D.10 Histology Technician Competency_Training.pdf
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Doc 5 - Contract Staff – Histology
HISTOLOGY TECHNICIAN - DIRECT OBSERVATION AND REVIEW RECORD
VETERANS AFFAIRS MEDICAL CENTER
PATHOLOGY AND LABORATORY MEDICINE SERVICE
3200 Vine Street, Cincinnati, Ohio 45220
CONTRACT STAFF - HISTOLOGY TECHNICIAN ________________________________________DATE_______________________
ANNUAL COMPETENCY DUE IN JANUARY EACH YEAR
TASK Method Of
Verification
Competent Training in Progress Needs Improvement
COMMENTS
1 Understands and follows all safety procedures. O/Q/D 2 Understands and performs proper cleaning procedures. O/Q/D 3 Understands and utilizes all required PPE during procedures. O/Q/D 4 Demonstrates and performs the proper handling of chemical and biohazardous materials by following established protocols and policies.
O/Q/D
5 Understands and demonstrates knowledge of all fixatives utilized in the laboratory. O/Q/D 6 Understands and demonstrates knowledge of tissue processing including the theory behind processing, and what chemicals are used in each step and their role in the process O/Q/D
7 Understands and demonstrates knowledge of basic programming of the tissue processors.
O/Q/D
8 Understands and demonstrates knowledge of required maintenance (daily, weekly and monthly) of the tissue processors. Documentation of the maintenance must be completed.
O/Q/D
9 Understands and demonstrates knowledge of trouble shooting skills for the processor. O/Q/D 10 Understands and demonstrates knowledge of proper procedures associated with the embedding process.
O/Q/D
11 Understands and can perform proper tissue embedding. O/Q/D 12 Understands and can perform programming and maintenance of the embedding station.
Documentation of the maintenance must be completed.
O/Q/D
13 Understands and demonstrates knowledge of trouble shooting skills for the embedding center.
O/Q/D
14 Understands and demonstrates the proper procedures for sectioning paraffin blocks per written policies and procedures of the laboratory including checking block and slides identification, maintaining a clean uncontaminated flotation bath, ensuring the slides are of excellent quality and distribution is completed in the required time frame.
O/Q/D
15 Understands and demonstrates proper usage and maintenance for microtomes.
Documentation of the maintenance must be completed.
O/Q/D
16 Understands and demonstrates the proper procedures for slide staining including the theory behind staining and what chemicals are used in each step and their role in the process.
O/Q/D
Understands and demonstrate the proper usage and maintenance of the automated slide stainer/coverslipper. Documentation of the maintenance must be completed.
18 Understands and demonstrate the ability to properly determine staining quality. O/Q/D
Of
Verification
Competent Training in Progress Needs Improvement
COMMENTS
19 Understand and demonstrate the proper usage and maintenance of the tissue flotation baths. Documentation of the maintenance must be completed.
O/Q/D
20 Understands and demonstrates biohazard precautions, proper safety techniques and appropriate PPE.
O/Q/D
21 Can identify all components of the cryostat display area. O/Q/D 22 Understands and demonstrates the ability to utilize the various functions of the sectioning module of the cryostat.
O/Q/D
23 Understands and demonstrates knowledge of the defrost and interrupt functions of the cryostat.
O/Q/D
24 Understands and demonstrates the proper function of specimen orientation. O/Q/D 25 Understands and demonstrates a knowledge of the disposable knife holder. O/Q/D 26 Understands and demonstrates knowledge of proper settings for temperatures, angles, etc. associated with the cryostat.
O/Q/D
27 Understands and demonstrates knowledge of the locking mechanism of the fly wheel. O/Q/D 28 Understands and demonstrates proper knowledge of cleaning and decontamination requirements for the cryostat.
O/Q/D
29 Understands the workflow of a frozen section specimen. O/Q/D 30 Understands the techniques for properly performing a frozen section. O/Q/D 31 Understands the proper labeling of slides during frozen section procedure. O/Q/D 32 Understands the proper staining (H & E) technique of frozen section slides. O/Q/D 33 Understands the proper maintenance of the frozen section staining line. Documentation of the maintenance must be completed.
O/Q/D
34 Understands the proper maintenance of the cryostat including changing the knife, adjusting the angle of the knife, changing the micron sectioning thickness and utilizing the UV light.
O/Q/D
35 Understands the final process of specimen submission for permanent embedding. O/Q/D 36 Gross Room: Understands and utilizes all required PPE during procedures in the gross room.
O/Q/D
37 Gross Room: Understands and performs proper cleaning procedures. O/Q/D 38 Gross Room: Understands and performs proper tissue storage and disposal procedures. O/Q/D 39 Gross Room: Understands and completes inventory checking for expired reagents in the process.
O/Q/D
40 Gross Room: Understands and completes formalin neutralization procedures O/Q/D 41 Gross Room: Understands and completes proper identification/accessioning and labeling procedures of all specimens received in the area. Properly prepares specimens for the grossing procedures by the residents/pathologists.
O/Q/D
42 Gross Room: Understands and follows all safety procedures. O/Q/D 43 Gross Room: Understands the proper usage of the cassette printer and the slide printer.
Performs maintenance as needed.
O/Q/D
44 Gross Room: Understands and can perform the proper send-out procedures for pathology specimen.
45 Cytology: Understands and follows all safety procedures. O/Q/D
Of
Verification
Competent Training in Progress Needs Improvement
COMMENTS
46 Cytology: Understands and performs proper cleaning procedures. O/Q/D 47 Cytology: Understands and utilizes all required PPE during procedures. O/Q/D 48 Cytology: Understands and completes proper identification/accessioning and labeling procedures of all specimens received in the area.
O/Q/D
49 Cytology: Understands and demonstrates the proper usage and maintenance of the cytology instruments, i.e. Thin Prep Processor, centrifuge, Cytospin and the slide printer. Documentation of the maintenance must be completed.
O/Q/D
50 Cytology: Understands and performs all procedures necessary to produce slides and cell blocks for review by the cytotechnologist and pathologists.
O/Q/D
51 Cytology: Understands and can perform the cytology staining procedures and maintains the stainline maintenance. Documentation of the maintenance must be completed.
O/Q/D
52 Cytology: Understands and can perform send-out procedures related to cytology specimens.
O/Q/D
53 Understands and performs all procedures necessary to prepare immunohistochemistry staining including control selection, instrument preparation and final check of slide quality.
O/Q/D
54 Understands and performs all maintenance procedures for the Ventana Ultra instrument.
Documentation of the maintenance must be completed.
O/Q/D
55 Understands and performs all procedures necessary to prepare routine special staining including control selection, instrument preparation and final check of slide quality.
O/Q/D
56 Understands and performs all maintenance procedures for the Ventana Benchmark instrument. Documentation of the maintenance must be completed.
Competency Assessment Completed by Contracting Officer Representative (COR) or their designee: _________________________________________________ (Signature and Title) Date: ________________________________
The Contract Staff understands the entire procedure, has had an opportunity to ask questions and has read all associated procedures as required.
Contract Staff Signature: __________________________________________________________________
Competency Acceptable: Yes No Date: ________________________________
METHOD OF VERIFIATION: REVIEW OF TASK:
O - Observation of satisfactory performance of task. C – Demonstrates competence Q – Satisfactory response to query of policy, procedure, and/or task. T - Training in progress D – Demonstration of performance of task. N - Needs improvement PT – Satisfactory completion of Proficiency Testing Challenge.
B – Satisfactory completion of blind testing challenge.
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