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The lab

Six stations from a clinical laboratory. New learners start at the Dilution station.

Dilution station

Dilute and calculate

1:5 to 500 µL

Dilution station: Dilute specimen
Prepare single creatine kinase (CK) dilutions and serial dilutions, adjust transfer volumes, and calculate concentrations and cumulative dilution factors.

Microscope

Count a white cell differential

Peripheral blood differential

Microscope: Perform manual diff
Identify peripheral blood cells, complete a WBC differential, and interpret the laboratory findings.

QC workstation

Review QC before release

Morning QC review

QC workstation: Review QC
Review chemistry quality control (QC), investigate unexpected results, and decide what must happen before affected patient results can be reported. Work through guided and independent cases, then review your decisions.

The phone

Call a critical result

Shift 1

The phone: Start shift
Answer a call about a result on hold, then work through the report, follow-up calls, and notes. Guided shifts, about 25 to 35 minutes each.

Chemistry station

Review a metabolic panel

Two-case assignment

Chemistry station: Review results
Review current and prior comprehensive metabolic panel (CMP) results, investigate specimen and method problems, and decide which results to report or hold.

Blood bank

Identify an antibody

Antibody workup

Blood bank: Work up antibody
Work up a positive antibody screen: read the panel, rule out, run additional tests to confirm the specificity, type the patient, and screen and crossmatch units for issue.

Workups