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The Clinical Laboratory at Zuckerberg San Francisco General provides laboratory testing services for inpatients and outpatients of ZSFG, Laguna Honda Hospital, District Health Centers, and other facilities under the auspices of the SF Public Health Department. The primary responsibility of this position is pre-analytical laboratory testing procedures.  Additional responsibilities include: 1) answering telephone inquiries for laboratory results, including critical results and laboratory-related questions, and instructing patients and healthcare providers for specimen collecting; 2) outpatient laboratory registration; 3) Phlebotomy.   
 

Under supervision, the Hospital Laboratory Technician 1 PD performs repetitive, technical laboratory procedures that require special training and skill typically with theoretical background in one scientific field.  Incumbents usually perform duties of limited variety and work under close technical supervision, in their initial assignments. 

The laboratory services described below are expected to be performed efficiently and accurately, and all University, ZSFG, and departmental policies are strictly adhered to. Errors in these laboratory services can be dangerous to patients and could be highly disruptive to the patient, the individuals caring for the patient, and the laboratory staff. This position performs all duties in a manner that denotes the team concept and reflects the UCSF and ZSFG mission, vision, and values. The Hospital Lab Technician 1 is required to follow all health and safety precautions and procedures as mandated by regulatory agencies and comply with all UC, ZSFG, and Clinical Laboratory policies. For questions, please send an email to jhyme.laude@ucsf.edu. 

Hospital Laboratory Technicians perform a wide variety of technical procedures in a hospital laboratory or other facility directly involved in patient-care activities; and perform other related duties as required.

The technical determinations made are in one or more fields of hospital or laboratory procedure, and either directly or indirectly yield technical data about patients. The fields include biochemistry, microbiology, hematology, hemodialysis, and may include specialized work in areas such as ophthalmology, dental prosthetics, and pathology. Installation, operation, and maintenance of laboratory equipment and instruments may be a secondary, but essential part of the duties. The primary usage of the technical data yielded is related to direct patient care; however, this data may be used for research purposes secondarily.

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of time

Key Responsibilities

40

   Yes

A. Pre-Analytical and Analytical

DATA ENTRY, PROCESSING, and RECEIPT STAT/ROUTINE SPECIMENS

Perform pre-analytical laboratory testing procedures for patient specimens requiring various Chemistry, Hematology, or Serology testing.  Specimens consist of blood, urine, stool, and other body fluids. Enters patient data and test requests into the laboratory information system.  This requires knowledge of all the appropriate computer functions and options, as well as good typing skills.  Clarifies test requests by contacting the physician/unit/clinic. Handles all specimens in accordance with infection control guidelines and uses appropriate personal protective equipment. 

STANDARDS

1. Prioritization of blood, urine, stool, and body fluid specimens as they are delivered to the laboratory through a pneumatic tube system or messengers, based on ordered priority or stability requirements, as STAT or routine.
2. Timestamps requisitions and reviews tests requested. Follows the laboratory's specimen and requisition acceptance and rejection policy to ensure each specimen is labeled properly and each requisition is complete.
3. Knowledgeable about tube and volume requirements for most ordered tests. 
4. Knowledgeable about which tests require special handling regarding temperature, time, and centrifugation. 
5. Use the Clinical Lab Processing Guide as a resource for additional information.
6. Resolve problems/discrepancies or notify a supervisor to assist.
7. Completes data entry and processes all STAT and routine specimens within the laboratory's stated turnaround time standard.
8. Responsible for minimizing data entry errors by verifying all typed data.
9. Centrifuges, aliquots, and labels all specimens accurately according to test requirements.
10. Deliver specimens to the appropriate testing area. 
11. Follows procedures for preparation and sending specimens out to reference labs.

12. Performs the computer registration process.

13. Ensures requisition data is complete and contacts the clinic or physician for missing/unclear information.

14. Communicate with a supervisor and engineering when there are issues with the pneumatic tube system.

15. Maintain a continuous flow of specimens for aliquoting by organizing your workload efficiently.

16. Package specimen for sending out to the Referral Laboratory when assigned to that rotation or when a send-out person is not available.

17. Monitors and completes add-on requests.

CUSTOMER SERVICE/ INQUIRY/ PHLEBOTOMY and SPECIMEN COLLECTION 

Accurately and clearly communicates and provides excellent customer service, whether in person or by phone. Phlebotomy requires the use of evacuated tubes and needles (straight or butterfly) for obtaining blood specimens by venipuncture.

STANDARDS

1. Uses a multi-line telephone system to answer and transfer incoming calls into the laboratory. Connects callers to appropriate areas of the laboratory. Uses the overhead paging system or takes messages as needed.
2. Answers questions and communicates information obtained from the Clinical Lab Processing Guide (e.g., specimen collection requirements and instructions, turnaround times. Reads patient test results found in the laboratory computer system (Epic-Beaker) to hospital healthcare providers.
3. Telephones healthcare providers to report specimen problems and critical patient results.
4. Files patient requisitions for scanning.
5. Provides specimen containers and gives instructions for the collection of random urine, clean catch urine, 24-hour urine collections (with or without preservatives), and stool specimens for bacteriology and parasitology.
6. Consult with the supervisor for inquiries concerning esoteric testing.

7. Properly identifies patient by checking patient ID card/wrist band to ensure proper match of patient with test requisition/lab labels. Verify the patient's name and birth date to confirm identification.

8. Knowledgeable of tube and volume requirements and proper specimen labeling.  Refers to the Clinical Lab Processing Guide as a resource whenever additional information is needed.

9. Uses established blood draw techniques, including venipuncture site identification and preparation. Skillfully uses appropriate equipment and employs post-venipuncture care. 

10. Administers a glucose drink for glucose tolerance or post-loading tests. Determines collection time(s) and properly collects/stores timed and labeled sequential blood draws for glucose tolerance.

11. Provides specimen containers and gives instructions for the collection of random urine, clean catch urine, 24-hour urine collections, urine AFB, and stool specimens for bacteriology and parasitology.

12. All specimens for the Blood Bank must be dated and legibly signed by the person who obtained the blood. Knowledgeable of tube and volume requirements and proper specimen labeling. Refers to the Clinical Lab Processing Guide as a resource whenever additional information is needed.

13. Collects appropriate specimens for blood culture, including bacterial, AFB, or fungal analysis. Carefully selects sites and cleans the site as appropriate for blood culture collection.

14. Uses safety collection devices. Adheres to ZSFG Infection Control policy regarding proper health and safety requirements.

15. Receives and documents specimens for laboratory testing. Ensures proper specimen transport by proper racking and/or bagging specimens, proper clocking and routing of specimens in a timely manner to the appropriate Lab processing area.

16. Inventory of phlebotomy station.

AUTOMATION/ INSTRUMENT

STANDARDS

1. Operate the instrument and manage workflow efficiently, which includes, but is not limited to, prioritizing and sorting samples and assessing sample and/or container integrity. 
2. Troubleshoots and addresses issues with samples and workflow accordingly and promptly 
3. Performs emergency, routine, and scheduled preventive instrument maintenance in accordance with procedures. Recognizes and addresses instrument issues in a timely manner. 
4. Troubleshoot the instrument with minimal or no assistance from the service technical team/vendor hotline and/or lab supervisor.
5. Troubleshoot the instrument correctly and appropriately using good judgment and knowledge of the instrument. Utilize troubleshooting time efficiently while minimizing negative impacts on turnaround time and patient testing.
6. Document and communicate all instrument issues and corrective action/s promptly and accurately to team members, specialist/s, and supervisor/s.
7. Use appropriate documentation and/or logs specific to issue/communication/ QA activity.
8. Appropriately escalate issues to CLS and/or specialists and/or department supervisor/s

9. Inventories and replenishes on-board instrument reagents and/or supplies.

10. Review and add tests appropriately, promptly, manually, and/or using LIS tools and capabilities. 

B. Operations

STANDARDS

1. Successfully complete all training in areas assigned by supervisor/s.
2. Reads, comprehends, and keeps pace with new and/or modification/s in policies and procedures. Fully understands and follows established procedures and policies. Appropriately refers any question that is beyond the scope of the policies to a senior team member and/or specialist/s and/or supervisor/s 
3. Manages workflow in the area to meet established turnaround-time standards for all tests-Notifies appropriate laboratory and hospital personnel when turnaround times are expected to be impacted or delayed.
4. Appropriately and correctly responds to inquiries regarding sample requirements, laboratory testing, and sample status with minimal assistance.
5. Promptly and effectively follows through on issues.
6. Demonstrates awareness and recognition of the team's need. Assist co-workers when help is needed to meet team and departmental goals. Assist colleagues and laboratory leadership when sam...