[Histonet] Cytology 100 slide limit

Feher, Stephen sfeher <@t> CMC-NH.ORG
Fri Jul 16 16:57:59 CDT 2010


Rene is correct in stating that CLIA allows Gyn Liquid Based Paps to be counted as 1/2 slide.  It gets tricky when you start mixing 1/2 slide counts and full slide counts in making sure the techs do not exceed 100 slides (or in the case of LBP's 200 slides).  If you get a lot of FNA's the counts can go up very quickly.

Most LIS systems can prevent Techs from exceeding their limit.  I would check again to see why your LIS is not capturing the NON-Gyn slides.  Another CAP and CLIA requirement is that each 6 months, the cytotechs are supposed to have a Competency Assessment where the Medical Director signs off on the maximum number of slides each tech is qualified to screen.  This is the number that most labs place in the LIS as the max that particular tech can review.

What LIS system do you have? 


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Friday, July 16, 2010 5:21 PM
To: Histonet; Victor Tobias
Subject: Re: [Histonet] Cytology 100 slide limit

As you wrote, either you have to be diligent in recording your work, or you will have to modify the software of the LIS system to account correctly.
On the other hand, if you are dealing with liquid base samples usually using a Thin-Prep Imaging System (TIS) and the sample covers one-half or less of the slide surface, CLIA88 has expanded the limit from 100 to 200 slides/day.
René J.

--- On Fri, 7/16/10, Victor Tobias <victor <@t> pathology.washington.edu> wrote:

From: Victor Tobias <victor <@t> pathology.washington.edu>
Subject: [Histonet] Cytology 100 slide limit
To: "Histonet" <Histonet <@t> lists.utsouthwestern.edu>
Date: Friday, July 16, 2010, 3:33 PM

Our Cytology Supervisor was telling me about the 100 slide maximum that they can screen in a day. Our LIS is not capturing the NON-GYN slides being screened, so unless you are very diligent in recording the slides screened, you could go over the 100 limit.

Our supervisor also believes the computer system should notify the user when the limit has been reached and prevent them from continuing. Is this a CAP requirement? How are you dealing with this problem or is it a problem for you?


-- Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-7659 Fax
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