James, At our institution the techs do not go to kidney or muscle bx. The resident will deliver the fresh specimen to either directly to our lab or to grossing. Hospitals send them in fixative and transport media that we provide to them.
My feeling is that if the techs are not there to check the adequacy of the specimen then there is no need for them to go. We used to do that routinely to ensure good material. These days we occasionally get an inadequate biopsy but considering we do over 700 renal and 200 muscle per year it is a very low percentage of the total and does not justify tech time to examine each one. Tim Morken Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center 505 Parnassus Ave, Box 1656 Room S570 San Francisco, CA 94143 (415) 353-1266 (ph) (415) 514-3403 (fax) tim.mor...@ucsfmedctr.org -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy, Jim Sent: Monday, October 22, 2012 5:58 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Renal biopsies and muscle biopsies I have been at the same hospital for over 34 years. I have seen pathologists come and go, and have seen changes in services like everyone has, some good and some bad. Since workflow changes demands that we do more with less, we are evaluating some of the extra things we do to see if some of these duties need to be done by other staff and not histotechs. In our hospital whenever a renal biopsy procedure is done in ultrasound they call the histology department and one of the staff go to the ultrasound and receive the tissue from the radiologist. The tech then brings the tissue to the gross room and the grossing staff separates and processes the specimen. In the old days ultrasound would page the renal pathologist and the renal pathologist would go get the specimens and then bring them to the gross lab, but it seems like many things this has now been relegated to the technical staff. We also pick up renal biopsies and muscle biopsies specimens from another hospital in the same town that sends us renal biopsies since we have the local renal pathologist. We do not routinely pick up any other specimens because we have a courier system, but the renal and sometimes muscle biopsy service still remains in the hands of the histology department. I would like to know how other hospitals handle transportation of specialized specimens such as renal biopsies and muscle biopsies. In the old days there was a purpose for a pathologist to be present since often the radiologist asked the pathologist to evaluate if he or she had enough adequate tissue, but today with better ultrasound methods rarely do the radiologists ask the techs to evaluate whether enough adequate tissue has been taken. I need some background information from others before I approach the powers to be to come up with an alternate plan so that the histotechs can spend more time in the lab and less time being a courier service for these biopsies. Of course an alternate way will have to include a method that is reliable and not threaten the patient results. Your thoughts? James Vickroy BS, HT(ASCP) Surgical and Autopsy Pathology Technical Supervisor Memorial Medical Center 217-788-4046 ________________________________ This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
