Performs, evaluates, and monitors laboratory tests as authorized within established protocols, selecting and performing additional procedures when indicated. Monitors workflow and makes necessary adjustment to complete work in an appropriate time frame. Evaluates results for clinical significance, validity and appropriateness. Follows prescribed policy in the reporting and notification of test results. Performs and documents calibration, maintenance and repair of instruments and equipment. Recognizes indicators of test and/or instrument malfunction; evaluates and implements appropriate corrections. Performs, documents and reviews quality control and quality assurance for improvement according to established protocol. Evaluates quality control results and takes corrective action when indicated. Ascertains that specimens are properly labeled and suitable for testing. Collects specimens from newborn, pediatric, and adult patients according to established protocol. Provides general direction, training, competency review and technical l assistance to medical laboratory technicians, phlebotomists, and support staff. Assists in the development of education and training protocols; instructs students, residents and new team members as assigned. Assists in improving the quality and efficiency of laboratory procedures, policies, and processes. Ensures compliance with all accrediting agency standards, supporting CAP Regulatory requirements in an acute setting. Performs internal and external proficiency testing in the same manner as patient samples. Performs specialty testing in areas including transfusion services, microbiology, chemistry, hematology, histology, coagulation, and flow cytometry. Supports the disease specific accreditations of an institution by meeting turn- around time goals. Provides direct support and timely, accurate laboratory results for critical care departments such as the ED, ICU and OR during a high acuity patient event. This includes transfusion services, attending codes, performing testing on irretrievable samples, tissue grinding and gram stains, mass casualty procedures, and mass transfusion procedures. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.