Heather,

Tough question(s) to answer.  Not knowing the scope of your service and the direction you're heading makes it difficult.  Sounds as though your new pathologist has some definite ideas about those topics.
I can only tell you about our service, so here it goes...

We are a tertiary care facility, just under 400 beds.  Our responsibility includes 2 smaller hospitals and multiple clinics in an extensive region.  We had approximately 25,000 cases in 2005 and have had steady growth over the last 5 years of 5-10%.    
We are a 12 hour operation 5AM - 5PM, with pathologist, histologist and autopsy call coverage on weekends.  Our pathologists are asked to refrain from calling in requests until 9AM.  We will run IHC same day on orders received up until noon (some overnight runs after noon) specials (non-IHC), recuts and deepers up until 2PM.  Anything after that is next day unless there is a good "patient care" reason.
We accept specimens for accessioning until 4PM.  Again, we will make exceptions if there are good "patient care" reasons.  That's it in a nutshell.  I have no idea what you're facing or what your service is expected to provide.  Just off the cuff it sounds like everyone needs to get on the same page for starters.  I would think your pathologists should respect your opinion re: what it takes, to get what you're expected to do, done.
Good luck,
tj

-----Original Message-----
From: histonet-bounces@lists.utsouthwestern.edu
[mailto:histonet-bounces@lists.utsouthwestern.edu]On Behalf Of
Heather.A.Harper@pcola.med.navy.mil
Sent: Friday, March 31, 2006 12:12 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Need input


   Hi Everybody,

      I am the supervisor of a small histology dept. I need input on when or
who decides that you need to overhaul the routine you have in place. Is it
the pathologists?  I have always known a histology dept. to run with certain
cut off times. I have a new pathologist, and she wants me to change my
routine completely, so that I am doing the bulk of my work at the end of my
shift, which is grossing. No matter what I say, she has an answer for every
question, has justified it and I feel like what is the point of being a
supervisor, if you are not allowed to run the dept. as one should. Our
routine was great, no complaints, slides out in timely fashion, never behind
but yet I feel why fix something that is not broken? Please give me input on
your dept. Cut off times for recuts, special stains, accessioning.  Our
accepting of specimens cut off time is 0730. Everything gets accessioned.
The new pathologist wants the cut off time to be 1100 a.m. I would normally
start accessioning for the next day after lunch, 1230. She believes that
those specimens should go on that days run. It's confusing but please tell
me your routine. Thanks in advance.

 

Heather

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