Surgical Specimen Flow

  • Specimen received in grossing room (6th Floor PUH)
  • Accessioned, gross dictated initial special stains ordered by resident/fellow
  • Slides prepared and placed in incoming box (Room A722 Scaife Hall)
  • Clinical information, imaging studies/reports and previous surgical specimens/reports compiled by residents prior to signout
  • Cases reviewed by resident/fellow
  • Special stains ordered
  • Case reviewed at signout by Neuropathologist
  • Special stains ordered
  • Communicate diagnosis to neurosurgeon/oncologist verbally/phone when necessary
  • Report dictated by resident/fellow
  • (Frozen section diagnosis, provisional diagnosis, final diagnosis is all to be signed out by the same attending except by special arrangements)
  • Report transcribed
  • Electronic copy forwarded to Neuropathology Fellow
  • Case reviewed by Neuropathology Fellow
  • Forwarded to Neuropathologist for electronic signout
  • Report and images reviewed by Neuropathologist
  • Signed out
  • Case/images reviewed at subsequent signout sessions