Agree. As a pathologist, I’ve benefited from weekend coverage at a much smaller 
Hospital  lab. Now am at a much busier lab and we don’t have weekend coverage . 
Would I like it? Yes. But we function fine without it. One thing to always 
consider is cap/Asco time fixation guidelines for breast biopsies. Having a 
weekend run gives you more flexibility.
G

Sent from my iPhone

> On Dec 5, 2019, at 1:40 PM, Terri Braud via Histonet 
> <histonet@lists.utsouthwestern.edu> wrote:
> 
> 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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