[Histonet] Tissue grossing

[Ian R Bernard]

Kristen hope this helps.  See CAP requirement for other than a pathologist assistant or pathologist below.   Our lab policy is to use the histotechnician certification HT(ASCP) or HTL (ASCP) as qualification to gross since there is an educational requirement for certification that is comparable or exceeds the CAP requirement.

Ian

**REVISED** 07/11/2011
ANP.11605 Gross Examination - Non-Pathologist Phase II
When individuals other than a pathologist or pathology resident assist in gross examinations,
the extent of their activities and the nature of supervision (direct vs. indirect) is defined in
a documented protocol.
NOTE: This protocol must list the specific types of specimens for which non-pathologists are
permitted to assist in the gross examination. The nature of the supervision must be established
individually, for each non-pathologist. The laboratory director is responsible for this protocol.
REFERENCES
1) Department of Health and Human Services, Centers for Medicare and Medicaid Services. Clinical laboratory improvement amendments
of 1988; final rule. Fed Register. 1992(Feb 28):7183 [42CFR493.1489(b)(6)]
2) Cibull ML. Q&A. Northfield, IL: College of American Pathologists CAP Today. 1997;11(7):112
3) Grzybicki DM, et al. National practice characteristics and utilization of pathologists' assistants. Arch Pathol Lab Med. 2001;125:905-912


**REVISED** 07/11/2011
ANP.11610 Gross Examination Qualifications Phase II
If individuals other than a pathologist or pathology resident assist in gross examinations,
such individuals qualify as high complexity testing personnel under CLIA regulations.
NOTE: The laboratory director may delegate the dissection of specimens to non-pathologist
individuals; these individuals must be qualified as high complexity testing personnel under CLIA
regulations. The minimum training/experience required of such personnel is:
1. An earned associate degree in a laboratory science or medical laboratory technology,
obtained from an accredited institution, OR
2. Education/training equivalent to the above that includes at least 60 semester hours or
equivalent from an accredited institution. This education must include 24 semester
hours of medical laboratory technology courses, OR 24 semester hours of science
courses that includes 6 semester hours of chemistry, 6 semester hours of biology, and
12 semester hours of chemistry, biology or medical laboratory technology in any
combination. In addition, the individual must have laboratory training including either
completion of a clinical laboratory training program approved or accredited by the
ABHES, NAACLA, or other organization approved by HHS (note that this training may
be included in the 60 semester hours listed above), OR at least 3 months documented
laboratory training in each specialty in which the individual performs high complexity
testing. It is the responsibility of the laboratory director to determine whether an individual's education,
training and experience satisfies the requirements of this checklist requirement.
This checklist requirement applies only to laboratories subject to US regulations.

Evidence of Compliance:
✓ Records of qualifications including degree or transcript and work history in related field OR
documentation of grandfathered exception
REFERENCES
1) Department of Health and Human Services, Centers for Medicare and Medicaid Services. Clinical laboratory improvement amendments
of 1988; final rule. Fed Register. 2003(Oct 1):1070-1071 [42CFR493.1489], 1071-1072 [42CFR493.1491].

V/r
Ian Bernard


-----Original Message-----


From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of kristen martin 
Sent: Saturday, September 15, 2012 3:27 PM
To: histonet <@t> lists.utsouthwestern.edu 
Subject: [Histonet] Tissue grossing

Hi all,
How does one become qualified to gross tissue? A lot of the jobs I have been looking at call for being qualified to gross tissue, where I work right now the residents and Pathology assistants are the ones who gross the tissue. 
Thanks in advance for any help!
Kristen Martin

Sent from my Verizon Wireless BlackBerry


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