[Histonet] FNA Procedures

[John Garratt]

We published the following article a few years back in Acta Cytologica that outlines what we are doing to manage cases without on site evaluation. Stats like these help to make your case. Ultimately we found the imaging department preferred not to be waiting for lab and they were able to become more efficient. I hope this helps - John

Gastrointestinal Endoscopic Ultrasound-Guided Fine-Needle Aspiration Biopsy Specimens: Adequate Diagnostic Yield and Accuracy Can Be Achieved without On-Site Evaluation

Article in [Acta cytologica](https://www.researchgate.net/publication/journal/0001-5547_Acta_cytologica) 59(4) · September 2015

On Wed, Jul 8, 2020 at 12:26 PM, Amy Self via Histonet <histonet at lists.utsouthwestern.edu> wrote:

> Hope everyone is having a wonderful Wednesday...
>
> We (histology) have been doing what seems like tons of FNA procedures (Radiology/EBUS\EUS) here lately as well as BM procedures. With all of the Covid going on around us we are working short staffed and doing the best we can with what we have, but it seems like the physicians are scheduling these procedure's around what works best for them and this seems to be creating some issues here in pathology, especially trying to work between two hospitals because they are scheduling these procedure's when we don't seem to have staff available or they will call and say we have an add-on at the last minute and will need pathology when in fact they end not needing our services. Oh yea and we do not have an on-site cytotech so histology techs are the ones that are helping assist with FNA's.
>
> I was wondering what other facilities are doing as far as working with the other departments with these FNA procedures after hours. Do you have cut-off times, or have them place the aspirated material in formalin for cell block, train the nursing staff to make smears and hope they are good samples or do you just accommodate and go to the procedure if needed?
>
> I think that it's time for a SOP to be put in place.
>
> Thanks,
> Amy Self
> Senior Histology Technologist
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> Office: (843) 520-8711
> aself at tidelandshealth.org
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