H.D. YARBROUGH, BS, MLS(AMT)

EXPERIENCE IN YEARS
1.5 Laboratory Director
2 Laboratory Manager
1 Lead Technologist/Laboratory Supervisor
12 years MT (medical technologist)
4 years MLT (medical lab technician)

CLINICAL EXPERIENCE
Generalist - all departments
Regulation - compliance solutions
Work-flow optimization
Document reduction
Employee training and refreshers
Proficiency surveys
Corrective action
Outlook / Office / PDF / Excel
Instrument interfacing / Validation
Laboratory QA reports

CONTRACT LOCATIONS
06/2023 - 12/2024
LABORATORY DIRECTOR, FULL TIME
HADH, HERMANN, MO
03/2023 – 06/2023
MEDICAL TECHNOLOGIST (generalist)
SCKMC, ARKANSAS CITY, KS
12/2022 – 02/2023
MEDICAL TECHNOLOGIST (generalist)
REEVES REGIONAL, PECOS, TX
07/10/2022 – 10/15/2022
MEDICAL TECHNOLOGIST (generalist)
CABINET PEAKS MEDICAL CENTER, LIBBY, MT
05/16/2022 – 07/05/2022
MEDICAL TECHNOLOGIST (generalist)
BLUE MOUNTAIN HOSPITAL, JOHN DAY, OR
01/10/2022 – 03/16/2022
MEDICAL TECHNOLOGIST (generalist)
St. ALEXIS HOSPITAL, DEVILS LAKE, ND
10/10/2021 – 12/24/2021
MEDICAL TECHNOLOGIST (generalist)
St. MICHAELS HOSPITAL, TYNDALL, SD
5/20/2021 - 9/27/2021
LABORATORY MANAGER, INTERIM
CCMH, LANGDON, ND
09/2020 - 11/2020
MEDICAL TECHNOLOGIST (generalist)
STEVENS COUNTY HOSPITAL, HUGOTON, KS
2/28/2020 - 7/4/2020
MEDICAL TECHNOLOGIST (generalist), AB STAFFING
UAB MEDICAL WEST, BESSEMER, AL
6/2019 - 2/2020
LABORATORY SUPERVISOR, (Microbiology)
GERALD CHAMPION REGIONAL MEDICAL CENTER, ALAMOGORDO, NM
3/18/2019 - 5/6/2019
MEDICAL TECHNOLOGIST, FOCUS STAFFING
PROVIDENCE HOSPITAL, VALDEZ, AK
12/3/2018 - 2/16/2019
MEDICAL TECHNOLOGIST (Blood Bank), FOCUS PHOEBE SUMTER MC, AMERICUS, GA
5/2018 - 7/2018
LABORATORY SUPERVISOR
CROCKETT MEDICAL CENTER, CROCKETT, TX
10/30/2017 - 4/28/2018
LABORATORY MANAGER, INTERIM
SAGE MEMORIAL HOSPITAL, GANADO, AZ
6/2017 - 8/2017
LABORATORY MANAGER, INTERIM
BAUM HARMON, PRIMGHAR, IA
3/2017 - 6/2017
MEDICAL TECHNOLOGIST, FOCUS STAFFING
BOX BUTTE GENERAL HOSPITAL, BOX BUTTE, NE
8/2016 - 2/2017
MEDICAL TECHNOLOGIST, FOCUS STAFFING
CARE NEW ENGLAND, PAWTUCKET, RI
1/8/2016 - 5/20/2016
MEDICAL TECHNOLOGIST, FOCUS STAFFING
SHENANDOAH MC, SHENANDOAH, IA
5/2015 - 11/2015
MEDICAL TECHNOLOGIST, FOCUS STAFFING
MOUNT GRAHAM HOSPITAL, SAFFORD, AZ
2/2015 - 5/2015
MEDICAL TECHNOLOGIST, FOCUS STAFFING
R.L.S. HOSPITAL, ST. THOMAS, VI
6/23/2014 - 12/31/2014
MEDICAL TECHNOLOGIST(Microbiology), RAPID-TEMPS, POC: Brenda Moody, BM@Rapidtemps.com1-505-797-3821
WHITE RIVER IHS, WHITERIVER, AZ
10/20 13 - 1/14
MEDICAL TECHNOLOGIST, CLUB STAFFING
FAIRBANKS MEMORIAL, FAIRBANKS, AK
03/13 - 07/13
MEDICAL TECHNOLOGIST, FUSION STAFFING
MT. EDGECUMBE MEDICAL CENTER, SITKA, AK
11/12 - 03/13
MEDICAL TECHNOLOGIST, FUSION STAFFING
ST. JOHNS MEDICAL CENTER, JACKSON, WY
7/12 - 9/12
MEDICAL TECHNOLOGIST, FUSION STAFFING
PINERIDGE IHS, PINERIDGE, SD
1/12 - 6/12
INTERIM MANAGER, FUSION STAFFING
EAST ADAMS (CRITICAL ACCESS), RITZVILLE, WA
5/2011 - 11/2011
LABORATORY SUPERVISOR, AUREUS STAFFING
OMAK CLINIC IHS, NESPELEM, WA
2/2011 - 5/2011
MEDICAL LABORATORY TECHNICIAN (Blood Bank), AUREUS STAFFING
GREENBRIAR MEDICAL CENTER, RONCEVERTE, WV
 11/10 - 2/11
MEDICAL LABORATORY TECHNICIAN, RTG STAFFING
WRANGELL HOSPITAL, WRANGELL, AK
3/10 - 7/10
MEDICAL LABORATORY TECHNICIAN, TRINITY STAFFING
GILA REGIONAL MEDICAL CENTER, SILVER CITY NM
9/09 - 1/10
MEDICAL LABORATORY TECHNICIAN, CONTRACT
KANAKANAK IHS, DILLINGHAM, AK
10/08 - 3/09
MEDICAL LABORATORY TECHNICIAN, PART-TIME
CONNOLLY MEMORIAL, FLORESVILLE, TX
1/07 - 7/07
MEDICAL LABORATORY TECHNICIAN, INTERNSHIP
EISENHOWER MEDICAL CENTER, AUGUSTA, GA
 
CERTIFICATIONs, STATE LICENSES
MAY 2023, expired
State License, Montana
Clinical Laboratory Scientist #: 13792
MAY 2021, expired
State License, North Dakota
Clinical Laboratory Scientist #: 21-0696-1
MARCH 2021, active
State License, Nevada
General Lab. Supervisor #: 54448-TGS-0
SEPTEMBER 2018, expired
State License, Louisiana
Clinical Laboratory Scientist, #: 310717
JULY 2013, expired
State License Nevada
Medical Technologist #: 32061TCL-0
FEBRUARY 2011, expired
State License, West Virginia
Laboratory Technologist #: 7442
OCTOBER 2010, active
Certification of a Medical Technologist
MT (AMT) active AMT #: 296282
JUNE 2006, expired
Certification of a Medical Laboratory Technician
MLT (ASCP) ASCP #: 04203626

EDUCATION
MAY 2010
AS, LABORATORY TECHNOLOGY, GEORGE WASHINGTON UNIVERSITY, DC
Curriculum in clinical laboratory science
DECEMBER 2003
BS, CELLULAR/MOLECULAR BIOLOGY, HUMBOLDT STATE UNIVERSITY, CA
Curriculum in biology, math, chemistry, physics and liberal arts
 
LEADERSHIP PROJECTS
06/2023 TO 12/2024
LABORATORY DIRECTOR
HERMANN AREA DISTRICT HOSPITAL
REF: William Hellebusch, CEO, Dr. Pargman, Medical Laboratory Director
Position hired for: Directorship to supply fresh perspective following a bad inspection; corrective actions needed to resolve ongoing deficiencies.

• Worked to resolve staffing shortages by recruiting local technologists
• Trained support staff to run the outpatient laboratory.  Recruited from local high school for phlebotomy internships.  Developed a scholarship program for career development in medical technology: two scholarships awarded with 3-year commitment to work in the laboratory.
• Worked the bench during low staffing to keep the hospital from going onto diversion.
• Policy revision and development, documentation and workflow optimization
• Training, orientation, proficiency and corrective opportunities with refresher training for entire staff
• Employee recognition activities to award extraordinary efforts from medical technologists or support staff when they went above and beyond to improve laboratory services or save the hospital money.
• Communicated with medical staff, validated new methods
• Streamlined reference laboratory specimen processing.

5/2021 TO 10/2021
INTERIM MANAGER, INDEPENDENT CONTRACTOR 1099
CAVALEIR COUNTY MEMORIAL HOSPITAL (25 BED, CRITICAL ACCESS), LANDON, ND
REF: DR. ROBERTS (Medical Director) 407-350-7805, barhealthcare@pm.me
Position hired for: Crisis relief, all lab workers quit with little notice.  Performed as: Laboratory Supervisor (Main Lab, Langdon, ND), Laboratory Director (Point of Care Laboratory, Walhalla, ND), Phlebotomist and Bench Technologist.

• Generalist Medical Technologist:  Blood bank, chemistry, urinalysis, hematology and coagulation; specimen processing, analyzer maintenance and quality control
• Laboratory Supervisor: Inventory and ordering, trained new staff; performed orientation and competencies, corrective actions, addressed some workflow issues
• Technical Consultant: presentations to the hospital founders, hospital board members and to med-staff, concerning out-of-date methods and modern testing suited to a low volume laboratory serving an ageing population.  Proposed solutions for microbiology, point of care, sepsis protocol and infectious disease testing.
• Used 300,000 dollars of federal l grant money to improved hospital-wide refrigerated storage, added molecular testing at both locations and pieces for a limited microbiology section: hood, incubator, microbiology tools for isolation.  Plans for infrastructure to support more analyzers: outlets and ethernet connections with 5 distribution manifolds at each bench.  Designed lab spaces at both locations: work benches, lighting, outlets, vents, analyzer spaces and installed refrigerators and freezers.

6/2019 TO 2/2020
LABORATORY ADMINISTRATION, FULL TIME
GERALD CHAMPION REGIONAL MEDICAL CENTER (100 BED), ALAMOGORDO, NM
REF: DR. MIDANI (Pathologist) 505-507-4770, FRANSISCO CARRILLO (Microbiology Lead) 915-702-5450
Position hired for: LIS Supervisor (Laboratory Information System, Cerner), performed as a generalist and Microbiology lead, with responsibility in several departments:

• Microbiology lead: trained new microbiology technicians and laboratory aids in specimen processing, plate reading, sub-culture, Isolate ID & Susceptibility, QC, etc.  Explained the need for correct specimen site/source to medical staff.  Ended processes that lead to false ID reports, streamlined workflow, decreased turnaround by more than 24 hours for most cultures.  Started anaerobic isolation procedure.
• Escalated sepsis protocol by improving laboratory handling of blood cultures: trained all laboratorians to load blood culture bottles into the incubator, added two reflex methods to positive bottles (Gene Xpert: MRSA/SA and Strep A); these help providers decide whether to continue vancomycin.
• Review, edit and originate policies for Microbiology, Urinalysis, Coagulation and Hematology.  Create ‘consolidated’ logs to reduce paperwork and mistakes.  Simplified workflow: ended redundant steps and sped up plate reading to reduce TAT for final results.  Developed a corrective actions process.  Quality review and monthly report for the director: PCR workstation, Urinalysis and Microbiology.
• Performed employee orientation, training and annual proficiency for several sections: PCR station (Gene Xpert Cepheid), Urinalysis (Iris), Microbiology (Vitek 2) and Hematology bench.  Performed new analyzer training for all generalists (Siemens CS 2500 coagulation analyzer).
• Supply orders for several departments: Inventory weekly, monthly orders, sourced new or alternate consumables, compared cost between vendors or requested better prices on manufacturer supplied consumables; monitored usage and checked last expiration dates prior to ordering to reduce drop-ship costs and shelf expirations.

5/2018 TO 7/2018
LABORATORY COORDINATOR, INDEPENDENT CONTRACTOR 1099
CROCKETT MEDICAL CENTER, CROCKETT, TX
REF: (SIEMENS APPLICATION SPECIALIST) TEDDERSUE@HOTMAIL.COM, (STANBIO REGIONAL SALES ASSOCIATE) RAQUELGARCIA@EKFDIAGNOSTICS.COM
Opened a hospital laboratory in a rebranded facility that had been closed for 1 year due to bankruptcy:

• Threw out trash: segregated bio-hazardous waste, shredded old documents that contained patient information
• Organized supplies left on premises, recorded lots and expiration of quality control materials and consumables; sourced new vendors and placed orders for general lab supplies, received and organized new shipments into storage
• Contacted regional sales representatives for original sales contracts, service and consumables, established new accounts for the analyzers found on premises and requested service to restart analyzers: Dimension (chemistry), CA 600 (coagulation), Millipore (water), Sysmex (hematology).
• Set up workstations with dedicated equipment, such as: pipettes, timers, thermometers, dispensers; edited or originated policies, established logs and forms for manual methods
• Installed traceable thermometers in storage areas, refrigerators, freezers and temperature sensitive testing areas; Opened new lots and established QC ranges for chemistry and coagulation, validated off-label method for chemistry analyzer (B-hydroxy, quant)
• Established LIS dictionary for the interface (Athena): units of measure, comments, normal results ranges, reflex test points and critical value flags

10/2017 TO 5/2018
MEDICAL TECHNOLOGIST/INTERIM MANAGER, FOCUS STAFFING
REF: DR. NOVAK (Medical Director, Pathologist) GREGNOVAKUSA@GMAIL.COM, JULIE MULFORD (Ortho-Diagnostics Technical Service Representative) JULIE.MULFORD@ORTHOCLINICALDIAGNOSTICS.COM
Worked in coordination with the interim laboratory director and medical director to support their effort to correct several deficiencies and improve workflow:

• Relay initial observations to the laboratory director, such as: redundant/outdated methods, workflow bottlenecks, level of understanding among the full-time employees.
• Assisted to train staff and started annual competency documentation.
• Attended med-staff meetings then offered new methods for diabetic diagnostic care using analyzers already in place.
• Added new methods and discontinued others: expanded existing analyzer menu to include tests for diabetic population.  Validated Urine total protein and Urine, build panels for: 24-hour UTP, A/C ratio, 24-hour UTP/C ratio and Urine electrolytes.
• LIS maintenance: completed an analyzer interface (CA 600), refined manual entry screens to be consistent across all methods in order to eliminate key-stroke errors and eliminated extraneous pop-up windows, added reflex tests to hematology and urinalysis and changed the CMP and BMP external report sequence for an ER doctor who requested that.
• Revised document control process: wrote a policy listing the retention times for each type of document, reorganized and labelled each bundle of documents by type and age, assigned shredding duties (new box in, oldest box shredded)

1/2012 TO 6/2012
INTERIM MANAGER, FUSION STAFFING
EAST ADAMS (CRITICAL ACCESS), RITZVILLE, WA

• Attend med-staff meetings, gave a presentation to the hospital board concerning their need for a new hematology analyzer, collected several quotes and submitted the capitol purchase.
• Installed and validated new analyzers; interfaced several analyzers: Pentra (hematology), Cliniteck (Urinalysis) and two Point of Care analyzers: DCA and Clinitek.
• Completed the reference lab interface project with Quest Diagnostics using Schuyler House.
• Addressed 16 deficiencies that had escalated to eminent closure of the lab and the facility: documented corrective actions and wrote missing blood bank policies, collaborated with the blood bank servicer in Spokane to create an informed consent form for the nursing department, demonstrated improved processes to the state inspection team during their last visit.
• Performed as the full-time bench technologist and phlebotomist in addition to management.

5/2011 - 11/2011
LABORATORY SUPERVISOR, AUREUS STAFFING
OMAK CLINIC, NESPELEM IHS, WA
Daily operation of a small, low complexity laboratory at a satellite clinic 70 miles from the main hospital:

• Performed phlebotomy, testing, daily maintenance and quality control.
• Extra-curricular activity – landscaping around the clinic, shrubs and new tree planted.
• Trained MLT replacement at the end of the contract.
• Report to laboratory manager at the Main hospital in Nespelem weekly.