Re: [Histonet] Grossing

From:"Joe Nocito"

one of my pathologist's is on the board at CAP and we have discussed this 
many times. In fact, earlier this summer, he did address the AAPA group.
    As far as I know, CAP is having a discussion on what is "grossing" and 
what is "dictating".
    As far as "complex" testing, if your lab is qualified as "complex 
testing" then complex testing is okayed.
    The issue may come up when the techs do not have any college hours. This 
again is questionable because techs performing IHC are capable of performing 
complex tests. Their results are reported on a path report (but the doctors 
are rendering an interpretation). Same thing with specials. If I perform a 
GMS, the result is issued in the report.
    So, my conclusion is that this is one of those huge gray areas that have 
not been definitely defined yet.
    In my lab, a have a couple of techs that have anywhere between 30-50 
college hours and they are grossing. Just make sure that the medical 
director knows the situation and is directly or indirectly supervising the 
    OK, is anyone as confused as I am? Gee, looks like I just made things 
more complex. Just like the old days.

Joe Nocito
----- Original Message ----- 
To: "Jesus Ellin" 
Sent: Tuesday, December 12, 2006 2:21 PM
Subject: Re: [Histonet] Grossing

>I was told by a CLIA person in OKC that if the description becomes part of 
>the parthology report that it is complex testing and must be CLIA 
> Angie Barnett, HTL(ASCP)
> Grady Memorial Hospital
> Pathology Department
> 405/224-2258
> ----- Original Message ----- 
> From: Jesus Ellin 
> Date: Tuesday, December 12, 2006 10:06 am
> Subject: [Histonet] Grossing
> To:
>> Here at our lab we are haing issues with tech doing gross. Our
>> Pathologist has called the CAP about the ability to do
>> transferance with
>> small biopsies such as GI, Lung, ect. The CAP has stated that
>> this is
>> not considered High complexity testing and that it is ok for the
>> tech to
>> transfer the specimen in a tea bag or what not and then just give
>> measurement and color. Even to use templates for that matter.
>> Nothingis dictated just written down on a piece of paper that is
>> going to be
>> transcribed. Has anyone come up against this situation?? If so
>> what is
>> eveyone doing about this. Also that they do not need to meet the CLIA
>> req about doing gross.
>> To me this opens up a huge can of worms. Any help would greatly be
>> appreciated.
>> Jesus A. Ellin HT ASCP
>> Yuma Regional Medical Center
>> Histology Systems Technologist
>> Pathology Information Systems
>> 928-336-7444 or 928-336-1144
>> Fax: 928-336-7319
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