[Histonet] MOHS daily flow...

[Bauer, Karen L.]

Hi Jeanine,

Our patients go back to a MOHS only waiting room between layers.  Nice
comfy loungers, big screen TV, refreshments, things to make them
comfortable while they wait, since it could be a long day for them.
They can bring in one family member with them if they want.  

Karen

Karen L. Bauer HTL/HT (ASCP)
Histology Supervisor
Pathology Department
Mayo Clinic Health System in Eau Claire
E-mail:   bauer.karen <@t> mayo.edu
___________________________________________
Mayo Clinic Health System
1221 Whipple St.
Eau Claire, WI 54703
www.mayoclinichealthsystem.org

-----Original Message-----
From: Bartlett, Jeanine (CDC/OID/NCEZID) [mailto:jqb7 <@t> cdc.gov] 
Sent: Tuesday, July 26, 2011 12:53 PM
To: Nicole Tatum; Bauer, Karen L.; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] MOHS daily flow...

That is very interesting.  A friend had a procedure done last week and
they kept him on the table until they were done.  he did not go back to
a waiting area. Is this common?

Jeanine Bartlett
Infectious Diseases Pathology Branch
(404) 639-3590
jeanine.bartlett <@t> cdc.hhs.gov




-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Nicole
Tatum
Sent: Tuesday, July 26, 2011 1:40 PM
To: Bauer, Karen L.; histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] MOHS daily flow...
Importance: Low

Karen


The number of patients depends on the surgeon. Some do 4-15 per day. It
also depends on how many rooms you have to see patients.

For the most part, Lets say you had two rooms available. and had 6
patients scheduled.  schedule pt 15-20 mimutes apart.


Bring first two in at same time. Doctor can get layers bandage pateints
and place them in a waiting area. Next two patients come in get prepared
and layers are taken. Place in waiting area.

Next patients are brought in. layers taken. Place in waiting area.

Each specmen after layer is taken is brought in lab. Mohs tech should be
able to complete each case within 15-20minutes. Slides are placed for
doc
to read. Once he has taken all layers he can begin to read ready cases
and
take layers or begin closures. Pateints layers are taken and then they
are
placed back in waiting areas. This will continue until are patients are
done.

Tissue is grossed before it is placed in cryo.  Two slides should be cut
per peice of tissue. Not per case. We place 3 sections on each slide.
Each
section is a little deeper then the one before. We start at the frosted
end.  A great fast effecient tech should be able to handle 10-15 cases
per
day.   I hope this helps.

Nicole Tatum HT ASCP





>
> This is for those techs that assist in the MOHS lab...
>
> What is your daily flow for the work performed in your lab?
> How are patients usually scheduled?  (Are they staggered?  All come in
> at approximately the same time so 1st layers can be taken right away?)
> How often are you receiving patient specimens?
> Usually, how many patients per day?
> Do you gross the tissue before freezing?
> What is the goal time for slide completion?  (From the time the tissue
> is placed in the cryostat to freeze to the slide being ready to
stain.)
> How many levels are you placing on the slide?
> How many slides per block are you cutting?
> Do you have a set time limit on when all first layers are to be done?
>
> Any additional information is greatly appreciated.
>
> Thanks much!!
>
> Karen
>
> Karen L. Bauer HTL/HT (ASCP)
> Histology Supervisor
> Pathology Department
> Mayo Clinic Health System in Eau Claire
> E-mail:   bauer.karen <@t> mayo.edu <mailto:bauer.karen <@t> mayo.edu>
> ___________________________________________
> Mayo Clinic Health System
> 1221 Whipple St.
> Eau Claire, WI 54703
> www.mayoclinichealthsystem.org
>
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>



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