Experiential Learning Requirements

Experiential Learning “supports students in gaining hands-on learning that helps them transition to employment”^[1]. Experiential Learning can take the form of co-operative education, degree work placement, clinical/field placement, fieldwork/simulation labs, capstone/applied research projects, and service learning.

CLINICAL/FIELD PLACEMENT INFORMATION

GENERAL INTRODUCTION TO CLINICAL PLACEMENT

Clinical Placement offers the student an opportunity to observe, practice, and hone hands-on technical, problem-solving and interpersonal skills in a laboratory setting. It prepares students for professional certification examinations, which, in the case of medical laboratory technician, emphasize the validation of student competencies.

Clinical Placement or Clinical site are usually laboratories that will permit Medical Laboratory Technician students to attain the competencies specified in the professional competency profile. Registered medical laboratory technologist or technician trains the students, under the leadership of a coordinator or Lab Manager.

PRE-PLACEMENT PHLEBOTOMY AND ECG COMPETENCY

For effective phlebotomy training and as part of preplacement phlebotomy competency, it is necessary for students to obtain a minimum of 25 venipunctures and 4 dermal punctures on their peers.  The instructional program has (7) seven profession and experienced instructors per 14-16 students and seeks to minimize the risks (e.g. hematoma, fainting, bruising) associated with blood collection Students give consent by signing a College phlebotomy consent form indicating that they are aware of the possible risks involved, agree to proceed (i.e. have other students draw blood on them) and waive the College of any responsibilities.  A minimum grade of 37/51 points is required to PASS the phlebotomy practicum.

In the event a student does not sign the phlebotomy consent form, students are allowed to practice on the artificial phlebotomy arm only. The clinical site will be notified by the placement coordinator that the student practiced by simulation only.

For ECG competency, students are required to complete 10 technically accurate ECG tracings on their peers. Students who attain the required passing grade for ECG and phlebotomy will receive a certificate of competency.

In exceptional and well documented circumstances (e.g. unforeseen family matters, serious illness, or death of a close family member) students may be able to receive an extension on when their placement will take place. In the case of such a circumstance, each will be reviewed on a case-by-case basis by the program coordinator and clinical placement coordinator.

CLINICAL PLACEMENT ESSENTIAL DOCUMENTS

Prior to each placement, students are required to present the necessary placement requirement documents. Students who do not have all placement requirement documents will NOT be permitted to begin their practical experience and therefore risk failing the subject, hence the entire program.

Completed Immunization and other reports must be submitted to Requisite Management by January 5th for Fall intake students and by April 1st  for Winter intake students.

All verification of original documents including the following will be handled by “Requisite Record Clearance and Management Service” at Centennial College.

1. Immunization Review Form
2. Respiratory Mask Fit Test
3. Vulnerable Persons Police Check
4. Influenza Immunization
5. Standard First Aid
6. Cardiopulmonary Resuscitation (HCP-C)

Immunization Review Form

Clinical placements require immunization and testing in accordance with the Public Hospitals Act and may request at any time to see proof of immunization. In addition to Hepatitis B immunization, students are required to be vaccinated against, Measles, Mumps, Rubella, Vericella (chicken pox) Tetanus/ Diphtheria (even if there is a history of having the disease).

Your doctor may charge a fee for administering your immunization. Check with your physician for the cost.

There is a fee (approximately $55) to have your Immunization form reviewed by “A Requisite Nurse” at Centennial College. Subsequent /Follow up visit has a fee of approximately $25. Cancelled/ Missed appointment with less than 24 hours’ notice is approximately $55.

Early TB Surveillance

All Medical Laboratory Technician students are tested for TB

• Previous test negative: TB ( 2 step Monteux) test is required
• Previous test positive: Physician’s note stating no symptoms of TB and a copy of X-ray report

In complying with Regulation 965 Section 4 under the Public Hospitals Act, students in the Program must be in satisfactory health in order to be permitted to have contact with patients. The OHA/OMA Communicable Disease Protocols require that students (and others) who have direct patient contact in the hospital and who acquire or are exposed to the following communicable diseases, report this information to the hospital’s Occupational Health Service or the  Health Records Nurse and The Requisite Nurse: enteric disease, hepatitis B, Herpes simplex, Herpes zoster (shingles), influenza, measles, rubella, scabies, tuberculosis and Varicella (Chicken pox).

Respiratory N95 Mask Fit Test

Before commencing clinical placements, students are required to be N95 masked fitted. The cost of the procedure is covered by the students. ($35 subject to change) Arrangement of the procedure is made by the students. The mask fitting procedure is performed at Centennial College HP campus. If you miss your appointment you will be charged a $35 fee to rebook your appointment. (Fees are subject to change). Only for documented medical or critical reasons will be waived. Students will not be permitted to third semester without a current N95 card.

Vulnerable Persons Police Check Record

Students are required to complete and provide an original proof of police clearance for each clinical placement. If you live in the Metro Toronto pick up your application form from your program coordinator. Fees for police vulnerable sector check depend on the regions.

Students will not be permitted to third semester-clinical practicum  without a clear vulnerable sector police report .

 If you have a charge or violation on your Vulnerable Police Clearance Report:

 Inform your Program and Placement Coordinator that you have a charge or violation on your police record.

1. If your vulnerable sector police check is positive,you are required to obtain a pardon before you can attend your clinical / field placement which may take up to five (5) years.Please refer to Pardons Canada at www.pardons.org
2. If a court makes a judgment against you after receiving your police records, you are obliged to inform the Program Coordinator or Placement Coordinator immediately.

Please Note: ABES Chair and SETAS Dean will also be informed and updated.

Influenza Immunization

Influenza is highly recommended for hospital placement as well as for the students own protection. Proof of vaccination is required by February of the current year .

Standard First Aid (SFA)

All students are required to obtain current certification of completion for an approved SFA. Most courses are included with CPR courses.

 Cardiopulmonary Resuscitation (CPR)

All students are required to obtain CPR health care provider (HCP) level “C” certification/re-certification on a yearly basis. Please give your program coordinator a copy of your certification.

Standard First Aid (SFA) and Cardiopulmonary Resuscitation (CPR)

Cost approximately $120-150

Students who have been absent from a clinical placement for health reasons may be required to provide a medical certificate. Fees are as per physician.

http://www.centennialcollege.ca/pdf/new-website/schools/community-and-health-studies/clinical-placement-requirements-student-handbook.pdf

SELECTION OF CLINICAL PLACEMENT PROVIDERS

The MLAB Clinical Placement Coordinator, Program Coordinator and faculty are responsible for ensuring that each clinical placement meets the criteria of learning that is suitable for the students.

The criteria for the selection of a clinical placement provider shall be the:

• Placement sites that are accredited by the Ministry of Health and Institute for Quality Management in Health Care (IQMH)
• Quality of clinical experience and the learning opportunities it offers our students.
• Sufficient qualified staff to deliver the teaching required to enable students to meet thelearning outcomes and practice and demonstrate professional competencies (CSMLS and MLPAO)
• Facilities support of student learning and the provision of required resources (Microbiology, Haematology, Phlebotomy, Specimen Management, Histology and Cytology)
• Accommodation for students with physical or learning disabilities
• Fulfillment of the health, safety and legal requirement at the student’s work environment

 Clinical Placement shortages

There are many other institutions trying to secure the same quality experiences for their MLT/A  students, and in many cases, their dates and needs are similar to that of Centennial College, which means the availability of clinical places in the clinical laboratory must be utilized efficiently.

The partnership with quality clinical placements is important to us and we ask that you respect the fact that we work hard  to you great placements.

Students are placed at various locations in the GTA and may also be placed outside the GTA locations. Arrangement for transportation and accommodation incurred are solely the responsibility of the student.

Please Note: Until you receive confirmation of your clinical placement dates and location from the MLAB Placement Coordinator, do not organize and book any travel arrangements.

CRITERIA UPON WHICH STUDENT PLACEMENT IS DETERMINED

Clinical placements are not easily acquired and clinical sites are precious. Centennial College’s Medical Laboratory Technician Program is fortunate to have a great partnership with several hospitals and large private laboratories in the GTA as well as outside of the GTA.

At this time, the Program’s placement sites are limited to a small number of students in any individual hospital or laboratory. Students are placed when clinical sites become available.

Students are assigned a Clinical Placement according to the following criteria.

1. Completion, submission and clearance of all clinical documents.( Vulnerable sector police checks, Standard first aid, CPR level HCP, Respiratory mask fit certification, Clinical pre-placement health form and Influenza immunization.) Students are responsible for all cost incurred.
2. Successful completion of all first and second semester courses, with minimum C Grade and GPA of 2.0 or greater with 80% attendance for lectures and mandatory lab attendance.
3. Successful completion of minimum 25 venipunctures, 4 dermal punctures and a minimum practicum grade of 37/51 points.
4. Successful completion of 10 technically accurate ECG tracings.
5. Specific need for early placement (i.e.:second career students or international students). These needs are taken into consideration but cannot always be met to student’s satisfaction.
6. Students place of residence (again this is looked at carefully and taken into consideration; however many times the wish to be near student’s place of residence cannot be met).
7. Mode of transportation available to student. We endeavour to place students without a car in placements with good transport connections.
8. Payment of third semester tuition and registration in MLAB 150. If students have not completed the payment and registration, placement will not take place nor will students be placed in the queue for placement.
9. Placement can be terminated by the hospital or lab. (without notice) upon any infringement of their rules , policies, procedures and regulations. No further placement will be available for the student.

Students Clinical Placement Allocation

The clinical placement will take place over the course of the third semester. The six-week period may not be a continuous practice experience and may include a number of sites to gain experience in all essential functions. Microbiology and ECG may not be available to all students due to amalgamation of laboratory services; however, students received practical and theoretical experience in the College program as required by MLPAO and CSMLS competency guidelines. In the Fall and Winter, the College holds a simulated Microbiology workshop, for all students before clinical placement. Students may require an interview by the placement agency. Their placement will be contingent upon their success at this interview. Clinical placements can take place any six weeks after completion of the second semester of the program. Placements are allotted according to availability.

Student /Placement Notification Regarding Placement Assignments

Students are given general information about their clinical placements during the second Academic semester and an information sheet is requested from each student indicating their primary residence location and their mode of transportation.  The students are encouraged to read the Medical Lab Handbook for information regarding the location(s) for each placement site.  The students notified by the placement coordinator of the virtual or in-person lab tour which takes place during the second semester.

Once all placement start dates have been confirmed by the placement coordinator, the students are notified by email of their assigned placement and start date. Upon completion of all mandatory requirements and a passing grade /GPA, students are required to do a personal interview with the placement coordinator where they are guided on the expectations of the placement site and are given a placement package containing- competency checklist, insurance (WSIB/WEPA), log book, weekly reflection, Phlebotomy and ECG certificate, schedule where  available and all other information pertaining to the placement site.

Completion, submission and clearance of all clinical documents.( Vulnerable sector police checks, Standard first aid, CPR level HCP, Respiratory mask fit certification, Clinical pre-placement health form and Influenza immunization.) as approved through Requisite –Paramed.

Students are also required to show proof of tuition payment and registration in MLAB 150 before attending placement.

Notifying Clinical Placement/Practicum Partners

Once the placement coordinator is satisfied that each student has fulfilled all requirements, the placement partner is notified by email, fax and phone that the student is ready and will be attending at the assigned start date. The student is responsible to contact the placement supervisor and confirm their attendance as scheduled.

Our Clinical Placement Partners

Our partners will only accept students for placements that have been arranged by their placement coordinator. Placement partners consider many factors before deciding to accept a student for placement. Not all placements accept students every year. They may also limit the number of students accepted based on organizational changes.

Some of our partners are: 

• Credit Valley Hospital
• St. Joseph’s Hospital
• St. Michael’s Hospital
• Sunnybrook/Women’s College Hospitals
• North York General Hospital
• University Health Network
• Michael Garron Hospital
• York Central Hospital
• Lakeridge Health System
• Med. Health Laboratories
• Rouge Valley Health System -Scarborough /Grace and Centenary Hospitals
• Hospitals outside the GTA as required or requested

Visitation to the Clinical Site by Placement Coordinator

The Clinical Placement Coordinator or Program Coordinator shall be responsible for visiting the potential clinical placement provider at least once per year. The purpose of the visit is to review the experience of the students and site staff in order to evaluate whether the MLPAO and CSMLS competencies  and objectives of the College and the Clinical Placement are being attained. The College will inform the clinical placement of any issues that need addressing prior to the commencement of the placement and a written record and response are kept by Centennial College.

 Attendance While On Placement

Successful completion of the clinical education component is required for graduation from the Medical Laboratory Technician Program therefore:

100% attendance is mandatory and students are required to be present on all days of the placement or face the possibility of failing the clinical component. Students are required to report to their assigned placement on time and are NOT permitted to leave the clinical site early without notifying the clinical instructor, manager or designate. Any missed time must be made up and scheduled according to placement manager’s discretion .

In cases of absence during a clinical placement, the student must notify the clinical site supervisor or appropriate contact as early as possible before the commencement of the shift, as well as the Centennial College MLAB Program Coordinator or MLAB Placement Coordinator by email and phone on the day of the absence. A medical certificate may be required before returning to the clinical placement.

Personal appointments should be scheduled so that they do not interfere with clinical commitment.

Students wanting an absent for religious reasons or special circumstance must complete clinical placement absence form and submit the request in writing to the MLAB placement coordinator before commencing the placement.

Students who have commenced placement for several days and miss significant time due to illness, may be required to start again in another semester. (The Clinical site and Centennial College will decide).

If a student fails  to adhere to the placement requirements, does not notify the placement site or  the MLAB placement coordinator in the appropriate manner, he/she could be terminated by the placement and receive an F grade for the course.

It is the Clinical Site and NOT the College that mandates work start and end times. The majority of clinical sites schedule students during the day shift; however, a student could work evening or night sift depending on the training protocol of the site.

Child care issue during Clinical Placements

It is important that if you have children to ensure adequate childcare and support during the clinical placement component. Remember, that Medical Laboratory Technology and healthcare are a 24 hour a day, 7 days a week profession and as a result shift work entails working a combination of morning, afternoon, night and weekend shifts. You are now part of the health care team and should endeavour to have flexible childcare options.

Placement No-No’s:

• Students cannot contact a clinical site without first speaking to the Placement Coordinator
• Students are not permitted to source their own clinical placement, except in very specific instances where permission is given by the Placement Coordinator.
• Placements cannot occur outside the program model route. Semester one and two MUST be successfully completed (overall minimum C grade) before proceeding to placement.
• Placement cannot be done on a part-time basis
• The program coordinator or placement coordinator cannot  guaranteed a placement at a particular clinical site, on specific days or with particular shifts.
• Students cannot swap allocated placements with another student without having the change approved by the Placement Coordinator. Request must be in writing.

 Terminated Placements

Placements termination may occur in circumstances where a student may be functioning in a manner, which the Placement considers in its absolute discretion to be of a potential danger to its Clients or to a Student or staff member or contrary to the standard of the Placement or other factors that may affect the student’s clinical learning experience.

When a termination occurs, the placement coordinator will communicate with the preceptor manager / laboratory manager , student, Program Coordinator, ABES Chair or SETAS Dean. A meeting between all parties will be arranged by the placement coordinator. The college counseling depart may also be included in the meeting. A decision will be made whether to find another placement for the student or to withdraw the student from the program.

If the decision is to find another placement, the student will be required to go whenever or wherever another placement becomes available.

If the decision is made to withdraw the student from the program , this will result in the student receiving an F grade for the course.

Other Placement Specifications

In addition to required Immunizations, police clearance, N95 mask fit and CPR/First Aid students may be required to meet other requirements specified by the placement such as:

Confidentiality agreement

The College shall require the Students strictly observe the clients’ right to confidentiality and the Placement’s responsibility to preserve the confidentiality in respect of all information to which the Students may have access.Students may be required to review the hospital’s confidentiality policy and sign the related confidentiality agreement.

ID badges

During placements, students will be required to wear a Hospital Identification Badge which states their name and status as a student. If you lose your ID badge immediately, notify your supervisor.

Health Centre and Lab Orientation

Students may be required to complete a Health Centre and laboratory orientation according to the SOP of the clinical site. Some hospitals make orientation packages or online safety quizzes available to the student before attending placement.You must read these, as your preceptor will expect you to be familiar with them and may also asked for certification of completion for online quizzes.

Dress Code

Dress Code is according to the clinical site’s policy and must be adhered to. Students may be sent home for noncompliance or unsatisfactorily dress. If for religious reasons a wig, head -scarf, turban or long skirt must be worn, check with your supervisor regarding skirt hemline requirements.

 Clinical Placement: Rights and Responsibilities

The Agency providing the clinical placement: (1) in keeping with its responsibility for client care, has the right to intervene in any instance when a student may be functioning in a manner considered by the Agency to be potentially dangerous to the well-being of the client or contrary to agency regulations, rules, policies and procedures; (2) has the right, after discussion with the student, preceptor and placement coordinator College, to refuse the use of its facilities to any student for causes deemed in its discretion to be justifiable.

The College/Teacher: (1) is responsible for safety of practice and the student may be advised to seek medical assessment of possible physical and emotional health problems when such problems appear to interfere with the satisfactory clinical practice. The student’s continuance in the Program may be influenced by the medical assessment; and (2) may remove the student from the clinical area if a student demonstrates unsafe behavior to the point of being hazardous to the patients , colleagues, other health care works, visitors or themselves . The college will reviewed the situation in regard to the appropriateness of the student’s continuation in the Program. The student will receive an F grade.

Efforts will be made to collaboratively assess and managed each clinical situation on a case by basis.

Social Media

Social media are public spaces therefore students should not post anything that would not be said in a public gathering nor information that would not be suitable for anyone in the world to see.(University of Exeter)

Students are expected to uphold the privacy of colleagues and clients in accordance with:

• Policies related to the Government of Ontario Personal Health Information Protection Act, 2004 (PHIPA) found at http://www.elaws.gov.on.ca/html/statutes/english/elaws_statutes_04p03_e.htm
• Policies related to the Government of Ontario Freedom of Information and Protection
• Privacy Act (FIPPA) found at http://www.elaws.gov.on.ca/html/statutes/english/elaws_statutes_90f31_e.htm
• Students who fail to adhere to the standards of professional practice in regards to FIPPA and PHIPA legislation will be held liable for academic or non-academic misconduct (depending on the nature of the infraction) and are at risk of failing the course.
• Students are prohibited from posting any information related to their clinical placement on any social media site. Students who do so will be held liable for academic misconduct, will be removed from their clinical placement site and are at risk of failing the course.
• Social Media Awareness for the medical profession can be found at: http://www.ocpinfo.com/extra/Social%20Media/player.html

Behavioral Guidelines for Professional Conduct 

Demonstration of ethical, legal and quality behavior of a practicing professional must be met. Both the CSMLS(Canadian Society for Medical Laboratory Science) and the MLPAO (Medical Laboratory Professionals Association of Ontario) stress the importance of Medical Laboratory Assistants/Technicians demonstrating a team-oriented, professional attitude in the workplace.  In order to meet the ethical, legal and quality expectations of professional practice, the student must clearly demonstrate the professional attitudes and behaviors that are required of a Medical Laboratory Assistant. Failure to do so will result in a (F) failing grade.

CSMLS Code of Professional Conduct

• Medical laboratory professionals are dedicated to serving the healthcare needs of the public. The welfare of the patient and respect for the dignity of the individual shall be paramount at all times.
• Medical laboratory professionals are dedicated to serving the healthcare needs of the public. The welfare of the patient and respect for the dignity of the individual shall be paramount at all times.
• Medical laboratory professionals work with other health care professionals, to provide effective patient care.
• Medical laboratory professionals shall promote the image and status of their profession by maintaining high standards in their professional practice and through active support of their professional bodies.
• Medical laboratory professionals shall protect the confidentiality of all patient information.
• Medical laboratory professionals shall take responsibility for their professional acts.
• Medical laboratory professionals shall practice within the scope of their professional competence.
• Medical laboratory professionals shall endeavor to maintain and improve their skills and knowledge and keep current with scientific advances. They will uphold academic integrity in all matters of professional certification and continuing education.
• Medical laboratory professionals shall share their knowledge with colleagues and promote learning.
• Medical laboratory professionals shall be aware of the laws and regulations governing medical laboratory technology and shall apply them in the practise of their profession.
• Medical laboratory professionals shall practise safe work procedures at all times to ensure the safety of patients and co-workers and the protection of the environment.

Student Code of Conduct: Behaviors that will be deemed unacceptable at the CLINICAL PLACEMENT while registered as a student of Centennial College Medical Laboratory Technician program may include, but are not necessarily limited to:

• Failure to respect patients’ rights
• Breach of confidentiality
• Failure to keep proper records
• Harassment of any form towards a patient or employee
• Being under the influence of alcohol or drugs while participating in patient care
• Acts of dishonesty such as plagiarism, impersonation, misrepresentation, theft and cheating
• Acts of willful damage to the property of the institutions and clinical affiliates
• Inappropriate conduct when dealing with a patient, leading to the patient’s physical or emotional stress
• Unsafe practice/threatening behaviors which can be reasonably interpreted to jeopardize the safety of fellow students, faculty, staff and/or patients
• Performing procedures not included in the scope of practice for MLA/T
• Use derogatory language or profanity
• Identify patients incorrectly
• Sit or stand around the lab and not engaged in constructive activities. Not being a part of the team
• Breaching confidentiality agreement by posting patient , peer, patient family or any other confidential information on social media
• Any other conduct unbecoming of a practicing medical laboratory technician/assistant

Additional professional attitudes and behaviors that are required of a Medical Laboratory Assistant /Technicians are:

• Takes responsibility for ones learning and actions
• Complete assigned work/homework
• Handles equipment with care
• Demonstrates problem-solving attitude
• Performs instrument maintenance when required
• Demonstrates initiative, self-reliance and works independently
• Arrive to labs, lecture and clinical placement on time
• Maintains a high degree of honesty and reliability in the performance of duties
• Handles chemicals and reagents carefully
• Receptive to constructive criticism
• Legible writing when submitting reports or test results
• Act in a manner that is considered professional, ethical and legal.
• Use equipment and supplies at field placements prudently and with respect.
• Behave collaboratively with staff at field placement site.
• Attend all placements on time and in appropriate dress.
• Report the events, your impressions and acquisition of new knowledge as result of the placement.
• Complete assigned competencies as part of the Quality Assurance Program.
• Inform placement site of any delays or absences
• Remain on clinical placement for the prescribed number of hours unless directed by the site supervisor to do otherwise
• Your faculty clinical placement coordinator may be visiting you at your placement site.
• Complete your clinical placement log and competency checklist on a daily basis
• Complete your weekly reflection

Confidentiality:

• Centennial College and the Medical Laboratory Assistant Program recognizes the individual’s right of privacy with respect to information gained by professors, instructors, and students during laboratory sessions and field placements.
• Confidentiality extends to everything that is learned during the clinical placement. This includes, the identity of all contacts, any identified problems, its cause and its treatment, everything that the client, family or friends disclose, the economic state, living conditions, domestic difficulties, etc.
• Respect the confidentiality of the client, their relatives and the health agency.
• Information may be shared only with laboratory staff when it is essential for the performance of your duties.
• Students must support the confidentiality of health information at all times.
• Any misuse of information shall be considered a breach of confidentiality and disciplinary action will be taken as deemed appropriate by the chair of the School of Engineering Technology and Applied Sciences (SETAS)
• Students will sign a confidentiality form

Violation of the professional code of conduct can result in immediate removal from clinical site, probation or dismissal from the program

Unsatisfactory performance on clinical placement may include one or more of the following:

• Failure to meet the assessment/competency requirements as detailed in the MLAB 150 course outline
• Failure to adhere to professional standards and workplace requirements of the placement provider
• Failure to discuss critical incidences or issues with the placement supervisor and MLAB placement coordinator
• Late or incomplete placement documents (e.g competency check list or blue book)

Unsatisfactory performance on placement may contribute to failing the clinical placement component of the course. The student will receive an F grade. Students may appeal the final grade in accordance with Centennial College Grade appeal process.

Workplace safety and insurance board guidelines

Clinical incident

• Ministry of Advanced Education and Skills Development (formally MTCU) provides students with insurance coverage in the event of an accident while attending clinical placement. Workers’ compensation costs for post secondary students in Health Sciences in unpaid field placements and clinical programs if they are placed in organizations that are covered by the Workers’ Compensation Act.
• Any injury or incidence, however minor, include needle stick or other clinical injuries, challenging staff or student inappropriate behaviors that happens to a student during clinical/field placement must be reported by the student to the clinical/placement manager or designate and to the placement coordinator or program coordinator.
• A student Accident Form must be completed by the student within 24 hours and given to the teacher. If accident forms arrive late, a late-filling fee is applied from WSIB.
• The College will submit the appropriate documents to the Workers’ Compensation Board or the private insurer when required.

Accident report form

• The College requires documentation of all accidents involving students.
• Review the Accident Report Form in detail and follow noted instructions carefully. Should you be involved in any accident during college time, notify your faculty advisor and fill out the form as soon as possible.  The faculty advisor will review and submit the form to the Program Chair.
• Check with your Clinical placement agency/placement site supervisor regarding “how to” and “when” to fill out agency forms. Agencies may have their own Accident Report Forms for staff and clients and for student placements. It is our understanding that agency Accident Report Forms should be completed as soon as possible and signed by your placement site supervisor. If required, these are in addition to the College Accident Report Form. Please submit a copy to your placement coordinator (faculty advisor). Your placement site supervisor will notify your college placement coordinator.

 Student Instructions -What to bring to your Clinical Placement

The attendance /duty logbook and competency checklist is your work record while you are in the field placement phase of the Medical Laboratory Assistant Program at Centennial College.

1. Review the contents of the logbook carefully
2. Review the contents of the competency checklist carefully
3. Carry both (1&2) with you while you are on placement so that it is available as a guide to both you and the field supervisor.
4. Review the preceptor handbook
5. Bring your WSIB insurance form and immunization records, police clearance, mask fit and CPR cards.
6. As you learn new skills, have the supervisor evaluate you using the appropriate competency checklist and assigned evaluation method.

• Write your comment on the competency checklist page for each area of work.
• All competencies must be completed, signed and dated by the end of the program

1. Keep track of the dates/hours you work in the Field Placement logbook.  Make sure the supervisor signs each section.
2. Weekly reflection form- review with preceptor supervisor or designate

 Handling Student Issues While On Clinical Placement

Critical incidences, stress or grief counseling are handled by the placement site according to their own policies and procedures. The student has access to the college counselors for personal counseling.

 When an incident occurs on clinical placement that causes a student to feel the need to file a complaint then the following procedure should be followed:

Conflicts

Conflicts happen to everyone. When a conflict arises, first, review your own behavior critically. Did I express my feelings in ways that seemed inappropriate, intrusive, or threatening to others?

 Step One:

If the complaint is against a staff member, the student should discuss the incident with the clinical educator(preceptor) or supervisor. If the student is satisfied with the response no further action will be taken.

Step Two:

If the student is not satisfied with the outcome, the student should email the placement coordinator or program coordinator with details of the incidence. The placement coordinator or program coordinator should provide immediate support for the student , (example referral to college counseling  if needed ) and follow-up with the clinical site.

If there is, no resolution the placement may be terminated. If there is placement termination, the student will meet with the program coordinator, the placement coordinator, the Chair or Dean to determine the next step.

A written record of discussions, meetings and suggestions from all parties will be kept on file at the College.

Needle stick or other clinical injuries

During Clinical Placement

Needle sticks or clinical injuries must be reported to the site supervisor and an accident/incident report written according to the clinical sites SOP. The clinical site will provide medical assistance according to the policies and procedure of the health care facility or clinical laboratory and follow SOP regarding blood-work on the the patient and student.

It is the responsibility of the student and clinical site to notify the placement coordinator of the incidence and email a copy of the accident/incidence report. Once the College receives the accident/incidence report, the Chair, Dean and the Occupational Health and Safety Manager will receive a copy of the report.  The College will then determine whether further action is needed.  The Program and Placement Coordinator will have a meeting with the student following this incident.

Needle stick injury while at the College

Needlestick injury must be reported to the Phlebotomy Professor / lab instructor. Remove gloves and encourage the wound to bleed, by holding it under running water .Wash the wound using running water and plenty of soap, apply bandaid. The student completes a Centennial Accident/Incident Report Form and the Centennial Needlestick Injury Form.  The instructor accompanies the student to Security Department and brings the incident report forms.  The security department will write a report and instruct the student of the next steps. The student may be accompanied to the nearest emergency department by  a phlebotomy faculty to have bloodwork and counseling done. The coordinator meets with the student, reviewes the student immunization records  and suggest that the student sees a family physican for blood work. The incident is reported to the Occupational Health and Safety Officer.

 REPORTING UNSAFE WORKING CONDITIONS

 During Clinical Placement

When a student observes or is asked to be involved with unsafe work practice, the student should, first – speak to the trainer or preceptor and if the issue is NOT addressed, then report the incident the Lab Manager and send an email to the placement Coordinator.  The student package contains the necessary form to report the incident and a copy of this form must be filled out, signed by both the student and Lab Manager and sent to the placement coordinator and copy the Program Coordinator.

If no improvement, then the student has the right to refuse the work in an unsafe environment.  The student is the required to inform the placement coordinator who will then arrange a meeting with the student and the manager of the lab.  The meeting will be documented and records kept.

While at the College

If the unsafe work practice is observed while in the College, the student must report the incident to the Program Coordinator who will escalate the incident to the Chair or Dean of the Program as necessary.

Placement Site Supervisor Instructions – Please review with the students the following:

MLAB 150-Clinical Placement

• MLAB 150   FIELD PLACEMENT ATTENDANCE LOG which indicates the number of hours the student spent at field placement.
• Competency Checklists and all forms
• WSIB (WEPA), insurance and accident/illness report forms
• The Student Competency Checklist must be completed by a certified MLA/T or MLT who is able to train, observe and evaluate the student.
• It is understood that some of the competencies may not be able to be assessed at every placement site (eg. Microbiology and ECG), therefore all students attend microbiology simulation prior to attending clinical placement. ECG is not a required competency for CSMLS.
• Student weekly reflection

To ensure that all competencies are met during the clinical placement, the clinical sites are oriented as to their role in providing the student adequate and equitable learning opportunities by providing a copy of the student handbook, national competency profile, preceptor handbook, medical lab technician program. A teleconference is held with clinical placement managers/supervisors/preceptors to review the documents that were provided, to hear their concerns, receive feedback on student performance and how competencies are attained.

They are also contacted via email or phone by the placement coordinator at weeks 1, 3 and 6 to provide updates/feedback on student’s progress.

Clinical Placement Student Competencies

Overview- Clinical Placement (MLAB 150) represents the final semester of the MLA/T program in which the students’ practical skills are assessed. The competencies for the practicum are developed by CSMLS. The clinical practicum is organized around the Student Competency Checklist listing the specific skills and standard used to evaluate the student. The Student Competency Checklist must be completed by a certified MLA/T or MLT who is able to train, observe and evaluate the student.  Agency training staff maintain responsibility for patient care /or service.   Students are not replacement staff and must be under the direction/supervision of agency staff when performing a task or using the computers.   All competencies specified in the national competency profile (CSMLS Competency Profile MLA Jan. 2016) are performed and assessed in clinical placement, except Microbiology .

Clinical Outcomes- In order to complete the clinical placement successfully, the student is expected to:
1. Attend the entire six week of clinical placement (attendance is mandatory)
2. Meet the clinical competencies as outlined in the “Clinical Competency Checklist Document” by the end of the practicum experience.
3. Ensure all competencies are signed off and completed by the assigned preceptor supervisor.

4. Discuss the completed final evaluation with the preceptor supervisor or designate prior to submitting to Centennial College Clinical Coordinator
5. Review weekly reflections with preceptor supervisor or designate

RECOMMENDATIONS FOR PLACEMENT DEPARTMENT EXPERIENCES– Placement sites are given flexibility to move students to another area once they have met competency or as learning situations transpire. Sample Student Rotation

 Clinical Grading
The student will be assigned to a preceptor (s) to help bridge the gap between theory and practice. The preceptor will train, evaluate and give feedback to the student, ensuring all competencies are checked off and signed. Final determination of completion and a course grade will be made according to the Centennial College of MLAB 150 Course Outline by Centennial faculty.

 Clinical Support– the Clinical Coordinator and Program Coordinator are available and will visit to assist the clinical preceptor/manager and students.  Please contact the Clinical Coordinator if there are questions or concerns about the clinical experience, competencies or student performance.

 Placement Coordinator:  Dylan Co

Tel: 416-289-5000 ext.8250           Fax: 416-289-5155

email: dco1@my.centennialcollege.ca

Program Coordinator:      Lorna Chacha                    

Tel: 416-289-5000 ext.8251           Fax: 416-289-5155

email: lchacha@centennialcollege.ca

Student Competency Evaluation Guidelines for Clinical Placement 

Student Competency Checklist must be completed at all placement sites by the preceptor/ preceptor supervisor and reviewed with the student. The completed checklist is returned to the student upon completion placement or mailed to Centennial’s placement coordinator. Preceptors should keep in mind that students are in training and have no working experience as an MLA/T. Professional behavior and technical performance are evaluated using an evaluation form for each rotation, designed to reflect student’s competencies that are expected to be achieved on completion of their Laboratory internship. At all times the preceptor/preceptor supervisor is responsible for the procedure and all phases of the student involvement with that procedure.

At the end of each rotation, the student will be evaluated by a preceptor supervisor or designate. A space for comments can be used to record any discussions, remediation and suggestions. When each department rotation is completed, the preceptor must date and sign the evaluation form.

Please use the following rating scale to evaluate the student competency.

Satisfactory:  Student has demonstrated full ability to perform CSMLS & MLPAO competencies consistent with an entry level MLA/T.  Competency Met

• Performs in an effective and  safe manner
• Recognizes pre analytic problems And works within their scope of practice to resolve them
• Performs tasks after initial instructions and minimal practice
• Performs tasks to standard in a safe manner
• Is confident , motivated and helps out within their scope of practice
• Willing to accept constructive criticism and advice
• Ready for independent practice or progression

Unsatisfactory:  Student has demonstrated limited or inability to perform CSMLS or MLPAO competencies consistent with an entry level MLA/T. Competency Not Met 

• Consistent guidance including instructions and verbal cueing to complete a task is required for all tasks
• Exhibits little or no ability to follow directions, standards or policies
• Lacks basic knowledge and skills to perform in a safe manner or to standard
• A potential for compromised patient safety exists; considerable improvement is needed
• Work is inaccurate , disorganized and does not recognize pre–analytic problems
• Unwilling or reluctant to accept constructive criticism and advice
•  More training / practice is needed before consideration for independent practice or progression

**If Unsatisfactory – Action taken (Remedial Plan)

**Unsatisfactory assessments prevent the student from passing their field placement. Please discuss issues with students, offer some remediation suggestions (e.g. more practice, more time, review) to help the student be successful throughout the placement time. Document all discussions, suggestions and contact the Program Coordinator or Clinical Placement Coordinator at Centennial College for concerns and assistance.

Observation Only- Some skills are not required to be performed and may be “observation only”

Orientation to Clinical Site Checklist

All Centennial MLA/T students will be expected to complete an orientation checklist respective of their clinical site. The form is signed by the student.

[  ]        I have reviewed and discussed my clinical placement schedule

[  ]        I have read and am aware of fire policy and safety procedures

[  ]        I can locate fire alarms, extinguishers and other safety devices

[  ]        Know emergency codes and procedures

[  ]        Can initiate an emergency code

[  ]        Have participated in a tour of the facility

[  ]        Have read the Centennial College MLA/T handbook

[  ]        Have read the Centennial College Clinical Placement competency checklist and forms

[  ]        Have read the clinical site’s relevant policies and procedures (on-line or book manual)

[  ]        I have given my preceptor supervisor a copy of the Clinical Placement Competency Checklist

CSMLS PROFECIENCY COMPETENCIES

CSMLS MLA competencies https://go.csmls.org/cert/MLA_CP_2016.pdf

 SAFE WORK PRACTICE (SAFETY): Students should be assessed in each discipline. It is expected that students will complete these competencies in some disciplines and not all.  75% of the competencies must be completed in at least one discipline.        

 SPECIMEN COLLECTION:  Upon completion, the student will successfully perform minimum 150 venipunctures on adults. Students should be exposed to pediatric and capillary techniques when the patient population allows and according to SOP of the clinical placement.

SPECIMEN RECEIPT AND PROCESSING: Upon completion the student will successfully receive, process and prepare specimens for testing

ELECTRO CARDIO GRAM (ECG): Perform ECG testing under minimum supervision, while adhering to acceptable standards of practice, institutional policies and while demonstrating respect for the needs of clients.

MICROBIOLOGY: Upon completion the student will stain smears, select and inoculate plates while adhering to safety precautions of the Microbiology Lab.

CLINICAL CHEMISTRY:  Handle and process appropriate samples under minimum supervision, while adhering to acceptable standards of practice and institutional policies

HAEMATOLOGY : Upon completion the student will be able to load automated analyzer, prepare, stain and coverslip blood films  while adhering to acceptable standards of practice and institutional policies

*MLPAO competencies are NOT required for CSMLS

 MLPAO COMPETENCY GUIDELINES

https://www.mlpao.org/mlat-exam

HISTOLOGY/PATHOLOGY:  Upon completion the student will be able to assist in the grossing room, perform routine clean up, maintenance and staining, while adhering to acceptable standards of practice and institutional policies.

CYTOLOGY:  Handle and process appropriate samples under minimum supervision, while adhering to acceptable standards of practice and institutional policies.

Professional Performance Evaluation 

Phlebotomy Requirements:

Students are required to successfully perform 150 venipuncture on adults. Students should be exposed to pediatric and capillary techniques when the patient population allows and according to SOP of the clinical site.

COMPLETING THE COMPETENCIES

Clinical Placement (MLAB 150) represents the final semester of the MLA/T program in which the students practical skills are assessed.

The competencies for the practicum are developed by CSMLS. The clinical practicum is organized around placement evaluation checklist and itemize the specific skills and standard used to evaluate the student.

Note: The evaluation checklist must be completed by a certified MLA/T or MLT who is able to train, observe and evaluate the student.

Training staff maintain responsibility for patient care /or service. Students are not replacement staff and should be under some degree of supervision when performing a task or using the computers

All competencies in the clinical competency checkbook must be completed at the lab site.

Clinical Grading

The student will be assigned to a preceptor (s) to help bridge the gap between theory and practice. The preceptor will train, evaluate and give feedback to the student, ensuring all competencies are checked off and signed.

In order to complete the clinical placement successfully, the student is expected to:

1. Attend the entire six week of clinical placement (attendance is mandatory)
2. Meet the clinical competencies as outlined in the “Clinical Competency Checklist Document” by the end of the practicum experience.
3. Ensure all competencies are signed and completed by the assigned preceptor supervisor or designate. Completed Final evaluation is done by the manager, preceptor supervisor or designate.

A simulated Microbiology Workshop Lab is held at the college for all students before microbiology placement. Emphasis is placed on hands on training

Student Attaining Competency while at Placement

To ensure that the student meets competency while at placement, each student is given a log book and competency checklist.  Upon completion of each division’s, the preceptor supervisor signs and adds a comment in the log book and the competency checklist regarding the student’s attainment of competencies. After completing clinical placement, the student makes a post-placement interview appointment with the Program Coordinator / Placement coordinator or designate and brings the following:

• A completed, signed copy of all clinical appraisal documents (completed logbook -blue book), competency checklist, student clinical placement evaluation form, weekly reflection.
• A 500-1000 word clinical placement reflection outlining, “What was special about the clinical placement experience”

At the post-placement interview, the program, placement  coordinator or designate receives feedback from the student about their clinical experience and discusses each area of competency to ensure that all competencies are attained. The program co-ordinator or designate reviews the completed documents and posts a passing grade on student transcript.

After Clinical Placement Documentation Reminder

Remember that your results cannot be finalized without your completed placement documents and therefore it may affect the completion of your course.

• Retain a completed, signed copy of all your clinical appraisal documents for your further reference.
• Submit weekly reflection
• Write 500-word clinical placement reflection outlining, “What was special about your clinical placement experience”
• Return the completed logbook (blue book), competency checklist, clinical placement evaluation form , weekly reflection, and clinical placement reflection to the Program coordinator, Placement coordinator or designate at the end of your field placement assignment, to Room 428 – HP Morningside Campus
• The program coordinator or designate will review the completed documents and post a passing grade on your transcript.

Final determination of completion will be made by Centennial College program coordinator or placement coordinator.

Absence From Clinical Placement Report Form

Student Name: _________________________________________________________

Date:____________________________________________________________

Please answer yes/no

Notified in a timely manner: _______________________________________________

Not Notified:___________________________________________________________

Absent note/Documentation: ______________________________________________

Absence Record

Clinical Site: number  of absences__________________________________________

Student Signature:______________________________________________________

Clinical Site Supervisor/Instructor signature_______________________________

Date:_____________________________________________________________

MLAB MLAB 3506  STATEMENT OF CONFIDENTIALITY

I,                                                    , agree that all information, documentation and data acquired during any and all of my field placements will forever be kept in the strictest of confidence.  If, after appropriate investigation by the field placement setting and College, breach of confidentiality has been proven, the following action will be taken:

1. a) immediate withdrawal from field placement
2. b) automatic failure of field placement as a program subject
3. c) dismissal from the program as a whole.

Date: _____________________                        ______________________

Student Name (print)              

_____________________________________

Student Signature

Date: ______________________                      ________________________

Faculty (print)

_____________________________________

Faculty Signature

Copy to Centennial College MLAB  Program or Placement Coordinator

Centennial College

 Medical Lab Technician Program

 Student Unsafe Placement Incident Report Form

Student Name: ________________________________ Date: __________________

Clinical Placement Site:________________________________________________

Clinical Placement Trainer/Preceptor: _____________________________________

Clinical Placement Manager: ___________________________________________

Date of Incident: __________________________________

Nature of Incident: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Reported to: __________________________________________________________

Date and Time Incident Reported: _________________________________________

Report Completed by:

Name: _____________________________________ Date: ___________________

Signature: ________________________________________________________

Centennial College

Student Clinical Placement Weekly Reflection

Discussed with my preceptor supervisor or designate:

A clinical reflection is a descriptive “story” that MLA/T students write about their clinical week. Systematic analysis of specific incidents or on individual practice at given times means studying your own experiences to improve the way you work.

Benefit: You will be able to identify your potential areas of development. Your preceptor or preceptor supervisor is there to guide your reflection.

When you are sharing this reflection with your preceptor supervisor or designate please include information you are happy to share. If you want to use it for a private reflection that is something you can keep safely for yourself. Your preceptor supervisor or designate will also provide advice and guidance.

Confidentiality: Do not include any staff or patient identifiers in this record.

It is the student’s responsibility on a weekly basis to:

1. Record weekly activities, including name of the procedures, instruments and/or tests performed
2. Record special activities such as lunch and learn seminars and lab presentations
3. Reflect on each week’s activities and consider what skills to build
4. Submit the journal to your clinical preceptor supervisor or designate

1. Description of the experience 

2. Evaluation: What was good and not so good about the experience? 

3. Learning/Analysis: What I learned about my role as a MLA/T? What would I do differently? What skills do I need to build on?

Use to assist when writing your reflection

1. Description of the experience
   • Describe the here and now experience
   • What essential factors contributed to this experience?
   • What are the key processes for reflection in this experience?

2. Evaluation

• What was I trying to achieve?
• What were the consequences of my actions for:
• Myself?
• The patient / family
• The people I work with?
• How did I feel about this experience when it was happening?
• How did the patient feel about it?
• How do I know how the patient felt about it?
• How did my coworkers fell about it?

Influencing factors

• What internal factors influenced my decision making?
• What external factors influenced my decision making?
• What sources of knowledge did / should have influenced my decision making?

Could I have dealt with the situation better?

• What other choices did I have?
• What would be the consequences of these choices?

3. Learning/ Analysis
   • How do I now feel about this experience?
   • What have I learned that will help my future as a MLA/T?
   • What skills will I build on?

Student Clinical Placement Evaluation

Please assist us in shaping future clinical placements by completing this form and returning it to the Clinical Placement Coordinator/Program Coordinator.  Information you provide will be collated and used to provide GLOBAL feedback to the Department Chair/Dean and the Clinical Site.  Please feel free to write your comments in the column provided.  Thank you  for taking the time to answer these questions.

Clinical Placement Site: _________ Name: _________________

*Please submit the completed evaluation form along with your competency checklist at your post- placement interview with the Program Coordinator.

COLLEGE LABORATORY POLICIES AND REGULATIONS

Users of the laboratories are expected to comply with the safety rules and regulations for each laboratory. Students will be provided with a list of specific rules and requirements for the laboratory in which their experiment is held. All lab rules, general and specific, will be reviewed by the instructor during the first lab. Some of the required laboratory safety equipment will be provided by the College and some (lab coat, safety glasses, closed shoes, etc) will be the responsibility of the student.

Centennial College’s Biology and Microbiology laboratories and all preparation areas are designated Biosafety (containment) level 2, because cultures of animal and human pathogens are stored and used. These cultures have moderate potential hazard to personnel and the environment. In a Biosafety level 2 laboratory, all personnel including students must follow the safety rules. There must be documentation of safety training (electronic or written). The laboratories are kept neat, clean and orderly at all times and doors and windows are kept closed.

The instructor/technologist responsible for the lab will enforce penalties for non-compliance with the rules including expelling the student from classes should any of the rules and regulations are broken.

LABORATORY:

• Students must purchase a full length lab coat from the college’s bookstore or from an outside vendor.
• Disposable coats are provided for the Medical Lab Technician students and must be kept in the laboratory after use.
• The lab coat must be worn, buttoned from top to bottom, at all times when working in the laboratory.
• Long hair must be tied back
• Closed toe and heel shoes must be worn
• Non latex gloves are required

Safety Equipment

Students in this Program must purchase closed shoes, lab coat, safety glasses and a lab kit specific to their Program.

For safety reasons, students are allowed to bring only their lab manual and lab kit into the laboratory. Students are advised to obtain a locker for their personal belongings.

Students not conforming to the lab dress code will not be permitted to enter the laboratory.

Classroom/Lab Rules of Conduct

1. Cellular phones are to be on vibration and out of sight during lecture unless being used as part of the course learning. Cell phones are not permitted in the laboratory.
2. Students are to come to class prepared to participate actively
3. Students are to act professionally at all times, including attitude and use of language. Refrain from vulgar language or questionable humor.
4. Students are responsible for their actions – don’t make excuses
5. Be punctual to the labs and lectures
6. Be a good listener and communicator
7. Manage time well in order to complete experiments
8. Respect boundaries, roles and rules. Show respect for yourself and others

AFTER HOURS LAB POLICY

 Students are permitted to use laboratory facilities only during scheduled lab time unless special arrangements have been made by the instructor for supervision at other times.

Access to laboratory is limited to authorized personnel and student do not have access to the lab after hours.

Laboratories must be kept locked when unoccupied

Injury/Illness and Safety Hazard Reporting Guideline

(Applicable only at Ashtonbee, Progress, Morningside and SAC)

The status of clinical/field placements and co-op work terms will be subject to public health directives and the reopening plan. Students may complete their placement requirements at sites that are permitted to open, either onsite, following appropriate health and safety protocols, or remotely. Students will be asked to read and sign a Student Informed Consent form in order to ensure that they understand their rights and the potential health and safety risks. Similarly, employers and/or placement hosts will be required to complete an Employer/Placement Health and Safety Site Checklist.

If workplaces are not permitted to open, placements and work terms may be completed remotely where feasible. In programs where placements or unpaid internships can not be facilitated through alternative/distance models, students will be allowed to complete these components at a later date.