fetus/POC policy
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From: | RSRICHMOND@aol.com |
To: | histonet@pathology.swmed.edu |
Reply-To: | |
Date: | Fri, 22 Oct 1999 12:42:59 -0400 (EDT) |
Content-Type: | text/plain; charset="us-ascii" |
K. Zajic, histology supervisor in West Palm Beach FL (ODDBALSTER@aol.com)
asks what to do about requests by families to view fetuses that have already
been fixed in formalin.
I don't see that the minimal formaldehyde exposure here is a problem,
assuming you get the fetus out beforehand, give it a thorough washing, pat it
dry, and display it on a clean surgical towel, or better a receiving blanket.
If you're still troubled by the formaldehyde, you could exhibit the fetus in
the pathologist's grossing station. I think the actual viewing is a
responsibility of the nursing service - I don't see why you should have to
undertake this stressful situation.
If you actually have to release the fetus to the family, it would be better
to get the aid of a funeral director. Otherwise, the fetus should be
transferred from formalin to 70% alcohol before giving it to the family. Once
again, this is a nursing service responsibility.
Writing a procedure is an excellent idea, but I don't see why your risk
management people need to be further involved unless they want to be notified
about each episode.
Something you should be aware of - anti-abortion crazies will steal fetuses
if they can, and any recognizable fetus is a security problem. A pathologist
of my acquaintance actually dealt with a situation where such a crazy took
down the identification of the patient from the pathology specimen label, and
proceded to harass the grieving mother for aborting her baby!
Bob Richmond
Samurai Pathologist
Knoxville TN
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