MLT Questionnaire Form

Medical Laboratory Technician Supplemental Application Questionnaire

Please watch this video and then fill out the form and answer the questions below.

One of the expectations of the applicant for the Medical Laboratory Technician Program is that they have some knowledge of the medical laboratory field. Therefore, we ask that applicants provide the College with evidence of this knowledge by watching a short video and answering the following questions. These questions should be submitted to the Program Director or Academic Advisor during your program interview.
Name
Email
Signature
Date
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Step One: Watch the following video, which is available on YouTube:
https://youtu.be/aU8vyqHCy5w

Step Two: Answer the following four questions in the space provided (use the back of the sheet if necessary)
1) How many departments were covered in the video? List them.
2) A technician in the video says that she can look at a blood smear and in one second determine if a patient has what three conditions?
3) Based on the video, do you think you are interested in becoming more of a generalist or specialist and why? If you are interested in becoming a specialist, what department interests you and why?
4) Describe, in your own words, what an MLT does.
MLT Essential Skills Form
Medical Laboratory Technician students in training and in the clinical workplace need the following physical, cognitive and environmental standards.
Physical Performance Standards (not all incusive)*
The MLT will:
- Speak with clarity
- Communicate with clarity
- Hear others in a conversation
- Hear others over the telephone
- Possess natural or corrected sight
- Possess depth perception
- Possess color vision
- Possess shoulder, arm and neck movement
- Have the ability to move about facility
- Have the ability to bend
- Have the ability to reach overhead, in front of the body and down
- Have the ability to grasp overhead, in front of the body and down
- Have the ability to sit
- Possess fine motor control of hands, fingers and wrist
- Possess coordination of eye/hand and eye/hand/foot
Cognitive/Mental Standards (not all inclusive)*
The MLT will:
- Possess the ability to reason, dealing with abstract and concrete variables
- Possess the ability to define problems, collect data, establish facts and draw valid conclusions
- Interpret and carry out oral, written and diagrammatic or schedule from one and two-step instructions
- Perform simple and complex math procedures
- Comprehend simple and complex reading materials: including newspapers, journals, instructions and manuals
- Perform simple and complex writing procedures
- Possess spatial perceptions: visualize objects of two or three dimensions
- Possess spatial form perceptions: perceive detail in objects or pictures for discrimination and comparison
- Perceive pertinent detail in verbal or tabular material
- Synthesize, coordinate, analyze, compile, compute, copy and compare data
- Comprehend and follow instructions
- Perform simple and repetitive tasks
- Maintain a work pace appropriate with given work-load
- Relate to others beyond giving and receiving instructions
- Make generalizations, evaluations or decisions without immediate supervisions
- Accept and carry out responsibility for direction, control and planning
- Influence people
Environmental Factors (not all inclusive)*
The MLT will:
- Work indoors in confined spaces
- Work around moving machinery
- Tolerate exposure to dust, fumes, smoke, gases, odors and mists
- Tolerate exposure to toxic and caustic chemicals
- Tolerate exposure to toxic and caustic chemicals
- Tolerate exposure to excessive noise, vibration
- Tolerate exposure to minimal levels of radiation or electrical energy
- Tolerate exposure to solvents, grease, oils and explosives
- Use computer technology
- Work alone and with others
- Be exposed to blood and other potentially infectious materials
Safety Equipment Required (not all inclusive)*
The MLT will:
- Wear safety glasses
- Wear face-masks or shields
- Wear protective clothing
- Wear protective gloves
Signature*
Date*
MM slash DD slash YYYY