The Molecular Technologist II reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Molecular/Cytogenetics Technologist performs test procedures in the Cytogenetics and/or Molecular Laboratories and conveys the results to the physician or designee in an accurate and timely manner for the purpose of patient diagnosis and treatment.
Responsibilities:
TECHNICAL RESPONSIBILITIES
- Performs all aspects of pre-analytic workflow appropriate for the Cytogenetics and/or Molecular Laboratories to ensure orders are entered correctly, specimens collected are appropriate for the test ordered and are correctly processed/transported.
- Verifies order where necessary.
- Verifies non-patient information (e.g., collection time) according to established protocol.
- Handles unresolved orders, troubleshoots where needed.
- Verifies with physicians and/or nurses prior to LIS order entry to resolve unclear, duplicate or otherwise ambiguous orders.
- Verifies specimens for add-on tests are available and acceptable and generate add-on test orders.
- Recognizes when fraud and abuse compliance issues require adjustments to the test order.
- Collecting, receiving and processing of specimens
- Verifies specimens are correctly and completely labeled upon receipt.
- Evaluates specimens for appropriateness and takes necessary corrective action. Appropriately documents unacceptable specimens.
- Prioritizes specimen processing based on established priorities.
- Aliquots specimens according to established protocols.
- Performs all aspects of analytical testing appropriate for the specific laboratory section.
- Maintains test system integrity:
- Performs preventative maintenance on instruments/equipment in a timely fashion according to defined schedule.
- Verifies reagents and supplies meet defined acceptability criteria upon receipt and prior to use; takes action to ensure unacceptable items are removed from use.
- Ensures that sufficient reagents and supplies necessary for test performance are available. Notifies senior staff when minimum inventory level is encountered.
- Performs and records all necessary quality control (QC) required for test system performance.
- Evaluates QC results and takes necessary corrective actions according to established protocol.
- Performs specimen preparation:
- Performs any necessary pretest specimen preparation according to protocols (e.g., Tissue cultures, Cell harvesting, Polymerase chain reaction, DNA and RNA extraction, slide preparation, etc.)
- Transfers or ships specimen to approved testing locations according to protocol
- Performs tests:
- Prioritizes testing based on assignment or established priorities, completes testing within defined turn-around-times (TAT)
- Recognizes the need for and follows any age-specific protocols.
- Responds effectively to changes in the workflow by coordinating a simultaneous series of tests when needed or adjusting work to incorporate STAT tests or fluctuations in work volume.
- Monitors daily workflow and priorities to assure meeting service levels
- Performs technical review and interpretation:
- Reviews results for completeness, correctness, and consistency within defined test system.
- Evaluates test results/reactions and provides accurate interpretations as appropriate to include correlation with, and integration of, other patient data as necessary.
- Performs visual interpretation/identifications as appropriate.
- Recognizes unusual test results/interpretations and completes indicated reflex testing or other follow-up actions.
- Follows established notification protocols for critical values, phone/fax results requests, abnormalities.
- Troubleshoots and solves problems:
- Recognizes test system performance problems and takes necessary corrective actions.
- Recognizes when unresolved problems need to be escalated and takes necessary follow-up action.
- Prints pending logs and follows-up to ensure pending tests are completed or cancelled when appropriate.
- Post-test specimen storage:
- Stores specimens and related materials (blood, slides, tissues, etc) according to protocols for location and duration.
- Retrieves specimens and related materials when needed.
- Performs all aspects of the post-analytic workflow appropriate for the specific laboratory section to ensure accurate results are reported within established time frames, specimens are retained appropriately, test results and/or current status are available upon inquiry, and billed charges are correct for testing performed.
- Verifies and reports results:
- Verifies results according to procedure.
- Performs computer functions necessary for releasing results.
- Generates written reports according to established protocol.
- Reviews printed reports when applicable, recognizes problems and escalates according to protocol.
- Amends reports:
- Corrects erroneous reports and amends reports according to procedure.
- Responds to inquiries:
- Responds to requests for information according to established protocol for confidentiality and release of information.
- Recognizes when unresolved inquiries need to be escalated and take action.
- Stores documents and records:
- Stores documents and records according to established protocol.
- Charge capture/billing:
- Performs billing and/or enters credits for tests and services when applicable.
- Recognizes billing problems and escalates accordingly.
UNIVERSAL RESPONSIBILITIES
- Ensures quality of operations:
- Follows written standard operating procedures.
- Operates instruments/equipment according to protocol.
- Uses computers according to established protocol; follows downtime procedures as required.
- Performs required Quality System responsibilities.
- Meets competency standards of the department.
- Participates in the training of new employees and students.
- Performs operational review of new procedures.
- Participates in new test development and implementation.
- Attends at least one personal development session per year.
- Performs other duties as assigned, or as needed, to ensure continued quality of operations.
- Ensures safety of operations:
- Follows all required safety procedures, uses personal protective equipment appropriate (PPE) for tasks performed.
- Maintains clean and organized work area.
- Provides service excellence:
- Answers telephones when needed, using NM telephone etiquette.
- Maintains patient confidentiality including protected health information (PHI)
- Assists patients and other contacts whenever need occurs.
- May be required to handle and dispose of hazardous materials.