Our 2 cents: What is a level?  A level is how you've defined level in
your SOP.  In this lab, we use the words level and recut
interchangeably. We define a level as 40 microns deeper than the
previous section.  If the pathologist wants to see every section of
tissue cut without skipping any tissue, then they order "sequential"
sections.  If we get orders to go into a block a second time, call it
recut or level, then the 1st slide is always the first full face section
obtained. If the tech senses that the orders will exhaust the tissue in
the block, then they communicate that to the pathologist before cutting.
If the pathologist orders the block to be cut through, we will ask them
how many slides they want and space them accordingly. Its not really
that complicated and it works for us.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

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