Surg Path Meeting 4-3-2017

Staffing

  • Rachel is away 4/3-4/5
  • Saturday tech always present now (Hana or Bianca will alternate)

Residents

  • Only 5 on this month
  • The rotation schedule is not standard because there are only 5 residents; make sure you check the schedule to see what rotation you will be on

Updates/Announcements

  • We are entering a trial of residents NOT grossing biopsies, which means when you go back to help, you will be grossing routines or leftover bigs.
  • We encourage grossing more specimens fresh. This specifically refers to 1) benign cases (such as fibroid/prolapsed uteri, IBD after brief 30 min fixation, etc) as well as 2) any specimen that was serially sectioned at triage for frozen or tissue bank (this goes for cancer cases also). 
  • Triage resident will gross @ 5PM instead of triage if there are specimens left to gross.
  • PAs will help with routines after biopsies are finished.
  • The grosser is now responsible for double-checking specimens at the bench (techs and PAs will no longer double check prior to grossing). This means the grosser is responsible for errors - so please make sure everything is in order! If you have questions on part types, patients, labels, etc - please ASK!
  • If you  need to communicate with the accessioner, ou can check who accessioned what specimen in “Pathology Inquiry”.
  • Check subspecialty service and attending/resident assigned when you gross; you may have to re-enter if you change part type.
  • No need to dictate the patient’s gender and age into the clinical history anymore (EXCEPT for GI). Any and all relevant clinical information should still be dictated.
  • Cytology is in the gross room – some things have been moved around so please be mindful and welcoming.
  • Triage into CoPath is OK if you make sure all numbers are correct. If you are afraid of CoPath deleting your data, either 1) print a copy of the gross to attach to case or 2) save a copy in a Word document. If you do not anticipate grossing the case the next day, make sure the grosser knows where your backup is. 
  • You can start grossing parts from cases that aren’t complete yet; just keep the paperwork with the un-grossed parts and don’t turn it in until the whole case is complete.
  • With this in mind, you can check what the OR logged into OpTime through the "Master Daily Schedule" > Select "UCH Master Daily Schedule" > Enter date of surgery in "Case Date Range" > Click Run > Select patient > Select "OR Surgery Report" in top right Report box > Click on Case ID # > Scroll to bottom under "Specimens" where Pathology specimens are listed.
  • Please be mindful of safety:
    • Do not leave blades out
    • Do not put blades into the enzyme cleaner
    • Be careful when you use the cryostat
    • Be mindful of eye safety

Reminders

  • Update your Dragon files if you haven’t recently
  • Notify Nicole with any proposed changes / updates to Gross Manual
  • Continue to list unassigned bigs in your e-mails
  • Please turn the Faxitron off on Saturdays when you leave