STANDARD COMPETENCIES:

 

 1. Perform complete blood counts including manual differentials and evaluate the results as they pertain to patient care.

 2. Perform manual and automated hematology and hemostasis testing and evaluate the results for accuracy using quality

    control and quality assurance methods.

 3. Evaluate laboratory data to predict the diagnosis, treatment, and/or prognosis of hematological and hemostasis disorders

    including but not limited to: anemias, leukemias, myloproliferative disorders, and coagulation factor deficiencies.

 4. Distinguish normal and abnormal microscopic characteristics of blood cells through analysis of peripheral blood smears.

 5. Describe the origin and development of white blood cells, red blood cells, platelets and coagulation factors.

 6. Relate structure to physiology and function of white blood cells, red blood cells, platelets and coagulation factors.

 7. Calculate hematological indices.

 8. Diagram the coagulation cascade, listing the coagulation factors and their relation to the intrinsic, extrinsic, and common pathways.

 9. Perform Body fluid analysis including manual counts, calculations, differentials, and laboratory procedures for handling of body fluids

 

 

 TOPICAL OUTLINE:

 

 I. Hematology and Hemostasis specimen collection, specimen integrity, specimen handling, pre-analytical,

    analytical, and post-analytical testing and Quality Control and safety discussed throughout each section

 II. Complete Blood Cell Counts including manual differentials

 III. Role of MLT in bone marrow aspiration and analysis

 IV. Hematopoiesis

 V. Red blood cells

      a. RBC Morphology including inclusions and counts

      b. RBC Maturation series

      c. RBC destruction

      d. Hemoglobin, Hematocrit, and Indices,

      e. Hemoglobin defects

      f. Anemias

      g. Myloproliferative disorders

 VI. White blood cells

      a. Manual Differentials, WBC counts and WBC morphology

      b. WBC maturation

      c. Morphologic and Functional Abnormalities of WBCs

      d. Diseases Involving Leukocytes

      e. Myeloproliferative Disorders

      f. Leukemias

      g. Lymphomas

 VII. Platelets

      a. Counts

      b. Function, physiology, and maturation

      c. Disorders

      d. Testing

 VIII. Coagulation Factors

      a. Cascade including extrinsic, intrinsic, and common pathways

      b. Common names

      c. Formation, function, and physiology

      d. Deficiencies and relation to disease state

 IX. Body Fluids

      a. Collection

      b. Processing and laboratory analysis

      c. Counts and differentials

 X. Hematological Methods

      a. Automated and Manual cell counts

      b. Analysis of scattergrams and histograms

      c. Smear preparation stains and analysis

      d. Manual hematocrits

      e. Reticulocyte Counts

      f. Erythrocyte sedimentation rates

      g. Special tests including:

         1) Sickle Cell Test,

         2) Osmotic fragility

         3) Ham’s test, hemoglobin electrophoresis

         4) Sugar water test

         5) Cytochemical stains

      h. Coagulation testing

         1) Automated coagulation tests

         2) Manual tests

         3) Special tests including factor assays and mixing studies

         4) Testing related to anticoagulant therapy