Pathology Policy and Procedure Manual

MCN’s Pathology Policy and Procedure Manual outlines all aspects of the Anatomical Pathology Department. This manual incorporates policies and procedures for key areas including histopathology, cytopathology, staining, optimal specimen management, and more! The manual is cross-referenced to TJC standards, AABB standards and CLIA regulations. Save time, money, and effort with easy-to-use policies and procedures that can be individualized to your department!

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Date Updated Updated Document
2013-11-06 8019 - Quality Control Stains
2013-11-06 8018 - Special Stain Control Record Form
2013-11-06 8012 - Ziehl-Neelson AFB Stain
2013-11-06 8017 - Special Stain Record Form
2013-11-06 8016 - Quality Control - Special Stains
2013-11-06 8011 - Periodic Acid-Schiff (PAS) Stain
2013-11-06 8015 - Histology Daily Worksheet
2013-11-06 8010 - Quality Control of Routine Hematoxylin and Eosin Staining
2013-11-06 8009 - Hematoxylin - Eosin Staining
2013-11-06 8014 - Bone Marrow Procedure
2013-11-06 8008 - Gomori's One-Step Trichrome Stain
2013-11-06 8013 - Coverslipping
2013-11-06 8007 - Gomori's Iron Reaction (Prussian Blue)
2013-11-06 8002 - Pap Smear Staining Procedure
2013-11-06 8006 - Eosin-Y
2013-11-06 8001 - Stains
2013-11-06 7016 - Pathology Code
2013-11-06 8005 - Diff-Quik Stain
2013-11-06 7015 - Peer Education Programs
2013-11-06 8004 - Acid Alcohol
2013-11-06 7014 - Reprocessing Dried Tissue Specimens
2013-11-06 8003 - Restaining Technique
2013-11-06 7013 - Identifying Epithelial Surface on Small Biopsy Specimens
2013-11-06 7012 - Sectioning
2013-11-06 7011 - Embedding
2013-11-06 7008 - Identification and Filing of Frozen Section Slides
2013-11-06 7010 - Fixation/Dehydration - Tissue Processor
2013-11-06 7007 - Frozen Section Protocol
2013-11-06 7009 - Histology Specimen Collection and Fixatives
2013-11-06 7006 - Tumor Case Reporting
2013-11-06 7005 - Pathology Reports
2013-11-06 7004 - Identification and Filing of Slides, Blocks and Wet Tissue
2013-11-06 6019 - Cytology-Histology Correlation Studies Form
2013-11-06 7003 - Identification of Specimens
2013-11-06 6018 - GYN Cytology - Cervical Histology Correlation Log
2013-11-06 7002 - Specimens Approved for Exemption
2013-11-06 6017 - Diagnostic Correlation Between Screener and Pathologist Form
2013-11-06 7001 - Tissue Examination and Exemptions
2013-11-06 6016 - Cytology Screening - Correlation Log
2013-11-06 6015 - Cytology Screening/Rescreening
2013-11-06 6021 - College of American Pathologists - PAP Program
2013-11-06 6009 - Slide Volume Record
2013-11-06 6020 - Proficiency Testing (PT) Program - Cytology: GYN Examinations
2013-11-06 6008 - Spinal Fluid Cytology for Leukemia Cells
2013-11-06 6014 - GYN-Pathology Quarterly Reviews
2013-11-06 6007 - Outside Reference Laboratory Non-GYN Cytologies
2013-11-06 6013 - Pap Smear Log Form - Non-GYN-Cytology
2013-11-06 6012 - Pap Smear Log Form - GYN-Cytology
2013-11-06 6006 - Processing and Reporting of Cytology Examinations
2013-11-06 5009 - Bloodborne Pathogens/Infectious Disease and the Laboratory Worker
2013-11-06 5008 - Exposure of Personnel to Mycobacterium Tuberculosis and Pathogenic Fungi
2013-11-06 6011 - Pap Smear Log
2013-11-06 6010 - Slide Volume Record Form
2013-11-06 6005 - Cytology Preparation
2013-11-06 5007 - Report of Exposure to Bloodborne Pathogens
2013-11-06 4012 - Continuing Education
2013-11-06 5006 - Exposure to Blood or Body Fluids
2013-11-06 6004 - Report of Cytodiagnostic (Cervical Cytology) Examination Form
2013-11-06 6003 - Criteria for Rejection of Cytology Specimens
2013-11-06 6002 - Criteria for Accepting Cytology Specimens
2013-11-06 6001 - Cytology Requisitions
2013-11-06 5010 - Creutzfeldt-Jacob Disease Precautions
2013-11-06 5005 - Sharps Injury Log
2013-11-06 5004 - Sharps Injury Protection Plan - Addendum to Exposure Control Plan
2013-11-06 4011 - New Employee Orientation and Training
2013-11-06 5003 - Exposure Control Plan
2013-11-06 5002 - Hand Hygiene
2013-11-06 4010 - Annual Competency Skills Assessment - Histology Technician/Pathology Secretary
2013-11-06 4009 - Position Description/Performance Evaluation - Histology Technician/Pathology Secretary
2013-11-06 5001 - Standard Precautions
2013-11-06 4013 - Staff Requests
2013-11-06 4002 - Annual Competency Clinical Skills Assessment - Medical Director of Clinical Laboratory/Pathology Department
2013-11-06 4001 - Position Description/Performance Evaluation - Medical Director of Clinical Laboratory/Pathology Department
2013-11-06 3024 - Quality Control - Equipment
2013-11-06 4008 - Annual Competency Clinical Skills Assessment - Cytotechnologist
2013-11-06 4007 - Performance Evaluation - Age-Related Competency - Cytotechnologist
2013-11-06 4006 - Position Description/Performance Evaluation - Cytotechnologist
2013-11-06 3023 - Equipment Maintenance
2013-11-06 4005 - Annual Competency Clinical Skills Assessment - Director of Clinical Laboratory
2013-11-06 3016 - Disposal of Extremity Amputations
2013-11-06 4004 - Performance Evaluation - Age-Related Competency - Director of Clinical Laboratory
2013-11-06 4003 - Position Description/Performance Evaluation - Director of Clinical Laboratory
2013-11-06 3022 - Equipment Safety
2013-11-06 3015 - Disposal of Anatomical Waste
2013-11-06 3021 - Fire Safety
2013-11-06 3014 - Disposal of Pathology Chemicals
2013-11-06 3020 - Emergency Management
2013-11-06 3013 - Handling of Biohazardous Waste
2013-11-06 3012 - Formaldehyde Spill - Emergency Action Plan
2013-11-06 3011 - Formaldehyde Test Kit
2013-11-06 3019 - Latex Sensitivity
2013-11-06 3018 - Disposal of Sharps
2013-11-06 3017 - Disposal of Fetuses
2013-11-06 3006 - Chemical Training Record Form
2013-11-06 3010 - Formaldehyde Monitor Record Form
2013-11-06 3009 - Formaldehyde Precautions
2013-11-06 3008 - Incompatible Chemicals - In Storage and Reactions
2013-11-06 3007 - How to Read Safety Data Sheets (SDS)
2013-11-06 3005 - Hazardous Materials and Waste Training
2013-11-06 3004 - Laboratory Safety Quiz
2013-11-06 3003 - Hazard Surveillance Detection Survey - Clinical Laboratory Services
2013-11-06 3002 - Electrical Safety
2013-11-06 2002 - Performance Measures and Outcomes - Pathology Department
2013-11-06 2007 - Request for Investigation of Transfusion Reaction Form
2013-11-06 3001 - Pathology Department Safety
2013-11-06 2006 - Transfusion Reaction Reporting/Intervention
2013-11-06 2011 - Conducting Root Cause Analysis
2013-11-06 2005 - Criteria for Transfusion Review
2013-11-06 2010 - Sentinel Event
2013-11-06 2004 - Performance Measures and Outcomes - Transfusion Committee (Blood/Blood Product Usage)
2013-11-06 2009 - Tissue Committee Criteria
2013-11-06 2003 - Performance Improvement Monitoring and Evaluation Plan - Transfusion Committee
2013-11-06 2008 - Performance Measures and Outcomes - Tissue Committee
2013-11-06 2001 - Pathology Department Performance Improvement Plan
2013-11-06 1017 - Addresses for Primary Standards
2013-11-06 1008 - Outside Reference Laboratory Services
2013-11-06 1016 - Discontinued Procedures
2013-11-06 1007 - Outside Reference Laboratory Authorization
2013-11-06 1014 - Electronic Reports
2013-11-06 1006 - Prevention of Specimen Mislabeling
2013-11-06 1005 - Tissue Accession Logbook
2013-11-06 1015 - Requesting Slides and/or Blocks
2013-11-06 1013 - Requesting Pathology Services
2013-11-06 1012 - Autopsy Reports
2013-11-06 1011 - Authorization for Autopsy Form
2013-11-06 1010 - Authorization for Autopsy
2013-11-06 1009 - Autopsy Criteria and Next of Kin Authorization
2013-11-06 1004 - Patient Confidentiality
2013-11-06 1003 - Staffing
2013-11-06 1001 - Goals and Objectives
2013-11-06 1002 - Scope of Services
2013-11-06 Disclaimer
2013-11-06 Copyright
2013-11-06 Table of Contents - TJC, AABB, CLIA standards
2013-11-06 Most current changes