Medical Laboratory Technician--Hematology, Serology, Blood Banking, and Immunohematology (AFSC 90470)
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DOCUMENT RESUME ED 268 334 CE 044 216 AUTHOR Thompson, Joselyn H. TITLE Medical Laboratory Technician--Hematology, Serology, Blood Banking, and Immunohematology (AFSC 90470). INSTITUTION Air Univ., Gunter AFS, Ala. Extension Course Inst. PUB DATE 25 May 84 NOTE 353p.; Supersedes ED 224 893. PUB TYPE Guides Classroom Use Materials (For Learner) (051) EDRS PRICE MF01/PC15 Plus Postage. DESCRIPTORS *Allied Health Occupations Education; Behavioral Objectives; Biomedical Equipment; Correspondence Study; Distance Education; *Laboratory Procedures; *Laboratory Technology; Learning Activities; *Medical Evaluation; Medical Services; *Medical Technologists; Military Personnel; *Military Training; Postsecondary Education IDENTIFIERS Air Force; Blood Transfusion; *Hematology; Immunology; Serology ABSTRACT This three-volume student text is designed foruse by Air Force personnel enrolled in a self-study extensioncourse for medical laboratory technicians. Covered in the individual volumesare hematology (the physiology of blood, complete blood counts and related studies, erythrocyte studies, leukocyte and thrombocyte maturation, and blood coagulation studies); laboratory procedures in blood banking and immunohematology (immunohematology, bloodgroup systems, transfusion and transfusion practices, and the blood donor center); and serology (principles of immunology and serology; agglutination tests; latex-fixation, precipitin, and ASO tests; and serological tests for syphilis). Each volume in the set containsa series of lessons, exercises at the end of each lesson, a bibliography, and answers to the exercises. Supplementary volume review exercises and a change supplementare also provided. (MN) *********************************************************************** * Reproductions supplied by EDRS are the best that can be made * * from the original document. * *********************************************************************** MEDICAL LABORATORY TECHNICIAN--HEMATOLOGY, SEROLOGY, BLOOD BANKING AND IMMUNOHEMATOLOGY (AFSC 90470) U.S. DEPARTMENT OF EDUCATION N TIONAL INSTITUTE OF EDUCATION EXTENSION COURSE INSTITUTE E CATIONAL RESOURCES INFORMATION CENTER (ERICI This document has been reproducedas AIR UNIVERSITY received from the person ororganization originating it Minor changes have been madeto improve reproduction quality Points of view or opinions statedin this docu ment do not necessarily represent official NIE position or policy 2 ECI COURSE MATERIALS SHIPPING LIST [BOURSE COURSE TI TLE EFFECTIVE OATS NO MEDICAL LABORATORY TECHNICIAN-HEMATOLOGY OF SHIPPING LIST 90413 SERPLOQL BLOOD BANKING AND IMMUNOHEMATOLOGY 25 May 84 (AFSC 92470) INSTRUCTIONSThe following materials ore needed to complete 1114 Male.Check thislist immediatelupon receiving you. course package,and if any materials are missing or incorrect (numbers don'tmatch) notify ECI immediately. Use tile ECi Four, 17 for thispurpose, and be sure to include your identification number, address,course and volume number, and VRE form designation(if a VRE isinvolved). Send all correspondence separately fromyour answer shoot. VRE ANSWER SHEET ITEM TYPE INVENTORY CONTROL DESIGNATION OR TITLE NUMBER I OEN TI FI CATI ON 1 ENV ECI RETURN ENVELOPE:, (4 EACH) 2 YOUR KEY TO A SUCCESSFUL COURSE M-140 3 VOL VOL 1, Hematology 90413 01 7706 4 VRE i----.4 "irt.nVOLUME REVIEW EXERCISE (VOL 1) 90413 01 22 90413 01 22 5 VOL Blood Banking and Immunohematology 90413 02 7708 6 VRE VOLUME REVIEW EXERCISE (VOL 2) 90413 02 23 90413 02 23 7 VOL VOL 3, Serology 90413 03 7709 8 VRE VOLUME REVIEW EXERCISE (VOL 3) 90413 03 23 90413 03 23 9 ECI SURVEY 99-01 99-01 NOTE: DIRECT ANY QUESTIONS OR COMMENTS RELATING TO ACCURACY OR CURRENCY OF TEXTUAL MATERIALS TO AUTOVON 736-2809. r YOU ARE NOT REQUIRED TO POST ANY CHANGES LISTED ON THIS SHIPPING LIST WHICH CORRECT TYPOGRAPHICAL ERRORS, UNLESS SUCH ERRORS CHANGE OR OTHER- WISE AFFECT THE MEANING OF THE MATERIAL, SPECIAL NOTE: DISREGARD THE AFSC 90470 PRTNTVTIAIN_TRFLT97113_0V V TEXTS. THIS CDC IS FOR AIRMEN ON UPGRADE TRAINING TO AFSC 92470 ONLY. CHANGE THE CURRENCY DATE ON ALL VOLUMES TO "MARCH 1984." ECIF"m 25 Oct 73 (Page 1 of 2 ) (SEE REVERSE SIDE FOR ADDITIONAL INSTRUCTIONS) 3 UST OF CHANGES COURSE CAREER FIELDS, POLICIES, PROCEDURES AND EQUIPMENT CHANGE. ALSO ERRORS NO. OCCASIONALLY GET INTO PRINT. THE FOLLOWING ITEMS UPDATE AND CORRECT 90413 YOUR COURSE MATERIALS. PLEASE M4KE THE INDICATED CHANGES. FECTIVEDATE OF SHIPPING UST 84 SPECIAL NOTE: THROUGHCUT THE TEXTS AND VOLUME REVIEW EXERCISES FOR THIS COURSE, CHANGE FIRST 3 DIGITS OF ALL AFSCs FROM "904" to "924." 1. CHTNGES FOR THE TEXT: VOLUME 1 a. Page 2, col 1, line 9 from bottom: Change "45,000 to "375,000" to "140,000 to 444,000." b. Page 58, col 2, line 11: Change "12- x 75-mm" to "10- x 75-mm." c. Page 107, answer 040-9: Change "12- x 75-mm" to "10- x 75-mm." 2. CHANGES FOR THE VOLUME REVIEW EXERCISE. VOLUME 1 a. Page 8, question 65, last line: Change choice "b" to "d." b. Page 9, question 73: Change "(045)" to "(046)." c. Page 12, question 105, choice a: Change "hyperplasia" to "hypoplasia." d. Page 13, question 112: In thestem of the question, change "Breaker- Cronkite" to "Brecker-Cronkite." e. Page 14, question 121: At thebeginning of the stem of the question, insert "In the prothrombin consumptiontest." f. The following questions are nolonger scored and need not be answered: 1 and 74. 3. CHANGES FOR THE VOLUME REVIEW EXERCISE: VOLUME 2 a. Page 8, question 56: In the stem of the question, change "incomplete" to "incompatible." o b. Page 11, question 87: In the stem of the question, change "1 C. to o o 1 C." to "1 C. to 6° C." c. The following questions are no longer scored and need not be answered: 64 and 79. 4. CHANGES FOR THE VOLUME REVIEW EXERCISE: VOLUME 3 a. Page 2, question 4: In the stem of the question, insert "certain" between "has" and "gram." Question 5: In the stem of the question, insert "lack the" between "mechanisms" and "specificity." b. The following questions are no longer scored and need not be answered: (Page 2 of ) ECI Form 25 90413 01 7706 CDC 90413 MEDICAL LABORATORY TECHNICIAN HEMATOLOGY, SEROLOGY, BLOOD BANKING ANDIMMUNOHEMATOLOGY (AFSC 90470) Volume 1 Hematology 1,VINN1*%M%NNWWW11A1AAV1MANNVNYWIMAMAV1{/fef bVV%%% IVM,!,1ANIAVo,~4N41i1sinNVVY111AMANVo1VWLIA4WA' Extension Course Institute Air University 5 Prepared by MSgt Joselyn H. Thompson School of Health Care Sciences (ATC) Sheppard AFB, Texas 76311 Reviewed by Elmore C. Hall, Education Specialist Extension Course Institute (AU) Gunter AFS, Alabama 36118 PREPARED BY SCHOOL OF HEALTH CARE SCIENCES, USAF (ATC) SHEPPARD AIR FORCE BASE, TEXAS EXTENSION COURSE INSTITUTE, GUNTER AIR FORCE STATION, ALABAMA THIS PUBLICATION HAS BEEN REVIEWED AND APPROVED BY COMPETENT PERSONNEL OF THE PREPARING COMMAND IN ACCORDANCE WITH CURRENT DIRECTIVES ON DOCTRINE, POLICY, ESSENTIALITY, PROPRIETY, AND QUALITY. 6 Preface THIS COURSE, the final one in the Medical Laboratory Technician series, is made up of three vol- umes. These three volumes include hematology, blood banking, and serology. A glossary of technical terms used in Volumes 1, 2, and 3 of this CDC is printed at the back of Volume 3. Chapter 1 of this volume provides a brief review on blood physiology. Chapter 2 discusses the com- plete blood count and related studies. Chapters 3 and 4 review more recent concepts in erythrocytes studies and leukocyte and thrombocyte maturation, with emphasis on application to the various classes of laboratories and their capabilities. Chapter 5, on blood coagulation studies, provides a new dimen- sion in understanding the function and significance of coagulation factors, tests, and interpretation required to identify many coagulation problems. Foldouts 1 and 2 are printed and bound in the back of this volume. Whenever you are referred to one of these foldouts in the text, please turn to the back of the volume and locate it. Please note that in this volume we are using the singular pronoun he, his, or him in the generic sense, not the masculine sense. The word to which it refers is person. If you have questions on the accuracy or currency of the subject matter of this text, or recommenda- tions for its improvement, send them to the School of Health Care Sciences/ MSTW, Sheppard AFB TX 76311. NOTE: Do not use the suggestion program to submit corrections for typographical or other errors. If you have questions on course enrollment or administration, or on any of ECI's instructional aids (Your Key to Career Development, Behavioral Objective Exercises, Volume Review Exercise, and Course Examination), consult your education officer, training officer, or NCO, as appropriate. If he can't answer your questions, send them to ECI, Gunter AFS AL 36118, preferably on ECI Form 17, Student Request for Assistance. This volume is valued at 36 hours (12 points). Material in this volume is technically accurate, adequate, and current as of April 1976. II, Contents Page Preface "I Chapter I The Physiology of the Blood I 2 The Complete Blood Count and Related Studies 12 3 Erythrocyte Studies 50 4 Leukocyte and Thrombocyte Maturation 63 5 Blood Coagulation Studies 74 Bibliography 101 Answers for Exercises 103 8 iv 1 CHAPTER 1 NOTE: In this volume, the subject matter is developed bya series of Learning Objectives. Each of these carries a 3-digit number and is in boldface type. Each setsa learning goal for 7ou. The text that follows the objective gives you the information you need to reach that goal. The exercisesfollowing the information give you a check on your achievement. Whenyou complete them. see if 'our answers match those in the back of this volume. If your response to an exercise is incorrect, reviewthe objective and its text. The Physiology of Blood THE WORD "HEMATOLOGY" is derived from the the leukocytes (WBCs), as well as the platelets or Greek words, alma, meaning blood, and togasmean- thrombocytes. Where do these cellular elements come ing study. In this chapter, we will rev iew the composi- from and what are their functions? First, let's look tion and functions of blood. Blood is a tissue in which at the RBCs.