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Saving
Lives Behind the Scenes
The call came at night: A patient had developed severe bleeding following childbirth. Throughout the evening hours, a laboratory technologist in BIDMCs blood bank worked to provide the patient with the blood products she needed to survive. The next day, as the patient underwent surgery, lab technologists in BIDMCs east and west campus blood banks coordinated with each other, the patients surgeons and anesthesiologists to meet her blood product needs. Within 24 hours, the woman used 248 units of platelets, plasma and red blood cells, recalls medical technologist Monique Mohammed, M.S. (ASCP), SBB. Since the average person has six to eight units of blood, this means she changed over her total blood volume 24 times within 24 hours. During the next two weeks, the patient required an additional 140 units of blood. Lab technologists worked diligently to help her while filling requests for BIDMCs many other patients needing blood. Because some blood components last only a few hours once thawed, technologists had to estimate when the patient would need blood to avoid wasting blood products by thawing them too soon. The patient also had an infection that required close monitoring by microbiology technologists to ensure that she did not develop resistance to antibiotics. Ultimately, the technologists teamwork paid off: The patient fully recovered and went home with her newborn baby. Its so nice to know that there was a happy ending, Mohammed says. Often lab techs dont hear about patients outcomes, because we work behind the scenes. Saving lives is nothing new to the more than 300 lab technologists in BIDMCs department of pathology. They work 24/7, every day, performing 4.5 million lab tests annually for the BIDMC community. The team includes: Phlebotomists, who draw patients blood Lab support assistants, who computerize laboratory test orders and prepare specimens for analysis Medical technologists, who provide screening and diagnostic testing of blood, urine and other body fluids. They must have four-year college degrees and complete internships; many have advanced degrees. Medical laboratory technicians, who process specimens and do less complex testing Cytotechnologists, who examine Pap smears and body fluids Histotechnologists, who prepare surgical samples on glass slides for pathologists use in making diagnoses Pathology assistants, who describe and prepare surgical specimens From the time phlebotomy draws the patients blood, to when lab support puts the test in the computer, to when it is processed by lab technologists, its all about teamwork, says Ginny Thomes, medical technologist, hematology. Starting this month, BIDMCs lab teams will use several new machines. Fetal fibronectin testing, which predicts the onset of labor, will become available online at BIDMC, and a new flow cytometer will measure AIDS patients T-cells and diagnose leukemia and lymphoma. But while technology holds promise, the nationwide shortage of lab technologists remains a challenge. Many educational programs in the field have closed, and increasingly lab professionals are moving into the pharmaceutical field, or specializing in such areas as molecular biology. Numerous hospital lab technologist positions await those venturing into this exciting field. Its meaningful work, and youre on the diagnostic end, even if youre not a doctor, says clinical manager Joan MacDonald, M.S. Adds Mohammed, The works always different from shift to shift. To learn more about laboratory technology work at BIDMC, contact Gina McCormack, technical director, at (66)7-2342. return to top of page |
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