Re: [Histonet] contaminating patient requesition forms

2019-11-12 Thread Bell, Lynne via Histonet
We place the requisitions in plastic pages.  Keeps the "gunk" off and can be 
cleaned repeatedly.

Lynne Bell, HT (ASCP)
Histology Team Leader
Administrative Assistant Lead
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05602
(802)371-4923



-Original Message-
From: Bryan Llewellyn via Histonet 
Sent: Tuesday, November 12, 2019 12:59 PM
To: Paula ; Histonet 
Subject: Re: [Histonet] contaminating patient requesition forms

This message came from an external source. Please exercise caution when opening 
any attachments or clicking on links.

We used to have a form with two sheets. The front sheet was a "magic carbon" so 
the patient information was automatically transferred. During booking in of the 
specimen, we separated the sheets. The back sheet accompanied the specimen for 
the gross description and the top sheet went directly to the office. The top 
sheets were retained as they had the original signature.

Bryan Llewellyn


Paula via Histonet wrote:
> Hello..good morning,
>
>
>
> Can anyone recommend a creative approach to avoid blood from being
> transferred from disposable gloves onto the patient requisition form
> during the grossing phase of histology?
>
>
>
> I've seen a number of smudge marks and have asked the grossing doctor
> to avoid touching the requisition form but she says that is
> unavoidable.  I've asked her to change out gloves, but she says that is not 
> practical.
>
>
>
> In the meantime, if billing or lab personnel sees this, they will put
> on gloves and insert the paperwork inside a protective sleeve cover.
>
>
>
> But, what are the types of things the grossing doctor can do to avoid
> this transfer besides changing out gloves or avoiding touching the paperwork?
>
>
>
> Thank you in advance,
>
> Paula
>
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Re: [Histonet] expiration dates

2016-07-19 Thread Bell, Lynne via Histonet
My can of Fisherbrand Freeze'it does not have an expiration date on it but I 
have Cytocool II from Richard-Allan Scientific does have one (it's printed on 
the bottom of the can).


Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
(802)371-4923







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RE: [Histonet] Looking for ribbons for old Surgipath VCP cassette printer

2015-02-06 Thread Bell, Lynne
We are still in the dark ages too! We get our ribbons from Mercedes Medical, 
Item # PAP 79333, 12 ribbons in a box for $48 - much cheaper than Leica!

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Stedman, Nancy
Sent: Thursday, February 05, 2015 9:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Looking for ribbons for old Surgipath VCP cassette printer

Hi everyone -

For those of us who are still in the dark ages... have an old Surgipath VCP 
cassette printer; does anyone know where to get replacement ribbons for these 
machines these days?   Does anyone know who supports these machines anymore?  
Thanks so much -

-Nancy Stedman



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[Histonet] Slides from antibody validation

2014-10-14 Thread Bell, Lynne
Following antibody validation studies, do you keep your slides accessible for 
CAP to peruse during inspection?  Has anyone had CAP actually ask to see your 
slides?  I feel that keeping the validation forms, signed off by the medical 
director, is sufficient, but I would like other opinions.

As always, thanks for any and all guidance!

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923



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[Histonet] RE: Thermo Scientific Embedding Centre Histostar

2014-01-21 Thread Bell, Lynne
I have the Histostar embedding center (purchased 9/2012) and have not had any 
problems with the touch screen.  

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gregoire, 
Rhonda (MAFRI)
Sent: Tuesday, January 21, 2014 1:09 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Thermo Scientific Embedding Centre Histostar

We are looking at purchasing a Histostar and would like to know if you have had 
any trouble with the touch screen?  I had to replace the touch screen on our 
Histocenter 3 because we could no longer navigate the menu with all the lines 
going thru it.  Wanted to know if it was just our bad luck or if anyone else 
has had the same experience with the touch screen.

Thanks

Rhonda Gregoire, MLT
Supervisor, Clinical Pathology
Veterinary Diagnostic Services
Manitoba Agriculture, Food and Rural Development
545 University Crescent
Winnipeg, MB
R3T 5S6

phone 204-945-7641
fax 204-945-7646
email rhonda.grego...@gov.mb.camailto:rhonda.grego...@gov.mb.ca



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RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

2013-01-10 Thread Bell, Lynne
I agree, Dr. Cartun.  I believe that the CPT Coding book specifically says that 
it is only a professional charge.

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Thursday, January 10, 2013 2:47 PM
To: Joyce K. Weems; Mark Tarango; Mike Pence; Natalie Nagy
Cc: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue retrieval

I'm not 100% sure, but I don't think this CPT code has a Technical component.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-2204 Fax


 Mike Pence mpe...@grhs.net 1/10/2013 2:27 PM 
So are you putting the charge thru twice or is the charge for the 88363
divided out into tech and prof.?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems,
Joyce K.
Sent: Thursday, January 10, 2013 1:06 PM
To: 'Mark Tarango'; Natalie Nagy
Cc: histonet@lists.utsouthwestern.edu 
Subject: RE: [Histonet] Help with CPT code 88363 for archived tissue
retrieval


And I should explain the reason I most know this.. our pathologists were
denied because the tech charge hadn't been entered yet. So now I make
sure the tech charge is entered before sending to the pathologists
billing folks.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org 



www.saintjosephsatlanta.org 
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mark
Tarango
Sent: Thursday, January 10, 2013 2:01 PM
To: Natalie Nagy
Cc: histonet@lists.utsouthwestern.edu 
Subject: Re: [Histonet] Help with CPT code 88363 for archived tissue
retrieval

It can't be used to just pull blocks.  The slides have to be reviewed
and the best block chosen by a pathologist.  If there is only one block
then the pathologist needs to look at the slides and determine if there
is enough tissue for molecular testing.  It's a professional charge.

Use it on re-accessioned cases for which molecular testing is requested
and the best block needs to be chosen.

Yes we use it when sending out for Oncotype DX if the case was signed
out over 30 days before.

Mark

On Thu, Jan 10, 2013 at 7:36 AM, Natalie Nagy 
nagy_nata...@holyokehealth.com wrote:

 Hi everyone,
I just have a question about CPT code 88363, first 
 can it be used for pulling blocks for Oncotype DX testing, also is 
 there a time limit on when this code can be used? Does it have to be 
 within a year, a month, etc...of when the patient account went active?

 Thanks for all the help,

 Natalie J. Nagy (HT)ASCP
 Histology Supervisor
 Holyoke Medical Center


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RE: [Histonet] CPT CODE

2011-10-27 Thread Bell, Lynne
Patti,
We use CPT code 88112 - Cytopathology, selective cellular enhancement technique 
with interpretation (e.g. liquid based slide preparation method) except 
cervical or vaginal. (CPT 88112)


Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of SHANE NELSON
Sent: Thursday, October 27, 2011 2:29 PM
To: Histonet
Subject: [Histonet] CPT CODE

Does anyone know the CPT code for Anal pap smear


THANK YOU,
 
PATTI RUBEN-NELSON  H.T.(ASCP) 
nelsonr...@verizon.net
 
 
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[Histonet] RE: Methenamine

2011-10-12 Thread Bell, Lynne
We get ours from Sigma-Aldrich (it is called Hexamethylenetetramine, ACS 
reagent) Catalog Number 398160-250G.  We received it last May, so I assume that 
they still make it. Website is http://www.sigmaaldrich.com/united-states.html.

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pardue, Judith
Sent: Wednesday, October 12, 2011 7:12 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Methenamine

I have tried to order methenamine and was told they no longer make it.
We have tried many different companies that have it listed in their
products but
when you order it you are told it is no longer available. Does anyone
know where we can get it or what is being used in its place.
 
Judith Gale Pardue HT(ASCP), QIHC
Histology Supervisor
423-495-5756
Memorial Healthcare System
 
To the world I'm one, to one I'm the world
 




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RE: [Histonet] Green counterstain problems

2011-10-04 Thread Bell, Lynne
We have had this problem before.  Make sure that the glacial acetic acid has 
been added to the light green stock solution.  Cured our problem!!!

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05641
802-371-4923
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of rg...@bmnet.com
Sent: Tuesday, October 04, 2011 10:48 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Green counterstain problems


Good Morning Histonetters!

I've been having a counterstain problem with my GMS and PAS-F.  Both stains
work as they should until the green counterstain is applied.  I cannot get
my tissue (control or patient) to uptake the counterstain.  I have varied
time, temperature, even companies.  I have good controls that have been in
use for years without problems, until now.  Only after an extended -10+
minutes,- can I get a blush of color in them.  I've even called the slide
company to ask if there has been a change to the charge coating
I'm open to suggestions.
Thanks!

Renee Grow, BA., HT (ASCP)
rg...@bmnet.com
Histology Supervisor
Blount Memorial Hospital
907 E. Lamar Alexander Pkwy.
Maryville, TN  37804-5016
(865) 977-4744
(865) 977-5766 Fax


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[Histonet] Ventana's HER2 Dual ISH DNA Probe Cocktail

2011-06-20 Thread Bell, Lynne
Ventana just received FDA approval for the first fully automated diagnostic 
assay for HER2 gene status determination in breast cancer patients.

I do not have a Ventana immunostainer and from what I have been told, it is a 
closed system and this new probe cocktail could not be used on another stainer, 
such as the Dako.

Is anyone out there in HistoLand using this new cocktail and am I correct that 
it would not work using the Dako Autostainer.

A Ventana rep may contact me with this information also.

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
Barre, Vermont  05641
802-371-4923


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[Histonet] RE: p63

2011-05-23 Thread Bell, Lynne
I believe the only place you can buy p63 is through Biocare, www.biocare.net.


Lynne Bell, HT (ASCP)
Histology Team Leader
802-371-4923

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RE: [Histonet] Supplier for human testis control slides?

2011-04-28 Thread Bell, Lynne
I can think of a couple of people I would gladly volunteer.

Lynne Bell, HT (ASCP)
Histology Team Leader
802-371-4923

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[Histonet] HistoGel for cell blocks

2010-11-23 Thread Bell, Lynne
One of my pathologists is interested in the pros and cons of HistoGel for cell 
blocks.  I have read the archives and gathered some information for him.  He 
specifically would like to talk to someone that has been using it for some time.

Along the same line, what method do you find to be the best for cell blocks?

Any help would be appreciated.  Thanks!

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
P. O. Box 547
Barre, VT  05641
802-371-4923


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RE: [Histonet] Autopsy charge

2010-08-05 Thread Bell, Lynne
For outside cases, we charge $1200 for full autopsy, including brain, $950 
for full autopsy not including brain and $700 for a partial autopsy (chest 
only, abdomen only, brain only).

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Thursday, August 05, 2010 12:07 PM
To: Histonet
Subject: [Histonet] Autopsy charge

If you do an autopsy on a patient who has died at home (with no connection to 
your medical institution) at the request of the family, what do you charge?  
Thanks.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax



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RE: [Histonet] Paraffin Block Storage

2010-07-16 Thread Bell, Lynne
In Vermont we are very frugal.  What I have used for more years than I care to 
remember are pizza boxes from Pizza Hut.  Our local Pizza Hut gives them to us 
for free.  They are very sturdy and perfectly fit 11 rows across and 
approximately 36 blocks per row.  I have 20 years of blocks stored this way.

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] Retaining empty containers

2010-06-23 Thread Bell, Lynne
We keep all of our empty containers for one week in plastic biohazard buckets 
and we label them Monday, Tuesday, etc. (same as Rosa).  Saving them has saved 
our butt more than a few times!

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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[Histonet] RE: AMT Cover

2010-05-12 Thread Bell, Lynne
I had this catalog on my desk and everyone that came in to Histology was 
astounded by the cover.  No need  for the dorsal lithotomy position!

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] help

2010-03-23 Thread Bell, Lynne
Pretty funny stuff!!  I say to try the sodium thio - it removes unreduced 
silver.  Or you could grab a Brillo pad and scrub away!

This laugh was just what I needed today.  Thank you.

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] VIP 6

2010-03-18 Thread Bell, Lynne
Short and sweet - the best processor available.  Love mine ♥!

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923

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RE: [Histonet] Excelsior Vs. VIP 6

2010-03-11 Thread Bell, Lynne
We just purchased a VIP 6 in January.  It is wonderful - user friendly, many 
programming options and Tissue-Tek's reliability with its tissue processors 
make it the best processor (in my opinion) being sold today.

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] RE: CPT code 88313 on non-gynecological cases

2010-02-04 Thread Bell, Lynne
I would be very interested in a reference on this as well.  We do use Diff-Quik 
stains for air-dried FNA slides.  It would be great if we could charge for 
them!!

Lynne A. Bell, HT (ASCP)
Technical Specialist, Histology
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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[Histonet] RE: Experience with Tissue Tek VIP6 processor

2010-01-15 Thread Bell, Lynne
We just installed a Tissue Tek VIP6 processor.  So far I love it!  Please feel 
free to email me with any questions.  I know that the Histonet is a great 
resource - they helped lead me to purchasing this unit.

Lynne

Lynne A. Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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[Histonet] Conventional Tissue Processors

2009-11-04 Thread Bell, Lynne
We are in the process of purchasing a new tissue processor to replace an aging 
Tissue-Tek VIP E300.  I would love to have opinions on the following processors 
- Leica ASP300 S,   Shandon Excelsior ES, and Tissue-Tek VIP 6.  Obviously, 
reliability is the utmost concern.  I would also like to know from those in the 
New England area how service is for any of these processors.

Thank you,

Lynne Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] Diff Quik CPT code

2009-11-03 Thread Bell, Lynne
The CPT code for diff-quik for H.pylori is 88313.

Lynne Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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RE: [Histonet] Slide and Block Disposal

2009-09-25 Thread Bell, Lynne
We do the following for slide and block disposal:

Slides are discarded into a rigid, puncture-proof biohazard sharps container 
and discarded with the regular trash.

All paraffin blocks are discarded into the regular trash, as well.

I believe I once read that Joe the Toe Nocito remarked that paraffin blocks 
are not hazardous (infectious) and to prove his point, he licked the block!

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
Barre, VT  05641
802-371-4923

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RE: [Histonet] Re: Dragon speech recognition

2009-09-08 Thread Bell, Lynne
Our two pathologists have just started using the Dragon speech recognition - 
the medical version that our hospital had purchased for other physicians.  One 
of our pathologists, in trying out the software, read from a pathology 
textbook.  It never missed a word.

We have been using it for approximately three weeks now.  It has eliminated a 
full time position (she had just given her notice one month ago).  The other 
parts of the transcriptionist  position have been absorbed by three laboratory 
secretaries.  So far, the pathologists believe that using the Dragon software 
has decreased our turn around time.

Lynne Bell, HT (ASCP)
Central Vermont Medical Center
130 Fisher Road
Berlin, VT  05602


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RE: [Histonet] (no subject)

2009-08-27 Thread Bell, Lynne
We purchase our Alcian Yellow kit for Helicobacter from Newcomer Supply, Kit 
#9130.  Phone number is 800-383-7799.  They are a wonderful company to deal 
with and their Alcian Yellow kit works beautifully.  Our pathologists love it!!

Lynne Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923


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[Histonet] RE: computer order entry - Meditech

2009-07-28 Thread Bell, Lynne
We have Meditech here.  Our lab secretaries accession all cases - not the 
individual departments.  We do not use OE for this.  After the secretaries have 
ordered the specimens, I do go back into each case to be sure that the correct 
tissue description and CPT code have been entered.

Lynne Bell, HT (ASCP)
Histology Team Leader
Central Vermont Medical Center
P. O. Box 547
Barre, VT  05641
802-371-4923

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RE: [Histonet] A Friday afternoon Funny for the H-net folks :)

2009-04-10 Thread Bell, Lynne
Thanks, Cheryl!  That's just what we needed after the week we have had here on 
the Histonet.

Lynne Bell, HT(ASCP)
Central Vermont Hospital
130 Fisher Road
Barre, VT  05641
(802)371-4923



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[Histonet] Compromised specimens

2009-03-11 Thread Bell, Lynne
When our histology lab receives a compromised specimen (not labeled with 
patient's name, wrong DOB, no label whatsoever, etc) we have the offending 
party correct the error and fill out an accountability form accepting full 
responsibility for the identification of the specimen.  We then scan the 
accountability form into the patient's medical record and include the 
information in the specimen comments section of the pathology record.  This 
information does not print on the official pathology report.

My question - should the pathologist include in his/her report the compromised 
specimen information?  Presently, on our clinical lab reports and cytology 
reports it is included - simply saying Compromised Specimen.  Our 
pathologists historically have not wanted to include this in the official 
pathology report and I feel that it should be in there - sort of a cover your 
butt addendum.

I'm curious what other hospitals do!!

Thanks in advance,

Lynne A. Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923






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