In my experience in 2 small hospital labs, weekend coverage is just not worth 
it.  If it is a major surgery, then the patient will be recuperating and if it 
is just a biopsy, the ordering physician is rarely available to correlate the 
Pathology findings with the clinical findings.  Most tell the patient that they 
will get their results in a week or two.
The only exception that I have encountered was if you process non-gyn cytology. 
 On rare occasions, we found the need to process a fluid in order to look for 
organisms or to send for flow, though we seldom did more than one per year.  
For those occasions, we usually just had someone volunteer to come in to 
process it in order to save our weekends free.
Generally, at both hospital labs, we were closed when surgery was closed, even 
on 3 day weekends and we've never had trouble or complaints. The weekend cases 
you describe are not a rush.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal


Today's Topics:
   1. Weekend Coverage for Small Pathology Labs (Lindrud, Scott)
Message: 1
Date: Thu, 5 Dec 2019 15:19:39 +0000
From: "Lindrud, Scott" <scott.lind...@carrishealth.com>
Subject: [Histonet] Weekend Coverage for Small Pathology Labs

Hi Histonet,
I apologize if this is being re-posted but I did not see this message on the 
daily Histonet Digest so I'm not sure if it ever got posted.....
I was wondering if anyone would be willing to share their experience with 
weekend Histology coverage for smaller Pathology labs?  When I say small, I'm 
saying about 30,000-33,000 blocks per year (avg 130-140/day) with automated IHC 
and special staining.  Our lab is in a rural area where all but one of the 
histotechs live between 25-50 miles away.  Winter weather has played a role in 
numerous instances of trying to get a histotech to the lab on a bad weather 
Saturday.

Our lab currently has a histotech come in on Saturday morning to set up a gross 
for about 16-20 cases which will be put on processing run to come off on Monday 
morning.  The majority of the cases are from colonoscopies, colposcopies, skin 
excisions, gallbladder/appendix, and placentas.

I'm asking this to see if there is a necessity for the Saturday coverage for a 
lab our size.  If the industry standard is that most labs of smaller size have 
some sort of Saturday histology coverage, then we're good to go.  But if most 
smaller labs aren't providing some sort of weekend coverage, then I feel more 
confident talking to management for our histotechs about the necessity of 
providing the Saturday coverage.   I just don't know what other smaller labs 
are doing.

Thanks for any opinions or information!

Scott A. Lindrud, MLSCM(ASCP)CTCM | Histopathology Technical Specialist
Phone: 320-231-4406
Fax: 320-231-4305
scott.lind...@carrishealth.com<mailto:scott.lind...@carrishealth.com>



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