Re: [Histonet] who grosses and embeds?
Dr. R,
you bring up an excellent point. We have one pathologist that refuses to cut
shave bxs, vas deferens, fallopian tubes, temporal arteries and other small
specimens. I have instructed my embedders that they have to cut these
specimens for proper orientation. Is this considered grossing?
As far as grossing sheets, every lab that I have worked in, plus the lab
that I started, always had a grossing sheet. It's almost mal-practice not
to. How could you tell if a specimen has special instructions or not such as
a renal bx?
Just my 3 cents worth.
Joe Nocito BS, HT(ASCP)QIHC
Histology Manager
Pathology Reference Lab
San Antonio, TX
----- Original Message -----
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To:
Sent: Tuesday, June 27, 2006 1:46 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!
>
> Bob Richmond
> Knoxville TN and Gastonia NC
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