Medical Laboratory Technician II

Medical Laboratory Technician IIThe Medical Laboratory Technician II will serve primarily to provide complex laboratory procedures, analyses, and interpretation of laboratory services for all clinics, outreach programs, and the environmental health services of the Jackson County Department of Public Health. All laboratory testing is performed according to policies, procedures, and regulations. The Medical Laboratory Technician II serves as back-up supervisor when Medical Laboratory Technologist I (Laboratory Supervisor) is out of the office. Grade 20 Work Schedule Forty (40) hour week with the option to work Monday through Friday from 7:00 am until 4:00 pm or 8:00 am to 5:00 pm, with (1) one hour for lunch; or four (4) ten (10)-hour workdays from 7:00 am until 5:30 pm with thirty (30) minutes for lunch; or Monday from 8:00 am until 12:00 pm with no lunch and Tuesday thru Friday from 7:00 am until 4:30 pm with thirty (30) minutes for lunch; based on department needs and supervisor approval. Occasional work late evening or weekend work may be required to complete testing. On call 24/7 for any unusual surveillance activities or events. The person in this position is required to work nights and weekends when necessitated.Duties and ResponsibilitiesFollows Standard Precautions at all times when collecting specimens, testing, and/or processing specimens.Microbiology testing:Inoculating of urine culturesPerforms sterility checks and QC on each media shipment and records on microbiology log sheetPerforms wet mounts of vaginal secretions for indications of infections; i.e. WBC, yeast, trichomonas, bacteria, and "clue cells"Performs direct smears: gram stains for detection of Neisseria gonorrhea and non-gonococcal urethritis (NGU), other bacteria, and yeastPerforms rapid methods: strep throat screensReconstitutes and inoculates media, and for use in required QC testing procedures for culturesComplex procedures may use Oxidase for further identification and confirmation of bacteriaHematology testing:Performs CBC (complete Blood Count) on Micros 60-DM Lite Analyzer. Reports out (9) parameters (RBC, HCT, MCV, HGB, WBC, MCH, MCHC, Platelet, and 3 Part Diff)Performs HemoCue 201 testing (hemoglobin semi-automated analyzer) for WIC, Family Planning, Adult Health Clinics (if indicated), and General ClinicsChemistry testing:Performs Glucose screensPerforms Glucose Tolerance Testing on DT HemoCue Glucose 201 AnalyzerPerforms Glucose and Cholesterol testing on Cholestech LDX AnalyzerPerforms Microalbumin testing on Clinitek Status AnalyzerPerforms Hemoglobin A1C on DCA 2000 or AfinionUrinalysis testing:Performs dipstick (chemical) analysis on Clinitek Status Analyzer/ Clinitek 50 (back-up)Performs Urine Pregnancy testingProvides detailed instructions to patients for obtaining a clean catch mid-stream urine sample.Observes strict chain-of-custody required for drug screen for Perinatal, Prenatal, and urine drug screening for area businesses, Department of Social Services, and Jackson County Employees.Miscellaneous Testing:Performs qualitative method detection of HCG in serum pregnancy testPerforms Erythrocyte Sedimentation Rate testing for detection of inflammation as with arthritis, lupus, etc.Performs Hemoccult testing for detection of blood in stool samplesPerforms Rapid Influenza A & B testingPerforms Mono testingPerforms GeneXpert (CEPHEID) Sars COVID-19 testingPerforms Urine Drug Screen testingPerforms Breath Alcohol TestingCollects specimens for Paternity/DNA analysisWater Analysis:Performs water testing for coliform (total and fecal) bacteriaProcesses water sample for Nitrate testing to be transported to Environmental Inc in Sylva, North CarolinaRecord and mail water results to clientsCalls and mails positive water sample results as indicated in the laboratory water manualPerforms Water Proficiency Testing as indicatedInstructs clients on proper collection of water samples for bacteria analysis, nitrate, and nitrite testingPerforms required quality control on reagants, medias, as indicated by Public Water Supply SectionEnter water results into EPA's Compliance Monitoring Data Portal (CMDP)General Duties:Performs routine phlebotomy services according to policies, procedures, and regulations; on and off-site for a variety of tests.Prepares and processes specimens to reference (public and private) laboratories in accordance with laboratory protocols and reference manualsPerforms fingersticks; on and off sitePerforms start up and shut down of analyzers according to laboratory proceduresVerifies that laboratory requisitions/ physician orders are complete and accurateDocuments results on in-house logs, and enters results into patient's record in Patagonia (Electronic Health Record)Answers general questions from patients or staff regarding laboratory procedures, patient preparation, policies, and protocolsGreets patients timely and courteouslyRoutes patients to other areas of clinic and/or waiting areasPerforms Breath Alcohol Testing for contracted agenciesPerforms complex procedures and analysisPerforms routine and standardized testsPerforms Quality Control, Quality Assurance, and calibration procedures as outlined for clinical and environmental test proceduresPerforms a variety of clinical testsPerforms a variety of environmental testsDistributes results to appropriate provider, clinic/ departmentFaxes and promptly calls all abnormal/ panic results to ordering physician or departmentComplies and attests to HIPAA regulationsComplies with and follows Standard PrecautionsDecontaminates work surfaces and/or equipment as specified in Blood Borne Pathogen policy manualDisposes of hazardous waste using Standard PrecautionsStocks and rotate stock as needed in laboratory and phlebotomy areasProvides Medical Technologist I with supply ordersPerforms and reviews Proficiency TestingPrepares daily totals for labs/ water testing, and patients seen for monthly WTU reportRecords temperatures as requiredStart up and shut down of analyzers according to laboratory proceduresPerforms preventative maintenance on all equipment as neededPackages lab specimens for courier (North Carolina State Laboratory of Public Health, Harris Regional Hospital Lab, etc.)Maintains laboratory supply inventoryAttends workshops, updates, and/or educational sessions that are deemed pertinentPossess and maintain a valid North Carolina Driver's LicenseProvides supervision to Medical Laboratory Assistant and students as neededPerforms daily review of patient's results in the Electronic Health Record when Medical Laboratory Technologist I (Lab Supervisor) is unavailable.Sends monthly invoices for water clients to Accounts Receivable as indicatedPerforms other duties as assigned