[Histonet] Mohs and what is considered grossing?

[Karen Pfaff]

In my lab I am checking my CAP checklist. I just took over the Supervisors job after she retired. 

In looking at our checklist it mentions that Mohs testing is a High complexity test which requires qualifications. Part of the checklist states “Grossing specimens -nonpathologist.” In research to see if Mohs actually considers Grossing as part of there protocol.  Surgeon places tissue on a piece of guaze with proper orientation. Designates where hatches or scores are located (12 o’clock, 3 o’clock,etc..) Hands it over to tech. The tech then draws map of specimen, bisects it usually across the scores, depending on size of specimen could be more pieced if larger. The tech then inks specimen, relaxes tissue so specimen will lay down properly. Gives an accession number to it then embed tissue in OCT and continues to cut tissue and place on slide.  The slide is then stained, coverslipped and handed over to Mohs surgeon. Just wondering if this part of manipulating the tissue is considered grossing.  Thank you for any information you may have. Karen



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