[Histonet] RE: Qualifications for grossing

[Davide Costanzo]

Nothing is black and white. Perhaps exceptions are in order where the
tech only does one specimen type. Perhaps. But not where techs do a lot
more. There are gross techs out there doing colons, mastectomies etc.
This is where big trouble brews. This is where people are not
adequately trained, by NAACLS standards. CLIA '88 is the problem, not
the tech. CLIA is over 20 years old, and at that time PA's were fairly
new on the scene and in short supply. That is not the case today. It is
time to raise the bar and improve patient care. There are no valid
excuses. Today, this is no more than financial greed that accounts for
misuse of personnel.

Sent from my Windows Phone
From: Ingles Claire
Sent: 4/25/2012 10:43 AM
To: Rene J Buesa; Joanne Clark; Davide Costanzo
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Qualifications for grossing
You can reprocess, recut, and restain, but never re-gross. I for one
also gross, but only skin. And yes, I DO know how to gross an alopecia
specimen.
Claire

________________________________

From: histonet-bounces <@t> lists.utsouthwestern.edu on behalf of Rene J Buesa
Sent: Wed 4/25/2012 11:55 AM
To: Joanne Clark; Davide Costanzo
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: Qualifications for grossing



For what little it may mean, I wholeheartly agree with Davice Costanzo
e-mail. I completely agree with him.
In the same way the economic situation we are now was caused by greed,
that is the motor guiding those who, to just save money, let a
histotech (ologist) to do grossing.
Grossing,, especially large complex specimens, is the fundamental
initial task in any complex diagnosis. The PA is the one who SELECTS
what is going to be processed and used for diagnosis.
IF some part of the specimen is not submitted as the result of
ignorance caused by poor training, the worst thing could happen,
namely, a FALSE NEGATIVE

--- On Wed, 4/25/12, Davide Costanzo <pathlocums <@t> gmail.com> wrote: