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What is the
     Clinical/Anatomical
   Laboratory Profession?


      Sponsored by
Insert Facility Name here
Insert city and state here
IMPACT
   70-80% of medical decisions are based on laboratory results.
   Laboratory tests are extremely valuable.
   Modern medicine could not function without lab tests.
   Demand for laboratory professionals will exceed supply in the near
    future.
Positions in the Laboratory
   Clinical Pathology: tests                   Anatomic Pathology: tests
    patient samples blood, urine, and            tissue samples and human cells on
    body fluids.                                 slides.
   Professionals:                              Professionals:
     ‱   Medical Technologists                    ‱   Cytotechnologists
            Also known as Clinical                      Works closely with
             Laboratory Scientist (CLS).                  Pathologist
            Four year Bachelor of Science               Separate education and
             Degree                                       training from Medical
     ‱   Technicians                                      Technologist
            Also known as Clinical               ‱   Histotechnologists
             Laboratory Technician (CLT)                 Prepares thin sections to be
            Two year Associate Degree                    examined by Pathologist
                                                  ‱   Pathologists’ Assistants
                                                         Interacts with a Pathologist
                                                          like a Physicians’ Assistant.
                                                         Separate Bachelor’s degree or
                                                          Master’s degree programs.
Salaries

   Medical Technologist Median Average Wage:
    $59,571 per year or $28.64 per hour
   Medical Lab Technicians Median Average Wage:
    $42,973 per year or $20.66 per hour
   Cytotechnologist Median Average Wage: $64,771
    per year or $31.14 per hour
   Histotechnologist Median Average Wage:$51,542
    per year or $24.78 per hour
   Phlebotomist Median Average Wage: $30,202 per
    year or $14.52 per hour
Laboratory Structure
   Clinical Departments:
    ‱ Hematology, Chemistry, Blood Bank,
       Microbiology, Immunology
   Anatomical Departments:
    ‱ Cytology, Histology
 Supervisor
 Manager

 Administrator
Work Environments
   Hospitals Laboratories
   Physician Office Laboratories
   Independent or Reference
    Laboratories
   Public Health Laboratories
   Pharmaceutical Companies
   Fertility Clinics
   Veterinary Laboratory
   Educational Program Director
   Research/ Clinical Trials
   Product Development
   Sales and Marketing/Consulting
   Genetics
   Information Technology
   Multi-departmental
    Manager/Hospital Administration
   Medical Informatics
   Forensic Laboratories
Areas of Study
   Clinical Lab
    ‱   Microbiology
    ‱   Immunohematology
    ‱   Clinical Chemistry
    ‱   Hematology
    ‱   Coagulation
    ‱   Immunology
    ‱   Urinalysis
   Esoteric/Referral Testing
   Anatomic Pathology
    ‱   Histology
    ‱   Cytology
    ‱   Autopsy
   Molecular Diagnostics
Elements of Blood
   Plasma - the liquid
    portion
   Platelets - the clot
    forming components
   White Blood Cells - the
    infection fighters
   Red Blood Cells - the
    oxygen transporters
Phlebotomy
    Collection and
    processing of
    blood samples.
     Patient
    interaction.
     Great place to
    begin a health
    care     career.
Collection Supplies
   Blood Collection
    ‱ Purple top
    ‱ Yellow top
    ‱ Blue top
    ‱ Green top
    ‱ Pink top
   Urine Specimen
Urinalysis
   Chemical Analysis
    ‱ Dipstick
   Sediment
    ‱   Crystals
    ‱   Casts
    ‱   Cells
Urine
        Microscopic
Yeast
           Exam
                      Epithelial Cells




                      Calcium Oxalate
                          Crystals
Urinalysis




                         Renal epithelial

Cellular cast
Immunohematology
   Blood types
   Transfusions
   Transfusion
    reactions
   Abnormal
    antibodies
Blood Types




A positive             AB negative
Blood Types




O positive                 O negative
Blood Types




B negative        B positive
Blood Types




A negative             AB positive
Hematology
   Complete blood
    count (CBC)
   Cellular morphology
   Anemias
   Leukemias
   Hemoglobinopathies
Neutrophils -         Basophils -         Eosinophils -
  Engulf bacteria       Hypersensitivity,   Parasitic infections,
  and cellular debris   Release histamine   Allergic response
  37-77%                0-1.6%              1-7%

                  White Blood Cells
Lymphocytes -                                   Monocytes -
Produce antibodies,                             Engulf cellular
regulate the immune                             debris, antigen
response                                        processing
10-44%                                          2-10%
Hematology Images
Hematology Images




Chronic Myelocytic   Acute Myelocytic
 Leukemia (CML)      Leukemia (AML)
Clinical Microbiology
 Bacteria
 Viruses

 Fungus

 Parasites
Parasitology
Clinical Chemistry
 Literally thousands of chemicals and
  enzymes in the human body
 Panels of tests

 Hepatitis

 Diabetics

 Electrolyte balance

 Lipid levels
Chemistry
                    Water
Vitamins                                              Proteins
                            Enzymes


              DNA                                        RNA
Cholesterol
                            Amino Acids
                                                       Minerals
                                      Fats
                                             Sugars
                     Hormones
  pH
Anatomical Pathology
Bone Cells            Blood Cells




                     Muscle
  Fat Cells
                     Cells
Quiz Number 1
32 year-old male arrives in the
  emergency room with right
  lower back pain for 2 days.
Lab results:
The patient’s urine tests positive for
  blood and the following elements
  are seen.
What is the patient’s problem?
   A. Appendicitis.
   B. Parasitic infection.
   C. Renal calculi (kidney stone).
   D. Leukemia.
Number 2
10 year-old female is seen
  by her family physician
  for persistent sore throats
  and swollen lymph nodes.
Lab results:
WBC count-185,000/mm3.
90% lymphoblasts.
The patient’s problem is

A. Renal calculi.
B. Leukemia.
C. Parasitic infection.
D. Iron deficiency anemia.
Number 3
23 year-old male is seen
  in the urgent care clinic.
  Patient complains of a
  white discharge and pain
  with urination.
Lab results:
Gram stain shows many WBCs
  and 3 plus gram negative
  diplococci.
A. Sexually transmitted
  disease.
B. Bladder infection.
C. Kidney infection.
D. Hepatitis.
Number 4
12 year-old male
  complains of a sore
  throat, fever, and
  swollen lymph nodes.
Lab results:
Gram stain demonstrates
  gram positive cocci in
  chains.
The patient’s problem is
.
A. Viral infection.
B. Over-eating.
C. Ear infection.
D. Strep infection.
Number 5
18 year-old female
  complains of being
  tired for the past 2
  weeks.
Lab results:
Low HCT, HGB, and RBCs.
The patient’s problem is
.
A. Iron deficiency anemia.
B. Leukemia.
C. Macrocytic anemia.
D. She does not want to
  go to school.
Conclusion
   Though we are
    behind the scenes.
   We are the Heroes
    of the Health Care
    Team
   Solving Today’s
    Medical Mysteries.
Questions

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Positions in the Clinical Laboratory

  • 1. What is the Clinical/Anatomical Laboratory Profession? Sponsored by Insert Facility Name here Insert city and state here
  • 2. IMPACT  70-80% of medical decisions are based on laboratory results.  Laboratory tests are extremely valuable.  Modern medicine could not function without lab tests.  Demand for laboratory professionals will exceed supply in the near future.
  • 3. Positions in the Laboratory  Clinical Pathology: tests  Anatomic Pathology: tests patient samples blood, urine, and tissue samples and human cells on body fluids. slides.  Professionals:  Professionals: ‱ Medical Technologists ‱ Cytotechnologists  Also known as Clinical  Works closely with Laboratory Scientist (CLS). Pathologist  Four year Bachelor of Science  Separate education and Degree training from Medical ‱ Technicians Technologist  Also known as Clinical ‱ Histotechnologists Laboratory Technician (CLT)  Prepares thin sections to be  Two year Associate Degree examined by Pathologist ‱ Pathologists’ Assistants  Interacts with a Pathologist like a Physicians’ Assistant.  Separate Bachelor’s degree or Master’s degree programs.
  • 4. Salaries  Medical Technologist Median Average Wage: $59,571 per year or $28.64 per hour  Medical Lab Technicians Median Average Wage: $42,973 per year or $20.66 per hour  Cytotechnologist Median Average Wage: $64,771 per year or $31.14 per hour  Histotechnologist Median Average Wage:$51,542 per year or $24.78 per hour  Phlebotomist Median Average Wage: $30,202 per year or $14.52 per hour
  • 5. Laboratory Structure  Clinical Departments: ‱ Hematology, Chemistry, Blood Bank, Microbiology, Immunology  Anatomical Departments: ‱ Cytology, Histology  Supervisor  Manager  Administrator
  • 6. Work Environments  Hospitals Laboratories  Physician Office Laboratories  Independent or Reference Laboratories  Public Health Laboratories  Pharmaceutical Companies  Fertility Clinics  Veterinary Laboratory  Educational Program Director  Research/ Clinical Trials  Product Development  Sales and Marketing/Consulting  Genetics  Information Technology  Multi-departmental Manager/Hospital Administration  Medical Informatics  Forensic Laboratories
  • 7. Areas of Study  Clinical Lab ‱ Microbiology ‱ Immunohematology ‱ Clinical Chemistry ‱ Hematology ‱ Coagulation ‱ Immunology ‱ Urinalysis  Esoteric/Referral Testing  Anatomic Pathology ‱ Histology ‱ Cytology ‱ Autopsy  Molecular Diagnostics
  • 8. Elements of Blood  Plasma - the liquid portion  Platelets - the clot forming components  White Blood Cells - the infection fighters  Red Blood Cells - the oxygen transporters
  • 9. Phlebotomy  Collection and processing of blood samples.  Patient interaction.  Great place to begin a health care career.
  • 10. Collection Supplies  Blood Collection ‱ Purple top ‱ Yellow top ‱ Blue top ‱ Green top ‱ Pink top  Urine Specimen
  • 11. Urinalysis  Chemical Analysis ‱ Dipstick  Sediment ‱ Crystals ‱ Casts ‱ Cells
  • 12. Urine Microscopic Yeast Exam Epithelial Cells Calcium Oxalate Crystals
  • 13. Urinalysis Renal epithelial Cellular cast
  • 14. Immunohematology  Blood types  Transfusions  Transfusion reactions  Abnormal antibodies
  • 15. Blood Types A positive AB negative
  • 18. Blood Types A negative AB positive
  • 19. Hematology  Complete blood count (CBC)  Cellular morphology  Anemias  Leukemias  Hemoglobinopathies
  • 20. Neutrophils - Basophils - Eosinophils - Engulf bacteria Hypersensitivity, Parasitic infections, and cellular debris Release histamine Allergic response 37-77% 0-1.6% 1-7% White Blood Cells Lymphocytes - Monocytes - Produce antibodies, Engulf cellular regulate the immune debris, antigen response processing 10-44% 2-10%
  • 22. Hematology Images Chronic Myelocytic Acute Myelocytic Leukemia (CML) Leukemia (AML)
  • 23. Clinical Microbiology  Bacteria  Viruses  Fungus  Parasites
  • 25. Clinical Chemistry  Literally thousands of chemicals and enzymes in the human body  Panels of tests  Hepatitis  Diabetics  Electrolyte balance  Lipid levels
  • 26. Chemistry Water Vitamins Proteins Enzymes DNA RNA Cholesterol Amino Acids Minerals Fats Sugars Hormones pH
  • 27. Anatomical Pathology Bone Cells Blood Cells Muscle Fat Cells Cells
  • 28. Quiz Number 1 32 year-old male arrives in the emergency room with right lower back pain for 2 days. Lab results: The patient’s urine tests positive for blood and the following elements are seen. What is the patient’s problem? A. Appendicitis. B. Parasitic infection. C. Renal calculi (kidney stone). D. Leukemia.
  • 29. Number 2 10 year-old female is seen by her family physician for persistent sore throats and swollen lymph nodes. Lab results: WBC count-185,000/mm3. 90% lymphoblasts. The patient’s problem is
 A. Renal calculi. B. Leukemia. C. Parasitic infection. D. Iron deficiency anemia.
  • 30. Number 3 23 year-old male is seen in the urgent care clinic. Patient complains of a white discharge and pain with urination. Lab results: Gram stain shows many WBCs and 3 plus gram negative diplococci. A. Sexually transmitted disease. B. Bladder infection. C. Kidney infection. D. Hepatitis.
  • 31. Number 4 12 year-old male complains of a sore throat, fever, and swollen lymph nodes. Lab results: Gram stain demonstrates gram positive cocci in chains. The patient’s problem is
. A. Viral infection. B. Over-eating. C. Ear infection. D. Strep infection.
  • 32. Number 5 18 year-old female complains of being tired for the past 2 weeks. Lab results: Low HCT, HGB, and RBCs. The patient’s problem is
. A. Iron deficiency anemia. B. Leukemia. C. Macrocytic anemia. D. She does not want to go to school.
  • 33. Conclusion  Though we are behind the scenes.  We are the Heroes of the Health Care Team  Solving Today’s Medical Mysteries.