[Histonet] Premaking slides

[Jay Lundgren]

I mean, you're not going to hand the pathologist an unlabelled slide,
obviously.

This leaves you two options, label the slide before the tissue is on it, or
afterward.  Labelling the slide before is easier and quicker.

I'm gonna label my slides *immediately* before cutting the frozen, or
squishing the tissue.  Patient name at the very least, if it hasn't been
accessioned yet.

But you don't want to leave any labeled blank slides laying around, that's
asking for trouble.  If you label too many slides, for instance, discard
them immediately.

If you are doing multiple cases at once, you are doing it wrong.  I know a
lot of places operate like this, but frozens are supposed to be scheduled
for a reason.  I mean, you might get an occasional emergency frozen for an
ectopic pregnancy, but that's rare.

There is a scheduler in surgery, they should be doing their job.  Or maybe
the head of Pathology needs to talk to the head of Surgery and explain how
risky it is to be dealing with multiple frozens at once.  Especially if
it's the same tissue type.

I'll probably get a lot of flak for this viewpoint, "Oh that's impossible
at my institution!".  But it's not.  I've dealt with this as manager at
several institutions and it can be fixed.  It's not going to make you any
friends in Surgery, but it's ultimately about patient safety.   It's just
that most hospitals are terrified of surgeons and will let them do whatever
they want.

How about the surgeon that leaves the building before the pathologist calls
the results back?  That's my favorite.


Jay A. Lundgren, M.S., HTL (ASCP)


On Thu, Apr 25, 2024 at 3:31 PM Karen Schieberl CA-San Francisco <
Karen.Schieberl at commonspirit.org> wrote:

> This does apply to Frozen and Touch preps.
> Karen Schieberl HT ASCP
>
> Lead Histology Technician
>
> St. Mary's Medical Center
>
> 450 Stanyan St.
>
> San Francisco, Ca. 94117
>
> 415-750-5751
>
> karen.schieberl@ <karen.schieberl at dignityhealth.org>commonspirit.org
>
>
>
>
> Caution:  This email message, including all content and attachments, is
> CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED.  The
> information contained in this email message is intended only for the use of
> the recipient(s) named above. If the reader of this message is not the
> intended recipient or an agent responsible for delivering it to the
> intended recipient, you have received this document in error.  Any further
> review, dissemination, distribution, or copying of this message is strictly
> prohibited.  If you have received this communication in error, please
> notify us  immediately by reply email.  Thank you
>
>
> On Thu, Apr 25, 2024 at 1:20 PM Jay Lundgren <jaylundgren at gmail.com>
> wrote:
>
>> *USE CAUTION - EXTERNAL EMAIL*
>> ------------------------------
>> You mean for frozens?
>>
>> On Thu, Apr 25, 2024 at 12:44 PM Karen Schieberl CA-San Francisco via
>> Histonet <histonet at lists.utsouthwestern.edu> wrote:
>>
>>> Good Morning,
>>> I am not sure if there is a CAP or Joint commission Policy on pre making
>>> slides for intraoperative consultation.  Can someone let me know if there
>>> is one?   I have looked but was unable to find one.  It just seems like
>>> errors can be made especially if you have multiple patients or for some
>>> reason the information on the slide does not match the patient.  Any help
>>> would be greatly appreciated.
>>>
>>> Thanks,
>>> Karen Schieberl HT ASCP
>>>
>>> Lead Histology Technician
>>>
>>> St. Mary's Medical Center
>>>
>>> 450 Stanyan St.
>>>
>>> San Francisco, Ca. 94117
>>>
>>> 415-750-5751
>>>
>>> karen.schieberl@ <karen.schieberl at dignityhealth.org>commonspirit.org
>>>
>>>
>>>
>>>
>>> Caution:  This email message, including all content and attachments, is
>>> CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED.  The
>>> information contained in this email message is intended only for the use
>>> of
>>> the recipient(s) named above. If the reader of this message is not the
>>> intended recipient or an agent responsible for delivering it to the
>>> intended recipient, you have received this document in error.  Any
>>> further
>>> review, dissemination, distribution, or copying of this message is
>>> strictly
>>> prohibited.  If you have received this communication in error, please
>>> notify us  immediately by reply email.  Thank you
>>>
>>> Caution: This email is both proprietary and confidential, and not
>>> intended for transmission to (or receipt by) any unauthorized person(s). If
>>> you believe that you have received this email in error, do not read any
>>> attachments. Instead, kindly reply to the sender stating that you have
>>> received the message in error. Then destroy it and any attachments. Thank
>>> you.
>>> _______________________________________________
>>> Histonet mailing list
>>> Histonet at lists.utsouthwestern.edu
>>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>> <https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.utsouthwestern.edu_mailman_listinfo_histonet&d=DwMFaQ&c=YFhW2PYwN3hsZhoCqLOPHsIEIPQ6qDXkZ40AlEYUG9c&r=fnkbvT8D25g0nM9qsmusaIIGXMRtGYAvOTiZHWzeQ6Lb9v86eSROCr3zok0ftoBM&m=eA5A20TalbYgTy_IUtHpfZKSkMDgrxidp1yLTLOdzc_eUqtXw-WEoDUNIDfp67bn&s=m-Ly3i0Wyosg9X_182mk74S2YBlEVEHVH-NM2S-O5oY&e=>
>>>
>>