[Histonet] What is considered Grossing according to CLIA and CAP? Definition?

[Michelle Bell]

This is so hard to unpack everything that could be wrong with this situation.  The weights the lab assistants take would lead me to the conclusion that this would be part of grossing, because it is reportable.  It’s such a slippery slope when you start delegating tasks associated with high complexity testing.  If I were the manager, I would reach out to your accrediting agency for guidance and support.
________________________________
From: Donna Emge via Histonet <histonet at lists.utsouthwestern.edu>
Sent: Monday, February 27, 2023 9:39:08 AM
To: histonet at lists.utsouthwestern.edu <histonet at lists.utsouthwestern.edu>
Subject: [Histonet] What is considered Grossing according to CLIA and CAP? Definition?

I hope someone here can help. I recently visited a lab that has the lab
assistants weigh placentas and document, cut the membrane off in one piece
around the placenta, cut the umbilical cord off 1” from the placenta, then
weigh again, document the weight again, and add the formalin for the PAs to
gross the next day.  They consider what the lab assistants are doing as
processing, not part of grossing. Is this correct? The PAs and Pathologists
would like the lab assistants to do this at our lab.

   1. What is the CLIA and CAP actual definition of grossing? Where do I
   find this?
   2. Is what the lab assistants are doing at that lab actually a part of
   grossing, or are they just processing the placentas by the regulatory
   definition?


Thank you in advance,



*Donna Emge, HT (ASCP)*
UChicago Medicine | AdventHealth
GL Regional Laboratory Manager | Histology

Donna.Emge(@)AdventHealth.com
_______________________________________________
Histonet mailing list
Histonet at lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet