[Histonet] RE: Microtomes and Exclusion Lists

[Terri Braud]

1. Microtome choices - my personal favorite is a Leica 2235.  We have
several in our lab, they are well liked by all. 
Whatever you decide, the vendor should enable you to have a decent trial
period before making up your mind.

2. Non-Gyn Cytology Exclusion list
The following is copied straight from my policy, I hope it helps:

PURPOSE: To define the tissue specimens and fluid specimens that are
required to be submitted to for pathologic and cytopathology reporting

POLICY:
Every tissue specimen removed from a patient must be sent to the
Department of Pathology laboratory for examination by a Pathologist.
All patient fluid specimens must be submitted to Cytopathology for
examination.  Any exceptions must be approved by a consensus of the
medical staff. At the Medical Executive Meeting of November 6, 2012, the
following policy was approved:  

PROCEDURE:
All fluid specimens are to be forwarded to the Department of Pathology
Laboratory with the following exceptions:

1.	Fluids for which there is a low clinical suspicion for
malignancy (i.e. synovial fluid, urines for routine urine analysis or as
a result of catheterization during routine surgery, sputums for culture)
2.	Fluids removed for therapeutic purposes and/or prior negative
cytology findings (i.e. pleural effusion, ascites in a patient with CHF
or portal hypertension)

All patient tissue and material specimens removed during surgery are to
be forwarded to the Department of Pathology with the following
exceptions:
1. (a long list of surgical specimens, hardware, etc)

I also keep a copy of the Medical Staff meeting minutes when the list
was discussed and approved.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

Message: 12
Date: Tue, 3 Jun 2014 12:38:09 -0400
From: Rhonda Ford <rford <@t> hcmhcares.org>
Subject: [Histonet] Cytopathology (non-gynecological) Exclusion List
Please give me advice on what your lab is doing for this.  Thanks.
Rhonda Ford (HT)ASCP, Histology Lab
Henry County Hospital
(765) 521-1148

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