F-QM-HR-003-A-V0 — Position Description, Qualification Verification & Clearance Record

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Part 1 — Master Position Descriptions

1.1 Position 1 — Pathologist

Duties and Responsibilities:

• Oversees the overall clinical and technical operations of the Clinical Laboratory in coordination with the Chief Medical Technologist / Laboratory Quality Manager.
• Recommends administrative and operational procedures for laboratory service enhancement to the Hospital Director.
• Monitors the implementation of internal quality control and external quality assessment programs across all testing procedures.
• Reviews the functionality, analytical performance, and calibration records of laboratory instruments and approves corrective actions.
• Reviews and authorizes laboratory reports requiring clinical interpretation or pathologist sign-out, particularly critical and unusual findings.
• Provides technical and clinical consultation on examination methods, diagnostic significance, and how to resolve discordant test results.
• Endorses the Quality Manual, operational policies, and standard operating procedures prior to Hospital Director approval.
• Directs investigations of major clinical laboratory incidents, complaints, or significant analytical nonconformities.

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1.2 Position 2 — Chief Medical Technologist / Laboratory Quality Manager

Duties and Responsibilities:

• Directs and coordinates daily technical operations across active laboratory sections (Microscopy/Urinalysis, Clinical Chemistry, Hematology, Clinical Microscopy, Parasitology).
• Verifies and validates technical results generated by Medical Technologists and personally performs complex testing when indicated.
• Plans and assigns duty schedules, shift rotations, and bench assignments for Medical Technologists and Laboratory Aides.
• Implements and maintains the laboratory quality management system, including document control, internal audits, corrective actions, and management review.
• Supervises daily quality control verification, calibrations, and participation in authorized External Quality Assessment Schemes (NEQAS/EQAS).
• Coordinates staff orientation, on-the-job training, continuing professional development, and competency assessments.
• Manages laboratory inventory, reagent receipt inspection, and storage conditions; oversees equipment preventive maintenance and service calls.
• Serves as Biosafety Officer, enforcing chemical safety, infection control, and hazardous waste segregation protocols.
• Maintains active personnel records, duty rosters, and the current List of Personnel (F-QM-HR-004-B-V0).
• Investigates laboratory occurrences, complaints, and nonconformities, implementing preventive measures.

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1.3 Position 3 — Medical Technologists

Duties and Responsibilities:

• Performs aseptic venipuncture, capillary blood collection, and specimen reception following standard pre-analytical criteria.
• Conducts routine and STAT diagnostic examinations across assigned benches (Hematology, Clinical Chemistry, Microscopy/Urinalysis) following approved SOPs.
• Runs and evaluates daily internal quality control prior to processing clinical specimens; initiates troubleshooting when control limits are exceeded.
• Reviews, enters, and validates technical results in the laboratory records and LIS within target turnaround times.
• Performs and documents daily, weekly, and periodic cleaning, calibration, and preventive maintenance on analytical instruments.
• Inspects specimen integrity upon receipt, noting rejection criteria, sample volume, and labeling correctness.
• Promptly documents and notifies critical test values to attending physicians and nursing units per critical result notification protocols.
• Follows biosafety, chemical safety, hand hygiene, and personal protective equipment standards.
• Participates in NEQAS sample testing, internal quality audits, emergency drills, and continuing education programs.

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1.4 Position 4 — Laboratory Aides

Duties and Responsibilities:

• Performs routine cleaning, disinfection, and decontamination of laboratory benches, sinks, and facility work surfaces.
• Cleans, washes, dries, and sterilizes reusable laboratory glassware, plasticware, and supply containers according to infection control protocols.
• Assists in unpacking, unboxing, and organizing non-critical supplies, reagents, and consumable inventory under supervision.
• Segregates and packages infectious, non-infectious, and sharps laboratory waste into designated color-coded receptacles per hospital waste guidelines.
• Transports non-hazardous administrative documents, requisitions, and supplies within the hospital facility as directed.
• Records daily environmental temperatures (room temperature and relative humidity) under technologist verification.
• Immediately reports broken glassware, chemical spills, or facility defects to the Medical Technologist on duty or Chief MT.

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Part 2 — Candidate Qualification & Pre-Appointment Verification

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Part 3 — Laboratory Separation & Exit Clearance Checklist

Separation Category: [ ] Voluntary Resignation / [ ] End or Non-Renewal of Contract / [ ] Retirement / [ ] Administrative Action / [ ] Other: _________________

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Part 4 — Sign-Off and Clearance Endorsement

I acknowledge that I have received, reviewed, and understand the duties described above, or (upon separation) that I have turned over all responsibilities, records, and properties:

Personnel Signature: ________________________________________ Date: ____________________ Printed Name: ____________________________________________

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I certify that the above position requirements have been communicated, qualifications verified, or exit clearance completed:

Chief Medical Technologist / Laboratory Quality Manager: ____________________________________ Date: ____________________ Pathologist Concurrence (where indicated): ____________________________________ Date: ____________________ Hospital Director / Appointing Authority: ____________________________________ Date: ____________________