STEM CELL TECHNOLOGIST: THE NEED FOR STEM CELL TECHNOLOGIST: THE NEED FOR RECLASSIFICATIONRECLASSIFICATION BY PATTY BAKKESTAD-LEGARE ART,CHT,CHS BY PATTY BAKKESTAD-LEGARE ART,CHT,CHS

Who, What, Why, and Who, What, Why, and HowHow

Laboratory Technologist working in the Laboratory Technologist working in the field of Hematopoietic Stem Cell field of Hematopoietic Stem Cell TransplantationTransplantation

To provide a system to allow technologists To provide a system to allow technologists to become specialist within the processing to become specialist within the processing laboratories. laboratories.

The complexity and uniqueness of The complexity and uniqueness of services, the high level of responsibility , services, the high level of responsibility , the ability for critical decision making and the ability for critical decision making and the lack of specific training.the lack of specific training.

Develop set standards with examinations Develop set standards with examinations both locally and nationallyboth locally and nationally

Manitoba’s ExperienceManitoba’s Experience

HPSC Lab –dedicated lab provides HPSC Lab –dedicated lab provides service for adult, pediatric, autologous service for adult, pediatric, autologous and allogenic transplants for MBMTPand allogenic transplants for MBMTP

Identified the need for reclassification Identified the need for reclassification for laboratory technologists in the HPSC for laboratory technologists in the HPSC Lab to Human Progenitor Cell (HPC) Lab to Human Progenitor Cell (HPC) TechnologistsTechnologists

Approved by the Lab Directors and Approved by the Lab Directors and Acting Director of MBMTPActing Director of MBMTP

Prepared Reclassification Proposal Prepared Reclassification Proposal outlining the criteria and needs outlining the criteria and needs assessment which was reviewed and assessment which was reviewed and accepted by the union (MAHCP) and accepted by the union (MAHCP) and with CCMB Human Resourceswith CCMB Human Resources

ASHI/ABHI Classification -ASHI/ABHI Classification -HLAHLA

CHS- Certified Histocompatibilty CHS- Certified Histocompatibilty SpecialistSpecialist

CHT -Certified Histocompatibilty CHT -Certified Histocompatibilty TechnologistTechnologist

CHA - Certified Histocompatibilty CHA - Certified Histocompatibilty AssociateAssociate

DocumentationDocumentationRevised job descriptions –(ISCT has Revised job descriptions –(ISCT has developed job descriptions)developed job descriptions)Developed an extensive training Developed an extensive training program with examinations (45 HPSC Lab program with examinations (45 HPSC Lab SOPS and 17 QA SOPS)SOPS and 17 QA SOPS)Internal and external proficiency testing Internal and external proficiency testing for all technologistsfor all technologistsContinuing Education hours may include Continuing Education hours may include teleconferences (AABB,ISCT), local teleconferences (AABB,ISCT), local seminars on relevant topics, scientific seminars on relevant topics, scientific meetings which may include poster or meetings which may include poster or oral presentationsoral presentationsDeveloped competency based objectives Developed competency based objectives for HPSC processingfor HPSC processing

MANITOBA BMT PROGRAMMANITOBA BMT PROGRAMHPSC LABORATORYHPSC LABORATORY  COMPETENCYCOMPETENCY ASSESSMENT –Volume Reduction of Hematopoietic Progenitor Cells- ASSESSMENT –Volume Reduction of Hematopoietic Progenitor Cells-Apheresis (HPC-A) Apheresis (HPC-A)

244

92

206

339

6550 46

91100 104

95 94

Pre Vol Post Vol. %NC Rec

The HPSC Technologist shall The HPSC Technologist shall reduce the volume of HPC-A reduce the volume of HPC-A products to 45-70 mL within 45 products to 45-70 mL within 45 minutes with 90%nucleated cell minutes with 90%nucleated cell recovery, 90% of the timerecovery, 90% of the time . .

0

5

10

15

20

25

C D 34 Prediction Actual C D 34 Collected HPC-A Products

CD

34 x

106 /

kg

Blood CD34 Prediction Blood CD34 Prediction ModelModel

Eligibility RequirementsEligibility RequirementsHuman Progenitor Cell Technologists –ChargeHuman Progenitor Cell Technologists –Charge Med Lab Degree, B.SC with Med lab diploma, or ART in Med Lab Degree, B.SC with Med lab diploma, or ART in

Immunology, or in Hematology, SBB ( Blood Bank), with Immunology, or in Hematology, SBB ( Blood Bank), with at least two one-semester courses in a biological at least two one-semester courses in a biological science.(ie Immunology)science.(ie Immunology)

At least five years experience in a HPSC Laboratory at At least five years experience in a HPSC Laboratory at a senior or charge levela senior or charge level

Demonstrates a high level of competency in all Demonstrates a high level of competency in all relevant techniquesrelevant techniques

Undergo proficiency testing and meet all internal and Undergo proficiency testing and meet all internal and external standardsexternal standards

Must have a minimum of 15 hours of relevant Must have a minimum of 15 hours of relevant continuing educational activities per annumcontinuing educational activities per annum

*Must obtain a 85% pass mark in set examination (* in *Must obtain a 85% pass mark in set examination (* in progress, developing a Syllabus of Studies)progress, developing a Syllabus of Studies)

Equivalent to the ASHI standards (CHS) or AABB (SBB)Equivalent to the ASHI standards (CHS) or AABB (SBB)

Eligibility RequirementsEligibility RequirementsHuman Progenitor Cell Technologists –SeniorHuman Progenitor Cell Technologists –Senior Med Lab Degree or diploma,with at least one-Med Lab Degree or diploma,with at least one-

semester courses in a biological sciencesemester courses in a biological science At least three years experience in a HPSC At least three years experience in a HPSC

Laboratory at a senior levelLaboratory at a senior level Demonstrates a high level of competency in all Demonstrates a high level of competency in all

relevant techniquesrelevant techniques Undergo proficiency testing and meet all internal Undergo proficiency testing and meet all internal

and external standardsand external standards Must have a minimum of 12 hours of relevant Must have a minimum of 12 hours of relevant

continuing educational activities per annumcontinuing educational activities per annum *Must obtain a 85% pass mark in set examination *Must obtain a 85% pass mark in set examination

(* in progress, developing a Syllabus of Studies)(* in progress, developing a Syllabus of Studies) Equivalent to ASHI (CHT), AABB -BBEquivalent to ASHI (CHT), AABB -BB

Eligibility RequirementsEligibility RequirementsHuman Progenitor Cell TechnologistsHuman Progenitor Cell Technologists

Med Lab degree or diplomaMed Lab degree or diplomaAt least two years experience in a HPSC At least two years experience in a HPSC Laboratory at a general duty level.Laboratory at a general duty level.Demonstrates a high level of competency in all Demonstrates a high level of competency in all relevant techniquesrelevant techniquesUndergo proficiency testing and meet all Undergo proficiency testing and meet all internal and external standardsinternal and external standardsMust have a minimum of 12 hours of relevant Must have a minimum of 12 hours of relevant continuing educational activities per annumcontinuing educational activities per annum*Must obtain a 80% pass mark in set *Must obtain a 80% pass mark in set examination (* in progress, developing a examination (* in progress, developing a Syllabus of Studies)Syllabus of Studies)Equivalent to ASHI (CHA)Equivalent to ASHI (CHA)

ABHI Continuing Education Credits (CEC) Requirements

Certification   Qualification   Continuing Education Credits

 

8.0 CEC (80 contact hours) per 3 year period    

* 1 CEC = 10 contact hours 

CHS   1) BS Degree2) 5 years experience3) Pass board exam.

CHT  

1) BS Degree2) 1 year experience3) Pass board exam.

6.0 CEC (60 contact hours) per 3 year period

CHA  

1) Clinical lab course2) 2 year experience3) Pass board exam.

4.0 CEC (40 contact hours) per 3 year period

??National ProposalNational ProposalRequire Sponsorship with either Require Sponsorship with either CBMTG or ISCT.CBMTG or ISCT.Exams set biannually with CBMTG Exams set biannually with CBMTG meetingsmeetingsApplications for examinations Applications for examinations must have Laboratory Director’s must have Laboratory Director’s signature, along with notarized signature, along with notarized documents to verify work documents to verify work experience,competency and experience,competency and educationeducation

Application FeeApplication Fee

WHAT NEXTWHAT NEXT

L E V E L SE D U C A T IO N

E X P E R IE N C E

T E R M S O F R E F E R E N C E

M A IN T E N A N CE

F E E S C H E D U L E

E X A M M A T R IC ES

D E V E L O PS Y A L L U B USO F S T U D IE S

D O C U M E N T A T IO NC E H O U R S

S T A T E M E N TSO F C O M P E T E N C Y

S U P P O R T O F C B M TGL A B C O M M IT T EE

QUESTIONSQUESTIONS