Health Sciences and Social Services Curative Health

Medical Laboratory Interaction Recording Training

SAQA US 257195 | NQF 3 | Credits 18 | Duration 15 Days
From $1,928 per delegate

Description

This course equips medical laboratory professionals with the skills to accurately record and document interactions in a laboratory setting. Participants will learn to capture patient data, test results, and communication logs in compliance with South African health regulations and laboratory standards.

Learning Outcomes

  • Apply standardized protocols to document patient interactions and laboratory processes.
  • Analyze recorded data to ensure accuracy and completeness in medical records.
  • Evaluate communication logs for compliance with legal and ethical requirements.
  • Implement secure storage and retrieval systems for laboratory interaction records.
  • Demonstrate proficiency in using electronic laboratory information systems for chronicling.
  • Design audit trails to track changes and maintain data integrity.

Target Audience

Medical laboratory technicians, technologists, and administrative staff responsible for documenting patient interactions and laboratory procedures.

Prerequisites

None — open enrollment.

Course Outline

Day 1: Introduction to Medical Laboratory Interaction Recording

Objectives:
• Understand the purpose and scope of medical laboratory interaction recording.
• Identify key stakeholders and their roles in the recording process.
• Recognize the legal and ethical framework governing patient data.
• Explain the importance of accurate documentation in healthcare.

Topics:
• Overview of medical laboratory interactions
• Roles of laboratory staff, clinicians, and patients
• Legal requirements: POPIA and HPCSA guidelines
• Ethical considerations in patient data handling
• Introduction to recording systems and standards

Day 2: Communication Skills for Laboratory Interactions

Objectives:
• Demonstrate effective verbal and non-verbal communication techniques.
• Apply active listening skills in patient interactions.
• Use appropriate language and terminology for diverse audiences.
• Identify barriers to communication and strategies to overcome them.

Topics:
• Verbal communication: clarity, tone, and empathy
• Non-verbal cues: body language and eye contact
• Active listening and feedback loops
• Cultural sensitivity and language barriers
• Dealing with difficult conversations

Day 3: Patient Identification and Sample Collection Procedures

Objectives:
• Follow correct patient identification protocols.
• Describe steps for various sample collection methods.
• Recognize common errors in sample collection and prevention.
• Document collection details accurately.

Topics:
• Patient identification: two-factor verification
• Sample collection: blood, urine, swabs, etc.
• Labeling and handling of specimens
• Chain of custody for forensic samples
• Error prevention and corrective actions

Day 4: Recording Patient Demographics and Clinical Information

Objectives:
• Accurately record patient demographic data.
• Capture clinical history and relevant information.
• Use standardized forms and electronic systems.
• Ensure data integrity and confidentiality.

Topics:
• Demographic data: name, ID, contact details
• Clinical history: symptoms, medications, allergies
• Use of laboratory information systems (LIS)
• Data entry best practices
• Privacy and security measures

Day 5: Documentation of Test Requests and Results

Objectives:
• Record test requests accurately, including relevant details.
• Enter test results into the system correctly.
• Understand critical values and reporting protocols.
• Verify results before release.

Topics:
• Test request forms: required fields
• Result entry: manual and automated
• Critical value notification procedures
• Verification and validation of results
• Correcting errors in documentation

Day 6: Quality Control and Assurance in Recording

Objectives:
• Explain the role of quality control in recording.
• Perform checks for completeness and accuracy.
• Identify discrepancies and implement corrections.
• Participate in internal audits.

Topics:
• Quality control measures in documentation
• Completeness and accuracy checks
• Handling discrepancies and amendments
• Internal audit processes
• Continuous improvement principles

Day 7: Electronic Health Records and Laboratory Information Systems

Objectives:
• Navigate common LIS and EHR interfaces.
• Enter and retrieve patient data efficiently.
• Understand data integration between systems.
• Apply security protocols for electronic records.

Topics:
• Overview of EHR and LIS
• Data entry workflows
• Retrieving historical data
• Interoperability between systems
• Cybersecurity basics: passwords, access levels

Day 8: Legal and Ethical Aspects of Recording

Objectives:
• Identify legal requirements for record keeping.
• Apply ethical principles in documentation.
• Handle sensitive information appropriately.
• Understand consequences of non-compliance.

Topics:
• POPIA compliance: consent and access
• HPCSA guidelines on patient records
• Confidentiality and data sharing
• Ethical dilemmas in recording
• Penalties for breaches

Day 9: Recording Special Interactions: Informed Consent and Genetic Testing

Objectives:
• Document informed consent processes correctly.
• Record genetic testing consent and results with sensitivity.
• Understand additional privacy requirements for genetic data.
• Handle disclosure of incidental findings.

Topics:
• Informed consent: elements and documentation
• Genetic testing: consent and counseling
• Privacy for genetic information
• Incidental findings: reporting protocols
• Ethical considerations

Day 10: Recording Adverse Events and Incidents

Objectives:
• Document adverse events accurately and promptly.
• Follow incident reporting procedures.
• Analyze root causes from records.
• Implement preventive measures.

Topics:
• Types of adverse events in lab settings
• Incident reporting forms and systems
• Root cause analysis from documentation
• Corrective and preventive actions (CAPA)
• Learning from incidents

Day 11: Communication with Healthcare Providers and Patients

Objectives:
• Record communication with referring clinicians.
• Document patient inquiries and responses.
• Ensure clarity and completeness in notes.
• Maintain professionalism in written communication.

Topics:
• Recording phone calls and messages
• Written correspondence: emails, reports
• Documenting patient queries
• Interprofessional communication
• Professional language and tone

Day 12: Data Management and Record Retention

Objectives:
• Manage records according to retention policies.
• Archive and retrieve records efficiently.
• Understand destruction protocols.
• Ensure data backup and disaster recovery.

Topics:
• Record retention schedules
• Archiving methods: digital and physical
• Retrieval processes
• Secure destruction of records
• Backup and disaster recovery plans

Day 13: Auditing and Improving Recording Practices

Objectives:
• Conduct a self-audit of recording practices.
• Identify areas for improvement.
• Implement changes to enhance accuracy.
• Monitor effectiveness of improvements.

Topics:
• Self-audit techniques
• Common recording errors and trends
• Improvement plans
• Monitoring and feedback loops
• Case studies of best practices

Day 14: Integration and Case Studies

Objectives:
• Apply all learned skills to realistic scenarios.
• Analyze case studies for recording errors.
• Develop comprehensive documentation for complex cases.
• Collaborate with peers to solve recording challenges.

Topics:
• Complex case scenarios
• Error analysis and correction
• Comprehensive documentation practice
• Team-based problem solving
• Reflection on learning

Day 15: Review and Assessment

Objectives:
• Review key concepts from the course.
• Complete a summative assessment.
• Receive feedback on recording skills.
• Create a personal action plan for ongoing improvement.

Topics:
• Course recap and Q&A
• Written assessment
• Practical demonstration
• Feedback session
• Action plan development

Practicals

40 hours of practicals To be conducted online or on-campus or in-house
Overview

Practicals are essential for developing hands-on skills in recording laboratory interactions. Learners practice using laboratory information systems, documenting patient interactions, and handling real-world scenarios under supervision to ensure competence and confidence.

Practical Activities
  • Practical 1: Patient Interaction and Data Entry — Learners role-play patient interactions, then accurately enter demographic and clinical data into a simulated LIS. (10h)
  • Practical 2: Test Request and Result Recording — Learners process test requests, enter results, and practice critical value notification in a simulated environment. (10h)
  • Practical 3: Incident Reporting and Adverse Event Documentation — Learners document simulated adverse events and incidents, completing incident reports and root cause analysis forms. (10h)
  • Practical 4: Comprehensive Case Study and Audit — Learners work on a complex case study, documenting the full interaction, then conduct a self-audit to identify improvements. (10h)

Summatives

Each delegate is assessed continuously throughout the course via daily exercises, scored practical assignments, and a final summative test at the end.

Practical Assignments — 30%

Practical assignments are observed and scored against a rubric during the practical sessions. Each delegate's practical mark is averaged into a single 100% score and contributes 30% to the final total.

Daily Exercises — 20%

Every training day ends with a multiple-choice exercise scored out of 100%. The scores from each daily exercise are averaged across the duration of the course to produce a Daily Average mark, which contributes 20% to the final total.

Final Test — 50%

On the last day a final summative test is written. It is a multiple-choice paper with multiple-answer questions: each question may have more than one correct option, and a single wrong selection on a question marks the entire question wrong — no partial credit. The final test is scored out of 100% and contributes 50% to the overall mark.

Final Total
Component Out of Weight
Practical Assignments (rubric-scored) 100% 30%
Daily Average (multiple choice) 100% 20%
Final Test (multi-answer multiple choice) 100% 50%
Final Total 100%

All marks are recorded on the AATICD LMS and visible to each learner under their account.

Certificate

Certificate of Completion

Awarded to delegates who achieve an overall mark of 50% or higher on the Final Total (Practicals 30% + Daily Average 20% + Final Test 50%).

How it works
  • Certificates are auto-generated on the AATICD LMS as soon as the marks pass the 50% threshold.
  • Each certificate is a branded PDF with the delegate's name, the course title, the unit standard ID, NQF level, credits, and the date of issue.
  • You can download or print your certificate from your LMS dashboard at any time after issue — there's no reissue fee and no expiry date.
  • If you scored under 50% you can sit the final test again at the next scheduled session at no extra cost.
Where to find it

Sign in to the LMS, open your dashboard, and your certificates appear under My Certificates. Each entry has a View / Download button and a print option.

Training Discounts

Group discounts apply automatically — the more delegates you enrol, the greater the saving. Discounts are calculated at 3% per 5 delegates, scaling up to 40% off for 100+ delegates.

Delegates Discount
5 3% off
10 6% off
15 9% off
20 12% off
25 15% off
30 18% off
50 30% off
75 35% off
100 40% off

3% discount per 5 delegates, up to 40% off for 100+ delegates. Contact us for a custom group quote.

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Training Discounts
Delegates Discount
5 3% off
10 6% off
15 9% off
20 12% off
25 15% off
30 18% off
50 30% off
75 35% off
100 40% off

3% off per 5 delegates, up to 40% for 100+

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