RE: [Histonet] Need input

From:"Bonner, Janet"

  Our Routine is constantly changing on a weekly basis. ( We just learned we have to rotate on-call for the weekends.) The important thing is to keep the "powers that be" happy, as long as it does not compromise patient care. The supervisor does not necessarily make the rules, but more often enacts them. 
   We are a 24 hour service Laboratory in a Very Big Hospital.  Everything is done all the time.  I remember feeling like you described just before it dawned on us we needed to go on a first and second shift and then a third shift and then on-call and then....   


From: on behalf of
Sent: Fri 3/31/2006 1:11 PM
Subject: [Histonet] Need input

   Hi Everybody, 

      I am the supervisor of a small histology dept. I need input on when or 
who decides that you need to overhaul the routine you have in place. Is it 
the pathologists?  I have always known a histology dept. to run with certain 
cut off times. I have a new pathologist, and she wants me to change my 
routine completely, so that I am doing the bulk of my work at the end of my 
shift, which is grossing. No matter what I say, she has an answer for every 
question, has justified it and I feel like what is the point of being a 
supervisor, if you are not allowed to run the dept. as one should. Our 
routine was great, no complaints, slides out in timely fashion, never behind 
but yet I feel why fix something that is not broken? Please give me input on 
your dept. Cut off times for recuts, special stains, accessioning.  Our 
accepting of specimens cut off time is 0730. Everything gets accessioned. 
The new pathologist wants the cut off time to be 1100 a.m. I would normally 
start accessioning for the next day after lunch, 1230. She believes that 
those specimens should go on that days run. It's confusing but please tell 
me your routine. Thanks in advance. 


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