Is a policy that lists types of specimens that the facility may choose to exclude from 2.1.5 routine submission to the pathology department for examination? Are extra-departmental consultations documented, and records of these 2.1.6 consultations maintained in the pathology department? When extra-departmental cases are submitted to the laboratory for consultation, are they accessioned according to the 2.1.7 standard practices of the laboratory and is a documented report prepared, with a copy sent to the originating pathologist? Is there a policy defining the handling of 2.1.8 original slides/blocks for consultation? When slides/blocks are sent to another 2.1.9 facility for consultation, is this documented? Specimen Examination 2.2 Are there specific policies and procedures 2.2.1 for the safe handling of tissues that may contain radioactive material? Are primary specimen containers labelled 2.2.2 with at least two identifiers? Are there procedures for handling 2.2.3 specimens? Are gross specimens retained for at least 8 2.2.4 weeks after the final reports are signed and results reported? Are all macroscopic tissue gross examinations performed by a pathologist or 2.2.5 under the supervision of a qualified pathologist? Are there defined procedures if gross 2.2.6 examinations are performed by laboratory personnel other than a pathologist? Does a qualified pathologist do periodic 2.2.7 evaluation of the non-pathologist gross examinations? Are surgical tissue diagnoses made by a 2.2.8 pathologist? Are there instructions available for the proper dissection, description and 2.2.9 histological sampling of various specimen types? Are slides of sufficient quality for 2.2.10 diagnosis?
2.1.5 Is a policy that lists types of specimens that the facility may choose to exclude from routine submission to the pathology department for examination? 2.1.6 Are extra-departmental consultations documented, and records of these consultations maintained in the pathology department? 2.1.7 When extra-departmental cases are submitted to the laboratory for consultation, are they accessioned according to the standard practices of the laboratory and is a documented report prepared, with a copy sent to the originating pathologist? 2.1.8 Is there a policy defining the handling of original slides/blocks for consultation? 2.1.9 When slides/blocks are sent to another facility for consultation, is this documented? 2.2 Specimen Examination 2.2.1 Are there specific policies and procedures for the safe handling of tissues that may contain radioactive material? 2.2.2 Are primary specimen containers labelled with at least two identifiers? 2.2.3 Are there procedures for handling specimens? 2.2.4 Are gross specimens retained for at least 8 weeks after the final reports are signed and results reported? 2.2.5 Are all macroscopic tissue gross examinations performed by a pathologist or under the supervision of a qualified pathologist? 2.2.6 Are there defined procedures if gross examinations are performed by laboratory personnel other than a pathologist? 2.2.7 Does a qualified pathologist do periodic evaluation of the non-pathologist gross examinations? 2.2.8 Are surgical tissue diagnoses made by a pathologist? 2.2.9 Are there instructions available for the proper dissection, description and histological sampling of various specimen types? 2.2.10 Are slides of sufficient quality for diagnosis?
CRA-F-05-15189-S-01-Anatomic%20Pathology.docx