Medical Laboratory Technician

Massachusetts General Hospital(MGH) - Boston, MA (30+ days ago)4.3

A Medical Laboratory Technician performs a variety of laboratory tests and reports data for use in diagnosis and treatment of disease.

Under general supervision of a medical technologist(s) or other higher level staff member, who are available to handle or advise on unusual situations, the incumbent will perform only moderately complex laboratory procedures per established and approved protocols, which require the limited exercise of independent judgement and interpretation. These tests are performed directly under the supervision of a technologist, senior technologist, technical specialist, laboratory supervisor or laboratory director.

Work is differentiated from that of a medical technologist in areas of independent judgement and responsibility.

A Medical Laboratory Technician (MLT) will perform various functions and tasks in routine bacteriology, specimen receiving area and one or two other subspecialties. A day shift Medical Laboratory Technician (MLT) will perform those duties and responsibilities, as outlined below, in lab areas where they have been trained and are technically proficient.

Relevant activities include, but are not limited to the following:

General Duties and Responsibilities
Gains experience and develops working knowledge by performing routine and complex procedures utilizing complex instrumentation and manual methods
Follows laboratory technical procedures including specimen handling, analysis, quality control, proficiency testing and results reporting.
Responsible for the accuracy, interpretation and reporting of results
Performs and keeps accurate records of equipment maintenance and quality control; documents corrective actions per laboratory procedures
Refers problems and unusual results to appropriate personnel
Performs clerical and support services as needed. Responds to customer needs and requests
Participates in proficiency testing of unknowns and internal and external continuing education
Participates in continuing education programs related to laboratories
Measures specimens and/or reagents quantitatively using pipettes, making necessary dilutions in accordance with standard procedures using manual or automated methods. May prepare solutions and reagents used in conducting patient tests.
Consults with senior technical staff regarding difficult analyses or abnormal findings.
Calls critical patient results per lab and hospital policy and documents all calls completely and in a timely manner.
Follows all safety (including infection control and hazardous material) policies and procedures. Notifies supervisor of unsafe conditions.
Successfully participates in safety education and all required competency assessment activities.

Lab Area Specific Duties and Responsibilities

Specimen Receiving
Accepts specimens and Epic test requests into Laboratory Information System (LIS). May occasionally enter patient data and test requests from laboratory requisitions following prescribed coding procedures. Resolves any patient identification problems with appropriate patient care area. Reports specimen problems (i.e., wrong type specimen container, leaking specimen containers, hemolyzed specimens, etc.) to appropriate patient care area. Assists with requisition review to verify completeness and accuracy of test orders.

Prepares blood, urine, stool and other specimens for analysis by labelling specimen containers with appropriate patient data using labels generated by LIS.

Process specimens for analysis by culture, direct microscopic examination, serological tests or other test methodologies. Cultures specimens on prescribed media such as agar plates and broth tubes. Incubates the media in environments that are appropriate both to type of specimen and to the organisms routinely sought in those specimens. Process blood specimens for serological tests or other non-culture test methods. Performs rapid POCT-type testing, Clostridium difficile testing and testing on the automated and interfaced GeneXpert Infinity 48-16 instrument.

Bacteriology :
Performs instrument maintenance, daily quality control, preps isolates for identification, manages instrument loading and results generate from instrument.

Blood Cultures
Removes negative blood cultures and performs daily maintenance on the BACTEC blood culture instruments.

Antibiotic Susceptibility
Performs set up for Vitek automated ID and susceptibility card. Sets up appropriate dilutions for manual disc diffusion testing. Correctly streaks plates and dispenses discs for disc diffusion testing. Performs ancillary susceptibility tests for beta-lactamase, microdilution tests (MicroScan and Sensititre) and E-tests under supervision. Sets up weekly QC testing in Susceptibility area.

Molecular Microbiology
Performs routine molecular microbiology bench work using manual, semi-automated and automated nucleic acid amplification & detection methodologies. Performs daily maintenance, and QC. Assists maintaining inventory of instrument consumables and preparation of reagents Assists with telephone inquiries and provides results to clinical healthcare providers.

Performs digestion and concentration of “contaminated” specimens for mycobacterial culture. Plants all specimens for mycobacterial culture and, prepares smears for the detection of acid fast bacilli. Operates, maintains and records data from the Bactec MGIT instrument. Assists with telephone inquiries and provides results to clinical healthcare providers.

Performs fungal wet preps and plants specimens for fungal culture. Examines CHROM agar plates from upper respiratory, vaginal, stool and urine cultures for yeast growth. Performs yeast identifications. Assists in some aspects of QC in Mycology lab. Sets up, reads and records QC. Assists with telephone inquiries and provides results to clinical healthcare providers.

Performs specimen processing for parasitology testing/examination. Sets up and reads IF tests for Giardia/Cryptosporidium and Pneumocystis with supervision. Assists in clerical and QC activities in parasitology. Assists with telephone inquiries and provides results to clinical healthcare providers.

Separates serum in serology and performs infectious disease serology testing using manual agglutination methods and automated Diasorin Liaison instrument. Assists with all clerical and QC activities. Answers telephone inquiries and provide results to clinical healthcare providers.

Performs EIA membrane tests for rotavirus.

SKILLS & COMPETENCIES REQUIRED: This section should be a bulleted list of minimum requirements explaining the skills (what the individual is trained for) and competencies (measurable as defined by the job) necessary to perform the job.
Appropriate level of analytical ability and judgment
Basic computer skills including word and spreadsheet documents, and LIS
Ability to work in conjunction with other laboratory staff to gain skills and experience in a variety of duties
Interpersonal and communication skills to interact effectively with individuals in the lab and hospital
Ability to learn several aspects of laboratory operation (i.e., testing, LIS, QC)
Neat and orderly work habits
Careful attention to detail and written protocols
Appropriate level of professionalism
Good customer service skills
Capable of physical exertion, including walking, standing, sitting, and bending or lifting to 40 pounds.
Able to work under stress of time constraints and heavy workload demands requiring accuracy.


Certification-eligible MLT (ASCP or other national agency)

Preferred: MLT certification (ASCP or other national agency)

Minimum Required: Associate’s degree from an accredited institution

F ield of Study/Additional Specialized Training:
Medical Laboratory Science and other qualifications as described in the Federal Register 42 CFR , subpart M 493.1403 - 1495

Preferred: One to two years of clinical lab experience as a certified Medical Laboratory Technician.
EEO Statement
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.

Primary Location
: MA-Boston-MGH Main Campus
Work Locations
MGH Main Campus
55 Fruit Street
Boston 02114
: Medical Technologist/MLT
: Massachusetts General Hospital(MGH)
: Full-time
Standard Hours : 40
: Day Job
Employee Status
: Regular
Recruiting Department : MGH Pathology/Clinical Labs
Job Posting
: Apr 23, 2018