I. Day of Autopsy
A. Consultation with Neuropathology Fellow
B. Goals of Autopsy discussed
C. Autopsy performed
- Brain fixed or dissected and banked
- NP sheet filled out by brain banking team
- Brain banker gives sheet to Neuropathology Secretary
- Folder is made by the Neuropathology Secretary
II. Week before Brain Cutting
A. Thursday
- Neuropathology Secretary makes and distributes a list of brains for the following Monday
- Neuropathology Secretary prepares NP folders for all the cases which include: NP brain banking sheet if the case was banked, PAD, and clinical summary
- Neuropathology Secretary delivers folders to NP fellow
- NP fellow distributes folders to all rotating residents
B. Friday
- Neuropathology resident creates addendum and enters normal gross template and enters "neuro-relevant" history under "procedure/addendum entry edit" under other neuro text
III. Day 1 of Brain Cutting (Monday)
A. Brains are cut first Monday after 7 days of fixation
B. Gross reviewed with NP fellow at 8:00 AM
C. Neuro-relevant clinical history rehearsed
D. Presented to attending at 8:30 AM
E. Sections taken
F. Gross description and impressions entered
IV. Day 2 (Tuesday)
A. Gross report reviewed with attending and preliminary signed out.
V. Day 4 (Thursday)
A. H&E stained slides delivered to signout area (if they are not received, call Histology at 7-7660)
B. Slides reviewed by resident and special stains are ordered if necessary
VI. Day 5 (Friday)
A. H&E reviewed by resident and Neuropathologist
B. Micro and final diagnosis dictated (provisional diagnosis dictated if special stains are pending)