[Histonet] Cap checklist question

Charles.Embrey Charles.Embrey <@t> carle.com
Tue Feb 3 12:57:51 CST 2009


NO,NO,NO, CAP does not call "grossing tissue", "processing tissue".  CAP
has made two categories or specimens- Processing and grossing.
ANP.11600
1. Processing is defined as a tissue examination limited to description,
inking and cutting of the specimen (if applicable), and submission of
the entire specimen to histology.  Tissue processing can be performed
according to standardized protocols.  Processing is generally limited to
small specimens (skin, small biopsies, curettings, etc.) and does not
require knowledge of anatomy.
2.  Grossing (or gross examination) is defined as a tissue examination
requiring a greater exercise of judgment and a knowledge of anatomy.
Dissection of the specimen and selection of tissue samples for
submission to histology are generally required.  The specimen
description is not necessarily standardized.

CAP goes on to require "grossing" be done by a pathologist or
pathologist resident or other individuals qualifying as high complexity
testing personnel under CLIA 88 regulations.  The written procedures
asked about in ANP.11665 apply only to "processing" as defined by CAP
when being done by "non-pathologist individuals who are not qualified as
high complexity testing personnel under CLIA 88".

Charles Embrey, PA(ASCP)


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, February 03, 2009 12:21 PM
To: Histonet
Subject: RE: [Histonet] Cap checklist question


ANP.11665 refers to a non PA or non pathologist grossing tissue. CAP
calls
grossing tissue "processing specimens". There has to be a manual with
all
grossing techniques such as "Ackermans' Pathology" or a manual made at
the
site.
ANP.22990 deals with performing FISH & ISH, there should be tech samples
that can be ordered from CAP, I would check the web site. But if you do
not
perform FISH or ISH, the question is N/A.

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
+++

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Scott,
Allison D
Sent: Monday, February 02, 2009 5:44 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Cap checklist question

I have a question concerning CAP checklist question ANP.11665. Are .
there written procedures for processing specimens.  Is this referring to
tech's or to residents that are grossing.  We only have pathology
residents grossing and taking care of specimens. What are predictive
markers, this refers to ANP.22990.  This is a new checklist question.
Any help would be greatly appreciated.

 

Allison Scott HT(ASCP)

Histology Supervisor

LBJ Hospital

Houston, Texas 77026

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