Clinical Laboratory Science Bridge Program (MLT-MLS/CLS (MT) EMPLOYER SURVEY You must have JavaScript enabled to use this form. DEMOGRAPHIC INFORMATION YOUR INFORMATION This information is gathered so the program can follow-up with you about any specific student deficiencies. This is important so the program can continually be improved. However, if you do not want to be identified, you can submit this without your contact information. Contact Information First Name Last Name Email Phone The information above is optional. FACILITY INFORMATION Name of facility State facility is located in Type of facility Type of facility - Select -Large HospitalSmall HospitalLarge ClinicSmall ClinicOther… Enter other… STUDENT INFORMATION Student Name (optional) Did the student work for you in an MLT capacity before completing the bachelor’s degree program at ETBU? - Select -YesNo If Yes, how long has the student worked in that capacity? If No, how long has the student worked for you as an MLS/CLS? SURVEY 1. Knowledge Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know The CLS graduate working in your facility demonstrates adequate knowledge at the beginning Medical/Clinical Laboratory Science level. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 2. Skills Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 2. The CLS graduate working in your facility demonstrates adequate skills at the beginning Medical/Clinical Laboratory Science level. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 3. Competencies Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 3. The CLS graduate working in your facility demonstrates adequate competencies at the beginning Medical/Clinical Laboratory Science level. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 4. Technical Areas Knowledge The CLS graduate working in your facility demonstrates adequate knowledge expected of a beginning CLS in the following technical areas. Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know a. Chemistry 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know b. Immunology 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know c. Urinalysis/Body Fluids 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know d. Microbiology (including Parasitology, Virology and limited Mycology) 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know e. Hematology and Hemostasis 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know f. Immunohematology (Blood Banking) 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know g. Advanced analytical functions such as calibration verification and instrument troubleshooting 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know h. Patient Diagnosis/Disease Processes 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 5. Management Areas Knowledge The CLS graduate working in your facility demonstrates adequate knowledge expected of a beginning CLS in the following management areas. Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know a. Laboratory Safety and Infection Control 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know b. CAP or other Laboratory Accreditation 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know c. Quality Control 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know d. Quality Improvement 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know e. Strategic Planning 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know f. Budgeting 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know PLEASE ANSWER THE FOLLOWING QUESTIONS ONLY IF THE STUDENT PREVIOUSLY WORKED FOR YOU IN AN MLT CAPACITY. 6. The CLS graduate gained additional knowledge about patient diagnosis and disease processes. Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 6. The CLS graduate gained additional knowledge about patient diagnosis and disease processes. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 7. The CLS graduate gained additional knowledge about laboratory management. Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 7. The CLS graduate gained additional knowledge about laboratory management. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 8. The CLS graduate gained additional knowledge about the relationship of the laboratory to the hospital as a whole in regards to quality improvement, strategic planning, budgeting and other managerial aspects. Questions 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know 8. The CLS graduate gained additional knowledge about the relationship of the laboratory to the hospital as a whole in regards to quality improvement, strategic planning, budgeting and other managerial aspects. 1. Strongly Disagree 2. Disagree 3. Neutral 4. Agree 5. Strongly Agree 0. I do not know Please add any comments you want to make here:
