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Defining the Practice of the Medical Technology/Clinical correlation of clinical laboratory testing, and the management of

Laboratory Science Profession all aspects of these services. Clinical laboratory tests are utilized
for the purpose of diagnosis, treatment, monitoring and
Objectives: At the end of the topic, the learners should: prevention of disease. We use sophisticated biomedical
1. Define, understand, and explain what is Medical Technology instrumentation and technology, computers, and methods
2. Explain the different practices of Medical Technology requiring manual dexterity to perform laboratory testing on blood
Profession and body fluids. Laboratory testing encompasses such
3. Understand the different functions of Medical Technologists disciplines as clinical chemistry, hematology, immunology,
immunohematology, microbiology, and molecular biology.
WHAT is a Medical Technology? Medical laboratory science professionals generate accurate
According to Nusslin F., “Medical Technology (MT) provides laboratory data that are needed to aid in detecting cancer, heart
innovative instrumentation and methods designed for the attacks, diabetes, infectious mononucleosis, and identification of
purpose of improving prevention, diagnostics, therapy and bacteria or viruses that cause infections, as well as in detecting
rehabilitation. MT rooting in science, engineering and the drugs of abuse. In addition, we monitor testing quality and
biosciences is characterized by its inter- and transdisciplinarity” consult with other members of the health care team. Integral
Source: Nusslin F. Current status of Medical Technology, Acta features of each of the specialties include diagnostic testing,
Neurochir Suppl. 2006;98:25-31. Review. research, consultation, education, information management,
marketing and administration.”
WHAT is the Nature of Medical Technology? Sources:
http://www.ascls.org/position-papers/188-scope-of-practice/164-
1. A procedure of scientific activities (Substantial Procedural) scope-of-practice
2. A paramount field of scientific investigation (Investigative http://www.ascls.org/what-is-a-medical-laboratory-science-profes
Complicity) sional
3. An intervention in the medicinal procedures (Inter-medical
Procedural Interference) WHAT are the characteristics of Medical Technologists?
4. An explicit application of science and technology (Assiduous 1. Sensuous and Flexible
Partner) 2. Preferential Health Servant
5. Evidentiary information in medicine (Circumstantial Medicinal 3. Active subject of innovative technologies. (Adventurous and
Evidences) Self-fulfilling)
Source: 4. Invites individuals to learn the new technologies (Informative)
https://www.coursehero.com/file/p44p0hp/THE-NATURE-OF-ME 5. Research-oriented
DICAL-TECHNOLOGY-A-procedure-of-scientific-activities/ 6. Committed Health Promoter
7. Concerns with students who are interested to acquire
WHAT are the scopes of Medical Technology? profound knowledge and skills of biological and medical sciences
1. Investigating nosocomial Infections (Educative)
2. New Discoveries Through Research 8. Focuses on providing reliable and accurate laboratory findings
3. Public Health Education Through Seminar/Workshops (Self-conscious and Perfectibility)
4. Extending services to molecular engineering Source:
5. Pioneer in Laboratory Medical Diagnostic Services https://www.coursehero.com/file/p44p0hp/THE-NATURE-OF-ME
6. Evaluating the efficacy of drug treatment through DICAL-TECHNOLOGY-A-procedure-of-scientific-activities/
microbiological analysis
7. Engaging in blood donation and bloodletting services for the WHAT are the important Qualities for Medical
public Technologists?
8. Laboratory Diagnosis 1. Ability to use technology. Medical laboratory technologists and
9. Biological and Medical Research technicians must understand how to operate computerized lab
10. Prevention and control of disease and infection equipment.
11. Innovative Techniques and Technology 2. Detail oriented. Medical laboratory technologists and
Source: technicians must follow exact instructions in order to perform
https://www.coursehero.com/file/p44p0hp/THE-NATURE-OF-ME tests or procedures correctly.
DICAL-TECHNOLOGY-A-procedure-of-scientific-activities/ 3. Dexterity. Medical laboratory technologists and technicians
need to be skilled with their hands. They work closely with
WHAT are the delimitations of Medical Technology? needles and precision laboratory instruments and must handle
1. Provision of medical drugs to patients these tools effectively.
2. Does not involve actual health care and interventions 4. Physical stamina. Medical laboratory technologists and
Source: technicians may work on their feet for long periods while
https://www.coursehero.com/file/p44p0hp/THE-NATURE-OF-ME collecting samples. They may need to lift or turn disabled patients
DICAL-TECHNOLOGY-A-procedure-of-scientific-activities/ to collect samples for testing.
Source:
WHO are Medical Technologists? https://collegegrad.com/careers/medical-and-clinical-laboratory-t
According to the American Society for Clinical Laboratory echnologists-and-technicians
Science, “Medical laboratory science professionals, often called
medical laboratorians, are vital health care detectives, WHAT are the functions of Medical Technologists?
uncovering and providing laboratory information from laboratory 1. Scientific Function
analyses that assist physicians in patient diagnosis and 2. Production of test data
treatment, as well as in disease monitoring or prevention 3. Monitoring the accuracy, precision and utility of laboratory
(maintenance of health). Moreover, encompassing the design, testing
performance, evaluation, reporting, interpreting, and clinical 4. Evaluation and implementation of new laboratory methods
5. Management Function: Technical, Fiscal, Human Resources, 5. Disseminating clinical laboratory test information to clinicians
Educational Function and patients in a timely manner;
Source: 6. Evaluating the outcome of clinical laboratory testing for each
https://www.coursehero.com/file/p44p0hp/THE-NATURE-OF-ME individual patient and the entire health care system;
DICAL-TECHNOLOGY-A-procedure-of-scientific-activities/ 7. Utilizing qualified medical laboratory personnel.
Other requirements include the ff:
WHERE do Medical Technologists work?  Assessing, designing, evaluating and implementing new
Medical Technologists work in the laboratory. The following are clinical laboratory test methods;
different types of laboratory where Medical Technologists work:  Evaluating the appropriateness of existing and new clinical
1. Biosafety Laboratory - the containment of potentially harmful laboratory methods for clinical utility, cost-effectiveness and
biological agents. cost-benefit analysis;
2. Clinical and Medical Laboratory - laboratories equipped for  Developing, implementing, and reporting results of clinical
diagnostic tests on tissue, blood and other patient samples. They laboratory research;
can be subdivided into various processes such as pathology,  Designing and implementing cost-effective delivery models
serology, histology, virology, bacteriology and molecular biology for clinical laboratories, including their services and
with PCR- technologies. personnel;
3. Research and Development Laboratory  Developing and implementing a comprehensive Quality
Source: https://www.exilab.com/en/laboratory-types/ Management System to include:
 Quality control and assurance of clinical laboratory testing
WHAT are the different sections of Clinical Laboratory? services;
Phlebotomy, Biochemistry, Immunology/Virology, Microbiology,  Competency assessment of personnel;
Blood Donor Services, Blood Transfusion Services  Integration with other aspects of the healthcare delivery
Molecular Diagnostics/Genetics, Cytogenetics, Mortuary Practice, system for ensuring appropriate utilization of clinical
Cytology, Embryology, Point of Care Testing, Haematology, laboratory testing services;
Specimen Services, Histology  Continuous process improvement activities to effectively
Source: utilize human resources.
https://www.mscouncil.org.nz/for-practitioners/definitions-and-qu  Designing, implementing and evaluating academic curricula
alifications/the-profession-of-medical-laboratory-science/ for the education of new medical laboratory professionals;
 Designing, implementing and evaluating academic curricula
WHAT do Medical Technologists do? for advanced education of medical laboratory professionals;
A. According to RA 5527 (Philippine Medical Technology Act of  Designing, implementing and evaluating continued
1969) education activities and career growth opportunities for
1. Examination of tissues, secretions and excretions of the medical laboratory professionals;
human body and body fluids by various electronic, chemical,  Promoting awareness and understanding of the use of the
miscroscopic, bacteriologic, hematologic, serologic, immunologic, clinical laboratory.
nuclear, and other laboratory procedures and techniques either Source:
manual or automated: http://www.ascls.org/position-papers/188-scope-of-practice/164-
2. Blood banking procedures and techniques; scope-of-practice
3. Parasitologic, Mycologic and Microbiologic procedures and
techniques; WHAT are the duties/roles of Medical Technology/Medical
4. Histopatholgic and Cytotechnology; provided that nothing in Laboratory Science in disease detection and diagnosis?
this paragraph shall inhibit a duly registered medical laboratory 1. Analyze body fluids, such as blood, urine, and tissue samples,
technician from performing histopathologic techniques and and record normal or abnormal findings
procedures. 2. Study blood samples for use in transfusions by identifying the
5. Clinical research involving patients or human beings requiring number of cells, the cell morphology or the blood group, blood
the use of and/or application of medical technology knowledge type, and compatibility with other blood types
and procedures; 3. Operate sophisticated laboratory equipment, such as
6. Preparations and standardization of reagents, standards, microscopes and cell counters
stains and others, provided such reagents, standards, stains and 4. Use automated equipment and computerized instruments
others are exclusively for the use of their laboratory; capable of performing a number of tests at the same time
7. Clinical laboratory quality control; 5. Log data from medical tests and enter results into a patient's
8. Collection and preservation of specimens, medical record
Provided, that any person who shall passed the corresponding 6. Discuss results and findings of laboratory tests and
Board examination for the practice of a profession already procedures with physicians
regulated by existing laws, shall not be subject to the provisions 7. Supervise or train medical laboratory technicians
of at last four (4) preceding paragraphs if the performance of
such acts or services is merely incidental to his profession. WHAT are the responsibilities of Medical
Source: REPUBLIC ACT NO. 5527, ALSO KNOWN AS THE Technology/Medical Laboratory Science in disease
PHILIPPINE MEDICAL TECHNOLOGY ACT OF 1969 detection and diagnosis?
(BASIC PRACTICE)
B. According to American Society for Clinical Laboratory Science 1. Ensure that all relevant information is obtained for correct
1. Ensuring that appropriate clinical laboratory tests are ordered; specimen collection and analysis.
2. Procuring clinical laboratory test samples in an efficient, timely 2. Treat all patients with courtesy and respect, ensuring that their
manner; rights are protected and their consent obtained.
3. Producing accurate clinical laboratory test results; 3. Apply proper protocol for identification of the patient and
4. Correlating and interpreting clinical laboratory test data; collection of specimens.
4. Apply proper protocol for specimen accessioning, identification, 32. Participate in the development and application of accepted
documentation and storage in a retrievable manner. standards of their profession.
5. Exercise judgment in assessing the integrity and suitability of 33. Always put the welfare of the patient above other
specimens for examination. considerations.
6. Identify and use the most appropriate techniques for preparing 34. Communicate patient test results clearly and accurately to
specimens for analysis. clinicians
7. Assess and organize the workload to optimize efficiency and 35. Perform work efficiently and accurately under the pressure of
quality of patient care. time constraints and be able to multitask
8. Provide appropriate instruction to health care workers 36. Professional attitudes, behaviors and cultural competencies
responsible for collection, transportation, documentation and 37. Display professionalism in communication and dress and
storage of specimens. show respect for colleagues and superiors
9. Ensure there is a complete, current and accessible manual 38. Demonstrate tolerance and establish effective working
outlining proper procedures for collection, transportation, relationships with others from diverse backgrounds, including
documentation and storage of specimens. age, race and gender
39. Work effectively as a team member or independently as
(ANALYTICAL TECHNIQUES) required to accomplish the goals of the work unit (laboratory)
10. Understand the principles and perform analytical techniques 40. Demonstrate advocacy in the field of laboratory medicine,
on a variety of specimens and ensure accuracy of analyses. seeking to engage in activities that help to increase the
11. Understand the physical and chemical principles of the awareness, status and quality of the medical laboratory science
various analyses performed. profession
12. Apply approved methods and procedures in the performance 41. Value self-directed learning, maintain board certification, and
of analyses. participate in ongoing continuing education to increase and
13. Operate and maintain analytical equipment proficiently. update knowledge of laboratory medicine
14. Understand and interpret references ranges (intervals),
critical values, and detection limits of each technique. Sources: https://www.cmltm.ca/about-us/standards-of-practice
15. Understand and identify the cause of interferences and https://www.mayo.edu/mayo-clinic-school-of-health-sciences/car
adverse effects and take appropriate action. eers/laboratory-sciences/clinical-laboratory-science-program-flori
16. Ensure that control protocols are clearly defined and followed da-and-minnesota/goals-and-competencies
for each analysis.
17. Ensure the accuracy of patient results utilizing quality control WHAT are the types of specialized medical laboratory
programs. technologists?
1. Blood bank technologists, or immunohematology technologists,
(TECHNICAL SUFFICIENCY) collect blood, classify it by type, and prepare blood and its
18. Evaluate the technical sufficiency of test results and ensure components for transfusions.
that reports are issued in an appropriate and timely manner. 2. Clinical chemistry technologists prepare specimens and
19. Demonstrate an understanding of the relationship between analyze the chemical and hormonal contents of body fluids.
clinical information, laboratory analyses, diagnosis and patient 3. Cytotechnologists prepare slides of body cells and examine
care. these cells under a microscope for abnormalities that may signal
20. Identify results that are outside expected finding or clinically the beginning of a cancerous growth.
established reference ranges and ensure that appropriate action 4. Immunology technologists examine elements of the human
is taken. immune system and its response to foreign bodies.
21. Release results of laboratory analyses that meet quality 5. Microbiology technologists examine and identify bacteria and
control criteria in a timely and efficient manner. other microorganisms.
22. Communicate information regarding laboratory analyses to 6. Molecular biology technologists perform complex protein and
clients in a manner that is appropriate. nucleic acid tests on cell samples.
23. Ensure that laboratory results remain confidential and are Source:
accurately documented and retained in accordance with https://collegegrad.com/careers/medical-and-clinical-laboratory-t
established policy and existing legislation. echnologists-and-technicians

(QUALITY MANAGEMENT) 7. Medical laboratory management


24. Maintain established standards for quality control in 8. Medical laboratory science research and development
specimen procurement, preparation, analysis, interpretation and 9. Medical laboratory science teaching
reporting. 10. Medical laboratory quality management
25. Follow established protocols as defined in policy and Source:
procedure manuals. https://www.mscouncil.org.nz/for-practitioners/definitions-and-qu
26. Ensure the accurate and timely reporting of results. alifications/the-profession-of-medical-laboratory-science/
27. Practice in a manner consistent with efficient and effective
use of resources. WHAT are the career opportunities for MT fresh board
28.Participate in internal and external quality assurance passers?
programs. 1. Biochemist – study the chemical composition of cells and the
29. Maintain appropriate documentation. cellular makeup of living organisms; they perform research on
the cellular level, analyzing chemical processes and reactions
(PROFESSIONAL RESPONSIBILITIES) 2. Bacteriologist – conduct research and observe the qualities,
30. Be responsible and accountable for their continued growth and composition of scientific microorganisms such as
competence. bacteria, fungi and parasites
31. Practice within the legal and ethical framework of their 3. Blood Bank Technologist – collect, analyze and prepare blood
profession. for transfusions
4. Clinical lab technicians and assistants- Clinical Pathologist
collect samples from patients, sometimes within a surgical setting,
or they take the samples collected by clinical lab technicians and
assistants
5. Histologist – work closely with pathologists and diagnosticians
to identify the cause of patient symptoms and flag any warning
signs of disease
6. Microbiologist – studies microscopic organisms using the
microscope
7. Parasitologist – study the characteristics, habits, and life
cycles of animal parasites. In many cases, their work includes
investigation of undiagnosed human illness, and possible
parasitic invasion related to the illness
8. Medical Research Assistant – performs tasks to aid research
in a hospital, laboratory or clinical setting; help collect samples
and specimens, interview research subjects, perform routine
tests and procedures, assemble data and ensure that test
protocols are documented
9. Toxicologist – determines the risk of negative effects of certain
chemicals on humans, animals and the environment
10. Cytotechnologist – specializes in cytology, which is the study
of the formation, structure and function of cells
11. Crime Lab Analyst – work in laboratories rather than in the
field, analyzing various forms of physical evidence collected by
police detectives and forensic technicians at crime scenes

WHAT are the career opportunities for Advanced Positions?


*Require years of extensive experience and practice:
1. Forensic Chemist – analyzes evidence that is collected at
crime scenes by using principles of chemistry, genetics and
biology
2. Chief Medical Technologist – supervises and ensures that all
laboratory tests are done accurately and on time
3. Chief Medical Researcher – work in hospitals or science
laboratories or independent organizations compiling and
analyzing information about diseases, drug interaction and
patient progress. They collect data, confer with doctors and
patients and report findings to hospital administrators and others
4. Medical Laboratory Manager – responsible for the operation,
direction and administration of a clinical laboratory
5. Pharmacologist – studies and analyzes the impact of
chemicals and other pharmaceutical substances, such as
medicinal plants on the human body
6. Research Scientists
7. Educators
8. Epidemiologists
9. Veterinary Laboratory Scientists
10. Nuclear Medicine Scientists
11. Food and Industrial Microbiologists

WHAT are the career opportunities for Non Board MT


passers?
1. Medical Equipment Sales Representatives – sells and markets
medical equipments to private clinics, diagnostic centers and
hospitals; they also instruct and demonstrate the use of certain
medical devices
2. Pharmaceutical Sales Representative – work for
pharmaceutical companies, traveling around to get doctors to
use their product
3. Medical Technicians – assist Medical Technologists in
collecting specimens and operating medical equipments during
procedures

Sources:
https://www.finduniversity.ph/majors/bs-in-medical-technology-p
hilippines/
https://www.national-u.edu.ph/?page_id=1170
Defining the Practice of medical technology and other Laboratory Personnel.

Source: Harmening, D. M., Castleberry, B. M., & Lunz, M. E. (1995).


Defining the Roles of Medical Technologists and Medical Laboratory
Technicians. Laboratory Medicine, 26(3), 175–178.
doi:10.1093/labmed/26.3.175

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