Clinical Laboratory
Organizations
CLSci 101
Clinical Laboratory?
A clinical laboratory is …
“a facility for the biological, microbiological,
hematological, biophysical, cytological,
pathological or other examination of materials
derived from the human body for the purpose of
providing information for the diagnosis,
prevention, or treatment of any disease or
impairment of, or the assessment of the health of
human beings.” (CLIA ’88)
Laboratory Settings
Hospitals
“Traditional” laboratory
Rapid Response Lab
Stat Labs
Point of Care Testing
More lab settings
Clinics
Reference labs
Specialty labs
General Reference labs
Public Health Laboratories
Federal (CDC)
State Laboratory (WISLH)
Industry
Insurance Companies
Clinical Laboratory
Responsibilities
Sample collection, handling and processing
Sample testing & data validation
Result management / reporting
Interpretation & utilization
Laboratory Director
Laboratory Manager
Anatomical Pathology (AP) Clinical Pathology (CP) Support Services
Histology Chemistry Phlebotomy
Cytology Hemostasis Customer Service
Hematology Specimen Processing
Immunology Clerical and Billing
Blood Banking Information Systems
Microbiology Transportation Services
Urinalysis
Laboratory Organization
Medical Director
Is a Pathologist (MD) or
Ph.D.
Ultimately responsible for
the operation and function
of the laboratory
Laboratory Manager
Is typically a MLS with a
masters degree http://www.uwlax.edu/clinlabsci/i
mages/labshot5.jpg
Section Managers
Typically MLS, may have a
masters degree
Laboratory Sections
Anatomic Pathology Clinical Pathology
Chemistry
Histology Quantitates chemical constituents in blood
and body fluids
Prepares and views tissue Hemostasis
samples Evaluates the capability of blood to coagulate
Hematology
Cytology Identifies and quantitates cellular components
in blood and body fluids
Looks for cancer cells Immunology
Pap smear most common Tests blood for antibodies
sample Blood Banking
Crossmatches blood for transfusion
Microbiology
Grows and IDs bacteria and fungi, and IDs
parasites and viruses
Urinalysis
Evaluates urine visually, chemically, and
microscopically
Lab Sections, cont.
Support Services
Specimen Processing
Prepares samples for testing (centrifugation, order entry,
delivery of samples to scientists, etc.)
Phlebotomy
Collects blood samples, primarily by venipuncture
Transportation Services (Couriers)
Transports samples to/from laboratory
Clerical & Billing Services
Customer Service (Client Services)
Usually MTs or MLSs
Handles questions from both lab end and client end
Information Systems (LIS)
Maintains computers and computer database
General Staffing
Medical Laboratory Scientist MLS
Medical Technologist MT
Clinical Laboratory Scientist CLS
(Baccalaureate degree)
Medical Laboratory Technician MLT
Clinical Laboratory Technician CLT
(Associate degree)
Clinical Laboratory Assistant CLA
Histotechnologist
Cytotechnologist
Phlebotomist
Current information
US Dept of Labor, Bureau of Labor Statistics
UNMC Jump Start Program
Diagnostic Detectives
Job Prospects continue to be
good
New jobs will likely be created at a rate significantly above
average because of ongoing trends
A growing and aging population that requires more health
services
New technologies that improve the ability to diagnose disease
New testing methodologies and genetic testing
Demand will also likely occur because new tests should be
developed and the volume of laboratory tests should increase.
A large portion of the current workforce is reaching retirement
age
Decreasing number of programs nation wide with increasing
demand
Is life in the lab for you?
Curious
you want to know why things are they way they are
Fascinated
by science and the way the human body works
Process-oriented
you understand the importance of following certain steps to arrive
at a conclusion
Accurate
you are careful and pay attention to details in your work
Self-sufficient
you can rely on yourself to get a job done
Top 10 Reasons to Become a
Clinical Laboratory Scientist
10 Excellent starting salaries and job security
9 Ability to work anywhere in the United States
8 Large range of diverse job responsibilities
7 Opportunity to perform state-of-the-art diagnostic laboratory procedures with
sophisticated instrumentation
6 Work in a laboratory where you use your mind to solve medical puzzles on a
daily basis
5 Excellent opportunities for advancement
4 Acquire an excellent background for continuing education in graduate or
medical school
3 Fill a critical national need due to the current demand for Clinical Laboratory
Scientists in the United States
2 Be a vital member of a modern health care team that provides the majority
of information used to diagnose and treat disease
1 The opportunity to improve patient health and save lives as a result of your
laboratory and problem-solving skills