CLT Documentation & Record Keeping 2

Question 1

Under CLIA regulations, how long must general laboratory records be retained?

Accepted Answer

2 years

Answer

CLIA requires most general laboratory records to be retained for a minimum of 2 years.

Question 2

Which term describes a documented, approved change to a validated procedure that has been reviewed before implementation?

Accepted Answer

Change control

Answer

Change control is the formal process of documenting, reviewing, and approving modifications to validated procedures before they take effect.

Question 3

A laboratory result is reported and later found to be erroneous. What is the correct documentation practice?

Accepted Answer

Draw a single line through the error, correct it, initial, and date

Answer

Proper correction requires a single line through the error with the correction, initials, and date to maintain a clear audit trail.

Question 4

Which document outlines step-by-step instructions for performing a specific laboratory test?

Accepted Answer

Standard operating procedure (SOP)

Answer

A standard operating procedure (SOP) provides detailed, step-by-step instructions for performing a specific laboratory test or task.

Question 5

A patient sample is collected but the requisition lacks a specimen type. Which action best supports proper documentation?

Accepted Answer

Contact the ordering provider and document the clarification in the record

Answer

Contacting the ordering provider and documenting the clarification ensures the record is complete and traceable.

(CLT) Clinical Laboratory Technologist Certification Practice Test