Medical laboratory technicians may be generalists in the field of laboratory technology; that is, they may be trained to carry out many different kinds of medical laboratory work. Alternatively, they may specialize in one type of medical laboratory work, such as cytology, hematology, blood bank technology, serology, or histology. The following paragraphs describe the work of generalists and those in the specialty fields of cytology, histology, and blood bank technology.
Medical laboratory technicians who work as generalists perform a wide variety of tests and laboratory procedures in chemistry, hematology, urinalysis, blood banking, serology, and microbiology. By performing these tests and procedures, they help to develop vital data on the blood, tissues, and fluids of the human body. This data is then used by physicians, surgeons, pathologists, and other medical personnel to diagnose and treat patients.
The tests and procedures that these technicians perform are more complex than the routine duties assigned to laboratory assistants, but do not require specialized knowledge like those performed by more highly trained medical technologists. In general, medical laboratory technicians work with only limited supervision. This means that while the tests they perform may have well-established procedures, the technicians themselves must exercise independent judgment. For instance, they must be able to discriminate between very similar colors or shapes, correct their own errors using established strategies, and monitor ongoing quality control measures.
To carry out these responsibilities, medical laboratory technicians need sound knowledge of specific techniques and instruments and must be able to recognize factors that potentially influence both the procedures they use and the results they obtain.
In their work, medical laboratory technicians frequently handle test tubes and other glassware and use precision equipment, such as microscopes and automated blood analyzers. (Blood analyzers determine the levels of certain blood components like cholesterol, sugar, and hemoglobin.) Technicians are also often responsible for making sure machines are functioning and supplies are adequately stocked.
Medical laboratory technicians who specialize in cytology are usually referred to as cytotechnicians. Cytotechnicians prepare and stain body cell samplings using special dyes that accentuate the delicate patterns of the cytoplasm, and structures such as the nucleus. Mounted on slides, the various features of the specimen then stand out brightly under a microscope. Using microscopes that magnify cells perhaps 1,000 times, cytotechnicians screen out normal samplings and set aside those with minute irregularities (in cell size, shape, and color) for further study by a pathologist.
Medical laboratory technicians specializing in histology are usually referred to as histologic technicians or tissue technicians. Histology is the study of the structure and chemical composition of the tissues, and histologic technicians are mainly concerned with detecting tissue abnormalities and assisting in determining appropriate treatments for the disease conditions associated with the abnormalities.
Medical laboratory technicians who specialize in blood bank technology perform a wide variety of routine tests related to running blood banks, offering transfusion services, and investigating blood diseases and reactions to transfusions. Examples of tasks frequently performed by medical laboratory technicians specializing in this field include donor screening, determining blood types, performing tests of patients' blood counts, and assisting physicians in the care of patients with blood-related problems.
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