Medical Technologist Skills Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 No experience; Theory/observed only

2 Limited competency; < 5 times per year; Needs supervision

3 Acceptable competency; > 5 times per year

4 Competent; Performs on a daily or weekly basis; Proficient

Blood Bank

Component Preparation

Special Blood Typing

Procedures

Patient Identification

Emergency Release

Freezing Blood

Antibody Identification

Antibody Titer

Blood Irradiation

Cold Agglutinins

Direct Coombs Test

Indirect Coombs Test

Cross Match

Donor Unit Collections

Immediate Spin Cross Match

Plasmapheresis

Rhogam

Kell, Kidd, Duffy, RH HR, MNS, Lewis, P

Type RH

Urinalysis

Hematology

Chemistry

Serology/immunology

Phlebotomy

Microbiology/virology

Ria

Emr

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.