MLT 246 - Chemistry Practicum

This course provides students the opportunity to rotate through the chemistry department where they will perform analytical testing on blood and other body fluids. Students will perform quality control, calibration, preventative maintenance, and corrective action in the hematology department. Classroom knowledge will be directly applied to the clinical setting.

Corequisites: MLT 243 Clinical Chemistry II  
Prerequisites: Successful completion of MLT 241 Clinical Chemistry I  
Student Learning Outcomes and Objectives:
Student Learning Outcomes

1. Demonstrate knowledge of the preanalytic, analytic, and postanalytic phases of testing in chemistry.
2. Collect and process biological specimens and perform chemistry tests on blood and other body fluids.
3. Monitor and evaluate quality control, recognize results discrepancies, and take appropriate corrective actions.
4. Perform preventive and corrective maintenance on laboratory equipment or refer to proper sources for repairs.
5. Work collaboratively with laboratory and healthcare personnel while maintaining respect for their roles and patient care.
6. Relate laboratory findings to common disease processes.

Chemistry Rotation Student Clinical Objectives

1. Explain appropriate collection, transport, and identification methods for chemistry samples, considering factors like fasting state, temperature, and speed of analysis.
2. Identify criteria for rejecting specimens based on factors such as lipemia, hemolysis, and light exposure.
3. Maintain accurate records and report both normal and critical values according to lab protocols.
4. Practice safe handling and disposal of samples in compliance with lab procedures.
5. Implement quality control (QC) measures for chemistry tests, evaluating and recording QC data and taking corrective actions when QC results fall outside acceptable ranges.
6. Identify and describe each chemistry instrument, including primary components, type of analysis performed, and function of each component.
7. Operate each instrument independently, following manufacturer guidelines.
8. Demonstrate competency in each chemistry test by:
   • Describing reagent functions and preparation.
   • Calibrating and programming the instrument.
   • Preparing samples (if applicable) and producing valid patient results.
9. Perform routine maintenance on chemistry instruments, identifying and troubleshooting issues to ensure reliable operation.
10. Identify and explain the clinical significance of tests within the following profiles:
    • Electrolyte Profile (Lytes)
    • Basic Metabolic Profile (BMP)
    • Comprehensive Metabolic Profile (CMP)
    • Hepatic Profile (LFT)
    • Renal Function Profile (Serum tests & 24-hour Urine Creatinine)
    • Cardiac Testing (Troponin, CK, CK-MB)
    • Iron Studies (TIBC, % Saturation)
    • Thyroid Studies (TSH, Free T4, Total T4)
    • Diabetes Studies (Fasting Glucose, HbA1c)

Affective Clinical Objectives

1. Attendance and Punctuality:
   • Arrive on time and begin work promptly.
   • Inform the instructor when leaving the area and stay late when necessary.
   • Limit lunch/coffee breaks to allotted time.
2. Cooperation with Personnel:
   • Maintain a pleasant, professional attitude.
   • Work well in a teacher/student setting.
   • Respect and understand cultural diversity.
   • Keep the work area clean, neat, and organized.
   • Use reagents and supplies efficiently.
3. Professionalism and Ethical Responsibility:
   • Be alert, attentive, and detail-oriented.
   • Complete required assignments and seek additional work when needed.
   • Show empathy and respect for patients of all ages and cultural backgrounds.
   • Take appropriate actions to correct errors or resolve conflicts.
   • Maintain professional composure and appearance.
   • Handle specimens and materials accurately.
4. Utilizing Constructive Criticism:
   • Respond positively to suggestions and constructive feedback.
   • Acknowledge mistakes and take steps to avoid future errors.
5. Adaptability:
   • Ask relevant questions and follow written procedures.
   • Display attention to detail and confidence after instruction.
   • Handle equipment properly and perform maintenance as needed.
   • Adhere to universal precautions and lab safety regulations.