[Histonet] RE: Histonet Digest, Vol 65, Issue 7

[Rene J Buesa]

Terri:
Any private setting (including large reference labs) is ruled by the same standards as any other one. The screener threshold (when you need to hire an additional one) is 7,000 slides/year.
Under separate cover I am sending you an article I wrote about the Cytology work within the Histology lab.
René J.

--- On Fri, 4/3/09, Terri Braud <tbraud <@t> holyredeemer.com> wrote:

From: Terri Braud <tbraud <@t> holyredeemer.com>
Subject: [Histonet] RE: Histonet Digest, Vol 65, Issue 7
To: histonet <@t> lists.utsouthwestern.edu
Date: Friday, April 3, 2009, 8:42 AM

Hello Histonetters,
I understand most of the professionals on this website are histology
professionals, however, I thought I would give it a try since I have not
found a cytology listserv yet. Does anyone know how many slides per day a
cytotechnologist would screen within a private lab setting (On average)? 
Alyssa Peterson
Allied Search Partners
O: 770.621.2639 ext. 4
F: 770.621.2640


Hi Alyssa - Get ready...here is the dirt

CAP follows CLIA-88, and both are quite clear on limits for Cytotech screening.

They are "no more than 100 slides in 24 hours" and include gyn and
non-gyn including "new routine slides, 10% rescreen slides, and 5 year look
back negative slides"
"the maximum workload of 100 slides can be completed in no less than an
8-hour workday.  This workload can also be expressed as slides per hour and is
12.5 slides/hour.  These total limits apply regardless of the number of
laboratories in which an individual works on a given day."
    Wait! it gets better....
"For primary screening of gyn liquid based preps" (read as Thin Prep)
"each slide must be counted as a single slide for the purpose of workload
recording."
"For primary screening of non-gyn liquid based preps" (read as Thin
Prep) "each slide may be counted as one-half slide for the purpose of
workload recording, provided that the cells are dispersed over one-half or less
of the total available slide area."
     Wait! there's still more...
"Workload calculations may vary with the use of automated screening
instruments. Laboratories should follow manufacturers instructions for workload
calculations and must assure that CLIAA-88 requirements are fulfilled."
	and just when you thought it was safe....
"The laboratory director must establish the maximum workload (based on the
capability/documented performance evaluation) for each individual examining
slides and the limit must be reassessed at least every 6 months."
The regulations go on to explain how the reassessment is to be done...blah,
blah, blah....
Though my background and education are in Histology, I've served as
technical supervisor over cytology departments for over 14 years, and the above
listed %#@&! is why Cytology can drive you up the wall.
Our cytotech's, when we had them, screened no more than 80 slides/day, when
all they did was screen.  No pulling slides, no running up to do an FNA....just
sitting non-stop and screening slides. UGH!
Sorry Histo folk - but some of you are probably in the same position as I am,
so please feel free to chime in.
Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax

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