clinical Affiliate since 1983

Citizens Medical Center Clinical Affiliate since 1983

Memorial Medical Center Clinical Affiliate since 1996

The Medical Laboratory Technology program was started in 1982, with its first class graduating in 1984. The program was started based on input from the local hospitals stating the need for such a program to supply qualified MLTs to help staff local and area medical laboratories. The Victoria College MLT program initiated the accreditation process in 1982 through the Committee on Allied Health Education and Accreditation (CAHEA) and the National Accrediting Agency for Clinical Laboratory Science (NAACLS). The program received initial accreditation in 1985 from CAHEA (NAACLS). The MLT program was reaccredited by CAHEA (NAACLS) in 1987, 1990, 1995, and 2002. The MLT curriculum has MLT courses integrated with academic courses. The MLT courses are separated into a campus phase the first year and a clinical phase during the second year.

Gulf Coast Medical Center Clinical Affiliate since 2002

Cuero Community Hospital Clinical Affiliate since 2002

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TABLE OF CONTENTS

page I. Sponsorship Standard 1. . . . . . . . . . . . . . . . . . . . . . . 1 Standard 2. . . . . . . . . . . . . . . . . . . . . . . 58 Standard 3. . . . . . . . . . . . . . . . . . . . . . . 59 II. Resources Standard 4. . . . . . . . . . . . . . . . . . . . . . . 69 Standard 5. . . . . . . . . . . . . . . . . . . . . . . 70 Standard 6. . . . . . . . . . . . . . . . . . . . . . . 86 Standard 7. . . . . . . . . . . . . . . . . . . . . . . 98 Standard 8. . . . . . . . . . . . . . . . . . . . . . . 99 III. Curriculum Standard 9. . . . . . . . . . . . . . . . . . . . . . . 108 IV. Students Standard 10. . . . . . . . . . . . . . . . . . . . . . 143 Standard 11. . . . . . . . . . . . . . . . . . . . . . 144 Standard 12. . . . . . . . . . . . . . . . . . . . . . 152 Standard 13. . . . . . . . . . . . . . . . . . . . . . 157 Standard 14. . . . . . . . . . . . . . . . . . . . . . 159 Standard 15. . . . . . . . . . . . . . . . . . . . . . 163 Standard 16. . . . . . . . . . . . . . . . . . . . . . 164 V. Operational Policies Standard 17. . . . . . . . . . . . . . . . . . . . . . 166 VI. Program Evaluation Standard 18. . . . . . . . . . . . . . . . . . . . . . 168 Standard 19. . . . . . . . . . . . . . . . . . . . . . 177 Standard 20. . . . . . . . . . . . . . . . . . . . . . 178 Standard 21. . . . . . . . . . . . . . . . . . . . . . 179 Separate Documentation Enclosed The Victoria College Catalog The Victoria College Student Handbook Medical Laboratory Technology Information Letter Medical Laboratory Technology Student Handbook

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I. Sponsorship Standard 1: The sponsoring institution for the Medical Laboratory Technician - Associate Degree program is The Victoria College. The Victoria College is a community college accredited by the Commission on Colleges of the Southern Association of Colleges, the Texas Higher Education Coordinating Board, and the Texas Education Agency. The Victoria College is responsible for maintaining accreditation, selection of new classes, the curriculum, establishing affiliation agreements with clinical facilities, and granting the associate's degree. The Victoria College Sponsoring Institution Fact Sheet is found on page 2. The affiliation agreements with the clinical facilities allow the MLT students the opportunity to undergo clinical rotations as part of the second year of the program. Affiliation agreements are included. The clinical affiliates are accredited as follows: Citizens Medical Center (page3): JCAHO DeTar Hospital (page 14): JCAHO Memorial Medical Center (page 25): CLIA Cuero Community Hospital (page 35): CLIA Gulf Coast Medical Center (page 49): JCAHO, CAP, AABB

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Sponsoring Institution Program Fact Sheet

Program Level: Medical Laboratory Technician-Associate Degree Institution: The Victoria College Address: 2200 E. Red River City, State, Zip Code: Victoria, TX 77901 Email: [email protected] Program URL: __www.victoriacollege.edu_ _______ Agencies that accredit the institution (e.g., JCAHO for hospitals; regional academic associations for colleges; CAP, AABB, FDA, etc. for laboratories): Commission on Colleges of the Southern Association of Colleges Administrative officer of the organizational unit in which the program is located: Name: Jimmy Goodson, Ed.D. Title: President Program Director: Larry S. Dunn

Credentials: M.S., MT(ASCP)

Number of students per class: 14

Number of classes: 2

List academic and/or clinical affiliate(s). Please use a separate sheet if necessary. INSTITUTION CITY/STATE ACCREDITED BY Citizens Medical Center Victoria, TX JCAHO

DeTar Healthcare Systems Victoria, TX JCAHO

Memorial Medical Center Port Lavaca, TX CLIA

Cuero Community Hospital Cuero, TX CLIA

Gulf Coast Medical Center Wharton, TX JCAHO

NOTE: If the sponsoring institution is a hospital, a Clinical Facility Fact Sheet must also be completed. (2/2002)

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Clinical Facility Fact Sheet (CLS/MT & CLT/MLT) Institution: Citizens Medical Center Address: 2701 Hospital Drive City, State, Zip Code: Victoria, Texas 77901 Telephone: ( 361 ) 572-5023 Fax: ( 361 ) 572-5098 Accredited by (If the facility is not JCAHO, and/or CAP, and/or COLA accredited, a list of safety features is required) : JCAHO Clinical Coordinator or Contact Person at site: Sammie Sue Hendrix, MBA, MT (ASCP) Clinical Laboratory Volume (specify annual number of procedures): 1,273,260 Indicate whether tests are performed in the following areas: Hematology: Yes Chemistry: Yes Microbiology: Yes

Immunology/Serology: Yes Immunohematology: Yes Urinalysis: Yes

Molecular Diagnostics: Yes

Total space of the laboratory: 5200 sq. ft. Number of students in clinical experience assignments: 4 Length of time of affiliation with sponsoring institution: 25 yrs. Length of training time: 150 hr/section Daytime laboratory staff (convert part-time to full-time equivalent): 14.5

NUMBER EMPLOYED

Pathologists 3

Credentialed laboratorians 31

(July 2005)

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Citizens Medical Center (Victoria, TX) Capital (major) equipment utilized for student instruction Hematology:LH 750, LH 755, ESR Auto Plus Coagulation: ACL 8000, ACL 10000 Chemistry: DXC 800 (Qty. 2), Access 2, Osmometer Urinalysis: Clinitek 500 Microbiology: Walk Away 96, BACT Alert Blood Bank: ProVue Facility specific required textbooks: Citizens Medical Center does not require the students to purchase any textbooks. The students use textbooks from first year courses as references (Standard 8C page 105). The students do have access to additional references in each section. A list of these references is listed below. Access to Periodicals: Laboratory Medicine Medical Laboratory Observer CAP Today Advance for Laboratory Professionals Clinical Lab Products Instructional Resources: Hematology: Clinical Hematology Atlas A Color Atlas and Instruction Manual of Peripheral Blood Cell Morphology Body Fluids Color Atlas of Body Fluids Color Atlas of Hematology Coagulation: Laboratory Evaluation of Coagulation Chemistry: Clinical Chemistry Clinical Laboratory Instrumentation and Automation Medical Laboratory Technology Urinalysis: A Handbook of Routine Urinalysis Urinalysis and Body Fluids – A Color Text and Atla

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Microbiology: Atlas of Infection Disease (Fungal Infection) Medical Parasitology Diagnostic Microbiology Basic Clinical Parasitology Diagnostic Medical Parasitology The Color Atlas of Intestinal Parasites Atlas of Human Parasitology Medically Important Fungi – A Guide to Identification Blood Bank: Transfusion Reactions Technical Manual Standards for Blood Banks and Transfusion Services Objectives and evaluations utilized exclusively by the facility All clinical facilities use objectives and evaluation instruments provided by Victoria College for continuity. Rules and policies that govern student behavior: Students fall under the same policies as facility employees. Safety: Citizens Medical Center is JCAHO accredited.

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Clinical Facility Fact Sheet (CLS/MT & CLT/MLT) Institution: DeTar Healthcare System Address: 506 E. San Antonio City, State, Zip Code: Victoria, Texas 77901 Telephone: ( 361 ) 788-6160 Fax: ( 361 ) 788-6161 Accredited by (If the facility is not JCAHO, and/or CAP, and/or COLA accredited, a list of safety features is required) : JCAHO Clinical Coordinator or Contact Person at site: Hilda Velasquez Clinical Laboratory Volume (specify annual number of procedures): 250,850 Indicate whether tests are performed in the following areas: Hematology: Yes Chemistry: Yes Microbiology: Yes


Molecular Diagnostics:

Total space of the laboratory: 8,408 sq. ft. Number of students in clinical experience assignments: 5 Length of time of affiliation with sponsoring institution: 25 yrs. Length of training time: 150 hr/section Daytime laboratory staff (convert part-time to full-time equivalent): 16

NUMBER EMPLOYED

Pathologists 3


(July 2005)

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DeTar Healthcare (Victoria, TX) Capital (major) equipment utilized for student instruction Hematology: Coulter AcT Diff II Coagulation: Sysmex CA-1500 Chemistry: Beckman Access, Beckman CX9, Beckman Synchron LX20 Urinalysis: Boehringer Mannheim Chemstrip Analyzer Microbiology: Microscan Walkaway 40, BacTec 9120 Blood Bank: Manual methods, cell washer Facility specific required textbooks: DeTar Hospital does not require the students to purchase any textbooks. The students use textbooks from first year courses as references (Standard 8C page 105). The students do have access to additional references in each section. A list of these references is listed below. Access to Periodicals: Medical Laboratory Observer (MLO) Advance for Laboratory Professionals Laboratory Medicine CAP Today American Journal of Clinical Pathology Instructional Resources: Hematology: Color Atlas and Instructional Manual of Peripheral Blood Cell Morphology Clinical Hematology Atlas, 2nd Ed Morphology of Human Blood Cells 7th Edition Clinical Hematology Principles, Procedures, Correlations Coagulation: Clinical Hematology and Fundamentals of Hemostasis 2nd Edition Chemistry: Chemistry for Medical Technologists 3rd Edition Manual of Laboratory and Diagnostic Tests 7th Edition Clinical Chemistry, Principles, Procedures, Correlations 2nd Edition Saunders Manual of clinical Laboratory Science Urinalysis: Urinalysis and Body Fluids “A Color Text and Atlas” 2nd Edition Color Atlas of Body Fluids

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Microbiology: Infectious Disease and Medical Microbiology Zinsser Microbiology 17th Edition Medical Parasitology 4th Edition Atlas of Human Parasitology 2nd Edition Manual of Clinical Microbiology 4th Edition Blood Bank Transfusion Service Manual of Standard Operating Procedures Training Guides and Competency Assessment Tools 2nd Edition Technical Manual 15th Edition Transfusion Therapy Clinical Principles and Practice 2nd Edition Textbook of Blood Banking and Transfusion Medicine Objectives and evaluations utilized exclusively by the facility All clinical facilities use objectives and evaluation instruments provided by Victoria College for continuity. Rules and policies that govern student behavior: Students fall under the same policies as facility employees. Safety: DeTar Healthcare is JCAHO accredited.

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Clinical Facility Fact Sheet (CLS/MT & CLT/MLT) Institution: Memorial Medical Center Address: 815 North Virginia City, State, Zip Code: Port Lavaca, Texas 77979 Telephone: ( 361 ) 552-0284 Fax: ( 361 ) 552-0285 Accredited by (If the facility is not JCAHO, and/or CAP, and/or COLA accredited, a list of safety features is required) : Surveyed by State of Texas every two years under CLIA guidelines Clinical Coordinator or Contact Person at site: Deborah Wittnebert Clinical Laboratory Volume (specify annual number of procedures): 104,494 Indicate whether tests are performed in the following areas: Hematology: Yes Chemistry: Yes Microbiology: Yes


Molecular Diagnostics:

Total space of the laboratory: 2706 sq. ft. Number of students in clinical experience assignments: 2 Length of time of affiliation with sponsoring institution: 12 yrs. Length of training time: 150 hr/section Daytime laboratory staff (convert part-time to full-time equivalent): 5

NUMBER EMPLOYED

Pathologists 1


(July 2005)

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Memorial Medical Center (Port Lavaca, TX, 30 miles) Capital (major) equipment utilized for student instruction Hematology: ABX Pentra 80, ABX Pentra 60 Coagulation: Sysmex CA1500 Chemistry: Beckman CX9, DXC 600, Access 2 Urinalysis: Clinitek Status Microbiology: Siemens Walkaway 40 SI Blood Bank: Gel, manual Facility specific required textbooks: Memorial Medical Center does not require the students to purchase any textbooks. The students use textbooks from first year courses as references (Standard 8C page 105). The students do have access to additional references in each section. A list of these references is listed below. Access to Periodicals: MLO, Advantage, CAP Today, Microbe, Clinical Chemistry Instructional Resources:

Hematology: Color Atlas of Hematology Clinical Hematology Atlas Morphology of Human Blood Cells Coagulation: Chemistry: Clinical Diagnosis and Management Lab Methods Clinical Chemistry Modern Cytopathology Body Fluids Urinalysis: Fundamental of Urine and Body Fluids Urine and the Urinary Sediment Microbiology: Diagnostic Microbiology Atlas of Human Parasitology Color Atlas and Textbook of Diagnostic Microbiology Manual of Clinical Microbiology Principles and Practices of Infectious Diseases

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Blood Bank Technical Manual

Blood Bank Standards Objectives and evaluations utilized exclusively by the facility All clinical facilities use objectives and evaluation instruments provided by Victoria College for continuity. Rules and policies that govern student behavior: Students fall under the same policies as facility employees. Safety: Memorial Medical Center is surveyed by the State of Texas every two years and follows industry accepted safety measures. The Laboratory Manager will be available to the Site Visitors to discuss this further if needed.

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Clinical Facility Fact Sheet (CLS/MT & CLT/MLT) Institution: Cuero Community Hospital Address: 2550 North Esplanade City, State, Zip Code: Cuero, Texas 77954 Telephone: ( 361 ) 275-0519 Fax: ( 361 ) 275-0538 Accredited by (If the facility is not JCAHO, and/or CAP, and/or COLA accredited, a list of safety features is required) : Surveyed by State of Texas every two years under CLIA guidelines Clinical Coordinator or Contact Person at site: Loyd Hempel, M.T. Clinical Laboratory Volume (specify annual number of procedures): 450,000 Indicate whether tests are performed in the following areas: Hematology: yes Chemistry: yes Microbiology: yes

Immunology/Serology: yes Immunohematology: yes Urinalysis: yes

Molecular Diagnostics: ______________

Total space of the laboratory: 1200 sq. ft. Number of students in clinical experience assignments:__1 Length of time of affiliation with sponsoring institution: _6 yr._ Length of training time: _150 hr/section_________ Daytime laboratory staff (convert part-time to full-time equivalent):____4____

NUMBER EMPLOYED

Pathologists 1


(July 2005)

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Cuero Community Hospital (Cuero, TX, 30 miles) Capital (major) equipment utilized for student instruction Hematology: Horiba Diagnostics Pentra 80L Coagulation: Beckman Coulter ACL 7000 Chemistry: Siemens Dimension RXL Urinalysis: Siemens Clinitek 100 Microbiology: Siemens Microscan Autoscan Blood Bank: Manual methods Facility specific required textbooks: Cuero Community Hospital does not require the students to purchase any textbooks. The students use textbooks from first year courses as references (Standard 8C page 105). The students do have access to additional references in each section. A list of these references is listed below. Access to Periodicals: MLO, Advance Instructional Resources:

Hematology: Clinical Hematology and Fundamentals of Hemostasis Clinical Diagnosis and Management by Laboratory Methods The Morphology of Human Blood Cells - Abbott Coagulation: Clinical Hematology and Fundamentals of Hemostasis 3rd Edition Chemistry: Clinical Diagnosis and Management by Laboratory Methods 19th Edition Saunders Urinalysis: A Handbook of Routine Urinalysis Microbiology:

Manual of Clinical Microbiology 7th Edition Blood Bank Technical Manual Objectives and evaluations utilized exclusively by the facility All clinical facilities use objectives and evaluation instruments provided by Victoria College for continuity.

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Rules and policies that govern student behavior: Students fall under the same policies as facility employees. Safety: Cuero Community Hospital (CCH) follows industry accepted safety measures. Safety feature are the same as JCAHO since CCH is Medicare inspected and accredited. The Laboratory Manager will be available to the Site Visitors to discuss this further if needed.

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Clinical Facility Fact Sheet (CLS/MT & CLT/MLT) Institution: Gulf Coast Medical Center Address: 1400 Highway 59 City, State, Zip Code: Wharton, Texas 77488 Telephone: ( 979 ) 282-6110 Fax: ( 979 ) 282-6193 Accredited by (If the facility is not JCAHO, and/or CAP, and/or COLA accredited, a list of safety features is required) : Hospital is JCAHO, Lab is CAP and AABB Clinical Coordinator or Contact Person at site: Sue Bock Clinical Laboratory Volume (specify annual number of procedures): 150,000 Indicate whether tests are performed in the following areas: Hematology: Yes Chemistry: Yes Microbiology: Yes


Molecular Diagnostics: _____No_________

Total space of the laboratory: 4919 sq ft Number of students in clinical experience assignments: 1-2 Length of time of affiliation with sponsoring institution: ___6 yr.____ Length of training time: ___150 hr/section__ Daytime laboratory staff (convert part-time to full-time equivalent): ______5____

NUMBER EMPLOYED

Pathologists 1

Credentialed laboratorians 5.5

(July 2005)

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Gulf Coast Medical Center (Wharton, TX, 68 miles) Capital (major) equipment utilized for student instruction Hematology: Abbott Cell-Dyn 3200 with autosampler, Cell-Dyn 1700, Sedi-Mat II Coagulation: Sysmex CA-540 Chemistry: Dade Dimension RXL, Dade Xpand, Wescor Osmometer Urinalysis: Roche Criterion II Microbiology: Dade Walkaway 40SI, Dade Autoscan, BD Bactec 9120 Blood Bank: Ortho Provue Gel System, Provue Analyzer, Helena Platelet Incubator Facility specific required textbooks: Gulf Coast Medical Center does not require the students to purchase any textbooks. The students use textbooks from first year courses as references (Standard 8C page 105). The students do have access to additional references in each section. A list of these references is listed below. Access to Periodicals: Clinical Lab Products Medical Laboratory Observer (MLO) Laboratory Medicine Advance for Laboratory Professionals Instructional Resources: Hematology: Saunders Manual of Clinical Science Color Atlas of Hematology Fundamentals of Hemostasis Coagulation: Saunders Manual of Clinical Science Henry-David Clinical Diagnosis Clinical Diagnosis and Management by Lab Methods Chemistry: Fundamentals of Chemistry, Tietz Clinical Diagnosis and Management by Lab Methods Urinalysis: Color Atlas of Body Fluids Handbook of Routine Urinalysis Body Fluids Microbiology: Diagnostic Microbiology, Mahon/Manuselis Diagnostic Microbiology, Koneman Diagnostic Microbiology, Bailey and Scott Manual of Clinical Microbiology, Lennette/Ballows Medically Important Fungi, Larone

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Blood Bank: Current AABB Technical Manual Modern Blood banking & Transfusion Practices Transfusion Therapy: Clinical Principles and Practice AABB Transfusion Journal Objectives and evaluations utilized exclusively by the facility All clinical facilities use objectives and evaluation instruments provided by Victoria College for continuity. Rules and policies that govern student behavior: Students fall under the same policies as facility employees. Safety: Gulf Coast Medical Center is JCAHO accredited.

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Standard 2: The Medical Laboratory Technician - Associate Degree program is established at The Victoria College, a community college.

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Standard 3: The Victoria College assumes the primary responsibility for curriculum planning and selection of course content. This is demonstrated by the accreditation process with NAACLS, the college catalogue, the affiliation agreements and meeting the guidelines from the Texas Higher Education Coordinating Board. The Program Director is responsible for all course scheduling on campus and all clinical rotation scheduling at the clinical affiliates as stated in the Program Director's job description and the affiliation agreements. The Victoria College is responsible for appointments of the college faculty. The Program Director is responsible for receiving and processing the applications for admission. The Victoria College grants the Associate Degree in Applied Science upon successful completion of all requirements. An excerpt from the Victoria College catalog (seen on page 60), page 114, states this fact. 3A: The Program Director is responsible for providing assurance that the activities assigned to students in the clinical setting are educational. This is accomplished through the use of objectives, checklists, examinations and evaluations. The Program Director has regular contact with the students and clinical affiliates.

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3B: The MLT Advisory Committee plays a key role in providing an exchange of information and ideas between Victoria College and the clinical affiliates. The members of the committee may be found on page 76. A sample of the minutes from four recent Advisory Committee meetings is found on starting on page 77. These meetings were selected because they relate to changes resulting from program evaluation discussed in Standard #21. Program goals are reviewed, curriculum content and sequence are discussed, recruitment strategies presented, issues related to the clinical rotations are discussed, and the overall direction of the program is analyzed. The Program Director sees the second year students twice a week in a campus course and discusses any relevant issues students may have. The ongoing communication with the clinical affiliates has been a challenge. The Program Director has a good working relationship with all clinical sites. As issues of concern on the part of the clinical faculty may arise, or if comments or questions arise, the Program Director is contacted and responds as needed. There is an open line of communication that exists that meets the needs of the students and the clinical facilities. The following pages give some examples of communications concerning student progress in clinical.

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Clinical Rotation Progress Report

Gulf Coast Medical Center

FAX:979-282-6193 As of Sept 24, 2002 Student Section Satisfactory Progress

(Y/N) Amanda Griffith Hematology Doing fine at this time Microbiology Na Chemistry Na Cathy Boggs Blood Bank Doing fine at this time Clinical Coordinator :__ Sue Bock Please return to Larry Dunn at one of the following: FAX: 572-6441 [email protected] Additional Comments: Cathy is very weak in Blood bank and my instructor is working diligently with her daily. She will pass the rotation, but I wanted you to know that she is struggling. Amanda is doing fine in Hematology.

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From: Bock Sue [mailto:[email protected]] Sent: Monday, September 24, 2007 11:44 AM To: DUNN, Larry Subject: RE: Clinical Rotation Progress Report

From: DUNN, Larry [mailto:[email protected]] Sent: Monday, September 24, 2007 10:12 AM To: Bock Sue Subject: Clinical Rotation Progress Report Sue I am sending this by e-mail and I have Faxed it as well. Please respond by which ever means is the most convenient for you. E-mail is best for me, but Fax is also fine. To reply by email, select reply and then enter your responses. Thanks for your reply. If you have any questions, please call me. Thanks Larry

Clinical Rotation Progress Report Gulf Coast Medical Center

FAX:979-282-6193 As of Sept. 24, 2007 Student Section Satisfactory Progress

(Y/N) Hematology Microbiology Angie Yeager Chemistry Doing Great!!! Sue Blood Bank Clinical Coordinator : Sue Bock Please return to Larry Dunn at one of the following: FAX: 572-6441 [email protected] Additional Comments:

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II. Resources Standard 4: The program has the necessary personnel to support fourteen students per year. The program director serves as the instructor for all but one of the first year courses. An adjunct instructor teaches a Phlebotomy course during the second summer term. The hospital laboratories supply the necessary clinical instructors to support the clinical rotations. Number of students admitted per year 14 Admission Date Fall semester Instructor/Student ratio (lecture) 1:14 Instructor/Student ratio (student laboratory) 1:14 Instructor/Student ratio (clinical laboratory) 1:1

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Standard 5A1: The Program Director (NAACLS designation) is Larry S. Dunn, M.S., MT(ASCP). He holds the academic rank of Professor. He is listed as the Program Coordinator (Victoria College designation) of the MLT-AD program in the Allied Health Division. Faculty Fact Sheet may be found on page 71.

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Faculty Fact Sheet (CLS/MT, CLT/MLT, DMS, HT, HTL)

Name: Larry S. Dunn

Position: Program Director

Employed by: The Victoria College

Title: Professor

Proportion of time in: Teaching 70 % Administration 30 ___ % Clinical Services %

EDUCATION INSTITUTION FIELD OF STUDY DEGREE YEAR

Undergraduate Trinity University Biology B.A. 1972

Graduate Trinity University Biology M.S. 1977

Other (Specify) BAMC, Ft. Sam Houston ASCP MT Internship 1977

Credentials (i.e., CLS, CLT, HT, HTL. MT, MLT…): ___MT___________________________________________

Certified by: ASCP (i.e., ASCP, NCA…) Certification #: 114543

Year Certified: 1977

Experience (List current position first):

INSTITUTION/CITY/STATE POSITION YEARS

The Victoria College Program Director 1982-Present

Academy of Health Sciences, Ft. Sam Houston Clinical Chemistry 1974-1978; 1979-1982

121st U.S. Army Hospital, Seoul, South Korea Chemistry Supervisor 1978-1979

List principal functions in the education program:

See Program Director Position Description, page 72

NAACLS approved MLT Program Director, 1982

List continuing education activities during the past three years:

TITLE SPONSOR DATE

Cost Effective, “Nuts & Bolts” Hospital Microbiology Texas Dept of Health Services 11-30-2007

Flow Cytometry: Analysis and Interpretation ASCP Workshop Dallas 10-24-2007

Method Validation and Quality Control ASCP Workshop Dallas 10-25-2007

Biochemical Markers in Disease ASCP Workshop Dallas 10-26-2007

Clinical Laboratory Educators’ Conference ASCLS San Antonio March 2-4, 2006

Understanding Standards in Accreditation NAACLS San Antonio March 2, 2006

(2/2002)

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Standard 5A2:

PROGRAM DIRECTOR POSITION DESCRIPTION/RESPONSIBILITIES

The Program Director (PD) is responsible for the organization, administration, periodic review, continued

development, budget preparation, and general effectiveness of the program. The PD provides supervision, administration and coordination of the instructional faculty in the academic and clinical phases of the program. Activities include planning the clinical experience, acting as liaison between the college and the clinical affiliates and development of evaluation systems for student achievement and program effectiveness.

Specific activities and responsibilities are described below: A. Curriculum The PD is responsible for revising and updating the curriculum. The input for the curriculum revisions comes the following sources:

1. Advisory Committee -semi-annual meetings 2. Clinical coordinators and Clinical staff 3. Students - course evaluations 4. Graduates - graduate surveys 5. Employers of graduates - Employer surveys 6. College Administration - informal meetings 7. Other MLT programs

B. Selection of First Year Class

1. Interview with student 2. Obtain records to complete the application 3. Selection process 4. Orientation/Distribute Student Handbook to New Class

C. Teaching Responsibilities# 1. Fall (3 hr. overload):

Lecture Lab Clinical MLAB 1201 1 3 MLAB 1335 3 1 MLAB 1415 3 4 MLAB 2371 3 MLAB 2460 24

10 8 *24 2. Spring (12 hr. overload):

MLAB 1227 2 1 MLAB 2401 3 4 MLAB 2431 3 4 MLAB 2434 3 4 MLAB 2372 3 MLAB 2461 24

14 13 *24 *Coordination of Clinical Experience: Approximately 3 hours/week #Full time teaching load at Victoria College is 15 contact hours

3. Summer I

MLAB 1311 2 2 MLAB 1231 2 1

4 3

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4. Review/Revise for All Courses

a. texts b. objectives c. lectures d. exams (approx. 45 major exams) e. laboratory exercises

D. Coordination of Clinical Rotations

1. Prepare rotation schedules 2. Review/revise/distribute

a. Objectives b. Checklists c. Evaluations

3. Counseling of students/clinical instructor E. Budget

1. Submit budget to take care of 10 different courses. (consumables, replace old equipment, obtain new equipment) 2. Maintain equipment through service contracts/maintenance 3. Inventory items

F. Maintain Accreditation 1. Annual Report 2. Self Study Document to NAACLS 3. Site Survey by NAACLS 4. Affiliation Agreements 5. Keep current on Essentials for Accreditation 6. Submit required documents to and meet requirements of Texas Higher Education Coordinating Board

G. Program Evaluation: Compile and Evaluate the Following:

1. Course evaluations by students 2. Graduate Survey 3. Employer Surveys 4. Board of Registry Exam Results

H. Library/Audio Visual/Software

1. Submit request for current and relevant books, journals, AV materials and computer software

I. Expansion

1. Recruitment a. Advertisement b. Counsel individuals interested in the program c. Communicate with area high school counselors and science teachers d. Participate in Health Fairs e. Conduct demonstrations for high school and junior high students

2. New Affiliates 3. New equipment and methodology for student lab

J. Professional Development

1. Attend continuing education workshops

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2. Read current journals and review new textbooks 3. Update in current equipment and methodology in clinical affiliates

K. Institutional Responsibilities

1. Admissions Committee 2. Satisfactory Academic Progress Appeals Committee 3. Hearing Committee

L. Integrate Computers into First and Second Year courses. M. Maintain and update MLT Web Page Standard 5A3: Refer to Faculty Fact Sheet for Larry Dunn (page 71) and Program Director Position Description (page 72). Standard 5A4: Larry Dunn is full-time tenured faculty of The Victoria College. Evidence of faculty appointment from 2008-2009 college catalog (paper): p. 166

Me Medical Laboratory Technology MLT Program Information (web catalog)

Faculty

Larry Dunn

Medical Lab Program Coordinator

Allied Health Building 118 361-572-6455 [email protected]

mailto:[email protected]

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Standard 5B1 Medical Laboratory Technology

Advisory Committee 2007/2008

Name Title Facility Dr. Joe Ibanez, M.D., Ph.D. Medical Advisor DeTar Navarro Greg Vrieze, MT(ASCP) Laboratory Supervisor DeTar Navarro Hilda Velasquez, MT(ASCP) Clinical Coordinator DeTar Navarro Sammie Sue Hendrix, M.B.A., MT(ASCP) Laboratory Supervisor Citizens Medical Center Aimee Pena, MT(AMT) Clinical Coordinator Citizens Medical Center Martha Young, MT(ASCP) Laboratory Supervisor DeTar North Deborah Wittnebert, B.S.M.T. Laboratory Supervisor Memorial Medical Center Loyd Hempel, MT(AMT) Laboratory Supervisor Cuero Community Hospital Patsy Freeman Counselor Victoria College LeAnn Wagner, M.S.N. Chair, Allied Health Victoria College Pat Vandervoort, Ed.D. Vice President, Instruction Victoria College Larry Dunn, M.S., MT(ASCP) Program Coordinator Victoria College Standard 5B2: The Advisory Committee consists of individuals from the college and the clinical affiliates. The committee meets twice a year to discuss various aspects of the MLT program and address any concerns. Following are Advisory Committee minutes from March 19, 2003 (page 77) October 22, 2003 (page 78) December 7, 2006 (page 79) August 2, 2007 (page 84)

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Minutes MLT Advisory Committee March 19, 2003 Present Sammie Sue Hendrix Jorge Trevino Hilda Velasquez Greg Vrieze Martha Young Peggy Brockenbush Larry Dunn LeAnn Wagner Sammie Sue Hendrix called the meeting to order at 12:00pm. Mr. Dunn gave the committee an update on the recent SACS site visit as part of the college’s re-accreditation process. The visit went very well. The college only had 7 recommendations and 2 suggestions. These are very low numbers. The college also received one commendation, which is very unusual as they are very hard to come by. Sammie Sue Hendrix participated in the site visit as a representative from an advisory committee. Mr. Dunn gave the committee the current student census. Mr. Trevino asked how we were doing compared to other programs. Mr. Dunn related that based on a recent survey, that the average size of graduating classes from MLT programs was seven. The average size of the Victoria College MLT program is seven. Mr. Trevino stated that we seemed to be doing fine compared to other programs that were having more enrollment problems. Mr. Dunn reviewed the curriculum changes for the MLT program. The college is going to a two-year catalog. The major change is replacing two semesters of General College Chemistry with one semester of Chemistry 1405. This change will potentially improve initial enrollment as well as decreasing attrition. Greg Vrieze asked if the students were still getting enough chemistry in the curriculum. Mr. Dunn stated that the students will still get enough chemistry from the CHEM 1405 and the Clinical Chemistry. Mr. Dunn will counsel students who want to go on for a four-year degree that they should take the year of General Chemistry instead. Removing the eight credit hours of chemistry allowed other courses to be changed. Changes include the following: a computer class was added (Computers in Health Care), Immunology/Serology went from 2-1 (lecture-lab) to 3-1, Urinalysis and Body Fluids went from 1-2 to 2-2, Clinicals I and II went from 0-23 to 0-24. Peggy Brockenbush said she would give this information on the curriculum changes to the other counselors. Mr. Dunn stated that the curriculum changes had increased the contact hours for the program that would help generate more revenues. LeAnn Wagner said that Mr. Dunn had performed a cost/revenue analysis that showed that overall the program made money. During low enrollment years the program lost money, but with average enrollment or above average enrollment the program more than made up for the deficit years. Mr. Dunn told the committee that one of the SACS requirements was to demonstrate skills in oral communication. Since the MLT curriculum does not have a Speech class, the program satisfies that requirement by the students giving two oral presentations in Advanced Topics I and II. The students must create the presentation using PowerPoint. The students make their presentations and are evaluated by Mr. Dunn. It has been a very good experience for the students and they spend a great deal of time in preparation. Mr. Dunn showed the committee two examples of the student presentations. Sammie Sue Hendrix remarked that they were of a very high quality and wondered if the students would be interested in sharing them with the clinical staff. Mr. Dunn said that was fine, but that it would be up the individual student. Mr. Dunn shared some statistics related to the national laboratory personnel shortage. Vacancy rates for some lab positions are at a 12 year high. The national vacancy rate for MLTs is 14.3%. The Bureau of Labor and Statistics reports that the U.S. graduates fewer than half the number of clinical laboratory personnel needed to staff the nation’s clinical laboratories. Legislation has been introduced in congress called the Medical Laboratory Personnel Shortage Act of 2003. Mr. Dunn stated that he gets inquiries in the mail, on the phone, and by e-mail requesting information on graduates who might be interested in a job. These requests come from area hospitals, hospitals in Texas but not in this area, and national job agencies. Sammie Sue Hendrix stated that we don’t have that kind of shortage here because the MLT program satisfies the local and area needs. Mr. Trevino stated that prior to the MLT program being established at Victoria College in 1982, the CLA program existed at DeTar Hospital for approximately 18 years. Victoria and the surrounding area have had a lab-training program for the last 38 years. Mr. Trevino, Ms. Hendrix and Mr. Vrieze all stated their dependence on the MLT program to meet their staffing needs. The meeting was adjourned at 1:20 PM.

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Minutes MLT Advisory Committee October 22, 2003 Present Sammie Sue Hendrix Cheryl Delgado Jorge Trevino Hilda Velasquez Dr. Joe Ibanez Greg Vrieze Martha Young Ethel Reinhard Peggy Brockenbush Dr. Ann Isaac Larry Dunn LeAnn Wagner Sammie Sue Hendrix called the meeting to order at 12:00pm. Mr. Dunn presented Ethel Reinhard a plaque in appreciation for her service as Clinical Coordinator at Memorial Medical Center and for her role on the Advisory Committee. Ethel retires at the end of October. Mr. Dunn updated the committee on the current students. The first year class (class 22) started with 12 students. One dropped due to a combination of health and academic problems. The second year class (class 21) has 7 students in clinicals. The most recent graduating class (class 20) had 79 graduates, 9 took the Board of Registry, and 6 passed on their first attempt. Mr. Dunn shared the results of the MLT Exit exam for that class (7/9 passed). Sammie Sue Hendrix asked if the fact that the exam was computerized made it more difficult and Mr. Dunn said that the national data indicated the exam was comparable to the previous paper exam. LeAnn Wagner asked how long the BOR was computerized. Mr. Dunn stated that it started in the mid-90’s. Mr. Dunn shared some possible recruitment strategies. One was to give a short presentation to A&P, Microbiology, and First Aid classes. He related that Mr. Kallus from the Respiratory Care program had good success with that approach. Dr. Isaac asked if Mr. Kallus used a PowerPoint presentation. Mr. Dunn stated that he used handouts with the science classes, but possibly used some type of multimedia with the First Aid classes. A second tool was the possibility of starting a program similar to the Young Scholars program at Marquette University. They targeted high school juniors and seniors who were strong academically. Mr. Dunn shared the details of the program with the committee. This was something that would take the proper planning and advertising to become successful. It also may take several years to become established to the point where it could have a positive impact on recruitment for the MLT program. LeAnn Wagner suggested that we consider doing a shorter one-day program for currently enrolled VC students. Mr. Dunn related to the committee of the close scrutiny the college was giving to every aspect of the college. With the increased financial pressure at the state level, all colleges and universities are under the same duress. Mr. Dunn related that the MLT program was participating in a Program Review. LeAnn Wagner stated that all of Allied Health, Workforce, and to some degree that Academic departments were undergoing the same review. Mr. Dunn said the MLT program was not being considered for closure, as far as he knew, but he asked the committee to respond to the question: If the MLT program were not here, how would it affect your facility. Jorge Trevino stated that DeTar depended greatly on the MLT program for graduates and that the existence of the program was critical for continued operation of the DeTar lab in its present state. He stated that if the program were not here they would have to compete with other larger markets for a small population of qualified lab personnel. Sammie Sue Hendrix stated that 70% of her staff were graduates of the MLT program. She further stated that the only reason Victoria was not experiencing the same degree of shortages as the rest of the nation was because of the program’s existence. She stated that the local hospitals needed to do all they could to improve salaries. Jorge Trevino stated that DeTar had just instituted a pay increase for MLTs. Ms. Hendrix stated that CMC has also recently raised salaries. LeAnn Wagner stated that the biggest obstacle she saw to recruitment was the lower salaries compared to other Allied Health professions. DeTar and CMC both stated their support and critical need for the continues existence of the MLT program. The meeting was adjourned at 1:20 PM.

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MLT Advisory Committee December 7, 2006

I. Call meeting to order: Sammie Sue Hendrix II. Jennifer Yancey, Executive Director of Institutional Advancement Establishment of the LeAnn Wendel Medical Laboratory Technology Scholarship

III. Program Update: Larry Dunn A. Current Classes First year (Class 25) Second year (Class 24) B. Board of Registry C. Review Program Goals D. Graduate/Employer Surveys D. Victoria College Health Science Center/Allied Health Renovations E. Accreditation IV. Update from Clinicals

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Medical Laboratory Technology Advisory Meeting

December 7, 2006; 12:00–1:00 p.m. Victoria College Student Center

Report of the Meeting Members Present: Greg Vrieze, Hilda Velasquez, Larry Dunn, LeAnn Wagner, Loyd Hempel Martha Young, Peggy Brockenbush, Sammie Sue Hendrix Guests: Jennifer Yancey I. Call to Order: The meeting was called to order by Sammie Sue Hendrix at 12:23 p.m. II. MLT Scholarship – LeAnn Wendel Memorial Jennifer Yancey, Executive Director of Institutional Advancement, presented The Victoria College’ scholarship process. One type of scholarship can be in any amount of money per year and can be disbursed in many different methods. Another is an endowment which is held in perpetuity and awarded by a committee. The committee upholds the awarding criteria set forth by the founders. The minimum is $10,000 which can accumulate over time. The money is held in investment and the earnings are awarded. This type of scholarship is more beneficial since anyone can donate any amount of money at any time and still receive a tax benefit. The committee agreed to seek seed money from various community members to reach the minimum amount. The members will then email the information to Ms. Yancey. Ms. Yancey will develop the necessary form letters and acquire the signatures as needed. Larry Dunn emphasized the need to have a specific MLT program scholarship and, at the same time, honor a past student, LeAnn Wendel. Depending on contributions, the first scholarship could be offered as early as Fall 2007. III. Program Update – Larry Dunn

The program update included the following information: a. Current Class

First year students started with 14 and are currently at 12 for 86% retention. Second year students started at 14 and are currently at 10 for 71% retention.

b. Board of Registry The Board of Registry has implemented year round testing with no deadline for test taking. Of the nine graduates, seven have tested and six have passed. The Board of Registry exam results were discussed.

c. Review Program Goals Program goals were reviewed via PowerPoint presentation. No changes were noted.

d. Graduate/Employer Surveys Graduate/Employer Survey results were reviewed via PowerPoint presentation. Surveys are sent around six months after graduation. Overall, the surveys are good. e. Victoria College Health Science Center/Allied Health Renovations

The public bidding will open in December for the completion of the new building and renovation of the existing allied health building. Construction is scheduled for late January, 2007 with completion set for September, 2008. Then the renovation will begin in January 2009 and is scheduled to be completed in 2009. The MLT program will gain more classroom space and additional lab space. In addition, upgraded equipment will be purchased.

f. Accreditation The program has a seven year accreditation cycle. The current accreditation is April 2002 through April 2009. The Self-Study is due June 1, 2008 with a site visit scheduled for fall of 2008.

IV. Update From Clinicals: No report. V. Questions *Committee discussed criminal history background checks as it pertains to the workplace and students. *Greg Vrieze questioned the student HIPAA compliance and added that DeTar may incorporate HIPAA training for students. *The committee discussed the protocol for a student who is in a clinical rotation and is not successfully completing the

rotation. Mr. Dunn stated it is handled on a case by case basis between him and the facility. He added, according to policy, after two academic clinical failures, the student is out of the program.

*Sammie Sue Hendrix commented that, for the first time, a presentation was presented to Level I nursing students to expose

them to MLT protocol and processes. Mr. Dunn added that this presentation needs to be done two times; once at the beginning and again toward the end of their nursing tract.

VI. Adjournment With no further business, the meeting was adjourned at 1:04 p.m. Next meeting will be the Spring Advisory Meeting.

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Medical Laboratory Technology Advisory Meeting

August 2, 2007; 12:00–1:00 p.m. Victoria College Student Center

Report of the Meeting

Members Present: Aimee Pena Greg Vrieze Hilda Velasquez Larry Dunn LeAnn Wagner Loyd Hempel Martha Young Patsy Freeman Sammie Sue Hendrix Guests: N/A I. Call to Order

The meeting was called to order by Sammie Sue Hendrix at 12:15 p.m.

II. Program Update – Larry Dunn The program update included the following information:

a. Current Class The program accepted 14 first year students (Class 26). Second year students (Class 25) started at 14 and are currently at 10 for 71% retention.

b. Board of Registry

The Board of Registry has implemented year round testing with no deadline for test taking. Of the ten graduates (Class 24), five have tested and five have passed for 100% pass rate.

c. Review Program Goals

Program goals were reviewed via PowerPoint presentation. No changes were noted.

d. Victoria College Health Science Center/Allied Health Renovations Construction has begun although recent rain delays have slowed the progress. Ms. Wagner added that the bond money will be used to fund part of the construction but approximately $3 million is needed to purchase furniture and equipment. Donation opportunities are available which will include a donor’s wall and many different levels of donation possibilities. The Johnson Foundation has donated $1 million toward the fund. We are seeking to match this donation from other organizations. Mr. Dunn added a special thanks to Citizens Medical Center for their equipment donation that will go towards the matching funds.

e. LeAnn Wendel Scholarship Update

Mr. Dunn apologized for the delay in the scholarship process. He admits there was a miscommunication, but that has been resolved. He is collecting 10-15 years of demographic program information for the donor letter which should be finalized by the start of the Fall semester. He added that the family was contacted and very was overwhelmed.

f. Accreditation: Self Study and Site Visit The program has a seven year accreditation cycle. The current accreditation is April 2002 through April 2009. The Self-Study is due June 1, 2008 with a critique period to address any problem areas and finally a site visit scheduled for fall of 2008. In addition, Mr. Dunn distributed handouts to committee

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members to update information needed for the study and explained the accreditation process in more detail.

g. Review MLT Student Handbook: progression and re-entry into the program Mr. Dunn discussed the criteria for progression and re-entry into the program as distributed. Mr. Dunn expressed concern for first year students who are taking a 17 hour load, working full-time, and have family commitments as well. He admits it can be very challenging for some students. He further explains that any MLT course may be repeated only one time and a student may not repeat any more than three MLT courses. In addition, if a student fails one of the four main areas in the clinical rotations (Hematology, Blood Bank, Microbiology, Chemistry) the student may be allowed to repeat that rotation at a hospital of the Program Director’s choosing. A student who fails two of the four areas of the clinical rotations will not be allowed to re-enter the program. He explained his role and responsibility to the students and to the clinical sites in setting fair and professional standards in the first year of the program. This insures there are quality graduates and safeguards the profession Lastly, graduation requirements and the clinical absences policy were addressed.

IV. Update From Clinicals No report. V. Questions/Comments Mr. Dunn requested members to email him so that he can have a current email for facility contact information. A member requested student addresses for sites to use as contact information. Mr. Dunn was in agreement but will

first have to check on student confidentiality requirements. VI. Adjournment With no further business, the meeting was adjourned at 1:25 p.m. Next meeting will be the Fall Advisory Meeting.

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Standard 6: Larry Dunn teaches the following courses: 1. Fall (3 hr. overload):

Lecture Lab Clinical MLAB 1201 1 3 MLAB 1335 3 1 MLAB 1415 3 4 MLAB 2371 3 MLAB 2460 24

10 8 *24 2. Spring (12 hr. overload):

MLAB 1227 2 1 MLAB 2401 3 4 MLAB 2431 3 4 MLAB 2434 3 4 MLAB 2372 3 MLAB 2461 24

14 13 *24 *Coordination of Clinical Experience: Approximately 3 hours/week #Full time teaching load at Victoria College is 15 contact hours

3. Summer I

MLAB 1311 2 2 MLAB 1231 2 1

Adjunct Faculty (Martha Young) teaches Phlebotomy in Summer II 4. Summer II

PLAB 1223 1 2

Standard 6A: Program faculty is responsible for instruction and evaluation (grading) of the relevant classes. Standard 6B: Larry Dunn is evaluated on an annual basis by the students. He is evaluated as an instructor and separately as a program coordinator by the Allied Health Division Chair on an annual basis. Faculty Fact Sheet or Larry Dunn is on page 71.

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Standard 6C: Clinical faculty maintains ongoing professional development according to the guidelines of their accrediting agencies (refer to individual faculty fact sheets/C.V. on pages 88-97). Didactic faculty (Larry Dunn) attends a variety of technical/education methodology professional development activities as opportunities present themselves (see Faculty Fact Sheet page 71). Clinical Coordinators for each affiliate are as follows: DeTar Healthcare Systems Director of Laboratory Services: Greg Vrieze, MT(ASCP) p.88 DeTar Healthcare Systems Clinical Coordinator: Hilda Velasquez, MT(ASCP) p.92 Citizens Medical Center Lab Manager/Clinical Coordinator: Sammie Sue Hendrix, MT(ASCP) p.94 Memorial Medical Center Lab Manager/Clinical Coordinator: Deborah Wittnebert p. 95 Cuero Community Hospital Lab Manager/Clinical Coordinator: Loyd Hempel, MT(AMT) p. 96 Gulf Coast Medical Center Lab Manager/Clinical Coordinator: Sue Bock p. 97

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Name: Sammie Sue Hendrix

Position: Laboratory Director

Employed by: Citizens Medical Center

Title: MT, ASCP, MBA – Laboratory Director

Proportion of time in: Teaching 10 % Administration 80 % Clinical Services 10 %


Undergraduate Mississippi College Medical Technology BS 1980

Graduate University of

Houston-Victoria

Business

Administration

MBA 1993

Other (Specify) Baptist Memorial

Hospital, Memphis,

TN

School of Medical

Technology

Graduate 1979

Credentials (i.e., CLS, CLT, HT, HTL. MT, MLT…): Medical Technologist

Certified by: ASCP (i.e., ASCP, NCA…) Certification #: 132658




Citizens Medical Center Laboratory Director 25

Regional Medical Laboratory Generalist 3


Oversee the structure and effectiveness of clinical rotations for teaching sections of our laboratory. Promote positive

learning experiences for students and create interactive opportunities for teaching staff to utilize. Maintain

experienced technical staff equipped with knowledge and expertise to be resources to students and new graduates.


TITLE SPONSOR DATE

Leadership Development Citizens Medical Center Ongoing

Regulatory Compliance JCAHO Quarterly

Beekmar/Coulter Instrument Advancements Beckman Coulter 2005-2008

(2/2002)

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Name: Deborah Wittnebert

Position: Lab Director

Employed by: Memorial Medical Center

Title: Lab Director

Proportion of time in: Teaching % Administration 95 ___ % Clinical Services 5 %


Undergraduate Stephen F. Austin Biology B.S. 1975

Graduate

Other (Specify)

Credentials (i.e., CLS, CLT, HT, HTL. MT, MLT…): ______MT________________________________________

Certified by: CLIA (i.e., ASCP, NCA…) Certification #:

Year Certified:



Memorial Medical Center/ Pt. Lavaca, TX Lab Director 5

Memorial Medical Center/ Pt. Lavaca, TX MT 8

Sid Peterson Hospital/Kerrville, TX MT 10


Clinical Coordinator


TITLE SPONSOR DATE

Parasites TDH 2005

Nuts & Bolts of Hospital Microbiology TDH 2007

Beckman Symposium Beckman 2008

Infectious Disease Shipping High Q 2008

(2/2002)

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Name: Loyd Hempel, MT

Position: Lab Manager

Employed by: Cuero Community Hospital

Title: Lab Manager

Proportion of time in: Teaching 5 % Administration 15 % Clinical Services 80 %


Undergraduate Victoria College Medical Tech. 1963-64

Graduate

Other (Specify) Common Wealth

College of Science

Medical Technology M.T. 1964-65

Credentials (i.e., CLS, CLT, HT, HTL. MT, MLT…): MT-AMT, MT-HEW

Certified by: A.M.T. (i.e., ASCP, NCA…) Certification #: 9595




Cuero Community Hospital Lab Manager 37

Citizens Medical Center Medical Technologist 2


Assist in teaching of medical laboratory students.

Serve on advisory council.


TITLE SPONSOR DATE

Microbiology updates Dade-Behring 2007

(2/2002)

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Name: Linda Sue Bock

Position: Laboratory Clinical Director and Micro Instructor

Employed by: Gulf Coast Medical Center

Title: Director BS MT(ASCP)

Proportion of time in: Teaching 20 % Administration 70___ % Clinical Services 10 %


Undergraduate Texas Lutheran Un Biology BS Med Technology 1975

Graduate

Other (Specify) SW Methodist

School of Med Tech

Medical Technology Certificate

Registry

1975

Credentials (i.e., CLS, CLT, HT, HTL. MT, MLT…): ________MT_____________________________________

Certified by: ASCP (i.e., ASCP, NCA…) Certification #: 738221 Year Certified: 1975



SW Tx Methodist Hospital Staff tech, micro & bb 1975-1977

Angleton-Danbury Hospital Staff tech, all depts. & call 1977-1979

Caney Valley Hospital BB and Micro Section Head 1979-1983

Gulf Coast Medical Center Micro Supervisor 1983-1989

Gulf Coast Medical Center Dept Clinical Director 1989-present


Teach MLT students in microbiology; including procedures, equipment maintenance, dept QC,

Problem resolution, organism MIC patterns, use of textbooks, computer entry, etc


TITLE SPONSOR DATE

CAP inspector CAP May 2006

South Texas Microbiology Seminar Dade Behring Nov 2006

MDR Reporting for Labs State of Texas Mar 2006

Packaging & Shipping Infectious Substances Train Houston Health Dept May 2007

AHA: MRSA Infections AHA Nov 2007

Safety, Hazardous Materials, Infection Control, Security, Cultural Awareness, Pts Rights, etc the hospital mandatory education

GCMC Staff May 06- 07-08

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Standard 7: The Victoria College administration provides more than adequate support for the Medical Laboratory Technician program to meet its goals and objectives. The financial support comes from state funding, local tax funds, and tuition and fees. The Program Director is directly involved in the budget process. The annual budget is compiled by the director in consultation with the Chair, Allied Health and submitted for approval in the spring. The approved budget for 2007-2008 is found below: 2007-08 MLT BUDGET (APPROVED) Supplies $12,800.00 Reference Materials $975.00 Telephone $50.00 Postage $75.00 Institutional Memberships $1425.00 Equipment Service $2000.00 Computer repairs $1400.00 Travel $100.00 Media Services $250.00 Public Relations $200.00

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Standard 8A: Victoria College Campus Facilities The MLT program is housed in the M.G. and Lillie A. Johnson Allied Health Building. Space dedicated to the MLT program includes a classroom (341 sq. ft.) which will comfortably seat 16 students, a laboratory (1015 sq. ft.) with stations for eighteen students, an instructor prep room (217 sq. ft.) adjacent to the laboratory, and an office for the Program Director (110 sq. ft.). The laboratory is equipped with a safety shower, eyewash, fire blanket, fire extinguisher (class ABC), moveable splash shields, protective eyewear, sharps containers at each student station and biohazard waste disposal bags. MLT student lab safety policy is found on page 100. The Victoria College is in the process of completing a major addition on campus, the Health Sciences Center. The MLT program will remain in the current Allied Health Building along with the Respiratory Care and EMS/Firefighter programs. The MLT lab facilities will increase by the addition of a 672sq.ft. room that will be used as an instrumentation room and the current classroom will be enlarged by approximately 200sq.ft. The MLT program will also be able to make significant equipment upgrades as part of the building/renovation project. The exact upgrades are not known at this time, but will include new microscopes, a new chemistry analyzer and hematology analyzer. The following is from the college web site.

The Victoria College Master Plan Committee made the recommendation to construct a new building and remodel an existing building to house all of the Allied Health Programs, and add to the Science Building to allow science programs to expand to meet increasing demand. The vision for this project will be to create a Health Sciences complex that encourages interaction between allied health and pre-allied health students in order to foster student success and retention, provides tutoring and other services specific to the unique needs and schedules of these students, encourages collaboration between allied health and science faculty, shares some instructional and infrastructure resources, and creates a collegial atmosphere that will encourage student success and faculty retention. This complex, including the existing buildings, will provide facilities for: Nursing (RN and LVN)

• Respiratory Care • Medical Lab Technology • First Aid, EMS, and Firefighter • Continuing Education • New Programs

o Dental Assisting o Physical Therapy Assisting o Occupational Therapy Assisting o Pharmacy Technician

• Anatomy and Physiology Labs, Electrophysiology Lab • Biology, Microbiology, Chemistry, Physics, and Geology Labs • Biology, Chemistry, Physics, and Geology Lectures and Offices

Clinical Facilities DeTar Hospital and Citizens Medical Center have been clinical sites since the inception of the program and provide the main support for clinical rotations. Memorial Medical Center has been a clinical site since 1996. Cuero Community Hospital became a clinical site in 2002. Gulf Coast

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Medical Center in Wharton, TX became a clinical site in 2002. Gulf Coast had served as a clinical site for the Wharton County Junior College MLT program for many years before the Wharton program closed. Lab safety for the students in the clinical setting is addressed by the fact that the clinicals are accredited hospitals that meet established safety guidelines and the students fall under these policies while in the clinical setting.

THE VICTORIA COLLEGE MEDICAL LABORATORY TECHNOLOGY

SAFETY GUIDELINES FOR THE STUDENT (CAMPUS) LAB

The Victoria College MLT program has adopted the Occupational Safety and Health Administration's (OSHA) Bloodborne Pathogen Standard. The standard outlines the ways that the MLT program and you, the student, must work together to reduce risks of acquiring infections during the student lab activities. The safety guideline will also cover general lab safety. The student is responsible to become familiar with the content of this document. Any questions should be directed to the Program Director. If these guidelines are followed, the student's lab experiences should be safe and rewarding. INFECTION Laboratory personnel handle and analyze blood and body fluids that may contain infective agents (viral or bacterial) from sick and seemingly well patients. The greatest danger of disease transmission arises from an accidental puncture from a contaminated needle, from exposure of cuts or skin abrasions to infective fluids that are spilled or allowed to contaminate the outer surface of their containers, or from aerosols that escape when opening a vacutainer or after a centrifuge accident. Transmission of disease through accident or mishandling of biohazards can be kept to a minimum by practicing the "universal precautions" recommended by the Centers for Disease Control. PRECAUTIONS AGAINST HEPATITIS AND AIDS Although a rare occurrence, the most likely infections to be transmitted to laboratory personnel by accident or carelessness are hepatitis and the human immunodeficiency virus (HIV) infection. The routes for accidental transmission of HIV and hepatitis B virus (HBV) are the same. The infective viral particles must enter the body through punctures, cuts, or abrasions or through mucous membranes. They are not transmitted by casual contact. HBV is far more infective than HIV because the average patient with hepatitis may have as many as 1 million more viral particles per milliliter of blood than does the usual patient with HIV infection. Infection with HIV, as measured by seroconversion, occurred in less that 0.3% of workers accidentally stuck with a needle containing blood from a person with HIV. The risk

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of HBV infection is much greater, but a vaccine is available and its use is recommended for laboratory personnel. MLT EXPOSURE CONTROL PLAN The MLT student is in an occupational field that has been recognized as carrying a risk of exposure to bloodborne pathogens. As a result the following guidelines have been established for the MLT student lab:

* Universal precautions * Engineering controls * Work practice controls * Housekeeping * Information on Hepatitis B vaccination ENGINEERING CONTROLS

An engineering control is a type of technology or device that isolates or removes the hazard of a bloodborne pathogen. The following controls are currently in place:

* Sharp containers are available at each student work area, next to the artificial arm, and in the prep room. These are to be used for the disposal of needles, broken glassware, broken pipets, or any sharp object that might puncture a biohazard bag.

* Micropipets will be used to pipet specimens. * Hand washing facilities are present in the lab. * Splash shields or protective eyeware is available for student use. WORK PRACTICE CONTROLS

Work practice controls reduce the likelihood of exposure to bloodborne pathogens by ensuring that the procedures are performed by the safest technique possible. The fundamental work practice control is universal precautions. By following theses guidelines and by following specific safety practices for each lab (as given by the instructor), the student should recognize what potential exposure risks are present and take the necessary precautions to protect themselves. A risk may be eliminated by changing the way a procedure or technique is performed. It is always better to eliminate the potential risk than to try to protect oneself against it.

* UNIVERSAL PRECAUTIONS: The National Committee for Clinical Laboratory Standards (NCCLS) and the U.S. Department of Labor (OSHA instructions) have tentatively accepted with modifications the universal precautions of the Center for Disease Control. A summary of the pertinent precautions follows:

1. Treat all laboratory specimens as infectious. Make no exceptions, and do

not rely on warning labels to designate contaminated specimens. 2. Use a protective barrier, for example, gloves, when handling blood and

body fluids. Wear a gown or laboratory coat and change when contaminated. Cover all cuts and abrasions with adhesive tape or bandage.

3. Avoid handling of needles. Dispose of used needles in a rigid container.

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4. Avoid an aerosol or droplets when opening a vacuum tube containing blood. Point tube away from yourself and open slowly, preferably in a hood.

5. Use Pasteur pipets or other devices for transferring fluid samples. Do not pour from one tube to another, because a drop or two may contaminate the outer surface of the tube.

6. Never pipet by mouth. 7. Minimize spills and spatters. If they should occur, absorb the liquid with

disposable, absorbent material, clean with detergent, and disinfect with a hypochlorite solution (1 part household bleach plus 9 parts water). 8. Wash hands after contamination, after removing gloves, and always

before eating. 9. Dispose of samples properly when no longer needed for possible

reanalysis. Samples should be autoclaved before discarding. 10. Place warning signs on all known biohazards.

* Be aware of hand-to-face contact to avoid accidental inoculation of mucous membranes (eyes, nose, mouth).

* Cover stoppers or lids with gauze or kimwipes and open them away from yourself when opening test tubes or specimen tubes. * DO NOT eat, drink, smoke, apply cosmetics, or handle contact lenses in the lab.

* DO NOT keep food or drink in refrigerators or countertops where potentially infectious materials have been used.

* Wear gloves during any procedure where blood or body fluids is used and during micro labs. Gloves may be changed as needed during the lab session. The students will discard their gloves and wash their hands prior to leaving the lab for any reason. They will re- glove upon returning to the lab.

* HANDWASHING: The last activity the student will perform each lab session is to wash their hands prior to leaving. Proper hand washing procedure should include:

A. Let hands and apply a small amount of antiseptic soap. Do not apply the soap to dry hands; this can be very hard on the skin.

B. Vigorously wash hands in a downward circular motion for at least 10 to 15 seconds. C. Wash well between fingers and under fingernails and up the wrists. D. Rinse well with a moderate stream of water. E. Dry thoroughly with a paper towel and use the towel to turn off the faucet.

Following are key factors in an effective hand washing program. * Since most organisms on the hands become lodged under the fingernails, keep

fingernails short and be sure to wash under them carefully. * Since rings and wrist watches interfere with thorough hand washing and make it more

difficult to don gloves, personnel should avoid wearing them. * Artificial fingernails or fingernail polish might discourage vigorous hand washing and

should also be avoided. * Because frequent hand washing can be very damaging to the skin's normal flora, the use

of hand lotions is recommended. However, avoid applying hand lotions immediately before direct patient care or before handling sensitive instruments or equipment.

* No pipetting by mouth. Use the safety pipet filler provided. * Specific safety guidelines will be emphasized as appropriate at the beginning of each lab activity. HOUSEKEEPING

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The purpose of this topic is to maintain a clean, safe environment. * Place all material that has been exposed to blood or body fluids in the

biohazard bags. * Place sharps in the sharps container. * At the completion of the lab the student will decontaminate the work surface with

a germicidal solution (Amphyl or diluted bleach). * BODY FLUID SPILLS:

Following are appropriate procedures for decontaminating spills of blood, body fluids, or infectious reagents.

* Wear gloves. Do not remove any glass or other sharp objects with your hands. Rigid cardboard or dust pans may be used to handle such objects.

* Absorb the spilled material with disposable absorbent materials, such as paper towels or gauze pads.

* Clean all visibly spilled material, using a detergent or disinfectant.

* Flood the spill site, or wipe down the spill site with disposable towels soaked in disinfectant.

* Wipe off the spill site with a clean, dry paper towel or gauze pad. Alternately, the disinfectant may be permitted to air dry. Follow manufacturer's recommendations.

* Place contaminated saturated gloves and paper towels in a plastic biohazard bag and dispose according to laboratory policy.

* Wash hands appropriately. * The biohazardous waste is removed by Stericycle according to accepted

governmental regulations. Note: The student should notify the instructor of any accident that occurs in the student lab. The student will view the following ASCP videos:

* Laboratory Safety and Infection Control * OSHA's Bloodborne Pathogens Standard: Compliance in the Clinical Laboratory * OSHA’s Chemical Standards: Compliance in the Clinical Laboratory

Standard 8B: The following is a list of equipment for the student lab on campus: Quantity Item

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14 Nikon Labophot microscopes, 10X, 40X 100X 1 Nikon 5 place Multiview teaching microscope with darkfield and phase contrast 1 Nikon E-400 microscope with Sony 3CCD video camera, computer, projector, PAXIT software 1 Coulter MAXM Hematology analyzer 1 Roche Cobas Mira Chemistry analyzer 1 Ciba Corning 614 Na/K Analyzer with autosampler 1 Coulter D3 System: D2N Coulter Counter

Hemoglobinometer Dual Dilutor III

4 Gilford Stasar III Spectrophotometers 3 Milton Roy Spectronic 401 w/ flow thru cuvet 3 Buchler Digital Chloridmeter 2 Analytical Balances 1 Napco 303 Incubator (two chamber) 2 IEC Bench Top Clinical Centrifuges 2 IEC Hematocrit Centrifuges 1 Helena Auto Scanner Flur-Vis Densitometer 14 Dade Blood Bank Centrifuges 14 Tube Agglutination Viewers 3 BBL Fibrometers 14 Heating Blocks with 3 sizes of inserts 3 Variable speed rotators 6 Water Baths 14 Touch-o-matic Bunsen burners 1 Vortex mixer 2 Micro CO2 apparatus with shaker 3 Refrigerators 1 General purpose oven 2 Refractometers 1 Shower/eye wash 1 Fire extinguisher 1 Fire blanket Standard 8C: Textbooks used in the MLT curriculum MLAB 1201: Introduction to Clinical Laboratory Science

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Outline Review of Medical Technology/Clinical Laboratory Science, Donna Leach, 2004 Quick and Easy Medical Terminology, Peggy C. Leonard, Saunders, 5th Ed., 2007 MLAB 1311Urinalysis and Body Fluids Urinalysis and Body Fluids , Strasinger, Susan 5th Edition, 2008 PLAB 1223: Phlebotomy

The Complete Textbook of Phlebotomy, Hoeltke, Lynn, Delmar, 3rd Edition, 2006 MLAB 1227: Coagulation

Clinical Hematology and Fundamentals of Hemostasis, Harmening, Denise, F.A. Davis, 5th Edition, 2008

MLAB 1231: Parasitology/Mycology Textbook of Diagnostic Microbiology, Mahon, Leman, and Manuselis; 3rd Ed, 2007 MLAB 1335: Immunology/Serology Clinical Immunology & Serology, Stevens, Christine, 2nd Edition, 2003 MLAB 1415: Hematology

Clinical Hematology and Fundamentals of Hemostasis, Harmening, Denise, F.A. Davis, 5th Edition, 2008

MLAB 2401: Clinical Chemistry Clinical Chemistry: Principles, Procedures, Correlations, Bishop, Michael, Lippincott,

5th Ed., 2005 MLAB 2431: Immunohematology

Modern Blood Banking and Transfusion Practices, Denise Harmening, F.A. Davis, 5th. Edition, 2005 MLAB 2434: Clinical Microbiology Textbook of Diagnostic Microbiology, Mahon, Leman, and Manuselis; 3rd Ed, 2007 Periodicals: Cinical Laboratory Science Laboratory Medicine American Journal of Clinical Pathology Other Reference materials: Tech Sample: Generalist (1983 - 2005)

Microbiology (1984 - 2005) Hematology (1984 - 2001) Clinical Chemistry (1984 - 2005) Immunohematology (1984 - 2005) Phlebotomy (1997 - 2005) Lab Q 2007 Lab Q-P 2007

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Software: Peripheral Blood Tutor Gram Stain Tutor Urinalysis Tutor Phlebotomy Tutor Parasite Tutor Mycology Tutor Hematography Plus Germ Ware Direct Smear Atlas Clinical laboratory Science Review Extensive list of titles of Medicomp exams Numerous other references present in the Program Director's office available for Site Visitor review. A list of references available to the students at each clinical site will be available for the site visitors. Standard 8D: Instructional Resources: The specimens used in the student lab on campus come from a variety of sources. The following is a breakdown of each course and the materials used to enhance learning the basic laboratory procedures. Hematology: One of the local hospitals provides EDTA samples. We also have a supply of approximately 1500 Wright-stained smears including the differential results from a local hospital. We also have a set of abnormal slides (37) from Carolina Biological. Commercial controls are purchased to supplement the hospital samples. An extensive set of 35 mm slides is also available. Peripheral Blood Tutor and Hematography Plus are also available. Coagulation: Samples for coagulation primarily come from commercial controls and simulated specimens prepared from plasma from hospital samples from a local hospital. Serology: Samples for serology come from the positive and negative controls included in the kits as well as normal and abnormal samples from the hospital. Chemistry: Samples for chemistry come exclusively from commercial unassayed normal and abnormal controls. Blood Bank: Samples are prepared from EDTA samples as well as using reagents to prepare samples. Urinalysis: Samples are provided by the hospital. A good mixture of normal and abnormal urines are seen by the students. Urinalysis Tutor is also available.

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Microbiology: Stock cultures are purchased each year to supply organisms for the students to study. A representative (not complete) list is: Enterobacter cloacae Escherichia coli Klebsiella pneumoniae Proteus vulgaris Pseudomonas aeruginosa Salmonella typhimurium Serratia marcesans Staphylococcus aureus Staphylococcus epidermidis Streptococcus pyogenes Enterococcus faecalis Haemophilus influenzae Haemophilus parainfluenzae Neisseris gonorrhoeae Neisseria menigitidis Gram Stain Tutor and Direct Smear Atlas is also available. Parasitology: Specimens are obtained from the hospital and veterinary clinics. A set of smears from Carolina Biological and 35 mm slides from ASCP is used to aid in microscopic identification. Parasite Tutor is also available. As mentioned in Standard 8C, Tech Sample Case Studies are available in the major areas. Standard 8E: Computer Technology The Allied Health building contains a student computer lab with 20 computers. The MLT student lab, also in the Allied Health building, has three computers available for student use. During the first year of the program, during campus courses, the students utilize software programs in Clinical Microbiology and Clinical Chemistry. During the second year of the program, students will prepare case presentations utilizing PowerPoint. Second year students also take a variety of computer exams in all areas of medical laboratory technology. The students take a Computers in Healthcare course as part of their curriculum. The students are also exposed to the Laboratory Information Systems (Meditech, CPSI,) in the hospital labs during their clinical rotations.

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III. Curriculum Standard 9A:

Medical Laboratory Technology Degree Plan FIRST YEAR

Lec Lab Clin Cont Cred

First Semester

Hrs Hrs Hrs Hrs Hrs BIOL 2420

Microbiology

3 3 0 96 4

CHEM 1406

Introductory Chemistry

3 3 0 96 4 MLAB 1201

Intro Clinical Lab Science

1 3 0 64 2

MLAB 1335

Immunology/Serology

3 1 0 64 3 MLAB 1415

Hematology

3 4 0 112 4

Total 13 14 0 432 17

Second Semester HITT 1211

Computers in Health Care

2 1

48 2 MLAB 1227

Coagulation

2 1 0 48 2

MLAB 2401

Clinical Chemistry

3 4 0 112 4 MLAB 2434

Clinical Microbiology

3 4 0 112 4

MLAB 2431

Immunohematology

3 4 0 112 4

Total 13 14 0 432 16

SummerSemester First Term

MLAB 1311

Urinalysis and Body Fluids

2 2 0 64 3 MLAB 1231

Parasitology/Mycology

2 1 0 48 2

Total 4 3 0 112 5

SummerSemester Second Term PLAB 1223

Phlebotomy

1 0 2 48 2

Total 1 0 2 48 2

SECOND YEAR First Semester BIOL 2401 or

Human Anatomy & Physiology 3 3 0 96 4 BIOL 2404

Intro to Anatomy & Physiology

ENGL 1301

Rhetoric and Composition

3 0 0 48 3 PHED 1166

First Aid

1 2 0 48 1

MLAB 2460

Clinical I

0 0 24 384 4 MLAB 2371

Advanced Topics I

3 0 0 48 3

Total 10 5 24 624 15

Second Semester ELECTIVE

Humanities/Fine Arts Elective

3 0 0 48 3 ELECTIVE

Social/Behavioral Science Elective 3 0 0 48 3

MATH 1314

College Algebra

3 0 0 48 3 PHED 1101

Physical Activity

0 3 0 48 1

MLAB 2461

Clinical II

0 0 24 384 4 MLAB 2372

Advanced Topics II

3 0 0 48 3

Total 12 3 24 624 17

Grand Total

2272 72

MLAB Total

1648 44

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MISSION STATEMENT The mission of the Medical Laboratory Technology Program is to produce qualified graduates who will become a part of the work force in Victoria and the surrounding counties and who will also be prepared to pass a national certifying examination. PROGRAMS GOALS

The graduate of The Victoria College Medical Laboratory Technology program shall be proficient in: a. collecting, processing, and analyzing biological specimens and other substances; b. performing analytical tests of body fluids, cells and other substances; c. recognizing factors that affect procedures and results, and taking appropriate actions within predetermined limits when corrections are indicated; d. performing and monitoring quality control within predetermined limits; e. performing preventive and corrective maintenance of equipment and instruments or referring to appropriate sources for repairs; f. applying principles of safety; g. demonstrating professional conduct and interpersonal communication skills with patients, laboratory personnel, other health care professionals, and with the public; h. recognizing the responsibilities of other laboratory and health care personnel and interacting with them with respect for their jobs and patient care; i. applying basic scientific principles in learning new techniques and procedures; j. relating laboratory findings to common disease processes

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THE VICTORIA COLLEGE MEDICAL LABORATORY TECHNOLOGY PROGRAM TITLE OF COURSE: Hematology COURSE NUMBER: MLAB 1415.1

PREPARED and SUBMITTED BY: Larry S. Dunn

FALL SEMESTER 2007 TEXT USED: Clinical Hematology and Fundamentals of Hemostasis Harmening, Denise, 4th Edition SCHEDULED:

DAY: MWF

TIME: 8:00-8:50(MWF); 1:40-3:20(TTh.Lab)

BUILDING: Allied Health

ROOM: 106(Lecture); 121(Lab) OFFICE INFORMATION:

BUILDING: Allied Health

ROOM: 118

OFFICE PHONE: 572-6455

OFFICE HOURS: Wednesday: 1:30-3:00 PM;Thursday:9:30-11:30 AM

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COURSE DESCRIPTION: Introduction to the theory and practical application of routine and special hematology procedures, both manual and automated; red blood cells and white blood cells maturation sequences, and normal and abnormal morphology and associated diseases. Corequisite: MLAB 1201, MLAB 1335. COURSE OBJECTIVE: Following the successful completion of MLAB 1415 the student should be able to evaluate the following areas: principles of hematology tests, normal and abnormal erythrocyte and leukocyte morphology and related diseases. The students will perform routine hematology tests. TASK LISTING: Upon completion of this course, the student will be able to: 1. Describe basic laboratory techniques used in the hematology section. 2. Identify principles and procedures of hematology tests to include sources of error and clinical significance of results. 3. Evaluate normal and abnormal erythrocyte morphology and related diseases. 4. Evaluate normal and abnormal leukocyte morphology and related disease. 5. Perform routine hematology tests. PERFORMANCE OBJECTIVES: Each of the tasks listed above is delineated below as an educational performance objective. (Refer to task listing if necessary)

CONDITION: Given written materials, lecture, and laboratory activities 1) PERFORMANCE: describe and discuss basic laboratory techniques used in the hematology section

STANDARD: with a minimum standard of 75% on written and laboratory exams. CONDITION: Given written materials, lecture and class activities 2) PERFORMANCE: identify principles and procedures of hematology tests to include sources of error and clinicalsignificance of results STANDARD: with a minimum standard of 75% on written exams. CONDITION: Given written materials, lecture and class activities 3) PERFORMANCE: evaluate normal and abnormal erythrocyte morphology and related diseases STANDARD: with a minimum standard of 75% on written exams. CONDITION: Given written materials, lecture and class activities 4) PERFORMANCE: evaluate normal and abnormal leukocyte morphology and related diseases STANDARD: with a minimum standard of 75% on written exams. CONDITION: Given procedures, laboratory practice, and access to all of the equipment in the MLT student lab 5) PERFORMANCE: perform routine hematology tests STANDARD: with a minimum standard of Pass on practical exams.

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SPECIFIC UNIT OBJECTIVES: Unit I. Routine Hematology Procedures 1. Define Hematology 2. Discuss the anatomy of the circulatory system. 3. Describe the composition of blood. 4. List the sites of hematopoiesis from the fetus to adults. 5. Discuss the principles and techniques of capillary puncture and venipuncture 6. Perform capillary punctures and venipunctures. 7. Discuss the following anticoagulants to include composition, function, advantages and disadvantages: Ethylenediamine tetraacetic acid (EDTA) Double oxalate (ammonium and potassium) Sodium citrate Heparin 8. List the components of a complete blood count. 9. Discuss the characteristics and proper use of the hemacytometer and RBC and WBC diluting pipets. 10. Discuss the white blood cell count (WBC) to include normal ranges, clinical significance of results, proper diluents, procedura steps, calculations, and sources of error. 11. Perform calculations for a WBC corrected for the presence of nucleated red blood cells. 12. Discuss the red blood cell count (RBC to include normal ranges, clinical significance of results, proper diluents, procedural steps, calculations, and sources of error. 13. State the function of hemoglobin. 14. Discuss the synthesis and breakdown of hemoglobin. 15. Discuss the cyanmethemoglobin method for hemoglobin determinations to include normal ranges, function of

reagents, clinical significance, calculations and sources of error. 16. Define Hematocrit. 17. Discuss the micro-hematocrit to include procedural steps, normal ranges, clinical significance of results, and sources of error. 18. Discuss the calculated hematocrit and relate the values to the microhematocrit method. 19. Define erythrocyte sedimentation rate (ESR). 20. Discuss the factors which effect the ESR, to include characteristics of RBCs, plasma composition, and mechanical/technical factors. 21. Discuss the Wintrobe and Westergren methods, to include procedural steps, normal ranges, and clinical significance of results. 22. Discuss the reticulocyte count to include proper stains, normal ranges, procedural steps, calculations, and clinical significance of results. 23. Perform the calculations required to obtain a corrected reticulocyte count. 24. Discuss the Rees-Ecker and Brecker-Cronkite methods for platelet counts, to include, principle, diluents, hemacytometer used, calculations, normal ranges, sources of error and clinical significance of results. 25. Discuss the eosinophil count to include principle, normal ranges, diluent, hemacytometer used, and clinical significance of results. 26. Given the RBC, hematocrit and hemoglobin, calculate the Mean Cell Volume (MCV), Mean Cell Hemoglobin

Concentration (MCHC), and Mean Cell Hemoglobin (MCH). 27. State the clinical significance of the RBC indices to include normal ranges, and associated RBC morphology.(i.e. macrocytic, etc.) 28. Discuss the Wright stain to include the components, principles of staining and sources of error. Unit II. Leukocytes 1. Describe the maturation sequence of neutrophils, eosinophils, basophils, monocytes, and lymphocytes. 2. Describe the maturation sequence and formation of platelets. 3. Describe the morphological characteristics of leukocytes and platelets.

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4. State the normal values for a WBC differential. 5. Describe the method for performing a WBC estimate and platelet estimate on a Wright-stained smear. 6. Given the total WBC and WBC differential, calculate the absolute cell counts of leukocytes found in the peripheral blood. 7. Discuss the distribution and kinetics of neutrophils, eosinophils, basophils, lymphocytes, and monocytes. 8. Define the terms chemotaxis, opsonin, phagocytosis, diapedesis, phagosome, and seconday lysosome. 9. Discuss the functions of neutrophils, eosinophils, basophils, and monocytes. 10. Describe the relationship of T and B lymphocytes to cellular and humoral immunity. 11. Discuss the functions of T lymphocytes to include their secretory products. 12. Discuss the functions of B lymphocytes to include their secretory products and their relationship to the plasma cell. 13. State the contents of the primary and secondary granules of granulocyte. 14. Discuss the principles of the following stains, as well as their use in clinical diagnosis of leukemias:

leukocyte alkaline phosphatase peroxidase periodic acid-schiff

sudan black-B 15. Define the following terms: leukocytosis, leukopenia, neutrophilia, neutropenia, lymphocytosis, monocytosis. 16. Discuss the difference between physiological and pathological leukocytosis. 17. List several causes of physiological leukocytosis. 18. Define shift to the left and shift to the right. 19. Discuss neutrophilia and neutropenia. 20. Discuss and describe morphological characteristics of the following WBC abnormalities: Toxic granulation, Dohle bodies, May-Hegglin anomaly, Alder-Reilly anomaly, Pelger-Huet anomaly, and Chediak-Higashi syndrome. 21. State the etiology of Infectious Mononucleosis (IM). 22. List clinical symptoms, hematology results, and serological results characteristically found in IM. 23. Discuss the characteristics of infectious lymphocytosis. 24. Describe the morphological characteristics of atypical lymphocytes. 25. Discuss the characteristics of a leukemoid reaction compared to myelofibrosis and chronic myelocytic leukemia. 26. Discuss the differences between acute and chronic leukemias. 27. List the FAB classification of acute myelocytic leukemias (AML). 28. Discuss the prominent clinical and laboratory features of AML. 29. Discuss the prominent clinical laboratory features of acute lymphocytic leukemia (ALL). 30. Discuss the prominent clinical and laboratory features of chronic myelocytic leukemia (CML). 31. Discuss the prominent clinical and laboratory features of chronic lymphocytic leukemia (CLL). 32. Discuss the prominent clinical and laboratory features of myelofibrosis malignant lymphomas (Hodgkins disease), multiple myeloma and Waldenstrom's macroglobulinemia. Unit III. Erythrocytes 1. Describe the maturation sequence of erythrocytes. 2. Describe the defect and maturation sequence in megaloblastic erythropoiesis. 3. Discuss the normal biochemistry and function of the erythrocyte. 4. Describe and discuss the significance of the following abnormal erythrocytes and conditions: microcytes anisocytosis basophilic strippling macrocytes poikilocytosis siderocytes hypochromia ovalocytes Howell-Jolly bodies spherocytes acanthocytes Cabot rings target cells burr cells polychromasia stomatocytes crenated RBCs Hgb C crystals sickle cells schistocytes teardrop-shaped RBCs 5. Discuss the clinical symptoms associated with anemias. 6. Discuss etiology and laboratory features of the anemias due to acute and chronic blood loss. 7. Discuss the laboratory features of the following anemias of impaired production:

Iron deficiency anemia anemia of chronic disorders

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megaloblastic anemias due to: Vitamin B12 deficiency - pernicious anemia

Folic acid deficiency sideroblastic anemia hemochromatosis leukoerythroblastosis anemia of chronic renal insufficiency anemia of liver diseases aplastic anemia

8. Discuss the laboratory features of the following anemias of increased destruction - hemolytic anemias due to intrinsic defects:

spherocytosis ovalocytosis stomatocytosis paroxysmal nocturnal hemoglobinuria G6PD deficiency pyruvate kinase deficiency hemoglobinopathies - C, S thallasemias - alpha, beta

hemolytic anemias due to extrinsic defects heat trauma autommune hemolytic anemia

warm cold paroxysmal cold hemoglobinuria

9. Discuss the clinical and laboratory features polycythemia vera. 10. Discuss the principles and significance of the following tests:

osmotic fragility autohemolysis G6PD test pyruvate kinase test ascorbate cyanide test heinz body preparation sugar-water test acid-serum test

Unit V. Laboratory Procedures 1. Perform WBC, RBC and Hemoglobin by manual and semiautomated procedures. 2. Perform a microhematocrit. 3. Perform an ESR by the Wintrobe and modified Westergren methods. 4. Perform calculations for RBC indices. 5. Perform a platelet count using a hemacytometer method. 6. Exam a Wright-stained blood smear and perform:

WBC differential WBC estimate WBC morphology (abnormal) Platelet estimate and morphology 7. Perform hemoglobin electrophoresis 8. Perform a solubility test for hemoglobin S

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MLAB 1415 GRADING CRITERIA

Medical Technology is a procedure oriented field. Knowledge of principle and theory is very important, but the actual performance of the laboratory procedures is of the utmost importance. The student must demonstrate a certain level of proficiency in the laboratory portion of the course in order to continue the MLT curriculum. EVALUATION IN THE STUDENT LABORATORY

The laboratory portion of the course is Pass/Fail. The student must successfully complete the checklist and pass the practicals to receive a passing grade for the lab portion of the course. A passing grade in the lab portion is necessary to receive at least a C in the course. Grading Structure: Course Points Grade Course Points Required Exam I 100 A 630 and above Exam II 100 B 560-629 Exam III 100 C* 525-559 Exam IV 100 D 420-524 Quizzes 100 F 419 and below Final Exam 200 *A minimum of 75% average on all lecture exams including the Final, is required in order to receive a "C" in the course. This equates to 450 total points from three exams and the final. A minimum grade of “C” is required to continue in the MLT curriculum. ATTENDANCE POLICY:

Because of the complexity and volume of course content, the interactive nature of the health professions, and the personal responsibility that must be developed in today’s health care workers, students whose absences in any selective admission health care course exceed the equivalent of two weeks of class meetings may be dismissed from the program. If possible, notify the instructor if you will be absent or tardy.

STUDENT REQUIREMENTS: A. A grade of "C" or better is required to continue in the MLT curriculum. B. Textbooks: Clinical Hematology and Fundamentals of Hemostasis Harmening, Denise, 4th Edition C. Appropriate and professional behavior is expected at all times.

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Objectives for Affective Domain These objectives are from the syllabus for the clinical rotations (MLAB 2460/2461). Part of the student's evaluation is performed in what is called the Section Evaluation where the clinical instructor conducts an affective evaluation the student. Objectives common to all sections of the laboratory: The student should: 1. Demonstrate a willingness to prepare for the role of a Medical Laboratory Technician by:

a. arriving at the laboratory section at the assigned time b. observe safety rules and regulations c. keeping records 1. legibly recording results

2. recording results exactly as determined 3. properly utilizing Laboratory Information Systems 4. maintaining clinical rotation student records

d. cooperating with the instructor to maintain the lab equipment and work area in good condition e. observing clinical affiliate rules and regulations f. displaying attitudes and actions in a manner consistent with the profession

2. Demonstrate the ability to perform laboratory tests by: a. following written and verbal instructions b. demonstrating increasing dexterity in the performance of procedures c. demonstrating progressive accuracy, precision, and speed d. obtaining results within the limits set for each test

3. Demonstrate a knowledge of theoretical concepts involved in results of laboratory tests by: a. recognizing results that do not correlate and reporting them to the instructor b. associating unusual test results with the conditions or diseases which might be indicated

4. Observe routine tasks performed by laboratory staff members. 5. Verify identification of specimens by comparing names and hospital number with information on the request form. 6. Prepare specimens for analysis. 7. Evaluate specimens for appearance. 8. Prepare and send samples to reference laboratories. 9. Use (semi) automated instruments according to written protocol from procedure manual. 10. Detect technical problems with supervisory consultation. 11. Participate in established quality control programs. 12. Organize tasks to facilitate their completion. 13. Assist with preventive maintenance and troubleshooting.

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Standard 9B: The Medical Laboratory Technology program's curriculum consists of clinical laboratory science courses, general education courses, basic science courses, and a course in mathematics. The non-clinical laboratory science courses are integrated throughout the curriculum. A breakdown of semester hours follows: Clinical laboratory Science 44 semester hours General Education Courses 13 semester hours Basic Science Courses 12 semester hours Mathematics 3 semester hours Total 72 semester hours General education courses: 13 semester hours (English, Psychology or Sociology,

Humanities/Fine Arts elective, Physical Education, First Aid) Basic Science courses: 12 semester hours (one semester each of Introductory Chemistry,

Microbiology, Anatomy and Physiology) Mathematics: 3 semester hours (College Algebra) The program is 20 months in length, consisting of the Fall and Spring semester, both Summer terms, and the Fall and Spring semesters of the second year. Graduation is in May of the second year. The graduation requirements for the MLT program are consistent with graduation requirements for other two year degree plans that result in an Associate Degree in Applied Science. The graduation requirements for the Associate Degree in Applied Science, which is awarded upon successful completion of the Medical Laboratory Technology program, are as follows: Associate in Applied Science: 1. Unconditional admission or the removal of all entrance conditions. 2. Completion of a minimum of 62 semester credit hours with at least a 2.0 grade point average. Only Victoria College courses will be used in grade point average calculation. 3. Completion of all courses in the program of study as outlined in the catalog. 4. Completion of two semester hours of physical education. 5. Completion of at least 25 percent of semester credit hours earned through instruction at The Victoria College. 6. Meet minimum standards of all areas of the assessment test to satisfy the Texas Success Iniative or meet exemption requirements.

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Clinical Laboratory Technician/Medical Laboratory Technician Course Location or Unit Number

Standard 9B1 MLAB Methodologies including problem solving and troubleshooting techniques All Hematology 1415 1st yr, Fall Hemostasis 1227 1st yr, Spring Chemistry 2401 1st yr, Spring Microbiology 2434 1st yr, Spring Urinalysis 1311 Summer Microscopy 1415,1311 1st yr,Summer Immunology 1335 1st yr, Fall Immunohematology 2431 1st yr, Spring Standard 9B2 Collecting, processing, and analyzing biological specimens. PLAB 1223 Summer Standard 9B3 Laboratory result use in diagnosis and treatment. All Standard 9B4 Communications sufficient to serve the needs of patients and the public. 2460,2461 2nd yr Standard 9B5 Technical training sufficient to orient new employees. 2460,2461 2nd yr Standard 9B6 Quality assessment in the laboratory. 2460,2461 2nd yr Standard 9B7 Laboratory safety and regulatory compliance. All Standard 9B8 Information processing in the clinical laboratory. 2460,2461 2nd yr Standard 9B9 Ethical and professional conduct. 1201,2460,2461 1st yr, 2nd yr Standard 9B10 Significance of continued professional development. 2460,2461 2nd yr (May 2008)

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231

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Standard 9C: The learning experiences are designed to develop entry level competencies. In a broad sense, the first year campus courses provide the student the necessary knowledge and skills in all areas of Clinical Laboratory Science. This prepares them for the second year clinical rotations where the student is able to apply the knowledge from the first year courses and gain the necessary skills in the hospital lab setting to achieve entry level competencies. The learning experiences include a standard lecture format using techniques such as handouts and PowerPoint presentations. Case studies provide an opportunity for group discussion and case studies are integrated into all MLT courses. Campus lab activities use the standard format of demonstration by the instructor followed by practice by the student. The clinical rotations in the second year provide the student the supervised practice and experience necessary to reach the desired entry level competencies. The tests performed in the clinical departments of the clinical affiliates are those consistent with a full service laboratory. A complete listing of laboratory tests offered by each clinical affiliate will be available for the Site Visitors. The first year MLAB courses are all taught on campus in a lecture/lab format. All lab activities take place in the MLT campus lab. Students are taught basic laboratory skills in each course with an emphasis on understanding the principle and achieving a level of proficiency relevant to the skill being learned. The student is well equipped to teach fourteen students the necessary skills. Examples of basic skills learned in first year courses in lab are: MLAB 1201: Intro to Clinical lab Science: use of analytical balance preparation of laboratory solutions titrations proper use of pipettes Spectral Absorbancy Scan Preparation of Standard curve MLAB 1227: Coagulation Use of Fibrometer Prothrombin Time Activated Partial Thromboplastin Time MLAB 1235: Immunology/Serology Preparation of serial dilutions performance of common serology test kits (RPR, VDRL, CRP, RF, IM, etc) MLAB 1415: Hematology microhematocrit manual hemoglobin manual WBC count manual platelet count ESR preparation and staining of peripheral blood smears

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peripheral blood smear evaluation WBC estimate Platelet estimate WBC differential RBC morphology Reactive WBC morphology Coulter D3 Coulter MAXM MLAB 2401: Clinical Chemistry Ciba-Corning 644 Na/K/Cl Analyzer w/ Autosampler manual chemistry: Calcium, Glucose, Total Protein, Albumin, AST, LD, etc Cobas-Roche Mira MLAB 2431: Immunohematology preparation of cell suspensions proper use and handling of reagents ABO Rh Rh phenotyping ABO Discrepancies Antibody Screens Panels Enzyme Panels Antigen typing Crossmacth MLAB 2434: Clinical Microbiology Gram stain culture methods proper use and interpretation media Identification of common clinically relevant organisms (Staph, Strep, Neiserria, Hemophilus, Enterobacteriaceae, Pseudomonas Use of traditional tube biochemicals Use of API20E MLAB 1211: Urinalysis & Body Fluids Routine Urinalysis MLAB 1231: Parasitology/Mycology Ova & Parasite concentration microscopic recognition of various intestinal parasites microscopic recognition of malarial parasites recognition of microscopic and cultural characteristics of various fungi

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MLAB 1223: Phlebotomy proper use of blood collection equipment proper tube selection venipuncture capillary puncture Clinical rotations occur in hospital laboratory facilities. Learning experiences are limited to regularly scheduled clinical times and do not include evenings, nights, or weekends. The framework of the clinical rotations is the same for all clinical sites. The same evaluation instruments are used at each facility with the flexibility to reflect the different equipment present at each site. An example follows.

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MLAB 2460-2461 CLINICAL CHEMISTRY Upon completion of the Clinical Chemistry rotation the student should be able to: 1. Demonstrate proper techniques in preparation of controls, reagents, and working standards, to include proper labeling. 2. Perform the measurement of electrolytes on an automated instrument with an accuracy of 90%. 3. Perform the measurement of enzymes/analytes on an automated instrument with an accuracy of 90%. 4. Perform equipment maintenance within department guidelines. 5. Recognize out of range patient results and take appropriate action. 6. Perform quality control within department guidelines. 7. Perform the following calculations and pass a test with 90% or better:

a. Anion gap b. Creatinine clearance c. A/G d. Sample dilutions

8. Complete the checklist and all evaluations in the allotted time. OVER FOR EVALUATION

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Practical Evaluation of Chemistry Procedures This is a pass/fail evaluation. Prior to evaluation the student will have the opportunity to perform tests/operate equipment for at least 10 clinical days. The evaluation should take place toward the end of the rotation. The clinical instructor will evaluate the student based on the following scale. A score of 4 on any task will result in a failure for this section. The evaluations should only be made after the student has had adequate opportunity to practice the task. Student's Evaluation Score: 1 = Excellent 2 = Above average 3 = Average 4 = Failure, Error General Chemistry Procedures Student's Evaluation Score 1. Process patient samples: proper ID, receipt, log-in, preparation

2. Correct preparation of required controls, standards, reagents

3. Follows operating procedures as detailed in procedure manual

4. Perform equipment maintenance within department guidelines

5. Recognize out of range patient results and take appropriate action

6. Perform quality control within department guidelines

Ability to operate the following chemistry analyzers (list below)

1.

2.

3.

4.

Signatures: ____________________________________ My signature indicates that I have evaluated Clinical Instructor the student's ability to perform the Chemistry tasks/procedures listed above. ____________________________________ My signature indicates that I am aware of Student Date the contents of this evaluation ____________________________________ My signature indicates that I am aware of the Program Director Date contents of this evaluation

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Service Work: The students go to the hospitals for their clinical rotations during MLAB 2460 and MLAB 2461 of the second year. During the scheduled clinical times the students operate solely in the capacity of students. They are not paid for any work they might perform in the normal course of their learning experience, as stated in the Affiliation Agreement. The hospital labs are adequately staffed and do not depend on the students to manage the workload. When they do perform any service work during their clinical time, it is only after they have progressed on a certain task or skill area to a level where performing the service work serves to reinforce their skills and build their confidence. The service work is performed under the supervision of the clinical instructor. The students are not substituted for clinical staff while they are present in the laboratory as a student. When the opportunity arises, a student might be offered a part-time position in the hospital laboratory outside of class time. The employment opportunities are handled between the student and the laboratory supervisor. The student is supervised by the laboratory just as other employees are. They are subject to employee regulations, and their work is noncompulsory and paid. The laboratory supervisors work with the Program Director to insure that the work schedule does not interfere with the student's school responsibilities. This information is contained in the MLT student handbook which is provided to the students upon entry into the program. The Student Handbook is also provided to the Clinical Coordinators at each clinical affiliate. Standard 9D: Progression in the program is described in the prerequisites of the course descriptions as well as in the MLT Student Handbook.

PROGRESSION AND CLINICAL PLACEMENT POLICY (from MLT Student Handbook) This policy is written to define the conditions under which medical laboratory technology students will be eligible for continuance into the second year clinical rotations. Curriculum requirements and the limited number of hospital training facilities have made it necessary to make these stipulations to avoid problems in assigning second year students to clinical affiliates. From past experiences, the program believes that it is in the best interest of all concerned to establish the following guidelines. 1. Students will not be allowed to enter the clinical rotation (MLAB 2460) until all previous MLT courses have been completed with a grade of C or better and Chemistry 1405 and Biology 2420 have been completed with a C or better.

*2. In the event the number of students ready to enter the clinical rotations exceeds the available clinical student capacities, an alternate list will be established. Ranking will be determined by the overall numerical average for the ten first year MLT courses. Students on the alternate list will be considered at the beginning of the next clinical rotation.

* At the present time the entering class does not exceed the capacity of the clinical facilities.

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Grading criteria for a first year course (MLAB 1415, Hematology) and for the last clinical rotation (MLAB 2461) are provided below. The MLT Student Handbook is given to the student upon entry into the program. Each individual syllabus is given to the student at the beginning of each course. In first year courses the students are given 3 major exams in 2 credit hour courses and 4 major exams in 4 credit hour courses. Evaluations in the student labs during the first year consist of two pass/fail practical exams per course. During the clinical rotation courses, the students are given a minimum of 4 exams (some sections may give more than others) and have summative evaluations over key skills at the end of each rotation. MLAB 1415 GRADING CRITERIA

Medical Technology is a procedure oriented field. Knowledge of principle and theory is very important, but the actual performance of the laboratory procedures is of the utmost importance. The student must demonstrate a certain level of proficiency in the laboratory portion of the course in order to continue the MLT curriculum. EVALUATION IN THE STUDENT LABORATORY

The laboratory portion of the course is Pass/Fail. The student must successfully complete the checklist and pass the practicals to receive a passing grade for the lab portion of the course. A passing grade in the lab portion is necessary to receive at least a C in the course. Grading Structure: Course Points Grade Course Points Required Exam I 100 A 630 and above Exam II 100 B 560-629 Exam III 100 C* 525-559 Exam IV 100 D 420-524 Quizzes 100 F 419 and below Final Exam 200 *A minimum of 75% average on all lecture exams including the Final, is required in order to receive a "C" in the course. This equates to 450 total points from four exams and the final. A minimum grade of “C” is required to continue in the MLT curriculum.

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MLAB 2461 GRADING POLICY: The student will rotate through two sections of the laboratory during the semester. The grade for each section will be determined from two written exams (WE), one exam average derived from assigned computer exams, the successful completion of all Practical Evaluations (PE) and an affective evaluation of the student by the section (SE). The student must complete the rotation schedule for each section in the allotted time. Grades turned in by the sections will be averaged in with the two written exams and the computer exams. The student must complete all PEs with a "Pass".

SECTION I SECTION II WEI 100 CP WEI 100 CP WEII 100 CP WEII 100 CP Computer 100 CP Computer 100 CP SE 25 CP SE 25 CP Total 325 CP Total 325 CP At the end of the semester a comprehensive exit examination covering all four sections will be given. The exit exam will be worth 200 CP. The student will be given a maximum of two attempts to pass the Exit exam with a 75%. If the student passes on the second attempt, a grade of 75 will be awarded for the exit exam. GRADING SCALE 765 or above. . . . . . . A 680-764 . . . . . . . . . . . B 595-679 . . . . . . . . . . . C 510-594 . . . . . . . . . . . D Below 510 . . . . . . . . . F The student will receive no higher than a "D" for the semester if any of the following occur: 1. Fail any PE 2. Failure to complete rotation assignments in the allotted time 3. Exam average of less than 75% 4. Score less than 75% on the Exit exam (after a second attempt) NOTE: The student must earn a minimum grade of "C" to continue in the curriculum.

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The example of an evaluation instrument that correlates to the objectives in the MLAB 1415 Hematology syllabus is the following Hematology Exam.

THE VICTORIA COLLEGE MLAB 1415 Exam

Neoplastic WBC Disorders USE SCANTRON ANSWER SHEET. 1. In which of the following stains is it not necessary for the specimen to be fresh:

a. myeloperoxidase b. Sudan black B c. non-specific esterase d. terminal deoxynucleotidyl transferase

MATCH THE FOLLOWING: 2. adult leukemia, peak 30-50 yr. A. Acute myelocytic leukemia 3. 2 - 10 years old B. Chronic lymphocytic leukemia 4. any age, peak 63 yr. C. Acute lymphocytic leukemia 5. leukemia of the elderly, usually >60 yr. D. Chronic myelocytic leukemia 6. The acute leukemias are more likely to have severe anemia and thrombocytopenia upon diagnosis than chronic leukemias would.

a. true b. false

7. The differential shows 65% blasts, many of which have Auer rods present in the cytoplasm. A pseudo-Pelger anomaly is also present. The patient probably has:

a. ALL b. CLL c. AML d. CML

8. Disseminated intravascular coagulation and bleeding more severe than expected from the degree of thrombocytopenia is found in:

a. AMML b. APL c. Schilling's leukemia d. Naegeli's leukemia

9. The Philadelphia chromosome is an abnormality of chromosome number 22 and is characteristic of 95% of the cases of:

a. AML b. ALL c. CML d. CLL

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10. Smudge cells are characteristic in cases of:


11. Platelets are often increased in:


12. The WBC is 75,000 cells/cu.mm. The differential shows all forms from the neutrophil series, normal basophils,

normal eosinophils. This probably represents:

a. CML b. CLL c. Leukemoid reaction d. All of the above

13. Death from infection due to hypogammaglobulinemia is found in:

a. AML b. CLL c. ALL d. CML

MATCHING: Predominant cell types 14. ALL A. promyelocyte 15. AML(M1) B. small lymphocyte 16. AML(M3) C. myelocyte, segmented neutrophil 17. CLL D. lymphoblast 18. CML E. myeloblast 19. Peroxidase and Sudan Black B are positive in (1) and negative in (2) . (1) (2) a. CML CLL b. ALL AML c. AML ALL d. CLL ALL

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MATCHING (20 - 24) 20. acute promyelocytic leukemia A. M1, M2 21. erythroleukemia B. M7 22. acute myelomonocytic leukemia C. M4 23. acute myelocytic leukemia D. M6 24. acute megakaryocytic leukemia E. M3

25. Eosinophils are typically increased in all of the following except: a. allergic reactions b. CLL c. CML d. parasitic infections

26. The WBC count is variable (decreased, normal, or increased) at the time of diagnosis in:

a. acute leukemias b. chronic leukemias

27. Abnormal RBC precursors present in EL will stain for PAS.

a. positive b. negative

28. PAS stains for the presence of:

a. glycogen b. Philadelphia chromosome c. periodic acid d. phospholipids

29. NSE is used to differentiate:

a. myeloblasts vs. lymphoblasts b. monoblasts vs. lymphoblasts c. erythroblasts vs. myeloblasts d. myeloblasts vs. monoblasts

30. The majority of ALL is:

a. B ALL b. common ALL (early Pre-B and pre-B) c. T ALL d. Null ALL

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MATCHING: 31-34. One answer per question: 31. Surface immunoglobulin (SIg) A. Common ALL 32. E rosettes (CD2) B. B cell ALL 33. Pan - T Antigen (CD7) C. T cell ALL 34. Common All antigen (CD10) 35. The FAB L3 classification is associated with:

a. common ALL b. B ALL c. T ALL d. Null ALL

36. In order to be classified as AML vs. CML, there must be greater than blasts.

a. 3% b. 10% c. 30% d. 60%

37. The patient presented with petechiae, ecchymoses, and prolonged PT and APTT, increased FDPs, decreased fibrinogen and decreased platelets. Increased numbers of hypergranular promyelocytes were seen in the bone marrow. The patient has:

A. AML(M1) B. AML(M3) C. AML(M4) D. AML(M5)

38. Naegeli type leukemia is classified as:

a. M1 b. M2 c. M4 d. M5

39. Di Guglielmo's syndrome is associated with which leukemia:

a. M1,2 b. M3 c. M5 d. M6

40. The patient presented with 38% blasts (peroxidase positive) splenomegaly and showed the presence of the Philadelphia chromosome. This patient has:

a. AML b. CML in blast crisis converting to AML

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41. The patient had a WBC of 73,000/cumm with a differential of 53 segs, 8 bands, 4 metamyelocytes, 7 myelocytes, 3 promyelocytes, 1 blast, 2 eosinophils, 1 basophils, 6 monocytes and 15 lymphocytes. An LAP was performed with a score of 385. This patient has:

a. Leukemoid reaction b. CML

42. In the majority of cases of CLL, the pathologic lymphocytes are:

a. T lymphocytes b. B lymphocytes

43. Autoimmune hemolytic anemia is sometimes a feature in:

a. CML b. CLL

44. Terminal deoxynucleotidyl transferase (TdT) is negative in:

a. Early Pre- B cell ALL b. Pre - B cell ALL c. B cell ALL d. T cell ALL

45. Auer rods are present in lymphoblasts of L1 ALL.

a. true b. false

46. Increased calcium levels seen in multiple myeloma result from the stimulation of

a. osteoclasts b. macrophages c. osteoblasts d. plasma cells

47. The majority of patients with multiple myeloma have an over-production of

a. IgG b. IgM c. IgA d. IgE

48. The characteristic feature of RBC morphology seen in myelofibrosis is:

a. tear drop shaped cells b. stomatocytes c. target cells d. fragmented cells

49. An attempt at a bone marrow aspirate that resulted in a dry tap is characteristic of:

a. myelofibrosis b. CML c. multiple myeloma d. CLL

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50. Patients with myelofibrosis often present with:

a. lymphadenopathy b. post cervical hyperplasia c. splenomegaly d. agnosis

51. To be classified as essential thrombocythemia, the platelet count must be greater than:

a. 150,000 b. 600,000 c. 1,000,000 d. 1,500,000

52. The bleeding problems seen in essential thrombocythemia are due to platelet abnormalities.

a. qualitative b. quantitative

53. The peripheral smear of a patient with essential thrombocythemia will contain increased numbers of

platelets, giant platelets, platelet aggregates, and occasionally megakaryocytes.

a. true b. false

54. Increased levels of IgM are characteristic of:

a. multiple myeloma b. amyloidosis c. Waldenstrom's macroglobulinemia d. myelofibrosis

55. Multiple myeloma is a cancer of .

a. plasma cells b. lymphocytes c. monocytes d. neutrophils

56. Which of the following is not a characteristic feature of multiple myeloma?

a. rouleaux b. increased calcium c. Bence Jones proteins d. increased platelets

57. Bence-Jones proteins are

a. always present in multiple myeloma b. dimers of heavy chains c. dimers of light chains d. dimers of a heavy and a light chain

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58. Which of the following stains for lipids:

a. LAP b. Peroxidase c. Sudan Black B d. PAS

59. Which of the following is not a feature of myelodysplastic syndromes:

a. oval macrocytes b. more common in children c. ringed sideroblasts d. dimorphic RBC population

60. A patient with MDS has 22% ringed sideroblasts and no myeloblasts. The patient would be classified as:

a. RA b. RARS c. RAEB d. RAEB-T

61. A patient with MDS who has 25% myeloblasts would be classified as:


62. The MDS with the worst prognosis is:


63. When performing a LAP, 100 are scored for their staining intensity.

a. lypmphocytes b. monocytes c. neutrophils d. eosinophils

64. The pluripotent stem cell is the cell which has undergone a malignant change in:


65. A leukemia has the features of M2 and M4. Which of the following would help to differentiate the two:

a. Uric acid levels b. PAS c. Lactate dehydrogenase d. serum lysozyme

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66. Blasts from a bone marrow aspirate stained negative for myeloperoxidase and positive for TdT. The cells were small, homogeneous and had scanty cytoplasm. The leukemia is:

a. AML,M1 b. ALL,L1 c. AML,M5 d. ALL,L2

67. The majority of CML cases convert to a blast crisis.

a. myeloid b. lymphoid c. erythroid d. megakaryocytic

68. The unusual blasts exhibited tartrate resitant acid phosphatase. The patient has:

a. ALL,L1 b. ALL,L3 c. Hairy cell leukemia d. lymphosarcoma

69. Iron stores are usually in polycythemia vera.

a. increased b. decreased c. variable

70. Which one of the following tests would be the most helpful in differentiating IMF from CML:

a. platelet count b. iron stores in the bone marrow c. splenomegaly d. Philadelphia chromosome

71. The Reed-Sternberg cell is characteristic of:

a. CLL b. non-Hodgkins lymphoma c. hairy cell leukemia d. Hodgkin’s disease

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WBC Neoplastic Disorders CASE STUDIES I - XI Write the correct diagnosis on the answer sheet from the following choices (one answer per Case Study).

A. Neutrophilic leukemoid reaction B. Chronic Granulomatous disease C. Infectious mononucleosis D. CMV mononucleosis E. Idiopathic Myelofibrosis F. RA G. RARS H. RAEB I. RAEB-T J. Polycythemia vera K. Essential Thrombocythemia L. Multiple Myeloma M. Waldenstrom’s Macroglobulinemia N. ALL, L1, Early-Pre B O. ALL, L2 P. ALL, L3 Q. AML, M1 R. AML, M2 S. AML, M3 T. AML, M4 U. AML, M5 V. AML, M6 W. CML X. CLL

CASE STUDIES CASE I. A 26-year-old woman presented with a two-month history of fatigue and weakness and a two-week history of a sore throat associated with a 15 pound weight loss. No response to antibiotics was obtained, and she subsequently developed a peritonsillar abscess. The following laboratory data was obtained after admission to the hospital:

WBC: 79,200/µL HCT: 19.5% Platelets: 64,000/µL Bone Marrow: 80% blasts

Myeloperoxidase: 30% blasts positive NSE: Less than 10% blasts positive

CASE II A 71-year-old white man, a nonsmoker, went to the doctor complaining of a constant aching pain in his chest and lower back. This had progressively worsened over the prior 3 months. Examination revealed bone tenderness, slight mental confusion, and generalized osteoporosis. Laboratory Data:

WBC: 7800/µL Hgb: 10.5 g/dl Peripheral smear: Rouleaux Formation Serum calcium: 11.7 mg/dl (elevated) Serum protein electrophoresis: Monoclonal gammopathy Immunoelectrophoresis: "M" spike of IgG Bone marrow: 32% plasma cells

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CASE III A 25-year-old white male was admitted to the hospital with symptoms of sore throat, swollen nodes, fatigue, fever, and splenomegaly. Laboratory data:

WBC: 22,000/µL Hgb: 14.9 g/dl Platelets: 130,000/µL Differential:

27% segmented neutrophils 38% lymphocytes 31% atypical lymphocytes 4% monocytes

Serum bilirubin: 1.8 mg/dl (0.2-1.0 mg/dl) Monospot test: positive

CASE IV A 4-year-old boy had a three week history of fatigue, weakness and a persistent sore throat. His mother also noticed that he bruised easily. He had a palpable spleen but no evidence of lymphadenopathy.

Laboratory Data:

WBC: 78,000/µL RBC: 2.41 x 106/µL Hgb: 7.0 g/dl Hct: 21.2% Platelets: 67,000/µL Differential:

3% neutrophils 97% lymphoid cells

Bone marrow: homogenous, small blasts with scanty cytoplasm. Cell marker studies:

E rosettes: negative Surface immunoglobulin: negative cALLA: positive Cytoplasmic mu: negative Tdt: positive Peroxidase : negative NSE: negative

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CASE V R. C. was 64-year-old when he sought medical attention due to malaise and swollen lymph glands in his neck. At that time his lab data was:

WBC: 46,000/µL Hct: 38% Hgb: 12.6 g/dl Platelets: 220,000/µL Differential:

6 segmented neutrophils 1 band 93 lymphocytes Many smudge cells

When he was 70-years-old he had an acute hemolytic episode. Lab data at that time:

WBC: 62,000/µL Hct: 21% Hgb: 6.2 g/dl Platelets: 122,000/µL Reticulcytes: 8 % DAT: positive

Diagnosis of the acute episode was autoimmune hemolytic anemia. When R. C. was 78-years-old he was diagnosed as having hypogammaglobulinemia and subsequently died of pneumonia. CASE VI A 74-year old man, presented with complaints of increasing weakness, night sweats, shortness of breath, easy bruising and a prolonged fever. Examination revealed a massive splenomegaly. Laboratory Data:

WBC: 48,000/µL Hgb: 8.3 g/dl HCT: 26% MCV: 89 fl MCHC: 32% MCH: 29 pg Peripheral smear:

Segs: 46% Bands: 9% Lymph: 20% Mono: 7% Eos: 3% Baso: 2% Metamyelocytes: 5% Myelocytes: 3% Promyelocytes: 3% Blasts: 2% NRBC: 15/100 WBC RBC Morph: Moderate A & P with prominent teardrop RBCs Ph' Chromosome negative LAP: 132 (normal 22-124) Bone Marrow Aspirate: dry tap

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CASE VII A boy three (3) years of age was admitted with a liver abscess. He had been ill with many infections since the age of 1 month. Types of infection included recurrent pyoderma, several episodes of pneumonia, osteomyelitis and lymphadenitis. Organisms that were recovered from these sites of infection were Staphylococcus, Serratia, Klebsiella, and Pseudomonas.

Laboratory data:

Hgb: 9g/dl WBC: 33,000/µL with 28,000/µL neutrophils (vacuoles, toxic granules, Dohle bodies) Platelets: 427,000/µL Phagocytosis Studies: Phagocytosis of Staphylococcus was normal but oxidative metabolism in response to the phagocytosis was completely absent (there was no post- phagocytic increase in oxygen consumption). The neutrophils were unable to oxidize and kill the staphylococci that were phagocytized.

CASE VIII A 40-year-old man complained of two months of anorexia, a 15 pound weight loss, a low grade fever, night sweats, and abdominal fullness. Upon examination he exhibited sternal tenderness, splenomegaly, and hepatomegaly.

Laboratory Data:

WBC: 276,000/µL HCT: 34% Hgb: 10.4 g/dl Platelets: 646,000/µL Differential:

48 segmented neutrophils 6 bands 4 metamyelocytes 14 myelocytes 2 promyelocytes 1 blasts 6 eosinophils 8 basophils 6 monocytes 5 lymphocytes

LAP: 4 Bone Marrow: Marked granulocytic hyperplasia with M:E ratio of 25:1 Karyotype: Ph' positive (22q-;9q+)(Philadelphia chromosome)

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CASE IX A 12-year-old girl was admitted with right lobar pneumonia. She was acutely ill with shortness of breath and a temperature of 104oF. Laboratory data was as follows:

Hgb: 14 g/dl WBC: 35,000/µL Differential:

12,000 segmented neutrophils (34%) 18,000 immature neutrophils (51%) (bands, stabs, and myelocytes)

Neutrophils: Toxic granulation, Dohle bodies, vacuoles Blood Culture:Streptococcus pneumoniae LAP: 355

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CASE X A 60 year-old man was admitted to the hospital with pain and swelling in the left arm. He had other symptoms of pounding headaches, blurred vision, ecchymoses and an enlarged spleen. Lab values are as follows:

WBC: 20,300/µL Hgb: 18.2 g/dl Hct: 58 % Platelets: 710,000/µL LAP: 198(22-138) Iron stores: Absent

Case XI A 76 year old female was admitted to the hospital with complaints of increasing weakness. Physical examination revealed pallor and no organomegaly. CBC results were as follows: WBC: 2.9 x 103/µL MCV: 111fL RBC: 2.43 x 106/µL MCHC: 34 g/dL Hgb: 9.1 g/dL MCH: 37pg HCT: 27% RDW: 19.0% PLT: 90 x 103/µL Peripheral blood smear Differential: Blasts: 2% Lymphocytes: 20% Promyelocytes: 0% Monocytes: 3% Myelocytes: 1% Eosinophils: 1% Metamyelocytes: 0% Basophils: 1% Bands: 3% Segs: 69% Occasional pseudo-Pelger-Huet neutrophils with hypogranulation, occasional giant platelets, macrocytosis, basophilic stippling Bone marrow: Blasts: 23%, a few with Auer rods Ringed sideroblasts: 10%

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IV. STUDENTS Standard 10 A. Program mission statement is included in the MLT Student Handbook distributed at the beginning of the program. B. Program goals and competencies are included in the MLT Student Handbook distributed at the beginning of the program. C. Course objectives are included in individual course syllabi distributed at the beginning of each course. D. Applied education assignments are addressed in the MLT Student handbook and in the course descriptions in the college catalog. E. Admission criteria, both academic and non-academic are included in the college catalog (academic) and the MLT Information Letter (academic and non-academic). F. A list of course descriptions is included in the college catalog. G. Names and academic rank or title of the program director and faculty are included in the MLT Student Handbook and the college catalog. H. Tuition and fees with refund policies are listed in the college catalog (pages 54-57) and the college course schedule published for each semester. I. Causes for dismissal are listed in the Victoria College Student handbook (pp. 23 - 27), and in the MLT Student Handbook (p. 6 - 9). J. Rules and regulations including appeals procedures are listed in the Victoria College Student Handbook, the MLT Student handbook, and the college catalog. K. A listing of clinical affiliates is listed in the MLT Student Handbook and on the MLT website (http://www2.victoriacollege.edu/dept/mlt/ ). L. Essential functions are included in the MLT Information Letter. M. Policies and procedures when applied experience cannot be guaranteed are included in the MLT Student Handbook.

http://www2.victoriacollege.edu/dept/mlt/

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Standard 11 ADMISSION POLICIES AND PROCEDURES Admission policies and procedures are outlined in the college catalog (available online at the VC home page) and the MLT Information Letter. College catalogs are available in the college counseling department and in the Allied Health building. The MLT Information Letter (containing the Essential Functions) is available from the program director and on the MLT departmental web page. College admissions policies, (p. 14-16 in the college catalog) and the MLT Information Letter are found inside the jacket of this binder. College admission policies are found on pages 145-147. The MLT program admission procedures are found on page 148. The process begins with a completed application. Next, three character references are obtained. The Program Director will obtain copies of ACT or SAT scores as well as college transcripts and/or high school transcripts. The applicant attends an interview with the Program Director. The interview serves mainly as a counseling session with the applicant. The program and the medical technology profession are explained. The curriculum and course prerequisites are discussed. The student is counseled on weaknesses in math and/or chemistry and remedial classes are suggested, if necessary. The application process is explained and any questions by the applicant are answered. The application, ACT or SAT scores, transcripts, TSI assessment scores, references and interview findings are reviewed. The Program Director will then review the application packet and make a decision based on the published criteria. The students are ranked in accordance with the guidelines stated in the Ranking of MLT Applicants (page 149). The student is notified by letter of acceptance or rejection. If accepted, a physical form is sent at that time. The physical is required to be returned by the beginning of the fall semester. Students are usually accepted once in early June and (if the class is not full) again in late July. The students sign the application acknowledging they meet the Essential Functions (page 150). The students sign a signature page at the back of the Student handbook acknowledging they are aware of policies related to progression and completion of the program (page 151).

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MEDICAL LABORATORY TECHNOLOGY The Victoria College offers a two-year program in Medical Laboratory Technology, which leads to an Associate of Applied Science degree. Upon successful completion of the program the graduate will be eligible to take a National Certification Examination at the MLT level. The MLT program is accredited by NAACLS (National Accrediting Agency for Clinical Laboratory Science, 8410 W. Bryn Mawr, Suite 670, Chicago, IL 60631-3415, (773) 714-8880, www.naacls.org). ADMISSION REQUIREMENTS Applicants must meet special entrance requirements and complete a department application. For information contact the MLT Program Coordinator (572-6455 or [email protected]) or visit the MLT web site at www.victoriacollege.edu/dept/mlt. Students are recommended (not required) to complete as many general education, non-MLT courses as possible prior to admission to the MLT program. 1 The student must meet the admission requirements for the Victoria College as stated in the current college catalog

(contact Admissions and Records Office). 2 TSI (Texas Success Initiative) satisfied. (Contact Counseling Services for further explanation if necessary) 3 ACT Composite score of 18 or SAT I total score of 910. Students who have earned at least 12 hours credit in the

Program of Study with a GPA of at least 2.25 or that have high school transcripts demonstrating a strong academic background may have either an ACT of 16 or SAT I of 840. (College or high school transcripts will be evaluated on an individual basis; ACT scores before October 1989 and SAT scores before April 1995 will be considered on an individual basis)

4 Overall GPA of 2.0 or above on all college hours attempted. Students with less than a 2.0 GPA will be evaluated on an individual basis.

5 Complete the MLT application and return to the Program Coordinator. 6 Interview with the Program Coordinator (call 572-6455 or 572-6497 to schedule an appointment). 7 Official high school and college transcripts must be on file in the Admissions and Records office. Transfer students

will be accepted on an individual basis. 8 Science courses taken more than five years ago will be considered on an individual basis and may have to be repeated. 9 Selections will be made in early June. Class size is limited. Students may apply as late as the first of August if openings

still exist. Prior to enrollment qualified applicants who have been accepted must submit a completed physical examination form and must meet the following immunization requirements:

a. Two step TB skin test b. Tetanus-diphtheria toxoid (Td) within the last 8 years c. Measles/Mumps/Rubella vaccination/s d. Varicella vaccination/s or proof of disease e. Three-injection hepatitis B vaccination series or serologic confirmation of immunity to hepatitis B virus 10 It is anticipated that criminal background checks may be required prior to program enrollment.

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Ranking of MLT Applicants A. ACT (all ACT & SAT scores are converted to Enhanced ACT)

17 = 0 25 = 8 18 = 1 26 = 9 19 = 2 27 = 10 20 = 3 28 = 11 21 = 4 29 = 12 22 = 5 30 = 13 23 = 6 31 = 14 24 = 7

B. Non-Science Hours in the Curriculum (16 total) Add total of non-science courses credit hours to GPA for those hours and divide the total by two C. Science Courses in the Curriculum (12 total) One point for each credit hour D. Total Grade Points: Science Courses in the Curriculum 4 = 1 28 = 7 8 = 2 32 = 8 12 = 3 36 = 9 16 = 4 40 = 10 20 = 5 44 = 11 24 = 6 48 = 12 E. Interview: maximum of 5 points on a scale of 1-5 F. Previous MLAB courses (for students re-entering the program) One point for each credit hour on courses with a C or better.

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Page two of the MLT application containing the signature acknowledging awareness of the Essential Functions: If you have ever been employed, list names and addresses of the three (3) most recent employers and the dates of employment: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Personal References Other Than Relatives: Full Name Complete Address-Zip Code Telephone Occupation 1._____________________________________________________________________________ 2._____________________________________________________________________________ 3._____________________________________________________________________________ RETURN COMPLETED APPLICATION TO: THE VICTORIA COLLEGE Medical Laboratory Technology Program 2200 East Red River Victoria, TX 77901 Desired Date of Entry: ________________ I have read the Health and Physical Ability Policy for the MLT Program (Essential Functions) contained in this information letter and to the best of my knowledge I meet of all of the items as listed. ___________________________________ ______________ Signature of Applicant Date FOR OFFICE USE ONLY

TSI: ________ ACT/SAT: ________ GPA: ________ Interview: ________ Physical: ________

THE VICTORIA COLLEGE

MEDICAL LABORATORY TECHNOLOGY PROGRAM

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2007-2008

S T U D E N T H A N D B O O K

I have read the MLT Student Handbook and have had the opportunity to ask questions concerning any information or policy contained therein, including the policies concerning infection control, progression in the program, and transportation to assigned clinicals, and completion of the program. ______________________________________________________________________________ Print Name Signature Date

Standard 12 The Victoria College code of student conduct (pages 153-155) is published in the Victoria College Student Handbook (pages 23 - 32). The students are made aware of these policies at the

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beginning of the fall semester. The MLT “Conduct in Affiliating Agency” is found in the MLT Student Handbook which is given to the students in the fall semester (page156).

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Conduct in Affiliating Agency (from the MLT Student Handbook) The policies and regulations of the affiliating agency(s) must be respected. Unnecessary and loud conversation must be avoided at all times. This applies to all areas of the hospital including the laboratory, corridors, elevators, cafeteria as well as patient care areas. Students are expected to be courteous and respectful to everyone at all times. No personal phone calls or visits are to be received or made during the clinical rotations. If an emergency call is necessary, the family of the student should know to route this to the Program Director's office where student schedules are posted. An effort will be made to locate the student through the instructor.

Students should only take a break with the knowledge and consent of the clinical instructor.

A visit to a hospitalized friend must be made at a time other than during the clinical laboratory period. Neither gum chewing, is eating, nor smoking permitted in the laboratory. Students who violate this policy may be suspended from the program. Upon review of the specific situation, the student may be re-admitted or may be dismissed from the program. The Program Director will withdraw any student upon request in writing from the affiliating agency, whose conduct or work in the opinion of the Administrator of the affiliating agency may have a detrimental effect on its patients or laboratory staff.

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Standard 13 A student folder is started at the time a student applies to the program. This folder includes a completed application, three character references, all college transcripts, high school transcripts (if applicable), and results of the ACT or SAT. At the time of admission the student is sent an acceptance letter and a physical form and an immunization form. A copy of the letter and the completed physical become a part of the student's folder. Each individual course generates grades and paper work. The grades are recorded in a computer program called Smaestro. Grades are also recorded on Excel spreadsheets for each course and kept on the computer in the Program Director's office. At the end of each semester, grades are electronically sent to the Registrar's office through a computer program (VCCIMS) followed by a hard copy signed by the instructor. Grades and credits are recorded on the student's transcript and kept indefinitely by the Registrar. The College records policy is found in the VC Student Handbook (page 158). Exams are kept in the Director's office until the student graduates. Each student has a folder for the clinical rotations. The folder contains the completed Practical Exam Evaluations, Section Evaluations, checklists, and results of exams for each section. The student folder (application, etc.) and clinical rotation folders will be kept indefinitely. The student files are open to them at any time and information is not released without the student's permission.

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Standard 14 Upon acceptance to the program the student must complete a physical examination. The students must meet certain immunization requirements (page160). The College does not have a student health service on campus. The College policy on student illness or injury is found after this narrative on pages 161-162. The policy for student health care in the clinical affiliates may be summarized by saying that if the student is injured related to the clinical rotation, the student may be treated in the emergency room by the ER physician. Emergency medical care is not provided on campus, but we feel that our close proximity to Citizens Medical Center (across the street) still affords the student with rapid access to emergency treatment. Laboratory safety is emphasized from the beginning of the program. During the first laboratory session in the fall of the first year (MLAB 1201) the students are given a handout on safety procedures to be followed while on campus. (MLT student lab safety policy as addressed in Standard 8A is found on page 100). The student laboratory follows OSHA guidelines. The student laboratory is equipped with a shower/eye wash station, a fire blanket and a fire extinguisher. All biohazardous material is placed in orange biohazard bags that are removed by Stericycle (hazardous waste Disposal Company). Students are required to wear gloves any time samples from the hospital are used as part of a lab exercise. Splash shields and protective eyewear is available for student use. Lectures on hepatitis and AIDS are covered during the first semester (MLAB 1335). The students adhere to the laboratory safety procedures of the hospital labs during their clinical rotations. The health care of the patients is safeguarded by the fact that the student trains under supervision of trained laboratory staff.

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Print Name: __________________________________ DOB: _______________________________

RECORD OF IMMUNIZATIONS NOTE: Please provide dates for each requested blank unless otherwise specified. TETANUS/DIPHTHERIA: Booster date: (____________)

(One dose of tetanus-diphtheria toxoid (Td) is required within the last ten years.)

MEASLES/MUMPS/RUBELLA: If born before January 1, 1957, either:

Proof of immunity to Rubella by Rubella titer: Immune Status/Date:( ) OR

M/M/R Vaccine (Date of injection): ( ) (retiter not necessary) If born on or after January 1, 1957, two doses of MMR are required:

Dose number 1 (Immunization received as infant may be used as first dose.) Dose number 2

OR Proof of immunity to Rubella by Rubella titer: Immune Status/Date:( ) Proof of immunity to Measles by Measles titer: Immune Status/Date:( ) Proof of immunity to Mumps by Mumps titer: Immune Status/Date:( )

2 STEP PPD TB TEST Note: TINE TESTS ARE NOT ACCEPTABLE

1.) Date of “first” skin test: (NOTE: must be within one year of second test) Reaction: mm induration

2.) Date of “second” skin test: (Note: must be within one month of start of academic year)_______________________

Reaction: mm induration If candidate has a positive PPD, has he/she been evaluated for/received INH chemoprophylaxsis?_____________

If previous positive PPD, date of chest x-ray within 6 months of admission date: ____________ Chest x-ray report: __________ HEPATITIS B SERIES:

Date of First Dose:

Date of Second Dose (One (1) month after 1st dose): _____________________

Date of Third Dose (Six (6) months after 1st dose):

OR Serologic confirmation of immunity to hepatitis B virus: Date:

Immune Status:

VARICELLA:

Date of 1st dose:

Date of 2nd dose: (Required if 1st dose was given after 13 years of age.)

OR Serologic confirmation of immunity to Varicella virus: Date:

Immune Status:

OR Complete form “Documenting History of Illness: Varicella (Chickenpox) Date of Illness: _________________

***(Healthcare Provider signature required)*** _____________________________________________________ ____________________________________ Signature of Healthcare Provider Date Revised 10/19/06 Victoria College Emergency Procedures

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Standard 15 The Student Services at Victoria College includes counseling services (academic, career, personal), student support services and Financial Aid. Excerpts from the Victoria College web site are found below. The MLT Program Director is also the faculty for the program, so he is intimately involved with all student related issues. The Program Director has an open door policy and encourages the students to come to him with any problems they are having that might impact their performance in the program. The Program Director sees the first year students approximately ten different times during the week and second year students at least twice during the week. Student issues are always handled in a confidential manner. Students are referred to other Student Services areas as needed.

Career Resource Center Welcome to The Victoria College Career Resource Center. Our office is located in the Administration Building in the Counseling Services Office, Room 105J. Utilizing job market information, interest inventories, and other career-related resources, the Career Resource Cen... College Central College Central is your ONE STOP for Admissions and Records Financial Aid Information Parking Decals Student Payments Testing Information Transcript Requests General Information Located: Administration Building across from... Copy Services Copy Request Form Signage/Name Badge Request Form Other Services Located in the College Services & Training Building, Suite 100 Fall/Spring Office Hours: Monday - Thursday: 8:00 am to 6:30 pm Friday: 8:00 am to 4:00 pm ... Counseling Services The Counseling Services Office is located in the Administration Building, Room 105. Counseling Services is responsible for providing a range of services including tutoring, assessment, career counseling, educational counseling, orientation, personal counseling, recruiting, and ... Disability Support Services Services are arranged on an individual case-by-case basis for qualified persons with learning, physical or other disabilities. Prospective students who may qualify are encouraged to contact Jose Sanchez or Elma Saenz at least one month prior to registration for services to be c... Financial Aid A variety of state and federal funds are available to assist eligible students. An enrollment of at least half-time status (six or more credit hours) is recommended for students to be eligible for most programs. Students must be enrolled and attending classes that pertain... K.E.Y. Center The K.E.Y. Center (Knowledge, Exploration, and You) provides services to help students stay in college and graduate. Our program is sponsored by Victoria College and funded through the U.S. Department of Education. Career Exploration Workshops Don't know what you want to... Testing Center Victoria College is a test center for the THEA, ACT, SAT, GED, CLEP, DANTES, Compass test and Re-Test , Quick THEA, ASE, EPA Technician and Correspondence Exams, Nursing Entrance Test, Spanish Placement Exam, TCLEOSE, VCT courses, and VC Online courses. 2007 - 2008 Aca... Transfer Center The Transfer Center houses information to assist students who want to transfer to another institution of higher education to complete their educational goals. Some information and services available Catalogs/brochures from various colleges and universities (in and out o... Tutoring Center The Victoria College offers free tutoring services to all students who need academic assistance. Student Support Services offers a Tutoring Center, located in the Continuing Education Center, Room 100, and a Reading Room in CEC 102. The Center has tutors on duty to cover the ba... Veterans Affairs Veterans' Assistance: Montgomery GI Bills & Dependent Benefits, Vocational Rehabilitation Benefits Becky Payne VA Certifying Official 361-572-6411 [email protected] Hazelwood Benefits Financial Aid Office 361-572-6415 Wanda.Taylor@vic...

http://www.victoriacollege.edu/index.php?option=com_content&task=view&id=50&Itemid=291











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Standard 16 The Victoria College code of student conduct and student's rights and responsibilities (academic and nonacademic grievances and appeals procedures (page 165)) are published in the Victoria College Student Handbook (pages 23 - 32). The students are made aware of these policies at the beginning of the fall semester. If the student has a grievance in a first year campus MLT course, they are encouraged to first contact the instructor who in turn will direct the matter to the Program Director. Should the need arise; the matter is then referred to the Chair of Allied Health, and Vice President of Instruction, in that order. In the second year clinical rotations, the student is encouraged first to discuss the matter with the clinical instructor. If the need arises, a conference between the student, clinical instructor, clinical coordinator and Program Director will be held. If need be, the chain of command mentioned above will then be followed.

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V. OPERATIONAL POLICIES Standard 17 FAIR PRACTICES A. The MLT program is presented to the public in the College Catalog (curriculum and course descriptions), the MLT Information letter, and the MLT Departmental web page. NAACLS name, address, and telephone number are included in the college catalog, MLT Information Letter, and MLT Departmental web page. From the MLT Information letter and college catalog: The Victoria College offers a two-year program in Medical Laboratory Technology, which leads to an Associate of Applied Science degree. Upon successful completion of the program the graduate will be eligible to take a National Certification Examination at the MLT level. The MLT program is accredited by NAACLS(National Accrediting Agency for Clinical Laboratory Science, 8410 W. Bryn Mawr, Suite 670, Chicago, IL60631-3415, (773) 714-8880, www.naacls.org). B/C. Non-Discrimination Statement form The Victoria College catalog (p. 1): “The Victoria College is an Equal Opportunity Employer. The Victoria College does not discriminate on the basis of national origin, race, color, religion, age, gender, disability, or Veteran status. It is our policy to comply fully with the nondiscrimination provision of all state and federal regulations with regard to recruitment, admission, financial aid, activities, hiring, promotions, training, terminations, benefits and compensation." D. The College Catalog accurately states academic credit and costs for course work. The costs may be found on pages 54-57 of the catalog. The costs are also published in the Course Schedule for each semester. E. The policy for student withdrawal is found on pages 30-34 of the College Catalog. The refund policy is found on pages 60-62 of the catalog. Withdrawal and refund policies are also included in the Course Schedule for each semester. F. The Victoria College conducts only the Medical Laboratory Technician program and does not have a Medical Technology program. G. The MLT program culminates in an Associate degree in Applied Science. The students are not required to pass any type of external certification in order to be granted the associate's degree. The requirements for granting the degree are discussed in Standard 9B on page 117. An excerpt from the MLT Student handbook: GRADUATION REQUIREMENTS In order to graduate the student must do the following: 1. Complete all courses in the MLT curriculum as outlined in the college catalog. 2. Have an overall 2.0 G.P.A. on all courses 3. Satisfy all other requirements for the Associate of Applied Science degree as outlined in the college catalog. 4. The students are not required to pass any type of external certification in order to be granted the associate's degree.

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H. Student complaints are handled according to guidelines set forth in the MLT Student Handbook and the Victoria College Student Handbook. The following is from page 7 of the MLT Student Handbook:

STUDENT COMPLAINTS/GRIEVANCE If a student has a complaint or grievance during the first year campus courses, they are encouraged to discuss the complaint with the college instructor followed by the Program Director. If a student has a complaint or grievance during the second year clinical courses, they are encouraged to discuss the complaint with the Clinical Instructor, followed by the Clinical Coordinator and then the Program Director. If the complaint is not addressed to the student’s satisfaction they are directed to the Allied Health Division Chair. If the complaint is still not addressed satisfactorily the student is instructed to fill out the Victoria College Instructional Complaint/Appeal Form found on page 21 of the Victoria College Student Handbook and to follow the procedure outlined on page 31 of the VC Student Handbook.

I. Program evaluation information including graduation, placement, and certification pass rates are made available during the Self Study/Reaccreditation process and during the required annual report to NAACLS.

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VI. PROGRAM EVALUATION Standard 18: The program is evaluated by a variety of means. One tool is the Self Study report required for re-accreditation. Other tools revolve around the use of surveys and evaluations. The students are involved in the evaluation process. They fill out evaluation forms on the instruction of the first year courses taught on campus as well as evaluations of their clinical rotations. Evaluations of the first year course are reviewed by the Program Director and the Chair of Allied Health. The evaluations from the clinical rotations are reviewed by the Program Director. Approximately six months (in November) after graduation, the graduates are sent a survey. Subsequently, their employer's are sent a survey. These are reviewed by the Program Director and the Chair of Allied Health. The Program Director receives feed-back from the clinical affiliates on an informal basis and at yearly meetings. The Advisory Committee meets twice a year and reviews the program goals and the results from the Board of Registry examination results. Evaluation instruments are found on the following pages: Evaluation of first year instruction by student: page 169 Graduate Follow-up survey: page 170 Employer Follow-up survey: page 172 Evaluation of student by clinical instructor: page 173 Evaluation of clinical instructor by student: page 176

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THE VICTORIA COLLEGE MEDICAL LABORATORY TECHNOLOGY PROGRAM CLINICAL ROTATION EVALUATION FORM STUDENT: __________________________ HOSPITAL: ________________________ SEMESTER/YEAR: ____________________ SECTION: __________________________ INSTRUCTIONS: Circle the number of the statement or underline the part of the statement which best

describes the performance of the student while in your section. Use the space at the end of each category to make remarks or give examples. If you are unable to comment concerning a behavior, please mark NA in the comment area.

I. SKILLS AND COMPETENCY IN TEST PERFORMANCE

A. QUALITY OF WORK: 1. Student is careless, needs constant supervision. Frequent errors with no attempt at correction. 2. Work is borderline. Student's work must always be carefully checked for errors. 3. May occasionally make mistakes but seldom repeats the same error. 4. Better than average work. It is almost always complete and thorough. 5. Excellent work. Consistently performs tests with precision and accuracy.

COMMENTS:_________________________________________________________________________

B. QUANTITY OF WORK: 1. Student works very slowly, seldom completes assignment on time. Wastes time. 2. Works slowly, produces only enough to get by. Could do more. 3. Average, completes assignments in expected time. 4. Better than average speed, does more than is expected. 5. Consistently a top performer, exceptionally fast worker.

COMMENTS:_________________________________________________________________________

C. ACCURACY IN PREPARING LABORATORY RECORDS: 1. Student prepares records without checking implausible data and/or contains frequent

transcription errors. 2. Student prepares records which are illegible. 3. Student prepares accurate written records which are legible but messy. 4. Student prepares accurate records which are legible and neat. 5. Student consistently prepares accurate records which are legible and neat.

COMMENTS:_________________________________________________________________________ D. ORGANIZATION:

1. Unable to organize work in an efficient manner. 2. Able to handle only a minimal number of tasks at a given time. 3. Handles several tasks with minimal difficulty. 4. Handles multiple tasks with an awareness of priority. 5. Handles multiple tasks efficiently. Anticipates future and plans accordingly.

COMMENTS:_________________________________________________________________________

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E. PERFORMANCE UNDER PRESSURE (AS A STUDENT, NOT A GRADUATE): 1. The student is totally unable to perform under stress. 2. The student easily becomes flustered and makes frequent mistake. 3. The student becomes flustered but functions at an acceptable level. 4. The student is able to adapt most of the time and functions at an acceptable level. 5. The student is able to assess priorities and performs well under pressure.

COMMENTS:_________________________________________________________________________

F. ABILITY TO FOLLOW DIRECTIONS: 1. Student is inattentive or refuses to listen to instruction. 2. Student confuses directions and is unable to follow instructions. 3. Student appears to listen carefully; however, frequently asks unnecessary questions or does not

think about instructions before proceeding. 4. Student listens carefully and then proceeds with only minimal further instructions. 5. Student listens carefully, thinks about what he is to do and then proceeds correctly.

COMMENTS:__________________________________________________________________

II. PROFESSIONALISM

A. DEPENDABILITY: 1. Student is unreliable; needs detailed supervision and follow-up. 2. Somewhat unreliable; requires occasional checking on routine important matters. 3. Usually can be depended upon but must be checked on more important matters. 4. Can be depended upon to follow instructions carefully and correctly. 5. Can always be relied upon completely, merits utmost confidence.

COMMENTS:_________________________________________________________________________ B. INITIATIVE:

1. Tends to avoid responsibility and look for ways to avoid assigned tasks. 2. Must be constantly reminded or urged to complete assignments. 3. A routine worker. Does only what is required. 4. Completes assignments without further reminder and occasionally seeks additional tasks. 5. Possesses unusual degree of self-reliance. Exercises independent thought and action. Sees

what needs to be done and does it.

COMMENTS:_________________________________________________________________________ C. ATTITUDE:

1. Indifferent, makes no effort to improve. Resents constructive criticism. 2. Minimal interest shown in the department and in self-improvement. Little response to

constructive criticism. 3. Satisfactory interest, responds well to suggestions for improvements.

4. High level of interest shown. Response is above average to suggestions for improvement. 5. Superior interest shown in work; eager to learn. Welcomes constructive comments and acts on

them. COMMENTS:_________________________________________________________________________ D. PERSONAL RELATIONS:

1. Is the focal points of many conflicts. 2. Is uncooperative and non-communicative. 3. For the most part is easy to work with but has occasional conflicts. 4. Generally adapts self to persons and situations. 5. Promotes harmony when dealing with others. Good team worker.

COMMENTS:_________________________________________________________________________

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E. ATTENDANCE: 1. Unreliable, often absent without good reason. Habitually late, leaves the department without

notifying person in charge. 2. Frequently absent or late without good reason. Looks for reasons to leave the department. 3. Occasionally late or absent. 4. Very punctual, usually has legitimate excuse when late or absent. 5. Extremely conscientious, late or absent only when unavoidable. Will offer to work during

break-time or to stay late.

COMMENTS:_________________________________________________________________________

STUDENT'S POINTS (55 maximum): _______________________ SIGNATURES: My signature indicates that I have evaluated the student in the above areas. Clinical Instructor (Date) My signature indicates that I am aware of the contents of this evaluation. Student (Date) My signature indicates that I am aware of the contents of this evaluation. Program Director (Date)

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EVALUATION OF CLINICAL ROTATION BY STUDENTS Section: __________________________ Hospital _________________________________ The purpose of this evaluation is to enable us to make improvements in our teaching. Please be as honest and frank as you can. Do not sign your name. In the following numbered statements, choose the opinion which best expresses your concept of your instruction in this section. Evaluate your experience as a whole, don't allow a specific incident to influence your overall evaluation.

Very Good Good Average Poor Very Poor 5 4 3 2 1

1 2 3 4 5 1. Gets me interested in the topic.

2. Stresses important material.

3. Makes good use of examples and illustrations.

4. Inspires my confidence in his/her knowledge of the topic.

5. Is clear and understandable in explanations.

6. Allows me to ask questions whenever I need to.

7. Seems to know his/her subject well.

8. Established a good teacher-learner relationship.

9. Seems interested in teaching.

10 Explains what he/she is doing while demonstrating.

11. Emphasizes accuracy rather than speed during early practice.

12. After teaching a procedure, stays with me long enough to make sure the correct procedure has "taken hold."

My overall rating of the instruction is: (A) Excellent (B) Superior (C) Very Good (D) Good (E) Fair (F) Poor Please comment on why you selected the letter you did (optional).

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Standard 19 The Program Director reviews the results from the Program Performance Report each time it is received. Overall pass rates, analysis of sub-content areas, and a review of individual student results is carried out. BOR results are compared to the student results on their Exit Exam given in the final semester of the program. All of this data is looked at with the goal of strengthening areas of weakness. BOR results are reviewed annually at the Advisory committee meeting.

BOR Results Last Year (2007) Two Years Ago (2006) Three Years Ago (2005)* Graduates 10 9 9 Number taking Exam 9 7 *9 Pass Rate (%) 100% 86% 100% Program Mean Score 519 470 506 National Mean Score 488 491 487 * 1 graduate took AMT, not BOR; results are from the 8 that took the BOR

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Standard 20 Graduation rates and Employment rates are tracked with each graduating class. Attrition is analyzed as to being due to academic or personal (including financial). Graduation and Employment rates are evaluated through Graduate and Employer surveys. Results are reviewed by the Program Director, Allied Health Division Chair, and the Advisory Committee (December, 2006 page 79). Class Start Graduate Employed 2008 14 10 9 2007 14 10 9 2006 14 9 7 2005 12 9 9

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Standard 21 Evaluation of the program has resulted in one major change in the curriculum. Discussions related to these changes are contained in the MLT Advisory Committee minutes from March, 2003 found on page 77. A change was made in the Chemistry requirements for the program. Beginning in the Fall of 2003, one semester of Introductory Chemistry was required in the first semester of the program instead of two semesters of General Chemistry. The reason for the change was to potentially increase enrollment and decrease attrition. The premise for increasing enrollment was that decreasing the Chemistry requirement might not cause some students to avoid the program because they didn’t want to take a year of General Chemistry. The premise for decreasing attrition was that if the students were in Introductory Chemistry instead of General Chemistry during the first semester it would allow them to perform better in the MLAB courses. Subsequent analysis of these goals indicates that they have been met. The six classes prior to the change were compared to the 5 classes since the change. Prior to Curriculum change (two semesters of General Chemistry required) Class Graduation

Date Accepted Started Graduated Failed Attrition

16 1999 14 13 8 5 38 % 17 2000 14 13 7 6 46 % 18 2001 9 6 3 3 50 % 19 2002 12 10 7 3 30 % 20 2003 13 13 9 4 31 % 21 2004 13 10 6 4 40 % Average 12.5 10.8 6.7 4.2 39 % After Curriculum change (one semester of Introductory Chemistry required) Class Graduation

Date Accepted Started Graduated Failed Attrition

22 2005 13 12* 9* 4 33 % 23 2006 14 14 9 5 36 % 24 2007 14 14 10 4 29 % 25 2008 14 14 10 4 29 % 26 2009 14 11 3 27 % Average 13.8 13 9.5 4 31 % * One student from a previous class graduated with class #22; only 12 students started in Class #22 Explanation: Some students were accepted but declined for personal reasons to enter the program just prior to registration. Attrition rates were based on students who started. Conclusion: The number of students accepted increased from an average of 12.5 to 13.8. Attrition decreased from 39% to 31%. Eight of the 25 students who failed prior to the

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curriculum change failed during the first semester when they were taking General Chemistry along with other required courses.

Documents

Medical Laboratory Technician - Associate Degree program