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1 Access to Periodicals Booker Health Sciences Library The Booker Health Sciences Library was formed from the collections of the former Medical Library and the Ann May School of Nursing Library to provide resources in print, non-print and electronic formats to meet the information, education and research needs of the JSUMC community, including physicians, house staff, nurses, other health care professionals, managers, administrators, team members, students, the public, patients, and their families. The Booker Health Sciences Library was made possible through generous gifts from the Jane H. and J. Marshall Booker Charitable Foundation, the Mildred H. Rosa Charitable Trust, Jean and Don Lass, the JSUMC medical/dental staff and the Nurses for Knowledge Campaign. Hours: Monday - Friday 9:00 am - 5:00 pm or 24 hour with security badge access. http://intranet.meridianhealth.com/index.cfm/ClinicalInformation/BookerLibrary/in dex.cfm Location The library is located in the Booker Pavilion of Jersey Shore University Medical Center campus. Collection The collection numbers over 5,000 books, 8,000 bound journal volumes and 2,000 audiovisuals. The library subscribes to approximately 350 periodicals. Computers There are 13 computers for patron use on a first-come, first-served basis. Each computer has Internet access, bibliographic databases in medicine (MEDLINE), nursing (CINAHL), health administration (HealthSTAR), bioethics, evidence-based medicine, consumer health , Microsoft's Word (word processing), Excel (spreadsheet), PowerPoint (presentation), and DxPlain (clinical decision support software).

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Page 1: Access to Periodicals - Hackensack Meridian Health...Access to Periodicals ... The core topics in hematology course include lectures in hematopoiesis, granulopoiesis, erythropoiesis,

1

Access to Periodicals

Booker Health Sciences Library

The Booker Health Sciences Library was formed from the collections of the former Medical Library and the Ann May School of Nursing Library to provide resources in print, non-print and electronic formats to meet the information, education and research needs of the JSUMC community, including physicians, house staff, nurses, other health care professionals, managers, administrators, team members, students, the public, patients, and their families.

The Booker Health Sciences Library was made possible through generous gifts from the Jane H. and J. Marshall Booker Charitable Foundation, the Mildred H. Rosa Charitable Trust, Jean and Don Lass, the JSUMC medical/dental staff and the Nurses for Knowledge Campaign.

Hours: Monday - Friday 9:00 am - 5:00 pm or 24 hour with security badge access.

http://intranet.meridianhealth.com/index.cfm/ClinicalInformation/BookerLibrary/index.cfm

Location

The library is located in the Booker Pavilion of Jersey Shore University Medical Center campus.

Collection

The collection numbers over 5,000 books, 8,000 bound journal volumes and 2,000 audiovisuals. The library subscribes to approximately 350 periodicals.

Computers

There are 13 computers for patron use on a first-come, first-served basis. Each computer has Internet access, bibliographic databases in medicine (MEDLINE), nursing (CINAHL), health administration (HealthSTAR), bioethics, evidence-based medicine, consumer health , Microsoft's Word (word processing), Excel (spreadsheet), PowerPoint (presentation), and DxPlain (clinical decision support software).

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JERSEY SHORE UNIVERSITY MEDICAL CENTER

FLORENCE M. COOK SCHOOL OF MEDICAL LABORATORY SCIENCE

Booklist

I. IMMUNOHEMATOLOGY

1. Basic & Applied Concepts of Immunohematology – Hardcopy or Kindle Digital Book (Retail Access Card), 3nd Edition, By Kathy D. Blaney, MS, BB(ASCP)SBB and Paula R. Howard, MS, MT(ASCP)SBB. Price: $51.97

II. CLINICAL CHEMISTRY

1. Tietz Fundamentals of Clinical Chemistry - Pageburst Digital Book (Retail Access Card), 6th Edition. By Carl A. Burtis, PhD, Edward R. Ashwood, MD and David E. Bruns, MD. Price : $72.80 or 976 Pages; ISBN: 978-1-4557-3440-5; Copyright: 2008 or

2. Tietz Fundamentals of Clinical Chemistry, 6th Edition, Hardcover, ISBN: 978-0-7216-3865-2; Copyright: 2008. Price $89.60

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III. HEMATOLOGY

1. Hematology - Pageburst Digital Book (Retail Access Card), 4th Edition

By Bernadette F. Rodak, MS, MLS, George A. Fritsma, MS, MLS and Elaine Keohane, PhD, MLS .ISBN: 978-1-4557-3665-2; Copyright: 2012 Price: $71.50 or

2. Hematology, 4th Edition Clinical Principles and Applications, Hardcover. 880 Pages; ISBN: 978-1-4377-0692-5 Copyright: 2012. Price $110.00

3. Hematology in Practice, 2nd Ed., Hardcover, by Betty Ciesla, ISBN: 13: 978-0-8036-2561-7 . FA Davis Company. 365 pages. $89.95

IV. IMMUNOLOGY

Immunology & Serology in Laboratory Medicine - Pageburst Digital Book (Retail Access Card), 5th Edition. By Mary Louise Turgeon, EdD, MT(ASCP), CLS(NCA) and Mary Louise Turgeon, EdD, MT(ASCP), CLS(NCA.; ISBN: 978-0-323-09310-1; 2009, Price: $50.02 or

Immunology & Serology in Laboratory Medicine, 5th Edition, Hardcover, 560 Pages; Imprint: Mosby, ISBN: 978-0-323-08518-2,Copyright: 2014

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V. LABORATORY MANAGEMENT

Harmening, Denise. Laboratory Management Principles and Processes, 3rd Edition. D.H. Publishing and Consulting, Inc. St Petersburg, FL 33711. Price: ISBN-13: 978-0-943903-12-5 ISBN-10: 0-943903-12-2. Price $59.95

VI. MICROBIOLOGY

1. Bailey & Scott's Diagnostic Microbiology - Pageburst Digital Book (Retail Access Card), 12th Edition. By Betty A. Forbes, PhD, D(ABMM), F(AAM), Daniel F. Sahm, PhD, D(ABMM), F(AAM) and Alice S. Weissfeld, PhD, D(ABMM), F(AAM). 1056 Pages Imprint: Mosby ISBN: 978-0-323-09247-0 ; Copyright: 2007. Price : $76.05 or

2. Bailey & Scott's Diagnostic Microbiology, 12th Edition, Hardcover, ISBN: 978-0-323-03065-6 Copyright: 2007 $93.60

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VII. RENAL FUNCTION AND URINALYSIS

1. Fundamentals of Urine & Body Fluid Analysis - Pageburst Digital Book (Retail

Access Card), 3rd Edition. By Nancy A. Brunzel, MS, CLS(NCA) ISBN: 978-0-323-08997-5 Copyright: 2013. Price. $59.95 or

2. Fundamentals of Urine and Body Fluid Analysis, 3rd Edition, Paperback, By Nancy A. Brunzel, MS, CLS(NCA, ISBN: 978-1-4377-0989-6 Copyright: 2013 . Price: $65.95

VIII. STUDY GUIDEs

Board Of Certification (BOC) Study Guide Clinical Laboratory Certification Examinations, 5th edition, 2010. By Patricia Tanabe MPA, MLS(ASCP)CM and E. Blair Halliday , PhD, SCT (ASCP)CM . American Society for Clinical Pathology Press. ISBN: 10:0891895876 Price: $75.00

CLS Quick Review Q & A’s. by Valerie Polansky. 2nd Edition. Price: $44.95. Free shipping. www.clsquickreview.com

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RECOMMENDED :

1. Rodak, Clinical Hematology Atlas - Pageburst Digital Book (Retail Access Card), 4th Edition. By Bernadette F. Rodak, MS, MLS and Jacqueline H. Carr, MS, CLSpH(NCA), CLDir(NCA). ISBN: 978-1-4557-4260-8 Copyright: 2013. Price: $43.95

2. Henry's Clinical Diagnosis and Management by Laboratory Methods, 22nd Edition Expert Consult - Online and Print. By Richard A. McPherson, MD and Matthew R. Pincus, MD, PhD. ISBN: 978-1-4377-0974-2 Copyright: 2012. Price $131.16

QUICK REVIES QUICK

REVIEW

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Course Description: Clinical Chemistry

In this laboratory section, the MLS primarily:

assesses specimen quality and pre-analytical issues for accurate test results

performs technical testing on whole blood, serum, plasma, and body fluids

interprets laboratory results

uses sophisticated clinical laboratory automated instrumentation, flow cytometer

troubleshoots instruments

performs Quality Control procedures and troubleshoots problems

uses Laboratory Information System and various functionalities

Manages critical values and other post-analytical issues

Course Description: The topics covered in this course are varied and include lectures and

assignments in: carbohydrates structures, proteins and protein metabolism, lipids and

structures, hormones, electrolytes with acid –base relationships and blood gas studies, liver

function tests, non-protein nitrogen compounds, tumor markers, and enzymes and reactions,

genetic disorders. The students receive ample homework and problem exercises to learn the

concepts. The students learn principles of complex laboratory instrumentation, Quality

Assurance, Quality Control procedures, laboratory safety and problem solving techniques.

In addition, the following lectures are also covered: Vitamins and Pro-vitamins, derivatives,

Trace Metals, Pharmacokinetics, Therapeutic Drug Monitoring, Toxicology, and IFE

interpretation.

Laboratory Instrumentation is covered with lectures in: spectrometry, turbidimetry,

nephelometry, atomic absorption spectrometry, fluorometry, chemiluminescence

(luminometer), osmometry, electrochemistry, blood gas analyzers, refractometer, balances and

centrifuges, heating units, alkaline and acid protein electrophoresis; chromatography, mass

spectrometry, and automation.

L: Christina Culmone, Elizabeth Nadramia R: Mariah Egerter, Elizabeth Gross

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Course Description: Clinical Microbiology

In this laboratory section, the MLS primarily:

Assesses quality of specimens and manages pre-analytical issues

Sets up culture testing on blood, urine, stool, wound, and various body fluids

Performs plating and isolation techniques

Performs biochemical, serological, molecular, techniques for the identification of

pathogens and non-pathogens. Follow up testing as necessary;

Performs and reads Gram stains and interprets laboratory results

Performs other special stains (ex. acid fast stain, fluorescent stains)

Performs bacterial susceptibility testing of organisms

Uses sophisticated instruments for rapid identification of organisms and other

automated instrumentation for immunoassays

Performs Quality Control methods and troubleshoots problems

Performs procedures for the Identification of various ova and parasites

Performs and identification procedures for fungi

uses Laboratory Information System and various functionalities

Course Description:

The core curriculum design for Clinical Microbiology emphasizes the study of medically

significant microorganisms. It includes bacteriology, mycology, virology, and mycobacteriology.

Infectious diseases are reviewed in a systematic fashion by organ system. Didactic lectures

sessions in combination with student laboratory exercises, and clinical experience will facilitate

the differentiation of pathogens and commensal flora, and antimicrobials. Basic microbiological

skills /techniques are taught in the student laboratory before the students are assigned in the

clinical laboratory rotations.

Parasitology/ Virology/ Mycology

Subsections of Clinical Microbiology, these courses impart to the student the scientific

knowledge of parasitic human infections, infections by viruses, and fungi infections. Didactic

lectures focus on physiology, life cycles, transmission, symptomology, and treatment of

diseases and laboratory identification. Students identify ova and parasites in student laboratory

from wet specimens, and from other collections; identify characteristic morphology of various

fungi.

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Molecular Biology

This section covers the fundamentals of molecular biology, nucleic acid biochemistry, genetics,

and its molecular testing applications, mutations and polymorphisms, laboratory operations,

QA/QC. The lecture portion includes: structure and function of DNA, DNA replication, restriction

enzymes and specific types of electrophoresis. Students learn the newest techniques of DNA-

based assays such as PCR and methods to detect DNA and RNA.

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Course Description: Hematology

In this laboratory section, the MLS primarily:

Assesses quality of specimens and manages pre-analytical issues

Uses sophisticated automated instruments for complete blood counts (CBC) as well as cell

differential counts.

Uses hemocytometer for manual counting of cells and body fluids, and calculations involved

Prepares peripheral blood smears using proper technique and Wright stain,

Using microscopes, classifies and identifies various white blood cells accurately

Identifies various red blood cell morphologies, normal and abnormals, and interpret results

Performs Quality Control methods and troubleshoots problems

Performs other routine hematological testing and interpret results

Manages critical values and other post-analytical issues

Uses Laboratory Information System and various functionalities

Course Description:

This course begins with the study of laboratory safety, quality control, blood collection and

anticoagulants, routine methodologies, as well as special procedures. The lectures are

augmented by the use of student laboratory where students learn basic hematological

techniques, laboratory safety, PPE, use and care of the microscopes, prior to entering the

clinical laboratory for their clinical rotation.

The core topics in hematology course include lectures in hematopoiesis, granulopoiesis,

erythropoiesis, and megakaryopoiesis, lymphopoiesis, and routine (ESR, Retics, sickle cell

screening) and advanced hematological methodologies and instrumentation (flow cytometry). It

covers the complete section on anemias, inherited as well as acquired, various etiologies,

characteristics and treatment. Students have a thorough grounding on morphological and

cellular characteristics associated with various anemias, acute leukemias and classification

schemes, myeloproliferative disorders as well as lymphoproliferative disorders. Cytochemical

stains as applied in the study of leukemias, basic cytogenetics, molecular diagnosis, and flow

cytometry are also covered. Students correlate test results with associated conditions and

disorders.

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Starling Fernandez, Sol Delapaz

Jamie Himmelreich, Willie Camayoc

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HackensackMeridianHealth.org

Course Description: Immunohematology and Blood Banking/ Transfusion Medicine In this laboratory section, the MLS primarily:

Assesses quality of specimens and manages pre-analytical issues using two patient

identifiers

Performs ABO blood typing and Rh typing;

Performs pre-transfusion testing, antibody screening and identification; resolve

discrepancies

Performs cross-matching with recipient’s blood and donor’s blood with 100% accuracy

Resolve issues with incompatible cross-matching

Performs Quality Control methods and troubleshoots problems

Prepares blood components such as packed red blood cells, fresh frozen plasma,

platelet concentrates, and cryoprecipitate from donor units

Uses automation in blood banking;

Monitor temperatures of blood bank refrigerators and other equipment; resolve issues

Managing blood supply and inventory of blood components

Manages critical values and other post-analytical issues

Uses Laboratory Information System and various functionalities

Course Description: This course begins with the study of laboratory safety, quality control, routine methodologies as well as special procedures. The lectures are augmented by the use of the student laboratory where the students learn basic serological techniques in blood group serology, preparation of cells, reading grades of reactions, problems in blood typing, perform special methods, laboratory safety, PPE, prior to entering the clinical laboratory for their clinical rotation. The didactic core topics in immunohematology include: Principles and Practices of Blood System ABO, Rh, Blood Banking Reagents; Principles of whole blood Donation, Donors selection, blood collection, and Donor Blood testing, autologous donors, cellular components preparation, storage, blood group serology Safety and quality assurance in blood banking; Other Blood Group Systems and significance, pre-transfusion testing identification and detection of significant antibodies, investigation of suspected adverse transfusion reaction; compatibility of recipient and donor testing, and resolution of incompatible cross-matches. Direct Anti-globulin testing; testing for disease states associated with a positive DAT, special methods, recognition of blood group antigens and antibodies;

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HackensackMeridianHealth.org

hemolytic disease of the newborn; issuing of blood and components, Observe testing for Human Leukocyte Antigens (HLA); Quality Assurance, Agencies Regulating Blood Banks Clinical Rotation in Blood Banking includes actual bench procedures; learn the application of technological advances as applied in Blood Bank; students follow a specimen to illustrate the workflow of blood bank requests. Two days are devoted to donors and donor blood at the blood collection site (Example: Central Jersey Blood Center, Shrewsbury, New Jersey); One day is devoted to solid organ and tissue laboratory at the New Jersey Sharing Network, New Providence, New Jersey. Here, the students are given the basics of HLA and performance of special testing not normally done in the hospital blood bank laboratory.

Left Photo: Ekaterina Koloskova, Jocelyn Tracy, Right Photo: Amy Maguire, Ekaterina Koloskova,

Amy Maguire Jocelyn Tracy

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Course Description: Immunology and Serology

Many of the immunological tests have been re-distributed in various areas of the laboratory; for

example agglutination reactions may be seen in the Blood Bank area, and immunoassays may

be seen in Microbiology and Clinical Chemistry laboratories.

In these areas, the MLS generally performs the following:

Assesses quality of specimens and manages pre-analytical issues (collection,

acceptability, storage, etc.),

Performs instrumentation maintenance schedule and troubleshoots problems

Performs Quality Control methods;

Performs various confirmatory tests for serology

Correlate findings with disorders

Uses Laboratory Information System and various functionalities

Course Description:

Immunology course begins with lectures in immunity: antigens and antibodies; cells and

cellular activities of the immune system (granulocytes, monocytes, lymphocytes, plasma cells);

and role of complement. The next group of lectures covers basic serological techniques,

including agglutination and precipitation, and flocculation reactions, dilutions and serial

dilutions, and principles of testing; prozone reactions, immunoassays and various labeling

techniques , ELISA, EIA, competitive and non-competitive binding assays, automation in

immunology, molecular techniques and DNA techniques, RIA, Ouchterlony, and electrophoresis

techniques; Primer in vaccines, infectious diseases and immunological responses and testing;

viral diseases, autoimmune disorders; types of hypersensitivity reactions and disorders ,

immunodeficiency states, inherited and acquired; Tumor associated antigens, complement

disorders, correlation of serological testing with patient disorder, symptoms, and confirmatory

tests.

Students take a day trip to the New Jersey Sharing Network, a solid Organ and Tissue donation

laboratory with lectures in HLA as well as performance of special tests.

The lectures are augmented with student laboratory exercises where students learn basic

serological techniques, pipetting, dilutions, POC testing, laboratory safety, PPE, prior to entering

the clinical laboratory for their clinical rotation. In addition, online modules (www.medialabinc.net

and www.medtraining.org ) are used for DNA fluorescence patterns and are used for learning

assignments.

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Alberta Obeng (Front), Jessica Stanton, (back) Right Photo: Priyal Patel

Priyal Patel, (right)

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Course Description: Laboratory Management, Education, and Research

Course Description:

Laboratory Management lectures include, current Healthcare Reform environment, Federal

regulations and national organizations, general management theories, critical thinking, financial

management, computers in the laboratory and laboratory information systems (LIS), personnel

management. Students develop and fashion their individual Resume in preparation for

application to laboratory positions as a medical laboratory scientist. This is a graded exercise.

Students learn role playing in class.

Clinical education lectures consists of Characteristics of effective clinical instructors, tips in

writing behavioral objectives and goals; the three domains of learning, teaching methods,

testing, and evaluation.

Students participate in doing Research projects with the Meridian Health Research program.

With the help of faculty, students select a topic. Research projects are begun as early as

September with at least two separate projects; and students may work in groups. Institutional

Research Board (IRB) approval is an integral part of the Meridian Research, and student

projects must have IRB approval also. Their final project is presented in class as well as a

poster which is presented during a week-long Research Day. On several occasions, our MLS

student’s research projects have been selected to be among the top five worthy projects by the

Research Committee to be presented orally and in front of a research projects judging panel.

Yen Kuo, PhD, Andreea Nagy, Dr. Matulewicz (back),

Jacqueline Andres, Etty Sims, Adrian Bautista, Mary Jane Schaefer

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Yen Kuo, PhD, Dr. Theodore Matulewicz, Mary Jane Schaefer

Jaclyn Kollinger, Sadegul Guven, Michael Kwatkoski

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HackensackMeridianHealth.org

Course Description: Urinalysis and Body Fluids In this laboratory section, the MLS primarily:

Assesses quality of specimens and manages pre-analytical issues (collection,

acceptability, storage, etc.),

Uses semi- and sophisticated automated instruments for routine urinalysis;

Performs instrumentation maintenance schedule and troubleshoots problems

Performs Quality Control methods;

Using various microscopes, identify various urinary sediments (casts, white blood

cells, red blood cells, crystals, yeast, others)

Performs various confirmatory tests for urinalysis

Performs body fluids count, using manual method and / or automated methodology

Identify on Wright’s stained smears cellular elements found in body fluids and their

significance; refer abnormal/malignant cells to pathology

Correlate findings with disorders

Manages critical values and other post-analytical issues

Uses Laboratory Information System and various functionalities

Course Description: The core topics in Urinalysis include renal anatomy, physiology and renal function of renal structures and study of renal diseases, extra-renal diseases; urinalysis testing which includes urinary collection techniques, preservatives, study physical characteristics, and normal physical findings in normal urine; abnormal findings in diseases; correlation of urinary findings with specific disorders. Renal Function tests, Renal calculi, study uses of reagents strips for the chemical testing; Microscopic examination of urinary sediments and identify and quantify various solids, casts, and crystals, confirmatory tests, correlation of findings with diagnosis. The lectures are augmented with a student laboratory where they learn basic urinalysis techniques, laboratory safety, PPE, use and care of the microscopes prior to entering the clinical laboratory for their clinical rotation. In addition, online modules (www.medialabinc.net and www.medtraining.org ) are used for urinalysis learning assignments. In addition, they learn instrumentation and automation in Urinalysis, principles of methodology, and quality control. Types of body fluids are covered (synovial, peritoneal, pleural, pericardial, seminal, amniotic) including characteristics, exudates vs. transudates, testing using reagents and diluting fluids used for various fluids; cells found in fluids; CSF manual counts, normal and abnormal. Fecal occult blood and fats in stool are also covered.

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HackensackMeridianHealth.org

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III. CURRICULUM

The Florence M. Cook School of Medical Laboratory Science curriculum consists of 11-month training program that begins in the last week in August through July the following year. The formal instructions consist of didactic lectures with student laboratory sessions (August through February), followed by clinical laboratory rotations (February through July). Lectures with Student laboratory are carried out Monday through Friday, from 8:00am – 3:00pm only.

Pathologists and visiting lecturers join the Faculty in providing a broad-based educational content. We follow the NAACLS MLS Entry Level Curriculum for content. The courses below are linked to the course descriptions: Clinical Chemistry Clinical Laboratory Management, Education, Research Clinical Microbiology Coagulation/Hemostasis Hematology Immunohematology (Blood Bank, Transfusion Medicine), Immunology/Serology Phlebotomy Urinalysis and Body Fluids

MONDAYS

TUESDAYS

WEDNESDAYS THURSDAYS FRIDAYS

Clinical Chemistry didactic lectures

Immunohematology / Phlebotomy didactic lectures

Hematology/ Coagulation didactic lectures

Clinical Microbiology didactic lectures

Urinalysis, Clin. Lab Management, Immunology / Serology, etc.

Student Lab Student Lab Student Lab Student Lab Student Lab

Clinical Laboratory Rotations: Monday through Friday, generally at JSUMC laboratories

Clinical Rotations Clinical Sites Total hours

Clinical Chemistry/ Urinalysis and Body Fluids

Clinical Laboratories, JSUMC , Hackensack Meridian Health

200

Blood Banking and Phlebotomy

Clinical Laboratories, JSUMC, Hackensack Meridian Health

160

Hematology /Coagulation Clinical Laboratories, JSUMC, Hackensack Meridian Health

200

Microbiology / Immunology/Serology

Clinical Laboratories, JSUMC, Hackensack Meridian Health

240

After successful conclusion of the program, the students will receive a Certificate in Medical Laboratory Science which is given during graduation ceremony.

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PROGRAM GOALS, PROGRAM OBJECTIVES, AND COMPETENCIES

Program Goals -To achieve pass rates on all graduates in the ASCP MLS Board of Certification; -To assist graduates attain employment or gain entry into programs of higher education; -To keep abreast of the latest in the field of Medical Laboratory Science; -To participate in scholarly and educational activities related to Medical Laboratory Science, healthcare, and the community

Program Objectives:*

-To develop and establish procedures for collection, processing and analyzing biological specimens and samples from a variety of sources -To perform tests from a variety of biological sources to include body fluids, cells and other substances -To integrate and relate data generated from a variety of sources while making decisions regarding possible discrepancies -To confirm abnormal results, verify quality control procedures, execute quality control procedures and develop solutions to problems concerning the generation of laboratory data. -To make decisions concerning the results of quality control and quality assurance measures and institute proper procedures to maintain accuracy and precision - To establish and perform preventive and corrective maintenance on equipment and instruments as well as identify appropriate sources for repairs - To develop and evaluate and selecting new techniques, instruments and methods in terms of their usefulness and practicality within the context of a given laboratory’s personnel, equipment, space, and budgetary resources; - To demonstrate professional conduct and interpersonal skills with clients, laboratory personnel, other healthcare professionals and the public - To establish and maintain competency and continuing education as a function of growth and maintenance of professional competence - To exercise leadership in education of other health personnel and the community - To exercise principles of management, safety, and supervision, educational methodology and current information systems

Entry Level Competencies of a Medical Laboratory Scientist

A Medical Laboratory Scientist is an individual who supervises, teaches and delegates and provides services in clinical laboratory sciences. He/she is responsible for his/her actions, relates to people, exhibits a capacity for calm and reasoned judgment, demonstrates a commitment to client requirements and demonstrates ethical and moral attitudes and principles. He/she demonstrates an attitude of respect for the client, and maintains confidentiality. In laboratories accredited by the Health Care Financing Administration, the clinical laboratory scientist may qualify as a laboratory director, a technical consultant, and testing personnel in a laboratory performing moderately complex testing and as technical supervisors, general supervisors and testing personnel in a laboratory performing highly complex testing. *(Adapted from the National Accrediting Agency for Clinical Laboratory Sciences Essentials)