[Histonet] RE: Tissue Requisition

[Rathborne, Toni]

Our experiences have not been that bad with regard to electronic ordering. We still do get the paper requisitions with the specimens, but they are bar code scanned when accessioned in the grossing area. We got a lot of help from our IT department, through a joint effort with the OR and other submitting areas, and by hospital wide initiatives. We even have order sets for breast and colon. This makes it easier for the RN placing the order by going to a drop-down and selecting the correct site. 
There has been talk of going paperless, but it's a big step. Although we haven't received an unlabeled specimen in years, there is always that fear that a specimen will arrive without one. At least with the attached requisition one can be somewhat certain that they belong together if everything else matches. For specimens like GIs it might be hard to tell one from another, although unlikely that two would arrive unlabeled, there is still that reluctance to go paperless.
I would check with your LIS vendor, and get a list of users that do order electronically. Talk to them and find out if there was resistance to make the change, and if so how it was overcome.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Susan.Walzer <@t> HCAHealthcare.com
Sent: Tuesday, March 25, 2014 2:49 AM
To: Vickroy.Jim <@t> mhsil.com; histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: Tissue Requisition

Our req's come over the computer , not with specimen. We then check the req against the label on the specimen.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Vickroy, Jim
Sent: Monday, March 24, 2014 5:20 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Tissue Requisition

With the constant changes in our CAP checklists and the changes in electronic ordering and moves to go paperless a question has come up that I know used to be in the checklists but I can't seem to find it now. In the past surgical pathology specimens had to be sent with a requisition.  Our hospital is reviewing our process for handling specimens from various hospital departments.   Currently we still require that a requisition is brought with the specimen.  We have a system  where the various OR staff could place an electronic order for a surgical specimen in the computer and then the paper requisition will then print in the surgical pathology grossing area.   We are trying to decide if  a copy of the requisition still needs to accompany the specimen when it is delivered to the grossing room.   The specimens have electronic labels on them with patient identifiers and the exact site of the specimen is also listed on the label.  Please tell me how others are handling these changes.   Obviously I can see some advantages to no longer have illegible hand-written reqs from the OR docs or nurses, but something bothers me that a specimen will arrive without a requisition.   Any thoughts?

Jim

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor Memorial Medical Center
217-788-4046


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