Medical Technologist, Lead

Nantucket Cottage Hospital

Job Description

Responsible for the technical oversight of the Laboratory. Conduct complex analysis of laboratory specimens according to established protocols and procedures, conduct quality assurance checks and maintain instruments.


Specimen Handling

Collects and processes specimens in accordance with Laboratory procedures as follows:

collects specimens and processes correctly;

determines acceptability of specimens submitted to the lab;

notifies Phlebotomist, Nurse or Doctor of unacceptable specimens and documents the incident(s); and

instructs, when applicable, the Phlebotomist, Nurse or Doctor on proper specimen collection.

Judges appropriateness of test order and checks questionable order with Laboratory Manager/designee, Nurse or Doctor.

Handles and disposes of laboratory specimens in accordance with laboratory safety procedures using personal protective equipment as required by:

disposing of bio-hazardous waste and sharps correctly;

maintaining a clean work area and disinfects as specified; and

consulting safety manual and MSDS when cleaning a spill or disposing of chemical waste.

Must be familiar with LIS (Laboratory Information System).

Testing/Analytical Procedures

Accurately and appropriately test specimens/samples according to established protocols and procedures.

Evaluate specimens for acceptability; document activity; and maintain records

Record and report specimen test results in a timely manner

Report STAT, abnormal and critical value results; document special handling for test results that do not meet established criteria.

Follow established quality control procedures; conduct quality control reviews and report problems.

Accurately analyze and evaluate quality controls; document controls used; and report anomalies.

Perform equipment maintenance and calibration as needed or according to established schedule

Troubleshoot instrument problems, reagents and patient specimens when necessary following established protocols.

Comply with all infection control and patient safety protocols; attend all required safety training programs; follows the established exposure control plan.

May lead the work of assigned Medical Laboratory Technicians, Lab Assistants or other designated personnel.

Demonstrate a level of respect and regard for the dignity of all patients, families, visitors, and fellow associates to ensure a professional, responsible and courteous environment is always maintained.

Quality Control

Performs required QC procedures in accordance with laboratory procedures by:

recording and evaluating QC results at the time they are performed, before patient results are reported;

recognizing out of control results following QC rules in the procedures;

evaluating and troubleshooting out of control results with the help of the Lab Manager or Technologist if necessary; and

documenting problems and resolutions on QC Problem L

Performs required preventive maintenance and function checks on instruments in accordance with laboratory procedures as follows:

following laboratory procedures for operation and maintenance of instruments, documenting results and corrective action for problems; and

keeping instruments clean.

Notifies Laboratory Manager and/or Lead Technologist of problems that cannot be resolved (discrepant results, non-functioning equipment, problems with reagents or QC results) before patient care and work flow is compromised by the delay.


Works with Lab Supervisor and Manager to select new appropriate test methodologies.

Verifying the test procedures performed, and establishing the laboratorys test performance characteristics, including the precision and accuracy of each test and test system.

Enrolling and participating in CAP approved proficiency testing program commensurate with the services offered.

Establishing and maintaining a quality control program appropriate for the testing performed, establishing the parameter for acceptable levels of analytic performance, and ensuring that these levels are maintained throughout the entire testing process from the initial receipt through sample analysis and reporting of test results.

Resolving technical problems, and ensuring that remedial actions are taken whenever test systems deviate from the laboratorys established performance specifications.

Ensuring that patient test results are not reported until all corrective actions have been taken and the test system is functioning properly.

Identifying training needs, and ensuring that each individual performing tests receives regular in-service training and education appropriate for the type and complexity of the laboratory service performed.

In coordination with the Laboratory Supervisor:

Evaluating the competency of all testing personnel, and ensuring that the staff maintains their competency to perform test procedures and report test results promptly, accurately, and proficiently. The procedures for evaluation of the competency of the staff must include.

Directly observing routine patient test performance. Including patient preparation, if applicable, specimen handling, processing and testing.

Monitoring the recording and reporting of results

Reviewing intermediate test results or worksheets, quality control records, proficiency testing results, and preventative maintenance and function checks.

Directly observing performance of instrument maintenance and function checks

Assessing test performance through testing previously analyzed specimens, internal blind testing samples, or external proficiency testing samples

Assessing problem solving skills.

Evaluating and documenting the performance of individuals responsible for high-complexity testing at least semiannually during the first year the individual tests patient samples. Thereafter, evaluations must be performed at least annually unless test methodology or instrumentation changes; in which case, before reporting patient test results, the individuals performance must be reevaluated to include the new test method or instrumentation.


Answers the telephone as courteously and quickly as possible, taking messages, providing routine information, and/or referring call to appropriate party.

Files laboratory reports as required.

Competency to use a PC to include a variety of software applications specific to the lab and the hospital


Uses appropriate oral and written communication skills to clearly and effectively present relevant ideas or information by:

reporting to Laboratory Manager any problems or suggestions;

Exchanging job related information with co-workers;

awareness of lab changes by attending lab meetings;

communicating with physicians, clients, and co-workers in a courteous manner;

providing support in implementation of new procedures and routines;

contributing to harmonious and effective working environment within the department;

seeking out opportunities to enhance personal professional development; and

Reading communication log daily.

Other Departmental Responsibilities

Trains new employees.

Reviews technical procedures as required and recommends appropriate changes.

Attends Continuing Education programs, when available, and reads laboratory journals to keep current on new advances in instrumentation, techniques and procedures.

Assists in collecting data for quality assurance monitor, new method or instrument validation or other special projects.

Essential Knowledge, Skills, and Abilities Required for the Position

Knowledge of:

Established laboratory protocols and standards

Basic use of computer software / hardware


Must be able to demonstrate adequate technical skills and judgment to function unsupervised during on-call, second shift, and weekend hours.

Mathematical skills and the ability to execute moderately complex computations

Good organizational skills and the ability to maintain information in a logical manner

Strong observation and analytical skills, and the ability to thoroughly document.

Leadership skills and the ability to coordinate the work of others.

Ability to:

Demonstrate proficiency testing

Facilitate an environment of collaboration and teamwork

Make independent decisions, work under pressure and meet deadlines

Ability to assist volunteers and new hires with laboratory procedures

Ability to tactfully communicate with both internal and external customers.

Ability to handle stress and work in emergency situations. Ability to use of fingers and hands to operate all laboratory-related equipment as described on the Laboratory Department checklist. Additionally, must use beeper, telephone, calculator, fax, and other related office equipment.

Ability to stand and walk constantly.

Ability to lift up to forty (40) pounds unassisted.

Ability to bend, twist, crouch, squat, pull, push, reach, and remain stationary for short period of times and perform repetitive motions.

Frequent bending, twisting, crouching, squatting, pulling, pushing, and reaching required, as well as the ability to remain stationary for short periods and perform repetitive motions

Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.

Credentials and Experience Required

Associates Degree required.

At least 3 years prior experience preferred.

American Society for Clinical Pathology (ASCP), American Medical Technologies (AMT), Health and Human Services (HHS) and/or equivalent certification required.

Special Requirements

Although the position generally works the day shift, evening shift assignments, as well as the need to be on-call on a rotating basis for evening/nights, weekends, and holidays are required.

Must be available to work overtime as needed to complete all job duties.

Must be available to work in the case of a Hospital declared emergency.