NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals - Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center - plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.NYULMC.org.
We have an exciting opportunity to join our team as a Clinical Lab Technologist - BV.
In this role, the successful candidate will be responsible for performing and assessing highly technical and complex blood bank laboratory tests on specimens for diagnostic and therapeutic purposes in a timely fashion. Works independently under general direction to address laboratory needs as the occasion arises.Demonstrates knowledge of the organizations Service Standards and incorporates them into the performance of duties.
- take care of lookback
- TECHNICAL DEVELOPMENT. Participates in in-services, continuing education courses, and assists in developing new procedures. Maintains an up to date knowledge of policies and procedures in assigned area and responds to, or initiates changes which enhance patient care, for supervisors review.Maintains and improves technical expertise by attending continuing education programs and reading current literature in the field. Attends all in-service sessions as required.Participates actively in developing, evaluating, and implementing approved new procedures, or modifications to existing policies or procedures. Participates in all CAP and State Proficiency Testing.
- PLANNING AND TIME UTILIZATION.Efficiency in adapting to changes in order to facilitate adequate staffing and effective demonstration in identifyingand acting on priorities in a timely manner. Demonstrates alertness and adaptability to changes in schedule and work conditions; responds appropriately. Uses time effectively by completing all assigned tasks in a timely manner. Recognizes and deals with priorities.Utilizes spare time to review stored collection of abnormal slides, textbooks, periodicals, tech samples, safety videos etc to enhance theoretical knowledge and technical skills.
- INVENTORY MANAGEMENT. Assist with inventory management. Follows lab reagent protocol. Minimizes reagent waste. Informs Supervisors when low on supplies.
- QUALITY CONTROL. Monitors testing equipment, solutions and work environment by following laboratory Quality Control procedure, ensuring the overall reliability of test results. Assist the QA/QC supervisor in performing proficiencies, reagent validations, QC validation, and other activities related to laboratory quality. Cleans and calibrates testing equipment according to established preventive maintenance guidelines.Inspects reagents, solution and chemicals to ensure that they are of high quality, that lot numbers, expiration dates and material safety data are noted and recorded.Reads and records temperatures of pertinent pieces of equipment daily. Includes but not limited to refrigerators, freezers, and water-baths. Runs and interprets control values to ensure standardization within deviation guidelines. Attempts to troubleshoot malfunctioning equipment and reports same to immediate supervisor. Communicates with manufacturers service department dispatch office when unable to rectify inoperable instrument. Receive an ETA and document in shift-to-shift log book. Disposes of needles and sharps in designated red bins. Stores and disposes of contaminated and hazardous materials according to departmental procedures. Adhere to all department infection and safety procedures. Follows departmental procedures and instructions given by the supervisor and director.
- COMPONENTS. Prepares components for issuance to patients.Chooses fresh frozen plasma, cryoprecipitate and platelets according to ABC. Rhesus type, and date. Ensures that oldest date is used first, to prevent outdating of components.Ensures that expiration date and time are modified if needed.Prepares pooled cryoprecipitates ready for issue within 45 minutes of notification. Uses appropriate technique for prevention of contamination, according to departmental policies. Checks to ensure that unite are labeled with appropriate blood group, Rhesus type, and patient demographic and are proper for requested product.Checks to ensure that proper outdating time for requested product is clearly written on the unit label according to the blood bank protocol. Determines if the diagnosis and/or age warrants irradiation as per blood bank protocol. Ascertains that. the correct irradiation grad is listed and registered on the irradiator; strictly follows departmental and standard operating procedures when working the irradiator. Fills out proper records for both the component units and for departmental records.
- Ensures that all computer entries and paperwork pertaining t the injection are complete. Prepares fetal cell titration according to Blood Bank procedures and interprets the test result. Performs antibody titrations, antibody absorption using enzyme treated cells, neutralization studies always using control studies, and interprets direct antiglobulin studies to properly identify antibodies or sort out test results that fall outside normal limits.Obtains new sample while initiating a complicated investigation utilizing standard investigative techniques and interpreting the results obtained. When unable to identify and/or solve problem cases, prepares patient samples to be sent to a reference laboratory, such as the New York Center by obtaining new samples and preparing the appropriate paperwork for the reference laboratory; i.e. all test results obtained, preparing mailing container, and arranging for messenger pick-up.
- ANTIBODY INVESTIGATION. Investigates test results that fall outside established normal limits (i.e.-abnormal test results, identification ofantibodies, fetal cell screening, eluate, and warm crossmatch). Evaluates the abnormal test result correctly and establishes the appropriate action. Obtains necessary information regarding patients diagnosis, transfusion and pregnancy history, drug use, etc.Choose appropriate in-date reagents, including appropriate controls where necessary. Ensures that appropriate blood bank procedures are followed in setting up the panels for antibody identification. Ensures chat the test results are accurately recorded on the worksheet. Interprets and identifies all antibodies ii the patient serum; all positive results must be explained. Selects antigen profile for appropriate supplementary panels in order to identify the antibodies. Performs appropriate genotype to verify the identity of the antibody. Identifies antibodies without undue delay for the patients planned transfusion. Ensures that all Rh negative mothers with Rh positive babies are identified and tested for fetal cells in a timely manner; ensures that they are injected with RhIg within 48 hours after delivery.
- ISSUING OF BLOOD AND COMPONENTS: Issues the appropriate filter for patients requiring leukocyte poor blood, blood components, and for all products issued as per blood bank guidelines. Recognizes when an emergency procedure must be followed for issuing blood and blood components; follows emergency procedures as outlined in blood, bank procedure manual in a speedy but safe manner; advises supervisor of a problem if necessary. Identifies and prepares blood and/or blood components accurately according to the blood banks emergency issue protocol. Ensures that all appropriate documentation is completed and/or saved for later computer entry. Identifies and prepares unit for component separation by performing appropriate computer entries, preparing all labels for the modified product, recording appropriate expiration date and time on all units and issuing appropriate unit (i.e. unit A or unit B).
- ISSUING OF BLOOD AND COMPONENTSCompares and identifies documents from both patient and units properly before issuing blood and components for transfusion purposes. Checks expiration date of blood and blood components before issuing. Ensures that the appropriate information is recorded on the pick-up slip. Recognizes and carries out appropriate action if the product request is ambiguous. Affixes labels on appropriate area of the unit and performs the appropriate crosscheck of the patient demographics on the pick-up slip, the transfusion slip etc. according to blood bank protocol. Checks to ensure that the product ordered is the product being issued and performs a visual inspection of the product issued according to regulatory guidelines.
- ACCESSIONING AND BLOOD COMPONENTSAccessions all blood and components as soon as possible after received.Enters the units into the ledger as soon as possible and ensures the correct compatibility form is affixed to the correct. blood and/or component unit.Checks invoices and places them in the appropriate ledgers. Removes a segment from the bag and appropriately labels it with the assigned computer number. Places segment in the appropriate plastic bag labeled with date and an expiration date which is 35 days later. Maintains the appropriate temperature of product while accessioning.Places blood units into quarantine drawers and ABO and Rhesus order before segment testing. Places blood on appropriate shelves-according to expiration date order-ready for use after segment typing. Ensures that the components are placed in appropriate storage place according to ABO and Rhesus types. Ensures that platelets are placed in date order as well as ABO and Rhesus order.
- COMPATIBILITY: Performs compatibility testing to minimize harm to patients. Utilizes blood carefully in order to minimize discarding. Performs routine and full crossmatching, selects appropriate blood for transfusion, releases emergency crossmatches, and processes RhIg requests.Recognizes the urgency of an emergency and prepares blood promptly; knows the emergency crossmatch release through HCLL and HIS.Knows the correct blood selection for specific cases of emergency, i.e.. no patient blood type give type-0 blood, patient blood type give group specific blood, etc. Recognizes when a patient is a RhIg candidate and knows the purpose of the RhIg register.Knows the RhIg injection criteria, such as time limits for injections, Weak D positive mothers with a Weak D positive baby.Completes all aspects of the RhIg protocol, including the billing when needed.Alerts doctor and/or nurse of any problem, involving a potential RhIg recipient.
- COMPATIBILITY. Performs compatibility testing to minimize harm to patients. Utilizes blood carefully in order to minimize discarding. Performs routine and full crossmatching, selects appropriate blood for transfusion, releases emergency crossmatches, and processes RhIg requests. Performs the procedure in a timely manner. Performs the procedure according to department policy as outlined in the procedure manual, which is in accordance with AABB, New York Department of Health, New York State, DOH, FDA, and other accrediting agency standards.Recognizes when and why full crossmatch is performed.Recognizes the need for fresh blood, irradiated blood, leukocyte poor blood etc. as per blood transfusion protocol.Knows the availability and/or the source for acquiring fresh blood. Follows the blood transfusion service protocol when fresh blood is not available.
- Notifies Medical Director and supervisor immediately if any discrepancies are encountered. Recognizes a Hemolytic Transfusion Reaction and follows through immediately with appropriate actions as per blood transfusion service protocol. Notifies Medical Director and Supervisor immediately of recipient transfusion errors, reaction, and complications.
- TRANSFUSION REACTION WORK-UP. Performs transfusion reaction work-up on all patients that experience adverse reactions to transfusion; notifies Supervisor or Director Performance Criteria: Performs tests in a timely manner. These tests are STAT. Enters Type or reaction and blood compatibility number into special transfusion reaction function in HCLL.Performs clerical check according to blood transfusion protocols. Completes all tests according to blood transfusion protocol. Confirms that original results correspond to test results just obtained. Ensures that all tests results from patient samples are entered into the HCLL system under the correct patient identification number. Ensures that all test results are entered into Hospital Information System, HIS with appropriate comments as per blood transfusion service protocol. Recognizes discrepancies and follows through immediately with appropriate actions as per blood transfusion service protocol.
- INTERPRETATION AND RECORDING OF RESULTS Analyzes, interprets, and reports test results. Exhibits sound judgment in handling and reporting test results. Makes a determination of normal and abnormal test values accurately.Promptly documents results in the hospital information systems and reports abnormal results via telephone. Reviews preliminary diagnosis and consults appropriate reference sources to assist in interpretation. Seeks information or ask assistance from supervisor when necessary regarding difficult or questionable results.
- TYPE, SCREEN, AND ANTIBODY IDENTIFICATION: Ensures that all tests results from patient samples are entered into the HCLL system under the correct patient identification number or enters test results in type/screen ledger. Confirms original test interpretation and recognizes discrepancies; follows through with appropriate action as per blood transfusion service protocol. Notifies supervisor of any discrepancies.Performs tests in a timely manner and in the expected quantity. (A..T. Hudson states that 6 samples per hour is minimum for patient samples). Ensures that the accuracy of the work is 100%. Adheres to Laboratorys/Manufacturers safety policies while operating and troubleshooting instruments. Operates instruments according to Laboratory / Manufactures established procedures.
- TYPE, SCREEN, AND ANTIBODY IDENTIFICATIONPrepares specimens to be tested. Performs ABO group, Rhesus typing and antibody screening on all patient samples. In addition performs ABO group, Rhesus typing, direct anti-human globulin tests on all cord samples. Identifies and prepares accurately specimens which have been collected by phlebotomy team, nurses or physicians in according to laboratory policies and procedures. Ensures that labels on tubes correspond with labels on patient blood records and that tubes are signed by person drawing blood.Ensures that all tests are completed according to blood transfusion protocol.
- LABORATORY SET-UPPreparation of laboratory area, equipment, reagents, and instrument for testing. Calibrates, conducts performance checks, records and maintains laboratory instruments and equipment according to laboratory policy. Ensures the appropriate and adequate supply of materials is available at all times.Recognizes and corrects instrument malfunction. Checks and records temperatures of refrigerator and freezer. Prepares test reagents according to laboratory procedure manual.
To qualify you must have a Education and experience equivalent to the guidelines mandated by CAP, CLIA, and NYSDOH requirements. After September 1, 2013, have received an education, including a Bachelor's Degree from an approved clinical laboratory technologist program or the substantial equivalent. Bachelor's Degree in Clinical Laboratory Technology from a program registered by the NYS Department of Education or Bachelor's Degree in the major of biology, chemistry or physical sciences from an accredited college or university or at least six (6) months of experience in a similar laboratory including previous supervisory experience. NYS technologist license from the Office of the Professions, State Education Department, State of New York or hold a limited permit as CLT that will lead to such license. Knowledgeable in Quality Control procedures and Laboratory Automation.Effective oral, written, communication and interpersonal skills.
Master's Degree and NCA/ASCP certification in addition to the minimum requirements. Working knowledge of related theory, principles, practices, applicable instrumentation, analytical methods, quality control, statistical analysis, current government regulations and leadership.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Medical Center provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. And just as our employees invest so much in us, we invest in our employees. We're pleased to have one of the most competitive compensation packages not only among New York's hospitals and healthcare institutions, but within the corporate sector as well. We begin with exceptional medical, dental, and drug coverage. We enhance this basic coverage with comprehensive wellness programs, and supplement those with retirement investment and benefits plans, and generous paid time off allowances. Add to that a very attractive tuition program, and you'll see just some of the ways that NYU Langone Medical Center demonstrates our commitment to our employees.
NYU Langone Medical Center is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, military and veteran status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Medical Center's EEO policies, please click here. Please click here to view the Federal 'EEO is the law' poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.