[Histonet] Non-Pathologist Grossing

Amy Self ASelf at tidelandshealth.org
Mon Oct 26 07:28:35 CDT 2020

Good Morning and I hope that everyone had a wonderful, safe and blessed weekend,

I have a question about non-pathologist grossing review..

We were inspected by TJC week before last and were cited for the Standard QSA.13.04.01 which reads; When a non-pathologist performs gross analysis under the supervision of a qualified pathologist; The individuals work is reviewed by the technical supervisor or qualified pathologist within 24 hours and this review is documented.

How is this 24 hour review being performed by facilities that are closed on weekends and holidays?

Our departments review would take place on the next business day - being Monday - but the inspector said that was unacceptable because it did not fall within the 24 hour review stated in the standard.

Thanks in advance and I hope that everyone has a great Monday,

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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