After performing a CLIA-waived test, the medical office assistant should document the result
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Medical Office Assistant · Clinical Laboratory Technology and Diagnostics
Documentation, Result Reporting, and Quality Assurance
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Why should a waived-test result be recorded at the time it is read rather than later?
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An assistant has just read a test result and the office phone begins ringing. The best action is to
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Which set of elements is essential to include when documenting a waived-test result?
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In laboratory testing, quality assurance (QA) is best described as
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Study tools & related lessonsYou’ll learn to · Related
You’ll learn to
- Document and report waived-test results accurately, completely, legibly, and at the time of testing, including the required identifying and traceability elements.
- Perform and support quality assurance activities, including quality control, logging, monitoring, and corrective action, within the assistant's scope.
- Maintain accurate test, quality control, and temperature logs without falsifying, backdating, or altering entries.
- Escalate unusual, invalid, or critical results and quality problems to licensed staff or supervisors per office policy.
- Recognize scope-of-practice boundaries by reporting and documenting results rather than interpreting or diagnosing them.
Sources & references
- Centers for Medicare & Medicaid Services — Clinical Laboratory Improvement Amendments (CLIA)
- Centers for Disease Control and Prevention — Laboratory Quality
- U.S. National Library of Medicine — MedlinePlus
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