[Histonet] grossing

[dcojita <@t> tampabay.rr.com]

According to CLIA, the employee who grosses must also  possess a state
license when working in a state that requires licensure, such as Florida.
Keep in mind that CAP rules do not apply for those laboratories that are not
CAP accredited. 

Exert from CLIA - 

    "In order to qualify as high complexity testing personnel under 
Sec. 493.1489(b)(3), the individual must have met or could have met the 
following qualifications for technologist as they were in effect on or 
before February 28, 1992. Each technologist must--
    (a) Possess a current license as a laboratory technologist issued by 
the State, if such licensing exists;"


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
godsgalnow <@t> aol.com
Sent: Monday, March 16, 2009 3:33 PM
To: histonetalias <@t> gmail.com
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] grossing

Actually, as long as they meet the standards for High Complexity testing
they can gross.......according to CAP you have to have no knowledge of
anatomy to process.....

Roxanne


-----Original Message-----
From: Histonet Alias <histonetalias <@t> gmail.com>
To: godsgalnow <@t> aol.com
Cc: histonet <@t> lists.utsouthwestern.edu
Sent: Mon, 16 Mar 2009 1:40 pm
Subject: Re: [Histonet] grossing


This is another famous gray area that CAP has left us. Are your techs
grossing or processing? We split up specimens between processing and
grossing. A PA will to the grossing and a technician will do the processing.
We have a PA or Path on call for any questions in the evening. If the tech
is unsure then the PA or Path comes in or leaves it until the next day.?

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.


On Mon, Mar 16, 2009 at 12:11 PM, <godsgalnow <@t> aol.com> wrote:

Processing, according to CAP? :

"tissue examination limited to description, inking and cutting of the
specimen, and submission og the entire specimen to histology.? Tissue
processing can be performed accodring to standardized protocols.? Processing
is generally limited to small specimens and does not require knowledge of
anatomy."

This is right from the CAP checklist (ANP.11600)

Roxanne






-----Original Message-----
From: Histonet Alias <histonetalias <@t> gmail.com>
To: godsgalnow <@t> aol.com
Cc: histonet <@t> lists.utsouthwestern.edu
Sent: Mon, 16 Mar 2009 11:13 am
Subject: Re: [Histonet] grossing



Define presence? If they are able to have access a technical supervisor or a
Pathologist if they have a question then this may just cover it. We have a
Pathologist "on call" that can be in within minutes if there are any
questions.?


On Mon, Mar 16, 2009 at 10:55 AM, <godsgalnow <@t> aol.com> wrote:

I hate to beat a dead horse.....but how do you handle non-certified grossing
staff.? They all meet the CLIA guidelines, but are they allowed to gross in
the evening without the presence of a technical supervisor?

And how do you handle salaries for those that process and those that
gross......according to the CAP guidelines?


Thanks,
Roxanne

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-- 
Al Ias HT(ASCP)
Histology Manager
Pathology Laboratory
United States



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-- 
Al Ias HT(ASCP)
Histology Manager
Pathology Laboratory
United States


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