Medical Laboratory Technician II

• Inoculating of urine cultures
• Performs sterility checks and QC on each media shipment and records on microbiology log sheet
• Performs wet mounts of vaginal secretions for indications of infections; i.e. WBC, yeast, trichomonas, bacteria, and “clue cells”
• Performs direct smears: gram stains for detection of Neisseria gonorrhea and non-gonococcal urethritis (NGU), other bacteria, and yeast
• Performs rapid methods: strep throat screens
• Reconstitutes and inoculates media, and for use in required QC testing procedures for cultures
• Complex procedures may use Oxidase for further identification and confirmation of bacteria

• Performs CBC (complete Blood Count) on Micros 60-DM Lite Analyzer.  Reports out (9)  parameters (RBC, HCT, MCV, HGB, WBC, MCH, MCHC, Platelet, and 3 Part Diff)
• Performs HemoCue 201 testing (hemoglobin semi-automated analyzer) for WIC, Family Planning, Adult Health Clinics (if indicated), and General Clinics

• Performs Glucose screens
• Performs Glucose Tolerance Testing on DT HemoCue Glucose 201 Analyzer
• Performs Glucose and Cholesterol testing on Cholestech LDX Analyzer
• Performs Microalbumin testing on Clinitek Status Analyzer
• Performs Hemoglobin A1C on DCA 2000 or Afinion

• Performs dipstick (chemical) analysis on Clinitek Status Analyzer/ Clinitek 50 (back-up)
• Performs Urine Pregnancy testing
• Provides detailed instructions to patients for obtaining a clean catch mid-stream urine sample.
• Observes strict chain-of-custody required for drug screen for Perinatal, Prenatal, and urine drug screening for area businesses, Department of Social Services, and Jackson County Employees.

• Performs qualitative method detection of HCG in serum pregnancy test
• Performs Erythrocyte Sedimentation Rate testing for detection of inflammation as with arthritis, lupus, etc.
• Performs Hemoccult testing for detection of blood in stool samples
• Performs Rapid Influenza A & B testing
• Performs Mono testing
• Performs GeneXpert (CEPHEID) Sars COVID-19 testing
• Performs Urine Drug Screen testing
• Performs Breath Alcohol Testing
• Collects specimens for Paternity/DNA analysis

• Performs water testing for coliform (total and fecal) bacteria
• Processes water sample for Nitrate testing to be transported to Environmental Inc in Sylva, North Carolina
• Record and mail water results to clients
• Calls and mails positive water sample results as indicated in the laboratory water manual
• Performs Water Proficiency Testing as indicated
• Instructs clients on proper collection of water samples for bacteria analysis, nitrate, and nitrite testing
• Performs required quality control on reagants, medias, as indicated by Public Water Supply Section
• Enter water results into EPA’s Compliance Monitoring Data Portal (CMDP)

• Performs routine phlebotomy services according to policies, procedures, and regulations; on and off-site for a variety of tests.
• Prepares and processes specimens to reference (public and private) laboratories in accordance with laboratory protocols and reference manuals
• Performs fingersticks; on and off site
• Performs start up and shut down of analyzers according to laboratory procedures
• Verifies that laboratory requisitions/ physician orders are complete and accurate
• Documents results on  in-house logs, and enters results into patient’s record in Patagonia (Electronic Health Record)
• Answers general questions from patients or staff regarding laboratory procedures, patient preparation, policies, and protocols
• Greets patients timely and courteously
• Routes patients to other areas of clinic and/or waiting areas
• Performs Breath Alcohol Testing for contracted agencies
• Performs complex procedures and analysis
• Performs routine and standardized tests
• Performs Quality Control, Quality Assurance, and calibration procedures as outlined for clinical and environmental test procedures
• Performs a variety of clinical tests
• Performs a variety of environmental tests
• Distributes results to appropriate provider, clinic/ department
• Faxes and promptly calls all abnormal/ panic results to ordering physician or department
• Complies and attests to HIPAA regulations
• Complies with and follows Standard Precautions
• Decontaminates work surfaces and/or equipment as specified in Blood Borne Pathogen policy manual
• Disposes of hazardous waste using Standard Precautions
• Stocks and rotate stock as needed in laboratory and phlebotomy areas
• Provides Medical Technologist I with supply orders
• Performs and reviews Proficiency Testing
• Prepares daily totals for labs/ water testing, and patients seen for monthly WTU report
• Records temperatures as required
• Start up and shut down of analyzers according to laboratory procedures
• Performs preventative maintenance on all equipment as needed
• Packages lab specimens for courier (North Carolina State Laboratory of Public Health, Harris Regional Hospital Lab, etc.)
• Maintains laboratory supply inventory
• Attends workshops, updates, and/or educational sessions that are deemed pertinent
• Possess and maintain a valid North Carolina Driver’s License
• Provides supervision to Medical Laboratory Assistant and students as needed
• Performs daily review of patient’s results in the Electronic Health Record when Medical Laboratory Technologist I (Lab Supervisor) is unavailable.
• Sends monthly invoices for water clients to Accounts Receivable as indicated
• Performs other duties as assigned
• Participating in Public Health Preparedness activities as directed by agency management; this employee will be expected to work as needed during public health emergencies, which may result in extended hours and long work shifts
• Other duties as assigned by supervisor, Health Director, or Deputy Health Director

• General knowledge of techniques, principles, and instrumentation used in public health laboratory medicine
• General knowledge of applicable laboratory equipment, instrumentation, and terminology
• General knowledge of the variety of laboratory procedures performed in the laboratory
• General knowledge of specimen processing
• Knowledge of the basic physiological processes being monitored and how the medical laboratory science is applied
• Skill in use of laboratory equipment
• Skill in the performance of laboratory procedures
• Ability to make accurate observations and written reports of test results
• Ability to understand and follow oral and written instructions
• Knowledge and understanding of quality assurance and quality control practices
• General knowledge of common health and safety precautions in working in a local health department
• Ability to use sound judgment and empathy in dealing with patients
• Ability to provide confidentiality and observation of HIPAA laws and regulations

Salary : $38,402