RE: [Histonet] who grosses and embeds?
Well said. We would pass on that requirement as we do still count pieces - written on the requisition for the transcriptionist to put in the gross template, and transferred to the Triple G system for the embedders. If we don't have the correct number of pieces, it is brought to the attention of the pathologist.
[mailto:email@example.com]On Behalf Of
Sent: Tuesday, June 27, 2006 2:46 PM
Subject: [Histonet] who grosses and embeds?
The question of who is allowed to gross what surgical pathology specimens
seems to keep coming up. Right now the regulatory agencies seem to be leaning
toward making the pathologist do it all.
In contrast, nobody seems to be interested in the embedder - who in effect
re-grosses small biopsy specimens. When I was a resident (around 1970) we used
to fill out a sheet - listing the number of biopsy specimens for example - that
the embedder consulted while embedding. I've worked in maybe forty surgical
pathology services since then (as a locum tenens pathologist, mostly) and I
don't think I've ever seen an embedding sheet again.
It's quite disconcerting when the endoscopist describes three specimens, I
receive two, and the next day there's only one piece of tissue on the slide.
It seems to me that the College of American Pathologists (CAP) should make it
a Phase II (immediate remediation required) to embed small specimens without
an embedding sheet.
Cowpath, Tantrum, and other surgical pathology data bases should be able to
generate a compact case list that the count of specimens could be handwritten
onto - Cowpath at least requires that a compact specimen log be handwritten.
And pathology residents should be required to come in during the wee hours
and learn how to embed!
Knoxville TN and Gastonia NC
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