We are a small hospital lab, too.  There is a log book in the OR, where 
specimens are placed for Histo pick up.  The circulating nurse puts a Patient 
sticker and handwrites all specimens removed from the patient, regardless of 
what they are, and whether or not they have been walked down, tubed, or waiting 
pickup.  We make sure that all specimens we remove are listed in the book, then 
sign/date/time for them.  Any specimen left for us and not in the book, or vice 
versa, we bring to the attention of the OR control desk.  If we make a run and 
there are no specimens to pick up, then we still sign and date/time the log 
book as "no specimens".   Any specimens brought to the department are checked 
before accepting.  Crude and time consuming, yes....accurate, too.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax

   6. log book (Kathy Gorham)
  
Message: 6
Date: Sun, 01 Mar 2009 17:15:47 -0800
From: "Kathy Gorham" <gorh...@verizon.net>
Subject: [Histonet] log book
Good Monday Morning,  We had a serious incident Friday with O.R.  My aide went 
down to get the specimens from O.R. about 9am. (which were left overs from the 
night before).  She did not stamp in the specimens before she left.  When I had 
time to stamp them in and record them in the log book I discovered that the 
colon was not there.  Two other specimens from that patient where in the bag 
but no colon.  So I went down to O.R. to see where it was.  Of course no one 
knows what happened to the colon.  The doctors are furious by all means.  Now 
the O.R. thinks the path lab screwed up.  So my questions is how do others log 
in the specimens as they come into the lab.  We have 2 couriers that brings 
specimens when we are not in the lab from other hospitals.  How do you make 
sure that whom ever brings the specimens actually brings the ones they say they 
do?  Do you have a log book that every specimen that is brought into the lab is 
written down by the person who brings it in?  Right now we have a log book but 
it is written in as we are accessing  the specimens.  So the specimens may have 
been there overnight. We are a very small lab and we do almost everything by 
hand including writing in the log book.  Someday we want to be able to scan by 
bar codes but right now we can not do that. Thanks for any help you can give 
me. 
Kathy Gorham, H.T.

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