This month, there will be only five residents on service. Daily bigs will be divided among the non-triage residents and PA student up to a max of 3/day, with surplus beyond this as leftover. Triage resident is recommended to gross simple bigs fresh as allowed by frozen/triage workflow and experience. Additionally, triage resident is strongly recommended to preview OR list.
USCAP grossing coverage has been arranged and will be updated in Amion.
Triage resident protected time from frozens has been confirmed for M-F 8:00am-9:15am, regardless of conference length or cancellation. Between 8:00-9:00, the resident will not be paged regarding frozens. Between 9:00-9:15, residents may begin to receive pages alerting them to presence of frozens, with simple frozens to be covered by the PA, and complex frozens to be handled by the resident (+/- PA/tech assistance) on arrival to the gross room.
Two Grossing QA initiatives have been started. One involves gathering data on the reason for returning to the bucket for a gross specimen, which includes an updated data field on the Pull Specimen form. This information will be discussed over the phone by the tech and resident when requesting a specimen pull, and on completion will be submitted in the designated tray near the formalin baths/triage sheets, or back on the carts. The other involves Rachel pulling one random specimen per week to assess completeness of grossing, gross description, photography, etc.
Weigh all parathyroids fresh (if not recieved from OR in formalin), and to three significant digits (e.g., 0.254 g) --> for now, the scale at the Tissue Bank station may be the best option. In general, please ensure accurate, precise measurements and weights for all specimens.
Scanning blocks is not optional, as this is a key component of case tracking and quality assurance. We recognize that there can be obstacles to this (poorly printed cassettes, suboptimal scanners, ventana malfuctions). If you have trouble scanning cassettes, please see a PA for tips and/or email Ryan in histology for cassette verification.