Re: [Histonet] Requisitions
I don't know about CAP guidelines, but I always thought separating the paperwork was to avoid blood/body fluid and/or formaldehyde contamination to the poor transcriptionists and clerical people who have to handle the req after grossing, with no gloves or ventilation! Some places I've worked have put the reqs in clear plastic binder pages to avoid this, in others the transcriptionists have worn gloves. Sincerely, Jay A. Lundgren, M.S., HTL (ASCP) On Wed, Aug 21, 2013 at 1:55 PM, Martin, Gary gmar...@marshallmedical.orgwrote: We are having a discussion as to whether the requisition needs to remain with the specimen at the grossing stage or can it be in a separate stack on the grossing table, while the actual specimen is left in the on deck tray. I believe I have seen something that speaks to this through the CAP guidelines, but am unable to find it. Any help would be appreciated. Thanks Gary ___ 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
RE: [Histonet] Requisitions
I am not aware of any CAP regulation that requires the requisition to remain w/ the specimen. The pathologist/PA at gross dissection needs to be able to positively confirm/verify the specimen container information (two forms of patient ID and specimen source) w/ the order entry information (taken from the requisition). There are many labs that are paperless during the technical process and I see more and more use of electronic requisitions and orders. William DeSalvo, BS HTL(ASCP) Chair, NSH Quality Management Committee Date: Wed, 21 Aug 2013 11:55:12 -0700 From: gmar...@marshallmedical.org To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Requisitions We are having a discussion as to whether the requisition needs to remain with the specimen at the grossing stage or can it be in a separate stack on the grossing table, while the actual specimen is left in the on deck tray. I believe I have seen something that speaks to this through the CAP guidelines, but am unable to find it. Any help would be appreciated. Thanks Gary ___ 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
RE: [Histonet] Requisitions
There are times when the requisition and the specimen are labeled differently. Many offices pre-label their specimen containers, take the specimen from a different source and forget to change the label on the container. They make the change on the requisition and then you have a discrepancy. The grosser is a perfect double check to make sure everything matches. It will keep you from having to amend reports that go out before the discrepancy is discovered. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO Sent: Wednesday, August 21, 2013 4:02 PM To: Martin, Gary; histonet Subject: RE: [Histonet] Requisitions I am not aware of any CAP regulation that requires the requisition to remain w/ the specimen. The pathologist/PA at gross dissection needs to be able to positively confirm/verify the specimen container information (two forms of patient ID and specimen source) w/ the order entry information (taken from the requisition). There are many labs that are paperless during the technical process and I see more and more use of electronic requisitions and orders. William DeSalvo, BS HTL(ASCP) Chair, NSH Quality Management Committee Date: Wed, 21 Aug 2013 11:55:12 -0700 From: gmar...@marshallmedical.org To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Requisitions We are having a discussion as to whether the requisition needs to remain with the specimen at the grossing stage or can it be in a separate stack on the grossing table, while the actual specimen is left in the on deck tray. I believe I have seen something that speaks to this through the CAP guidelines, but am unable to find it. Any help would be appreciated. Thanks Gary ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Requisitions
That seems to happen pretty often. When I accessioned a lot it was at least a daily occurrence that information would not match between the jar and requisition, or information was missing or illegible. I have noticed that it is much easier to reach the actual person who labeled the specimen for corrections if you attempt to track them down as soon as possible after the specimen is dropped off. I have a policy for checking the manifest and then cross checking the jar and requisition during accessioning that requires they travel together in order to be cross-checked. If problems are noted, discrepancies, missing information and the like, there is a form to document the discrepancies and relabeling needed. I prefer to also note in the LIS, just in case there are still questions later. I just feel that even if it is not specifically stipulated in regulations or checklists that when the requisition and specimen/specimen jar are always together you can catch specimen integrity problems sooner so they can be corrected. The grosser is also a great checkpoint, definitely. Joelle Weaver MAOM, HTL (ASCP) QIHC From: doug.por...@caplab.org To: histonet@lists.utsouthwestern.edu Date: Wed, 21 Aug 2013 16:19:10 -0400 Subject: RE: [Histonet] Requisitions There are times when the requisition and the specimen are labeled differently. Many offices pre-label their specimen containers, take the specimen from a different source and forget to change the label on the container. They make the change on the requisition and then you have a discrepancy. The grosser is a perfect double check to make sure everything matches. It will keep you from having to amend reports that go out before the discrepancy is discovered. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO Sent: Wednesday, August 21, 2013 4:02 PM To: Martin, Gary; histonet Subject: RE: [Histonet] Requisitions I am not aware of any CAP regulation that requires the requisition to remain w/ the specimen. The pathologist/PA at gross dissection needs to be able to positively confirm/verify the specimen container information (two forms of patient ID and specimen source) w/ the order entry information (taken from the requisition). There are many labs that are paperless during the technical process and I see more and more use of electronic requisitions and orders. William DeSalvo, BS HTL(ASCP) Chair, NSH Quality Management Committee Date: Wed, 21 Aug 2013 11:55:12 -0700 From: gmar...@marshallmedical.org To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Requisitions We are having a discussion as to whether the requisition needs to remain with the specimen at the grossing stage or can it be in a separate stack on the grossing table, while the actual specimen is left in the on deck tray. I believe I have seen something that speaks to this through the CAP guidelines, but am unable to find it. Any help would be appreciated. Thanks Gary ___ 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 ___ 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
