RE: Gross

From:"Morken, Tim"

Are you saying you don't have enough beauracracy in N. Ireland already, and
feel the need to import the USA variety? Woe unto you!!

But, if you are determined, then this is where to look:

Tim Morken
Atlanta, USA

-----Original Message-----
From: Brennan, Liam []
Sent: Wednesday, May 29, 2002 10:25 AM
To: 'Charles.Embrey'
Subject: RE: Gross

Charles- Where could I get hold of these CLIA'88 regulations, I have tried a
search on the web without success. I think they maybe something we can build
upon this side of the atlantic.
                    Many thanks for your anticipated help
                            Liam Brennan
                            Histopathology Dept
                            Belfast City Hospital
                            N. Ireland

-----Original Message-----
From: Charles.Embrey []
Sent: 28 May 2002 14:04
To: 'Melissa Jensen'
Cc: ''
Subject: RE: Gross

You can get great info at

CLIA '88 lists the requirements for non-pathologists grossing. Grossing is
considered high-complexity testing even if it's a punch biopsy. CLIA '88
states "On or before April 24 1995 (I) be a high school graduate or
equivalent; and (b) have documentation of training appropriate for the test
performed before analyzing patient specimens"................After that date
it requires an associate degree in a biological or chemical science or
medical laboratory technology -or- qualify as a medical technologist with a
bachelor's degree from an accredited institution -or- earned a bachelor's
degree in a chemical, physical, biologic or clinical laboratory science. 

ref. CLIA '88 493.1489

Also CAP requires a written instruction detailing what specimens may be
grossed with direct vs indirect pathologists' observation. Direct means that
the pathologist literally watches over your shoulder while you gross the
specimen. Indirect means that he is readily available to consult.

I hope this helps,

Charles R. Embrey Jr., PA(AAPA), HT(ASCP) 
Histology Manager 
Carle Clinic 
Urbana, IL   (217) 383-6621

-----Original Message-----
From: Melissa Jensen []
Sent: Thursday, May 23, 2002 5:02 PM
Subject: Gross

What are the current rules,regs and or requirements,for non Pathologists
doing gross? 

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