Hi Juan,

I am not sure of any ASCP guidelines nor jurisdiction over CLIA requirements. 
It is my understanding all US laboratories have to follow the CLIA set 
guidelines for performing all laboratory testing.  Qualified HT or HTLs can 
gross complicated (high Complexity) testing under specific CLIA guidelines. 
CLIA guidelines have a grandfather clause for high complexity testing of 
experienced techs prior to (I think the exact date is) Sept 1996 that can 
demonstrate experience of the high complexity testing. Following Sept 1996 the 
educational guidelines set in for any high complexity laboratory testing 
requirements.   

Michael

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bassett, Juan L 
CTR (US)
Sent: Wednesday, January 15, 2014 8:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] FW: Frozen sections (UNCLASSIFIED)

Classification: UNCLASSIFIED
Caveats: NONE

Hi LeAnn, Please note my response below.

-----Original Message-----
From: Bassett, Juan L CTR (US) 
Sent: Wednesday, January 15, 2014 7:39 AM
To: 'Michael LaFriniere'
Cc: 'stonet-boun...@lists.utsouthwestern.edu'
Subject: RE: Frozen sections (UNCLASSIFIED)

Classification: UNCLASSIFIED
Caveats: NONE

Michael, Based on my experience the pathologist or pathologists asst. are 
qualified to submit the specimen to be sectioned during a Frozen section 
procedure. And the pathologist asst. is allowed  with the pathologist's 
approval/acknowledgement.  Qualified HT and HTL's can gross non complicated 
specimens within normal tissue grossing procedures. There could be legal issues 
involved with a technician's unilateral decision during a frozen section 
procedure! To get more accurate feedback on this topic , I suggest you contact 
the ASCP with your consideration.

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael 
LaFriniere
Sent: Tuesday, January 14, 2014 1:46 PM
To: Leann M. Murphy; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Frozen sections

Hi Leann,

Dependant on the case and how much tissue comes in from the OR, In my many 
years...I have on many occasions grossed and placed tissue for FS on chuck, and 
performed the frozen section, had it under the scope looking at it prior to the 
Pathologist coming in for DX.(why) because we have experience and it's a 
comfort level the pathologists under their guidance and supervision, Many of us 
have the experience to do this especially if you are grandfathered or have the 
required education under the CLIA regs to gross. I don't know of any regulation 
other than what I have mentioned above that would not allow the experienced HT 
to perform this operation. 

Michael
 
Michael R. LaFriniere, HT (ASCP) 
Executive Director

 
Capital Choice Pathology Laboratory

12041 Bournefield Way, Suite A * Silver Spring, MD 20904  

P: 240.471.3427 * F: 240.471.3401 * Cell 410-940-8844

michael.lafrini...@ccplab.com
-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Leann M. Murphy
Sent: Monday, January 13, 2014 10:35 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Frozen sections

Good morning,

I know all histotechs help cut and stain frozen sections.  Is there any 
organization  out there that has the histotechnician gross the frozen section 
tissue and place on the frozen section chuck to cut without the Pathologist in 
the room.  If anyone does this please tell me why?  And if your organization 
doesn't do this please tell me why.  I am having a debate with our Pathologists 
over this question.

Thank You,
LeAnn Murphy
Aultman Hospital
Canton, Ohio



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Caveats: NONE



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