Policy QPEMI02004a.15
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Department of Microbiology
Quality Manual
Section: Personnel
Prepared by: QA Committee
Issued by: Laboratory Manager
Approved by: Laboratory Director
Subject Title: Job Descriptions
Original Date: January 1, 2003
Revision Date: October 6, 2014
Annual Review Date: August 15, 2014
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Table of Contents
Microbiologist-in-Chief
Administrative Director
Supervisor
Charge Technologist – Bacteriology and Specimen Management
Charge Technologist-Virology
Senior Technologist - Quality Assurance
Senior Technologist - Teaching
Senior Technologist - Virology
Senior Technologist - Serology
Senior Technologist - Infection Control
Senior Technologist – Methods Evaluation
Senior Technologist - Bacteriology
General Duty Technologist (MLT)
General Duty Technologist (MLT) – HIV Viral Load
Technician III
Medial Secretary
Systems Analyst/Application Support/ LIS Officer
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Microbiologist-in-Chief
Jointly appointed by the CEOs of Mount Sinai Hospital (MSH) and
University Health Network (UHN) and approved by their
respective Board of Directors
Reports to:
Vice President of Mount Sinai Hospital and Vice President of
UHN Laboratory Board
Co-Chairs of the UHN/MSH Joint Steering Committee
MSH Medical Advisory Council
University of Toronto Chair Department of Laboratory Medicine
and Pathobiology for academic affairs
Qualifications:
Active Member of the College of Physicians and Surgeons of
Ontario
Trainings and qualifications in Medical Microbiology as set forth
by the Royal College of Physicians and Surgeons of Canada
Responsibilities:
 Assume and perform duties and responsibilities as defined by the Ministry of
Health and Long Term Care
 Provide medical leadership for all areas within the Microbiology Department
 Provide microbiology consultations to medical staff and other allied health
professions
 Liaison with hospital and laboratory licensing agencies on matters related to
Microbiology
 Liaison with medical staff on utilization, quality, accessibility and reliability of
laboratory services as they pertain to microbiology
 Assure laboratory standards of performance and practices are aligned and
accountable to all stakeholders, regulatory agencies and patients
 Liaison with hospital and departmental administrators on strategic planning
 Collaborate with administrative director in providing effective and efficient
services, allocation of resources, budget planning and control
 Ensure laboratory has sufficient qualified and competent personnel (both
professional and technical)
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Ensure succession planning of the management team, including recruitment of the
administrative director, division heads and clinical directors as needed
Recruitment of appropriate staff to ensure laboratory daily functions
Provide educational direction and develop opportunities to ensure development of
medical and laboratory staff and trainees
Facilitates academic activities by the staff
Encourage and monitor the continuing educational activities of the medical staff
Liaison with University Chair of Laboratory Medicine and Pathobiology,
University of Toronto for academic matters
Provide and direct research and development as they pertain to Medical
Microbiology
Promote a safe and ethical laboratory environment for staff and trainees
Authorize and sign policy and procedure manuals
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Administrative Director
Reports to:
Vice President Special Services (MSH) and President of UHN
Hours of Work:
37.5 hours per week. Due to the nature of the position must be
flexible and prepared to work extra hours as required
Position Summary: The Administrative Director holds primary responsibility for all
aspects of the day-to-day operations of the department.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology
Experience:

Ten years clinical laboratory experience

Five years supervisory experience
Skills/Qualifications:
 Computer literacy required
 Effective verbal and written communication skills
 Good presentation skills
 Proven problem solving skills
 Effective time management skills
 Ability to work with a team and independently when required
 Ability to plan and implement new projects
 Excellent human resources management skills
 Good mediation skills
Duties and Responsibilities:
 To prepare the annual operating and capital budgets
 To oversee that the Departmental Quality Management Plan
 To oversee the Department’s Safety Programs
 To perform staff performance appraisal’s and revue competency testing
 To represent the Department at the OLMC and LOC Committees
 To represent the department at Labour Management meetings
 To represent the department on hospital committees
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Act as a representative to internal and external clients
Oversee the selection of new employees
Ensures that staff education programs are delivered
To advocate for the department when possible
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Supervisor
Reports to:
Administrative Director
Hours of Work:
37.5 hours per week. Due to the nature of the position must be
flexible and prepared to work extra hours as required
Position Summary: The Manager works closely with the Administrative Director to
ensure the smooth running of the Department
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology
Experience:
 Ten years clinical laboratory experience
 Five years supervisory experience
Skills/Qualifications:
 Computer literacy required
 Effective verbal and written communication skills
 Good presentation skills
 Proven problem solving skills
 Effective time management skills
 Ability to work with a team and independently when required
 Ability to plan and implement new projects
 Excellent human resources management skills
Duties and Responsibilities:
 To act as a backup for the Administrative Director when required
 To ensure that the Departmental Quality Management Plan is being followed
 To oversee the Department’s Safety Programs
 To organize the weekly management and staff meetings
 To take an active role in the Staff Performance Appraisal Program
 To represent the Department at the OLMC and LOC Committees
 Act as a representative to internal and external clients
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Collaborate in the selection of new employees
Collaborate in developing staff education programs
Coaches Charge and Senior technologists to ensure they know their
performance expectations.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Charge Technologist – Bacteriology and Specimen
Management
Reports to:
Supervisor and Administrative Director
Hours of Work:
37.5 hours per week. Due to the nature of the position must be
flexible. Required to work 1:6 weekends
Position Summary: This position is responsible for overseeing the day to day functions
of the bacteriology and specimen management area. Purchasing,
time sheets and scheduling are shared with Virology charge and
supervisor
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology
Experience:
Minimum 10 years clinical laboratory experience in Microbiology
Skills/Qualifications:

Computer literacy required

Effective time management skills

Effective verbal and written communication skills

Effective problem solving skills
Ability to work as part of a team and independently when required
Duties and Responsibilities:

Supervise staff and distribute workload to ensure it is completed in a timely
manner.

Prepare monthly schedules to ensure adequate staffing. Ensure adequate
coverage during coffee and meal breaks.

Provide guidance and coaching to staff Assist in the orientation and training of
new staff.

Assist in the preparation of staff performance appraisals.

Ensure that quality control testing and verification is completed within the
section and signed off.

Ensure that preventative maintenance of equipment is performed and
documented.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Initiates repairs on malfunctioning equipment.
Performs weekly facility check and report at weekly QA meeting.
Monitor efficiency of the lab and recommend quality improvement changes as
appropriate
Complete purchase order requisitions and ensures that adequate supplies are
on hand at all times
Documents incidents and problems, take appropriate actions and follows up
with staff
Completes incident report and action taken to QA Committee.
Provide report at weekly departmental meetings regarding their section.
Collaborate in the development and implementation of new policies and
procedures.
Attends WHIMS and fire prevention sessions.
Notifies management of all safety issues. Completes the Employees Incident
Report within 24 hours for all work-related accidents.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY"
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Charge Technologist-Virology
Reports to:
Supervisor and Administrative Director
Hours of Work:
37.5 hours per week. Due to the nature of the position must be
flexible.
Required to work 1:6 weekends
Position Summary: This position is responsible for overseeing the day to day functions
of the virology/serology area.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology
Experience:
Minimum 10 years clinical laboratory experience in Microbiology
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team and independently when required
Duties and Responsibilities:
 Supervise staff and distribute workload to ensure it is completed in a timely
manner.
 Prepare monthly schedules to ensure adequate staffing. Ensure adequate
coverage during coffee and meal breaks.
 Provide guidance and coaching to staff. Assist in the orientation and training
of new staff.
 Assist in the preparation of staff performance appraisals.
 Ensure that quality control testing and verification is completed within the
section and signed off.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Policy QPEMI02004a.15
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Ensure that preventative maintenance of equipment is performed and
documented. Initiates repairs on malfunctioning equipment. Performs weekly
facility check and report at weekly QA meeting.
Monitor efficiency of the lab and recommend quality improvement changes as
appropriate.
Complete purchase order requisitions and ensures that adequate supplies are
on hand at all times.
Documents incidents and problems, take appropriate actions and follows up
with staff. Completes incident report and action taken to QA Committee.
Provide report at weekly departmental meetings regarding their section.
Collaborate in the development and implementation of new policies and
procedures.
Attends WHIMS and fire prevention sessions. Notifies management of all
safety issues. Completes the Employee Incident Report with 24 hours for all
work-related accidents.
Verifies patient reports produced within virology.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY"
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist - Quality Assurance
Reports to:
Supervisor and Administrative Director
Hours of Work:
37.5 hours per week
Position Summary: To develop and maintain a quality assurance program for the
department provides leadership and guidance to technologists and
technicians scheduled in their area. May need to deputize for
Charge Technologists in their absence.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills/Qualifications:
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

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
Computer literacy required
Effective time management skills
Proven ability to coach and direct staff
Effective verbal and written communication skills
Effective problem solving skills
Ability to work as part of a team or independently when required
Duties and Responsibilities:

Oversee the Quality Management System of the department:

Design the departmental quality management system in accordance with all
accreditation
and licensing requirements

Monitor the quality management program to ensure compliance to policies
and procedures

Educate staff on the quality management system.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
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Implement and maintain a document control system
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Maintain incident reporting system: coordinate the documentation,
investigation, review and follow up action on all incidents
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Maintain the laboratory Quality Control program:
Responsible for the maintenance and upgrading of the SCC Soft quality
control module
Train staff in the data entry and verification of QC records
Monitor completion of all QC records
Supervise the QC bench technologist and provide training as required

Coordinate Quality Assurance Committee meetings
Prepare agenda, schedule meetings, complete minutes and follow up on action
items
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Lead the Quality Improvement Team to identify quality indicators and
perform audits
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Participate in inter-departmental and external quality management teams.
Compile and present quality report at Quality Management Committee and
other as required
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Coordinate the review and maintenance of Laboratory Manual:
Ensure that all sections of the manual are reviewed at least once a year
Keep printed, electronic and web manual up to date
Communicate changes to staff, client and users
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Organize all lab accreditation and assessment programs (OLA, CAP,
QMPLS)
Ensure compliance to all accreditation requirements in collaboration with
management Coordination of proficiency testing programs
Complete lab licensing applications

Collaborate with management team to conduct client satisfaction surveys
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Rotate through routine Microbiology benches as required
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist - Teaching
Reports to:
Charge technologist – Bacteriology and Supervisor
Hours of Work:
37.5 hours per week.
Position Summary: To develop and maintain a quality teaching program for students
and residents. Provide leadership and guidance to technologists
and technicians in the department. May need to deputize for
Charge Technologists in their absence.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology.
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Proven ability to coach and direct other employees
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 To organize and supervise the training of students and residents in the
department.
 To represent the department on committees and at meetings related to training
programs.
 To provide guidance to other departmental employees.
 Rotates through assigned work areas of the department as required.
 Rotates through weekend and evening shifts as required.
 Performs quality control as required.
 Complete incident reports as required.
 Assists other laboratory personnel when own work is completed.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Ensures that reports are accurate and timely.
Participates in quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY"
are not controlled and should be checked against the document (titled as above) on the server prior to use.
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist - Virology
Reports to:
Charge Technologist – Virology and Supervisor
Hours of Work:
37.5 hours per week
Position Summary: To work closely with the Charge Technologist in developing and
maintaining a quality virology program. Provide leadership and
guidance to technologists and technicians in the department.
Suggest and implement technological change as required. Take a
major role in the training and orientation of new staff. May need
to deputize for Charge Technologists in his absence.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology and virology.
Experience:
department.
A minimum of 5 years experience in a clinical microbiology
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Proven willingness and ability to coach and direct staff
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 To take a major in the training of students and residents in virology.
 To act as a resource and coach to other departmental employees.
 To adjust staffing as a result of sickness etc in collaboration with charge
technologist.
 Ensures that adequate supplies are always on hand in virology
 Inventory control monitoring and ordering for virology

Rotates through assigned work areas of the department as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Rotates through weekend and evening shifts as required.
Performs quality control as required.
Complete incident reports as required.
Assists other laboratory personnel when own work is completed.
Ensures that reports are accurate and timely.
Participates in quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY"
are not controlled and should be checked against the document (titled as above) on the server prior to use.
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Policy QPEMI02004a.15
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist - Serology
Reports to:
Charge Technologist – Virology and Supervisor
Hours of Work:
37.5 hours per week
Position Summary: To work closely with the Charge Technologist in developing and
maintaining a quality serology program. Provide leadership and
guidance to technologists and technicians in the department.
Suggest and implement technological change as required. Take a
major role in the training and orientation of new staff. May need
to deputize for Charge Technologists in his absence.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology and virology.
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Proven willingness and ability to coach and direct staff
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 To take a major role in the training of new staff in the serology section.
 To act as a resource and coach to other departmental employees.
 To adjust staffing as a result of sickness etc. in collaboration with of charge
technologist.
 Ensures that adequate supplies are always on hand in serology.
 Inventory control monitoring and ordering for serology
 Rotates through assigned work areas of the department as required.
 Rotates through weekend and evening shifts as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Performs quality control as required.
Complete incident reports as required.
Assists other laboratory personnel when own work is completed.
Ensures that reports are accurate and timely.
Participates in quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist - Infection Control
Reports to:
Charge Technologist – Bacteriology and Supervisor
Hours of Work:
37.5 hours per week
Position Summary: To work closely with the Head of Infection Control and Director in
developing and maintaining the best technical methods for the
infection control program. Provide leadership and guidance to
technologists and technicians in the section. Take a major role in
the training and orientation of new staff.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology.
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Proven ability to coach and direct staff
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 Providing a liaison between Hospital epidemiologist, infection control
practitioner and technologist to create a more functional team for optimal
patient care.
 Coordinating with the method development team to meet the needs of the
Infection
Control team.
 Reviewing of scientific literature, public health and world health information
sites for a heightened awareness of emerging pathogens and infection control
procedures.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Providing training and continuous update for bench technologists in the area
of infection Control.
Providing support and expertise for bench technologists and students in the
areas of organism typing by Pulsed-field gel electrophoresis (PFGE)
Providing support and expertise for bench technologists in analysis of Pulsedfield gel results using Bionumerics software.
Providing timely and informative PFGE typing results using Bionumerics
software to the infection control team as requested.
Maintaining the Bionumeric database.
To take a major role in the training of students and residents in infection
control. Providing on-going learning opportunities for bench technologists
(Gel analysis and literature reviews)
To act as a resource and coach to other departmental employees.
Checking and signing off on reports
Bench work as assigned
Overseeing the ordering of supplies
Overseeing the maintenance and repair of equipment in the infection Control
area.
Ensuring safe, ergonomic practices for all infection control technologists.
Rotates through assigned work areas of the department as required.
Rotates through weekend and evening shifts as required.
Performs quality control as required.
Complete incident reports as required.
Assists other laboratory personnel when work is completed.
Ensures that reports are accurate and timely.
Participates in quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist – Methods Evaluation
Reports to:
Charge Technologist – Bacteriology and Supervisor
Hours of Work:
37.5 hours per week
Position Summary: To work closely with the Microbiologists and Director in
evaluating and validating the best technical methods for the
department. Provide leadership and guidance to technologists and
technicians on new methodologies.
Education:
ART or equivalent in Medical Microbiology. Current registration
with the College of Medical Laboratory Technologists of Ontario
in microbiology.
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills/Qualifications:
 Computer literacy required
 Effective time management skills
 Proven ability to design, organize and complete methods evaluation projects
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 Design, organize and complete new methods evaluation projects in
consultation with the Microbiology Operations Committee.
 Assist in cost evaluation on new methods evaluation project.
 Ensure that adequate supplies related to methods evaluation are always on
hand
 Responsible for preparing methods evaluation project reports.
 At the discretion of the Administrative Director and Medical Microbiologists,
present methods evaluation project reports at national/international
microbiology conference.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Take a major role in the training of students and residents in methods
evaluation.
Act as a resource and coach to other departmental employees.
Rotate through assigned routine bench areas of the department for up to 40%
of the work schedule.
Rotate through weekend and evening shifts as required.
Perform quality control as required.
Complete incident reports as required.
Assist other laboratory personnel when own work is completed.
Ensure that reports are accurate and timely.
Participate in quality improvement programs.
Maintain responsibility for gaining knowledge through continuing education.
Maintain safe-working practices at all times.
Maintain patient confidentiality.
Perform other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Senior Technologist – Bacteriology
(Includes Mycology)
Reports to:
Charge Technologist – Bacteriology and Supervisor
Hours of Work:
37.5 hours per week
Position Summary: To work closely with the Charge Technologist in insuring that the
work of the section is performed optimally
To show leadership and guidance to technologists and technicians
in the section
To take a major role in the training and orientation of new staff
Education:
ART or equivalent in Medical Microbiology
Current registration with the College of Medical Laboratory
Technologists of Ontario in microbiology
Experience:
A minimum of 5 years experience in a clinical microbiology
department.
Skills / Qualifications:
 Computer literacy required
 Effective time management skills
 Proven willingness and ability to coach and direct staff
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team or independently when required
Duties and Responsibilities:
 To take a major role in the training of new staff in bacteriology
 To act as a resource and coach to other departmental employees.
 To adjust staffing as a result of sickness etc in the absence of charge
technologist.
 Ensures that adequate supplies are always on hand in bacteriology
 Inventory control monitoring and ordering for bacteriology
 Rotates through assigned work areas of the department as required.
 Rotates through weekend and evening shifts as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Performs quality control as required.
Complete incident reports as required.
Assists other laboratory personnel when own work is completed.
Ensures that reports are accurate and timely.
Participates in quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
General Duty Technologist (MLT)
Reports to:
Senior Technologists and Charge Technologists of each section
Hours of Work:
37.5 hours per week
Position Summary: The technologist’s responsibilities include: performing laboratory
procedures in all areas of microbiology; ensuring completion of
assigned work; operating, maintaining and troubleshooting
laboratory equipment; preparing accurate reports; participating in
teaching, educational, safety and quality improvement programs;
observing and following hospital and departmental policies and
procedures
Education:
Completion of a recognized Medical Laboratory Technologist or
Subject Technologist Program. Current registration with the
College of Medical Laboratory Technologists of Ontario in
microbiology.
Experience:
Dependent on position being replaced
Skills / Qualifications:
 Computer literacy required
 Effective time management skills
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team and independently when required
Duties and Responsibilities:
 Rotates through assigned work areas of the department.
 Rotates through weekend and evening shifts as required.
 Performs quality control as required.
 Process specimens including receiving, sorting, accessioning and planting.
 Complete incident reports as required.
 Assists other laboratory personnel when work is completed.
 Ensures that reports are accurate and timely.
 Participates in laboratory teaching and quality improvement programs.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
General Duty Technologist (MLT) – HIV Viral Load
Reports to:
Senior Technologist and Charge Technologist in Virology
Hours of Work:
37.5 hours per week
Position Summary: The technologist’s responsibilities include: performing laboratory
procedures in all areas of microbiology; ensuring completion of
assigned work; operating, maintaining and troubleshooting
laboratory equipment; preparing accurate reports; participating in
teaching, educational, safety and quality improvement programs;
observing and following hospital and departmental policies and
procedures
Education:
Completion of a recognized Medical Laboratory Technologist or
Subject Technologist Program. Current registration with the
College of Medical Laboratory Technologists of Ontario in
microbiology.
Experience:
Dependent on position being replaced
Skills / Qualifications:
 Trained and certified by the Ontario Agency for Health Prevention and
Promotion (OAHPP) in HIV Viral Load Testing
 Computer literacy required
 Effective time management skills
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team and independently when required
Duties and Responsibilities:
 Rotates through the HIV Viral Load Assay Bench
 Rotates through assigned work areas of the department.
 Rotates through weekend and evening shifts as required.
 Performs quality control as required.
 Process specimens including receiving, sorting, accessioning and planting.
 Complete incident reports as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
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Subject Title: Job Descriptions
Assists other laboratory personnel when work is completed.
Ensures that reports are accurate and timely.
Participates in laboratory teaching and quality improvement programs.
Maintains responsibility for gaining knowledge through continuing education.
Maintains safe-working practices at all times.
Maintains patient confidentiality.
Performs other duties as required
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Technician III
Reports to:
Seniors and Charge Technologists in Bacteriology and Virology
Hours of Work:
37.5 hours per week
Position Summary: This employee working under the supervision of a technologist
performs standard laboratory procedures requiring the limited use
of independent judgement and interpretation. The majority of the
work will be related to the processing of patient samples for
analysis and culture.
Education:
Certification from a Medical Laboratory Assistant program
preferred.
Experience:
Dependent on needs at the time.
Skills / Qualifications:
 Computer literacy required
 Effective time management skills
 Effective verbal and written communication skills
 Effective problem solving skills
 Ability to work as part of a team and independently when required
Duties and Responsibilities:
 Follows established procedures when processing specimens for analysis and
culture.
 Follows established procedures for accessioning specimens in the LIS.
 Prepare media and reagents as required.
 Rotates through assigned work areas of the department.
 Rotates through weekend and evening shifts as required.
 Performs quality control as required.
 Participates in laboratory teaching and quality improvement programs.
 Assists other laboratory personnel when work is completed.
 Maintains safe-working practices at all times.
 Maintains patient confidentiality.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel

Subject Title: Job Descriptions
Performs other duties as required.
Management reserves the right to revise this job description as required
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Medial Secretary
Reports to:
Supervisor and Administrative Director
Hours of Work:
37.5 hours per week
Position Summary: To provide clerical services to the microbiologist and others when
time permits.
Education:
The employee should have their High School Graduating
knowledge of medical terms.
Experience:
Experience in previous position would be of benefit.
Skills / Qualifications:
 Computer literacy required.
 Ability to type 60 words per minute.
 Good customer service ethics.
 Pleasant telephone manner.
 Effective problem solving skills.
 Ability to work as a part of a team or independently when required.
 Ability to use a Dictaphone.
Duties and Responsibilities:
 To keep the calendar of appointments for their microbiologist.
 To provide clerical services such as the preparation of documents.
 To transcribe faxed results from the Public Health Laboratories when
required.
 To answer the telephone for their microbiologist and lab queries when
required.
 To bill clients and OHIP as required.
 To assist the microbiologist with their accounting.
 Maintain patient confidentiality.
 Performs other duties as required.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL
DEPARTMENT OF MICROBIOLOGY
JOB DESCRIPTION
Position:
Systems Analyst/Application Support/ LIS Officer
Reports to:
Administrative Director
Hours of Work:
37.5 hours per week. Due to the nature of the position must be
flexible and prepared to work extra hours as required
Position Summary:
 Optimizing the use of information technology to support hospital operations
 Assisting in the management of information technology application including
upgrades and replacement technologies
 User support for hardware and software issues including training
Education:
 Minimum 2 years PC systems experience
 Baccalaureate in Computer Science or Information Science preferred
Experience:
 Working knowledge of network software and hardware management
 Experience in health care environment
Skills/Qualifications:
 Demonstrates leadership qualities and superior interpersonal skills
 Ability to establish effective working relationship
 Good communication skills
 Works independently
 Documentation/writing skills
 Basic project planning
 Database design and development
 Previous experience with systems analysis
Duties and Responsibilities:
 Liaises with the Help Desk for technical support of applications
 Prepare and processes all documentation relevant to assigned systems support
initiatives
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
 Support product research review and evaluation to guide purchase decision related
to assigned department
 Provides technical support, hardware and software for clinical and administrative
information systems
 Participates in the analysis and definition of requirements for information
technology applications
 Collaborates with other hospital departments and external clients as required for
successful implementation of hospital-wide and department specific projects.
 Actively participates in the Laboratory Information System User Group
 Remains informed of current issues, policies and procedures related to hospital
information management
 Maintains current knowledge base with respect to health care computing through
literature review, participation in continuing education and membership in
professional organizations
 Provides project management leadership for assigned hardware and software
upgrades
 Analyzes and recommends resolution of technical problems involving system
software components.
Management reserves the right to revise this job description as required.
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
Record of Edited Revisions
Manual Section Name:
Page Number / Item
Annual Review
Annual Review
Annual Review
Annual Review
Removed Parasitology technologist
Annual Review
Revised QA technologist job description
Annual Review
Revised Methods Development and Infection Control Technologists
Annual Review
Annual Review
Annual Review
Removed Lab Aide
Annual Review
Added Microbiologist in chief job description
Removed Senior technologist – Specimen Management
Removed Senior technologist – Mycology
Updated Charge technologist – Bacteriology job description
responsibilities to include Specimen Management and Mycology
Updated Senior technologist – Virology job description
responsibilities to include inventory control
Updated Senior technologist – Serology job description
responsibilities to include inventory control
Updated Senior technologist – Bacteriology job description
responsibilities to include Mycology and inventory control
Updated Report to section for all job descriptions
Annual Review
Updated MSH/UHN logo, headers and footers, corrected file path in
footer.
Removed “DATE” from each position
Changed under Secretary/Admin assistant
 To transcribe faxed results from the Public Health Laboratories
when required.
 To answer the telephone for their microbiologist and lab queries
when required.
 To bill clients and OHIP as required.
Date of Revision
Signature of
Approval
March 30, 2004
February 05, 2005
May 30, 2006
August 09. 2007
August 09, 2007
June 18, 2008
November 26, 2008
June 20, 2009
January 26, 2010
June 9, 2010
May 31, 2011
May 31, 2012
May 31, 2012
May 31, 2013
August 15, 2014
August 15, 2014
August 15, 2014
August 15, 2014
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
August 15, 2014
Dr. T. Mazzulli
August 15, 2014
Dr. T. Mazzulli
August 15, 2014
Dr. T. Mazzulli
August 15, 2014
August 15, 2014
October 6, 2014
Dr. T. Mazzulli
Dr. T. Mazzulli
Dr. T. Mazzulli
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
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Policy QPEMI02004a.15
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Department of Microbiology
Quality Manual
Section: Personnel
Subject Title: Job Descriptions
UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY
NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red "MASTER COPY"
are not controlled and should be checked against the document (titled as above) on the server prior to use.
T:\Microbiology\New Manual\Live Manual\Quality Manual\Personnel\Job Descriptions QPEMI02004a.doc