[Histonet] RE: Histonet Digest, Vol 122, Issue 17

[Freeman, Carol]

In response to message 4 what is considered the requirements for high complexity testing for grossing...  is that a bachelor's degree with pathologist guidance or do they have to have  a certificate of completion for being a P.A. (ASCP).....

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Message: 4
Date: Tue, 14 Jan 2014 11:51:03 -0500
From: Kim Donadio <one_angel_secret <@t> yahoo.com>
Subject: Re: [Histonet] RE: Techs grossing FS tissue
To: Terri Braud <tbraud <@t> holyredeemer.com>
Cc: "<histonet <@t> lists.utsouthwestern.edu>"
	<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <5BB119AC-01E9-4239-A33E-C40075BF8D48 <@t> yahoo.com>
Content-Type: text/plain;	charset=us-ascii

Agreed. They can plop it on the block, cut it , stain it but they can't measure it, dissect it or ink it as those task are considered gross dissection which is high complexity and the person doing them has to meet CLIA guidelines for high complexity. 

Sent from my iPhone

On Jan 13, 2014, at 2:20 PM, "Terri  Braud" <tbraud <@t> holyredeemer.com> wrote:

> This is the only way that a non-pathologist can gross tissue, whether
> for frozen section or otherwise.  They must meet CLIA standards for high
> complexity testing and furthermore, CAP says that the exact nature of
> the tissue grossed must be spelled out, along with nature of the
> pathologists' supervision (direct, indirect), and have at least annual
> competencies on grossing on file.  That's the basic rules.  State
> licensing may possibly add, but never subtract to this.
> However, there is nothing that says a tech can't plop a small singular
> piece of tissue onto a chuck to freeze and get things started.
> 
> Terri L. Braud, HT(ASCP)
> Anatomic Pathology Supervisor
> Holy Redeemer Hospital Laboratory
> 1648 Huntingdon Pike
> Meadowbrook, PA 19046
> Ph: 215-938-3676
> 
> Message: 3
> Date: Mon, 13 Jan 2014 15:34:48 +0000
> From: "Leann M. Murphy" <LMurphy2 <@t> aultman.com>
> Good morning,
> I know all histotechs help cut and stain frozen sections.  Is there any
> organization  out there that has the histotechnician gross the frozen
> section tissue and place on the frozen section chuck to cut without the
> Pathologist in the room.  If anyone does this please tell me why?  And
> if your organization doesn't do this please tell me why.  I am having a
> debate with our Pathologists over this question.
> 
> Thank You,
> LeAnn Murphy
> Aultman Hospital
> Canton, Ohio