Re: necessary info on surgery requisition
Marjorie Hagerty H.T. (ASCP) H.T.L., Q IHC, Supervisor, Anatomic Pathology,
Eisenhower Medical Center, California asks about requisitions that accompany
specimens from surgery.
Only in residency programs does a surgeon ever see these forms, and in maybe
fifty surgery services I've worked on I don't think I've ever seen a form
with a required signature by anyone. Usually the task is delegated to someone
who was working at McDonald's last week. If you ask surgeons, they'll often
respond that this was a hated duty when they were junior residents, and they
are determined to have nothing to do with it. If there's any regulatory
requirement for a surgeon's signature, it's more honored in the breach than
On the one occasion when I've had the opportunity to design one of these
forms, I've added a request for the name of the surgical procedure performed
on the patient. This piece of information is often greatly helpful to the
pathologist, and is remarkably difficult to obtain otherwise, and at that one
hospital the OR people do this quite conscientiously.
For example, it's a lot easier to make a diagnosis of endometrial polyp on
badly fragmented material if I know that the gynecologist performed a
hysteroscopy and saw a polyp. I'll sign out a specimen like that as
endometrium (hysteroscopy with curettage): fragments of endometrial polyp
and thus create a concise clear record of what was done, what was seen, and
what was diagnosed.
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