Lab Hematology Supervisor
Company: South Shore Health
Location: Weymouth
Posted on: April 20, 2024
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Job Description:
Job Description SummaryUnder the general direction of the
Director, and in conjunction with the Technical (Pathologist)
Director and Chief of Pathology, is responsible for the supervision
of the Hematology section of the Laboratory. All duties will be
performed in accordance with established policies, procedures and
standards, and will comply with criteria mandated by appropriate
accrediting and licensing agencies.Job DescriptionESSENTIAL
FUNCTIONS1. Supervises all work performed within the section. This
includes, but is not limited to, responsibility for quality of all
tests performed, organizing workflow and prioritizing work as
needed.a. Reviews all test results and QC data generated in
Hematology, urinalysis, coagulation and serology as per established
criteria by CAP and other regulatory agencies.b. Maintains a
procedure manual that is accurate, up-to-date and in compliance
with format and content established by Clinical & Laboratory
Standards Institute (formerly NCCLS), CAP and other regulatory
agencies. Review and updates at least annually and maintains
documentation of all changes to procedures. Formally communicates
all procedural changes to staff and documents staff acknowledgement
of these changes.c. Oversees Instrument Maintenance Program and
assures maintenance is performed, as defined in the policies &
procedures. Establishes written maintenance logs, troubleshooting
guidelines, written problem/resolution logs and works with vendor
to assure all activities, including Preventive Maintenance are
performed to maintain the instruments to perform optimally.d.
Assures that tests are performed within established turn around
times and regularly seeks opportunities to improve service and
meet/exceed patient/client needs.e. Assures consistently high
quality test result records as evidenced by data review, Quality
Control, Proficiency Testing, CAP Inspections, and feedback from
clinician.f. Assures Competency of Staff in interpreting Quality
Control Data.g. Develops comprehensive systems to monitor the
quality of work. This plan (QC, QA, & Proficiency Testing) is
written and shared with staff to ensure consistent compliance.2. In
collaboration with other section supervisors, schedules work
assignments and plans work schedules of employees to maintain
consistent and adequate coverage of the entire laboratory.a. Posts
schedule of hematology staff thirty (30) days in advance.b. Posts
daily assignments in Hematology a weekly basis and updates to meet
the needs of each department to assure adequate coverage.c. Meets
regularly with Management Team to schedule department wide staffing
issues. Collaborates with peers to assure cross coverage and that
minimum staffing needs are consistently met.d. Shares in rotation
to provide coverage for vacancies, absences, and paid time off. Is
responsible for assuring the adequacy of coverage.3. Establishes &
maintains an effective inventory control system that assures
inventory levels that consistently meet the demands of the
workload.a. Prepares laboratory purchase orders and submits for
approval. Adheres to procedures regarding acquisition of, and
payment for, goods and services.b. Establishes a formal procedure
for assessing inventory levels and involves the staff in
participation in this process.c. Focus is on efficient use of
reagents and supplies that is consistent with workload volume and
budgeted resources.4. Hires, trains, and ensures competency of
staff.a. Orients and trains new employees to perform all procedures
following established protocol. Documents all training of new
employees and completes evaluation form within the 90 day
probationary period.b. Trains all employees when new procedures,
instruments or methods are established. Provides staff with written
and practical exercises and tools to learn procedures and
demonstrate compliance.c. Prepares and implements annual Competency
Plan and maintains documentation of technical competency of all
staff who perform testing within the section, as per departmental
and Hospital Competence Policies & Procedures.d. Documents
communications with staff when policies or procedures are changed
or introduced to assure staff understanding and compliance.e.
Develops performance goals/objectives with each staff member to
promote maximum productivity, proficiency and professional growth,
as evidenced by written goals on performance appraisals.5.
Consistently and fairly implements Human Resources Policies to
promote positive employee relations.a. Collaborates with Human
Resources on the effective recruitment and selection of qualified
employment candidates.b. Ensures employee compliance with all
Hospital & Departmental policies & procedures.c. Conducts annual
performance evaluations on all departmental staff. Completes
employee performance appraisals thoroughly and submits on time.d.
Provides ongoing and timely feedback to staff relating to
performance issues. Consistently recognizes employees for
exceptional service to patients and others.e. Conducts at least one
mid-cyle performance assessment for all direct reports to provide
feedback relating to attainment of goals, performance and
behavioral expectations.f. Keeps the Director informed of
significant Performance issues and seeks counsel as to appropriate
courses of action.g. Follows human resources policies to implement
progressive discipline, when necessary.6. In collaboration with the
Director and Technical Director (Pathologist), is responsible for
the evaluation, selection, and documentation of testing of all new
instruments, methods and procedures for testing performed in the
Hematology section.a. Serves as primary contact for vendors and
makes recommendations regarding equipment status, reagent costs,
service agreements, etc. Monitors expenditures and performs cost
analysis on equipment purchases/rental agreements.b. Follows
established protocols for implementing new instrumentation and/or
procedures as per CLSI Guidelines.c. Solicits feedback from
physicians & other caregivers as to the adequacy of testing
protocols.7. Maintains accurate and complete documentation required
by regulatory agencies, including quality control, Performance
Improvement, instrument maintenance service records and other
record keeping requirements of the laboratory licensing and
accrediting agencies and organizations.a. Is responsible for the
performance of all Quality Control required to maintain precision,
accuracy, and quality of testing. Establishes a comprehensive QC
program that is in compliance with CAP and CLSI Standards.b.
Implements new procedures as needed to ensure compliance with state
regulations and all regulatory agencies (CAP, CLIA, JCAHO)c.
Documents all QC on a daily basis, submits monthly and quarterly
Quality Control/Assurance reports.d. Oversees performance of
Proficiency Testing (CAP surveys) among staff, documents results,
submits reports at appropriate time, reviews results with staff,
and submits documentation of investigation and corrective action on
all unacceptable performance challenges. Assures that all staff
participate in Proficiency Testing as part of on-going technical
Competency process.e. Maintains and updates the Hematology
laboratory procedure manuals and protocols, according to Hospital
policy and NCLSI standards.f. Reviews and signs all procedure in
Hematology section on at least an annually basis according to CAP
requirements, JCAHO and all regulatory agencies.g. Annually
establishes departmental Performance Improvement Initiatives that
are consistent with, and support SSH strategic planning initiatives
and Annual SSH Performance Goals.h. Identifies opportunities for
improvement and incorporates into formal PI plan that meets JCAHO
and other regulatory agency requirement standards. Collects and
reviews data and plans response to findings.i. Keeps staff engaged
in PI iniatives, and shares quarterly reports at staff meetings.8.
Responsible for the fiscal management of section; assures proper
utilization of organization's financial resources.a. Establishes
and submits section budget within designated deadlines according to
all budgetary policies and procedures.b. Effectively utilizes
resources within established budget; notifies Director of all
variances anticipated, or incurred. Identifies and implements
actions needed to bring expenses in line with budget.c. Performs
assessment of the efficiency of the utilization of all resources in
the department, including personnel management, equipment/reagent
evaluation and method development.d. Prepares bi-weekly FTE
utilization reports and budget reports monthly, and submits
responses as scheduled. Responds to variances and establishes
effective action plans to meet departmental budget goals.e.
Recommends ways to reduce expenditures and/or enhance revenues
without compromising quality of services.f. Is proactive in
managing resources. Regularly runs utilization reports to monitor
expenditures prior to end of cycles to assure budges are met.g. In
collaboration with the Medical Director, services as a resource for
providing technical guidance to physicians, nurses and other
care-givers.9. Responsible for section's operational excellence;
Manages all activities to assure section delivers quality services
in accordance with applicable policies, regulatory requirements and
professional standards.a. Establishes and implements policies and
procedures to achieve departmental objectives, as identified in the
Strategic Plan for the Hospital and Department.b. Organizes test
schedules for the most cost effective and highest quality
production of results, without compromising patient care.c.
Maintains effective and appropriate staffing. Monitors employee
turnover, overtime and absenteeism and creates a work environment
that recognizes employees for individual and team accomplishments,
and exceptional service.d. Maintains sectional productivity
measurements; reports status monthly.e. Is proactive in managing
resources. Regularly runs utilization reports to monitor
expenditures( prior to end of cycles to assure monthly budget goals
are met.f. Consistently monitors ( collects and maintains data) to
assess volume ( high volume/high cost tests) and identifies
opportunities to reduce costs and implement action plans to achieve
cost reductions.10. Effectively communicates departmental,
organization and industry information to staff.a. Motivates and
encourages professional growth, as evidenced by annual goal setting
and achievement for all employees.b. Gathers, interprets, and
delivers information to staff in a timely fashion.c. Conducts
departmental employee meetings on a monthly basis and distributes
minutes to staff.d. Assures staff understands information as
evidenced by staff compliance with, and participation in, hospital
programs, seminars, training and related activities.e.
Communication with staff is effective, resolving conflicts which
may hamper relations and productivity. Promotes open door policy of
communication for all employees.f. Uses hospital communications
resources to inform internal and external audiences of departmental
news/achievements/policies.g. Meets at least monthly with Medical
Director to keep him informed as to technical and operational issue
and to solicit input in issues such as PI, QC, new methods and
instrumentation.h. Meets bi-weekly with Administrative Director,
completes meeting template and submits 24 hrs to meeting. Keeps
Director informed as to on-going issues and works collaboratively
to resolve operational, technical and administrative issues.12.
Safety Awareness - Fosters a "Culture of Safety" through personal
ownership and commitment to a safe environment.a. Serves as a role
model for all Hospital & Departmental Safety Standards through
consistent compliance with the established Safety Policies &
Procedures (including General Safety, Clinical Hygiene Plan, Blood
Borne Pathogen & other OSHA and Regulatory requirements).b.
Continually monitors staff for compliance and all Hospital &
Departmental Safety Regulations/Standards. Is responsible for
assuring consistent compliance.c. Seeks opportunities to improve
Patient Safety and encourages the staff to do the same. Implements
changes to existing operations to support the goal of keeping out
patients safety.d. Seeks opportunities to improve Patient Safety
and encourages the staff to do the same. Implements changes to
existing operations to support the goal of keeping out patients
safety.e. Is responsible for maintaining & updating all Safety
Related Procedures & Guidelines, reviews at least
annually.ESSENTIAL FUNCTIONS (Cont.)I. Technology and Learninga.
Participates in continued learning and possess a willingness and
ability to learn and utilize new technology and procedures that
continue to develop in their role and throughout the
organization.b. Embraces technological advances that allow us to
communicate information effectively and efficiently based on
role.NON-ESSENTIAL FUNCTIONS1. Maintains and updates technical and
managerial knowledge and skills through reading, attending
workshops and seminars, and shares this knowledge with staff to
provide continuing education opportunities for employees at staff
meetings.2. Collaborates with Supervisors, Managers, Directors and
Pathologists in achieving departmental goals. Is an effective team
member and consistently demonstrates behaviors consistent with a
highly functioning team. Shares in the work of the Team, is outcome
focused and follows through with responsibilities assigned to the
Team.3. Submits, reviews and approves payroll for the section.
Monitors appropriate utilization of Productive & Non-Productive
time. Assures staff compliance with Hospital Pay Practices,
Policies & Procedures.4. Reports deviations from Policies &
Procedures, as appropriate, using the Hospital Incident Reporting
Database. Provides timely and thorough follow-up and corrective
action to all assigned incidents.5. Performs work of equal skill
and responsibility as directed. May also perform work of higher
level in preparation for increased responsibility and may be
requested to perform work of lesser responsibility, when work load
of section so requires. Performs bench work in the Hematology
section as appropriate.6. Participates in special project work, as
assigned by the Director of the Department. Performs other tasks as
assigned by the Director or Chief of Pathology. Readily accepts
assignments and completes work, as assigned, on time.7. Readily
accepts assignments and completes work, as assigned, on time.8.
Manages issues on assigned weekend effectively. Makes adjustments
to assignments, as demanded by workload, initiates problem solving
pertaining to instrument problems or unusual issues that may
arise.9. Works collaboratively with IS Department (LIS Applications
Specialist) to assure accurate and efficient utilization of
Laboratory MediTech systems.10. Tests new Meditech codes, and tests
interfaces with direction from Meditech & IS support (Meditech
documentation)11. Builds, maintains, and assures the accuracy of
the Meditech QC program.12. Assures the accuracy of the test
dictionaries (including billing data) through periodic audits and
documents these activities as per established protocols.13.
Conducts period audits and validation of system calculations and
Normal Ranges as per established protocols.14. Achieves annual
goals, as established at the time of Annual Performance Review.
Attains all agreed to goals and objectives within specified time
frames, as part of the organization's overall mission. Demonstrates
behavior focused on achieving throughout the year. Requires minimal
intervention by the Director to assure that assignments are
complete, accurate, and submitted on time.Must be knowledgeable and
experienced in Hematology, Coagulation, Urinalysis and Serology
testing. Able to establish an effective, comprehensive Quality
Improvement & Quality Control Programs for the department. Skilled
at managing multiple priorities, organization and interpersonal and
communication skills must be well developed.
Keywords: South Shore Health, Weymouth , Lab Hematology Supervisor, Healthcare , Weymouth, Massachusetts
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