Training Information and Courses from MediaLab, Inc.

This program is intended to provide guidance and training to those individuals who will be conducting both Department of Transportation (DOT) and Department of Health and Human Resources (HHS) regulated urine specimen collections. While this program is more than just an overview, obvious restraints prohibit an in-depth discussion of every procedure or problem that might be encountered. This program only serves as a training program. It does not represent final authority. Every effort has been taken to keep this course up-to-date with current regulations. However, if anything you see in this program which conflicts with the Federal Regulations, 49 CFR § 40, or the Guidelines published in the Federal Register, 73 Fed. Reg. 71858 (Nov. 25, 2008), the references given prevail and must be followed. Training to qualify as a drug screen collector must include the flawless completion of five mock collections. These mock collections must include the following scenarios and must be performed in the presence of a qualified collector: Two uneventful collections. One collection in which the quantity of specimen is not sufficient. One collection in which the temperature of the specimen is out of range. One collection in which the donor refuses to sign either the donor certification on the Medical Review Officer’s (pink) copy of the CCF or refuses to initial the security strips.

An important component of safety training is a working knowledge of first aid and the medical services available to you.This program will explain several common injuries and their treatment.

Every covered entity must designate a Privacy Official (Officer). You should know who your privacy official is and how to contact himAll staff must participate in HIPAA training.Safeguards must be in place to protect PHI. There must be a process to handle complaints from individuals about the way their PHI is handled.There must be a procedure to discipline employees who do not comply with privacy policies.

Level 3 laboratories are responsible for: Working with hospitals and private laboratories in their jurisdiction Knowing how to properly collect and ship clinical specimens Ensuring that specimens, which can be used as evidence in a criminal investigation, are properly handled and that chain-of-custody procedures are followed Being familiar with chemical agents and how they can affect health and well-being Training on anticipated clinical sample flow and shipping regulations Working to develop a coordinated response plan for their respective state and jurisdiction

Below is additional information that you can obtain off the internet to help you “Be Prepared”.www.ready.gov: This site has emergency preparedness guidance from the United States Dept. of Homeland Security. It also has an excellent training program for kids.www.redcross.org: Preparedness information from the International Red Cross.www.neighborhoodpreparedness.info: From the Los Angeles Fire Department. www.americaswaterwaywatch.org: Prepared by the United States Coast Guard. Discusses what to look for as far as suspicious activities.www.bt.cdc.gov: Discusses agents, disease, and other threats.www.ojp.usdoj.gov: The Citizens’ Preparedness Guide provides suggestions for preparedness in homes, neighborhoods, and schools.www.fema.gov/areyouready: FEMA’s most comprehensive source on individual, family, and  community preparedness.

The Board of Clinical Laboratory Personnel oversees clinical laboratory affairs in the state of Florida. The Board's seven members are appointed by the Governor of Florida to serve four-year terms. Five of the seven members are licensed clinical laboratory practitioners and the remaining two, referred to as "consumer members," have never been licensed as clinical laboratory personnel and have no connection to the laboratory profession. The Board has the authority to: Establish rules for clinical laboratory science Set the necessary qualifications for clinical laboratory science personnel, including higher education, training programs, and examinations administered by the Board Oversee clinical laboratory training program and continuing education providers Issue licenses to clinical laboratory personnel Collect fees for licensing, license renewals, and delinquent licenses Enforce penalties, including license suspension and fines up to $10,000, for violations of Board rules governing ethics in clinical laboratory science

Meets one of the following:Bachelor's degree in clinical laboratory, chemical or biological science plus:Completion of a medical technologist training program ORThree years of laboratory experience, at least one of which must be in the applied-for specialtyAssociate's degree plus:Florida technician's license and completion of a technician level medical laboratory training program ORFive years of laboratory experience, at least one of which must be in the applied-for specialtyPasses an examination in one or more specialtiesCompletes one hour of HIV / AIDS continuing educationCompletes two hours of medical errors continuing education

The table below summarizes the qualifications for the four types of clinical laboratory personnel licenses. DirectorPhysician certified in clinical pathology OR Non-physician with: Doctoral degreeCertification in a lab specialtyCompleted course on administrationContinuing education in HIV/AIDS and medical errorsSupervisorOne of the following:Doctoral degree + 1 year experienceMaster's degree + 3 years experienceBachelor's degree + 5 years experienceLicensed as a technologist or meets the requirementsOne of the following:Completed course on administration25 hours of CE in administrationCE in HIV / AIDS and medical errors.TechnologistOne of the following:Bachelor's degree + medical technologist training program OR 3 years experienceAssociate's degree + Florida technician's license and completion of a medical laboratory training program OR 5 years experienceCompleted exam in 1+ specialtiesCE in HIV / AIDS and medical errorsTechnicianMeets one of the following:Completed medical lab technology training programHigh school or equivalency diploma + 5 years experienceAssociate's degree + 4 years experienceBachelor's degree + 3 years experienceBachelor's degree in medical technologyCompleted exam (certain specialties only)CE in HIV / AIDS and medical errors

The laboratory has established a comprehensive training and education program about the laws and regulations that govern the laboratory and the standards, policies and procedures of the compliance program. Mandatory for all employees regardless of status or position in the company. There is additional training for those employees who work in higher compliance risk areas of the laboratory such as billing, marketing, and sales. This interactive software is a component of that training program.

Behavior of the manager will set the tone for employees.Managers must have good attitude about compliance.Managers should encourage problem detection and reporting by responding properly.Never guess at the answers to questions.Attend training and education sessions with employees when possible.

The laboratory has established a comprehensive training and education program about the laws and regulations that govern the laboratory and the standards, policies and procedures of the compliance program. Mandatory for all employees regardless of status or position in the company. There is additional training for those employees who work in higher compliance risk areas of the laboratory such as billing, marketing, and sales. This interactive software is a component of that training program.

The setting is a large outreach or independent laboratory that processes a high volume of tests with tight resources and a lot of customer service turn around time deadlines to meet that are dependent on the specimen processing department to complete their work on time. The manager of the specimen processing department receives a memorandum from the compliance officer (CO) that several of his employees have not attended their compliance training sessions.Since this is the initial training for the laboratory, the CO reminds the manager of the requirement that all employees attend. The employees listed in the memo are key employees who are top performers in the department. The manager knows that they have been instructed to attend, and that attendance is mandatory, but the manager had left it up to the employees to choose the session they would attend. When questioned about their non-attendance, all of the individuals said they were too busy to attend and it was a matter of going to the classes or getting the work done. What action should the manager take in this situation?Correct Answer: In consideration of the fact that these are the initial training sessions, sit down with each of the affected employees and very specifically tell them that the classes are mandatory and that they must attend under penalty of disciplinary action.Discussion: The manager knows that the compliance policy is mandatory attendance for these training sessions and informed these employees of that fact. The manager may take into account the fact that these employees have not received the training and therefore may not understand the implications of not attending, but some appropriate discipline should be taken. The manager should also give some consideration to the mentality that caused these employees to skip the training in the first place even after being instructed to attend. This same reasoning that "the work must get done", is a common cause of compliance problems.

This training program is designed for your benefit and protection. In it you will receive the information necessary to ensure your familiarity with the chemicals in your workplace and how best to handle them.

Your laboratory has provided you with training to protect yourself from chemical hazards in your daily work. But the only one who can keep you safe on the job every day is you. As a responsible member of the laboratory team, it is up to you to utilize safe work practices.

1987 Haz-Com Standard is designed to help control employee exposure to chemicals on the job.1990 Chemical Hygiene Standard is specifically designed to meet the needs of laboratories with large varieties of chemicals, and to require specific training for laboratory employees.1992 Formaldehyde Standard is specifically for employees that work with formaldehyde. The goal was to reduce the risk of formaldehyde overexposure by establishing safe exposure limits.

1987 Haz-Com Standard (29 CFR 1910.1200) is designed to help control employee exposure to chemicals on the job. 1990 Chemical Hygiene Standard (29 CFR 1910.1450) is specifically designed to meet the needs of laboratories with large varieties of chemicals, and to require specific training for laboratory employees. 1992 Formaldehyde Standard (29-CFR 1910.1048) is designed specifically for employees who work with formaldehyde. The goal of this standard is to reduce the risk of formaldehyde overexposure by establishing safe exposure limits.

According to federal and international regulations, all personnel who are involved in the packaging and shipping of infectious materials are required to have training in these procedures. This includes anyone who: Packages, labels, and/or marks the package Is responsible for classifying the materials Is responsible for documenting the package contents on a shipping declaration form, air waybill, etc. Transports hazardous materials by vehicle, plane, or vessel

Training records must include: Employee name Most recent date trained Description of training Description, copy, or location of training materials Name and address of trainerThese records must be maintained throughout employment and 90 days thereafter, according to the US Department of Transportation (DOT). IATA and some laboratory regulatory agencies, including the College of American Pathologists (CAP), require repeat of training every two years. DOT requires training every three years. You will be able to print a certificate when you have completed this course that will certify your completion of training for packaging and shipping Division 6.2 (infectious) materials.

As a professional phlebotomist, you have a critical role in this basic work-flow cycle. The rest of this program contains the information you need to begin training in this important profession.