[Histonet] Premaking slides

Jay Lundgren jaylundgren at gmail.com
Thu Apr 25 16:16:14 CDT 2024


I mean, you're not going to hand the pathologist an unlabelled slide,
obviously.

This leaves you two options, label the slide before the tissue is on it, or
afterward.  Labelling the slide before is easier and quicker.

I'm gonna label my slides *immediately* before cutting the frozen, or
squishing the tissue.  Patient name at the very least, if it hasn't been
accessioned yet.

But you don't want to leave any labeled blank slides laying around, that's
asking for trouble.  If you label too many slides, for instance, discard
them immediately.

If you are doing multiple cases at once, you are doing it wrong.  I know a
lot of places operate like this, but frozens are supposed to be scheduled
for a reason.  I mean, you might get an occasional emergency frozen for an
ectopic pregnancy, but that's rare.

There is a scheduler in surgery, they should be doing their job.  Or maybe
the head of Pathology needs to talk to the head of Surgery and explain how
risky it is to be dealing with multiple frozens at once.  Especially if
it's the same tissue type.

I'll probably get a lot of flak for this viewpoint, "Oh that's impossible
at my institution!".  But it's not.  I've dealt with this as manager at
several institutions and it can be fixed.  It's not going to make you any
friends in Surgery, but it's ultimately about patient safety.   It's just
that most hospitals are terrified of surgeons and will let them do whatever
they want.

How about the surgeon that leaves the building before the pathologist calls
the results back?  That's my favorite.


Jay A. Lundgren, M.S., HTL (ASCP)


On Thu, Apr 25, 2024 at 3:31 PM Karen Schieberl CA-San Francisco <
Karen.Schieberl at commonspirit.org> wrote:

> This does apply to Frozen and Touch preps.
> Karen Schieberl HT ASCP
>
> Lead Histology Technician
>
> St. Mary's Medical Center
>
> 450 Stanyan St.
>
> San Francisco, Ca. 94117
>
> 415-750-5751
>
> karen.schieberl@ <karen.schieberl at dignityhealth.org>commonspirit.org
>
>
>
>
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> On Thu, Apr 25, 2024 at 1:20 PM Jay Lundgren <jaylundgren at gmail.com>
> wrote:
>
>> *USE CAUTION - EXTERNAL EMAIL*
>> ------------------------------
>> You mean for frozens?
>>
>> On Thu, Apr 25, 2024 at 12:44 PM Karen Schieberl CA-San Francisco via
>> Histonet <histonet at lists.utsouthwestern.edu> wrote:
>>
>>> Good Morning,
>>> I am not sure if there is a CAP or Joint commission Policy on pre making
>>> slides for intraoperative consultation.  Can someone let me know if there
>>> is one?   I have looked but was unable to find one.  It just seems like
>>> errors can be made especially if you have multiple patients or for some
>>> reason the information on the slide does not match the patient.  Any help
>>> would be greatly appreciated.
>>>
>>> Thanks,
>>> Karen Schieberl HT ASCP
>>>
>>> Lead Histology Technician
>>>
>>> St. Mary's Medical Center
>>>
>>> 450 Stanyan St.
>>>
>>> San Francisco, Ca. 94117
>>>
>>> 415-750-5751
>>>
>>> karen.schieberl@ <karen.schieberl at dignityhealth.org>commonspirit.org
>>>
>>>
>>>
>>>
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