Laboratory Assistant and Phlebotomist

Job Description

Lakeview Hospital is hiring for a Laboratory Assistant and Phlebotomist. 

  
POSITION SUMMARY STATEMENT:   
This position is responsible for performing phlebotomies and receiving/processing specimens to ensure high quality in the preanalytical phase of laboratory testing.

MINIMUM QUALIFICATIONS: 
•    Education, Experience or Equivalent Combination:
o     High School Diploma or equivalent

•    Licensure/ Registration/ Certification:
o    Some positions, as identified by the Laboratory Manager, will be required to drive to various sites to perform phlebotomy. If required, must have a valid driver’s license and meet all criteria required under Lakeview’s Automobile Liability Guidelines.

•    Knowledge, Skills, and Abilities:
o    Knowledge and skills sufficient to provide technical instructions and communicate and advise other departments on clinical laboratory procedures

PREFERRED QUALIFICATIONS: 
•    Education, Experience or Equivalent Combination:
o    Completion of health care program (e.g. Certified Medical Assistant (CMA), Emergency Medical Technician (EMT), Paramedic, Phlebotomy).  
•    Licensure/ Registration/ Certification:
o    Phlebotomy Certification
•    Knowledge, Skills, and Abilities:
o    Medical Terminology knowledge
o    Previous phlebotomy experience
o    Typing or keyboarding skills

ESSENTIAL DUTIES:  
1.    (50%) -     Consistently performs phlebotomy using department protocols and procedures to assure quality specimens.  This includes serving all patient populations including ages, cultures, languages, literacy, learning needs and abilities.
2.    (50%) – Championing great customer service whenever we intersect with our customers- directly or via telephone.  All requests are followed up accurately and efficiently in a friendly manner.
•    Consistently follows department procedures and protocols for prioritizing test orders, specimen suitability and specimen handling in order to obtain timely, accurate results to advance patient care.   This includes preparing specimens to be sent to other facilities for testing.
•    Demonstrates good reasoning ability and independent judgment in handling situations not covered by written or verbal instructions.   
•    Follows all hospital and departmental safety protocols and procedures.  This includes infection control processes.
•    Can perform waived complexity testing (WAIVD) with appropriate supervision, as needed

*Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances.  Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above.  Job descriptions are subject to change to accommodate organization or department needs.

BACKGROUND STUDY REQUIREMENTS: (HR use only)

Required:
•    Background Study
o    Package 1
o    Education
o    MVR
•    MN DHS Background Study

ORGANIZATIONAL EXPECTATIONS:
Values
All colleagues are expected to live our values:  
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.

Additional Expectations:
•    Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment. 
•    Maintains regular and timely attendance. 
•    Protects confidentiality.
•    Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.  
•    Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.)

POPULATION SPECIFIC COMPETENCIES:
    Yes    No
Does this employee have direct patient contact?    X    
Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.
Examples of items that can be included are:
•    Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.
•    Communicates effectively with patients, families, and team members.
•    Integrates practices that supports patient safety, acknowledges variations in populations served.
•    Anticipates the needs of the population served as well as the unique characteristics of the communities served.
•    Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families.

LEADERSHIP RESPONSIBILITY:
None 
Critical Job Demands  
Section 1: Place an “X’ next to ONE of the terms that best describes the frequency for each of the Critical Demands.
Critical Demands    N/A
0%
    Rare
1-5% (Up to a 1/2 hour)    Occa
6-33% (1/2 hour to 3 hours)    Freq
34-66% (3 to 5½ hours)    Cont
67-100% (5½ to 8 hours)
Standing - Remaining on one's feet in an upright position at a work station without moving about.                X    
Walking - Moving about on foot.                X    
Sitting - Remaining in a seated position.            X        
Squatting - Assuming or maintaining a crouching position with the knees bent.            X        
Reaching - Stretching out or extending to touch or grasp.                X    
Lifting - Raising or lowering an object from one level to another (includes upward pulling).            X        
Carrying - Transporting an object, usually holding it in the hands or arms, or on the shoulder.            X        
Pushing/Pulling – Exerting force upon an object so that the object moves away/towards from the force.            X        
Handling/Fingering – (includes typing, computer work, gripping, grasping, and pinching)                    X

Section 2: Place an “X” next to ONE of the terms that best describes the Strength Rating for this job classification which is expressed by one of five terms: Sedentary, Light, Medium, Heavy, and Very Heavy.  
    Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. 
 X    Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. 
    Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. 
    Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work. 
    Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.
Note: During any patient handling task, if any caregiver is required to lift more than 35 lbs. of a patient’s weight, assistive transfer devices should be used for the transfer.  

HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) 
Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form.
RELATED TO: Hazardous Substances and Harmful Physical Agents
Yes    No    Task Description    Potential Hazard    Hazard control    PPE Required 
X        Working with box cutters, knives or other sharp cutting devices.    Penetration    •    Cut away from body.
•    Use proper tool for the job.        Safety knife or safety box cutter
Cut resistant gloves
Other ___________________
X        Working with liquid chemicals, acids, or caustics (Examples: reprocessing, cleaners, disinfectants, laboratory chemicals).
  See MSDS online database for chemical list    Chemicals
Flammables
Toxic Gases
Corrosives    •    Use only employer approved products.
•    Use appropriate soaking containers with labels.
•    Understand hazards of chemicals you use (read MSDS).        Goggles
Chemical face shield
Chemical resistant gloves
Chemical resistant aprons 
Lab Coat
Closed toe shoes
Powered Air Purifying Respirator
Other ___________________
X        Exposed to extreme heat (Examples: Autoclaves, Blanket warmers, Ovens, Propane torches) or cold (Liquid Nitrogen, Winter temperatures).    Heat
Cold Stress, Burns, Frostbite    •    Approach hot surfaces carefully.
•    Use only approved liquid nitrogen dewars. Dispense only if trained.        Heat resistant gloves
Cryogenic (cold resistant) gloves
Goggles 
Face shield
Other ___________________
X        Driving or riding in motorized vehicle equipment as part of the job.    Vehicle crash, Impact    •    Absolutely no text messaging while driving.
•    Refrain from cell phone use while driving.        Seat belt
Other ___________________
X        Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping.    Slip, Trip, or Fall    •    For wet areas, mop excess water regularly.
•    Place warning signs.
•    Select footwear carefully        Slip resistant shoes
Rubber boots

Other ___________________
    X    Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents).    Chemical
Genetic damage
Tumors    •    Receive training
•    PPE
•    Use of biological cabinet
•    Spill procedures
•    Waste disposal SOP        Gloves appropriate for chemical
Disposable barrier gown 
Goggles
N95/PAPR (spill cleanup)
Ventilation Hood
Other ___________________
    X    Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers).    Light radiation, burns to self or patient, smoke inhalation    •    Receive laser training.
•    Awareness and knowledge to minimize surgical or procedural fires.
•    Code Red training
•    PPE
•    Restricted access        Specialized laser safety glasses
Other ___________________
    X    Working with or near ionizing Radiation Hazards (Examples: Radioactive sources, X-Rays).    Over exposure, Genetic damage    •    Warning signage
•    PPE
•    Waste and spill procedures
•    Personal monitoring
•    Shielding, distance        Lead Aprons
Other ___________________
    X    Working near MRI.    Trauma resulting from missile effect    •    Restrict access
•    Screening
•    Signage        
X        Moving equipment/supplies.    Strain, Sprain    •    Proper body mechanics
•    Get additional help
•    Get Ergonomic help from EOHS.        
X        Dealing with agitated persons or disturbances.    Workplace violence, bodily injury, body fluid exposure    •    Training in verbal de-escalation techniques.
•    Code Green procedure        Gloves (Clean)
Barrier Gown or fluid resistant Lab Coat

HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)
RELATED TO: Infectious Agents
Yes    No    Description    Potential Hazard    Hazard control    PPE Required 
        PERFORMING OR  ASSISTING WITH THESE TASKS:                
X        Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning, wound irrigation, eye & ear irrigation, close contact (within 3 ft.) of patient with frequent, productive cough, sigmoidoscopy, cystoscopy, colonoscopy.  
    Exposure to Infectious Agents    •    Hand hygiene before and after task
•    PPE        Facial protection (mask plus goggles OR face shield)
Gloves (Clean) 
Barrier Gown if anticipate splash
X        Activity that requires touching patient’s non-intact skin or mucous membranes. 
    Exposure to Infectious Agents    •    Hand hygiene before and after task
•    PPE        Gloves (Clean)

X        Activity that includes touching patient’s blood/body fluid or contaminated items or environment, examples, but not all inclusive: disposal of urine, blood canisters.     Exposure to Infectious Agents    •    Hand hygiene before and after task
•    PPE 
•    Use of Spill kits (as needed)
        Gloves (Clean) 
Barrier Gown if anticipate splash
Facial protection (mask plus goggles OR face shield) if anticipate splash

X        Performing duties with sharp devices that could result in exposure to blood or body fluids.    Exposure to Infectious Agent/sharp injury    •    Use of  sharps safety devices
•    Avoid re-capping needles
•    Proper disposal of sharps at point of care
•    For reusable sharp, use safe transporting practices
•    Use neutral zone for passing sharps
•    PPE         Gloves (Clean vs. Sterile depends on the procedure)

Facial protection (mask plus goggles OR face shield) if anticipate splash

X        Entering rooms where patients with airborne diseases are treated.     Exposure to  Infectious Agent/inhalation    •    Mask patient
•    Place patient in airborne infection isolation room if available
•    Limit entry into room
•    Keep door closed
•    PPE        Follow Communicable Disease Guidelines and Tuberculosis Control Plan to determine if N95 respirator, PAPR, or surgical mask is needed
X        Work with specimens from patients with airborne diseases.    Exposure to Infectious Agent/inhalation
    •    PPE
•    Biological Safety hoods/cabinet instrumentation with automated/closed sampling mechanisms        N95 respirator or  PAPR
X         1. Procedures that enter deep tissue or body fluid, including but not limited to: 
Central IV insertion, placing a catheter or injecting material into the spinal canal or subdural space (myelogram, lumbar puncture, spinal/epidural anesthesia), breast biopsy, temporal artery biopsy, bone marrow biopsy, OB vaginal delivery, incision & drainage.
    Exposure to infectious agents    •    Hand hygiene before and after procedures
•    PPE        Gloves (Sterile)
Barrier Gown 
Facial protection (mask  plus eye protection or face shield plus mask required during these procedures)

    X     2. a. Procedures that enter 
        subcutaneous tissue or are located 
        in the skin structure, including but 
        not limited to: 
•    Excision of mole, lump, or bump 
•    Excision of lipoma or sebaceous cyst, vasectomy
    Exposure to infectious agents    •    Hand hygiene before and after procedure
•    PPE        Facial protection (mask  and eye protection required during these procedures if anticipate splash)
Gloves (Sterile)
Barrier Gown if anticipate splash
X        2. b. Additional Procedures
•    Shave biopsy, punch biopsy
•    Joint injection, nerve injection, joint aspiration
•    Peripheral IV insertion, ENT procedures
•    Anal-rectal Biopsy    Exposure to infectious agents    •    Hand hygiene before and after procedure
•    PPE        Gloves (Clean)
Barrier Gown if anticipate splash
Facial protection (mask  and eye protection required during these procedures if anticipate splash)

X        3. Handling Lab specimens in a laboratory
    Exposure to infectious agents    •    Hand hygiene after removing gloves
•    PPE
•    Biological Safety hoods/cabinet
•    Splash guard
•    Instrumentation with automated/closed sampling mechanisms        Lab Coat ( fluid resistant)
Gloves (Clean)
Facial protection (mask  plus eye protection or face shield plus mask required during these procedures)

Other tasks with identified safety, health or infectious hazards requiring PPE?
Yes    No    Task Description    Hazard    Hazard control    List PPE required
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