[Histonet] RE: Frozen sections (UNCLASSIFIED)

[Michael LaFriniere]

Hi Juan,

I am not sure of any ASCP guidelines nor jurisdiction over CLIA requirements. It is my understanding all US laboratories have to follow the CLIA set guidelines for performing all laboratory testing.  Qualified HT or HTLs can gross complicated (high Complexity) testing under specific CLIA guidelines. CLIA guidelines have a grandfather clause for high complexity testing of experienced techs prior to (I think the exact date is) Sept 1996 that can demonstrate experience of the high complexity testing. Following Sept 1996 the educational guidelines set in for any high complexity laboratory testing requirements.   

Michael

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Bassett, Juan L CTR (US)
Sent: Wednesday, January 15, 2014 8:54 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] FW: Frozen sections (UNCLASSIFIED)

Classification: UNCLASSIFIED
Caveats: NONE

Hi LeAnn, Please note my response below.

-----Original Message-----
From: Bassett, Juan L CTR (US) 
Sent: Wednesday, January 15, 2014 7:39 AM
To: 'Michael LaFriniere'
Cc: 'stonet-bounces <@t> lists.utsouthwestern.edu'
Subject: RE: Frozen sections (UNCLASSIFIED)

Classification: UNCLASSIFIED
Caveats: NONE

Michael, Based on my experience the pathologist or pathologists asst. are qualified to submit the specimen to be sectioned during a Frozen section procedure. And the pathologist asst. is allowed  with the pathologist's approval/acknowledgement.  Qualified HT and HTL's can gross non complicated specimens within normal tissue grossing procedures. There could be legal issues involved with a technician's unilateral decision during a frozen section procedure! To get more accurate feedback on this topic , I suggest you contact the ASCP with your consideration.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Michael LaFriniere
Sent: Tuesday, January 14, 2014 1:46 PM
To: Leann M. Murphy; histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: Frozen sections

Hi Leann,

Dependant on the case and how much tissue comes in from the OR, In my many years...I have on many occasions grossed and placed tissue for FS on chuck, and performed the frozen section, had it under the scope looking at it prior to the Pathologist coming in for DX.(why) because we have experience and it's a comfort level the pathologists under their guidance and supervision, Many of us have the experience to do this especially if you are grandfathered or have the required education under the CLIA regs to gross. I don't know of any regulation other than what I have mentioned above that would not allow the experienced HT to perform this operation. 

Michael
 
Michael R. LaFriniere, HT (ASCP) 
Executive Director

 
Capital Choice Pathology Laboratory

12041 Bournefield Way, Suite A * Silver Spring, MD 20904  

P: 240.471.3427 * F: 240.471.3401 * Cell 410-940-8844

michael.lafriniere <@t> CCPLab.com
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Leann M. Murphy
Sent: Monday, January 13, 2014 10:35 AM
To: Histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Frozen sections

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



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Classification: UNCLASSIFIED
Caveats: NONE



Classification: UNCLASSIFIED
Caveats: NONE



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