Victor,

Rene is correct in stating that CLIA allows Gyn Liquid Based Paps to be counted 
as 1/2 slide.  It gets tricky when you start mixing 1/2 slide counts and full 
slide counts in making sure the techs do not exceed 100 slides (or in the case 
of LBP's 200 slides).  If you get a lot of FNA's the counts can go up very 
quickly.

Most LIS systems can prevent Techs from exceeding their limit.  I would check 
again to see why your LIS is not capturing the NON-Gyn slides.  Another CAP and 
CLIA requirement is that each 6 months, the cytotechs are supposed to have a 
Competency Assessment where the Medical Director signs off on the maximum 
number of slides each tech is qualified to screen.  This is the number that 
most labs place in the LIS as the max that particular tech can review.

What LIS system do you have? 


Steve

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Friday, July 16, 2010 5:21 PM
To: Histonet; Victor Tobias
Subject: Re: [Histonet] Cytology 100 slide limit


Victor:
As you wrote, either you have to be diligent in recording your work, or you 
will have to modify the software of the LIS system to account correctly.
On the other hand, if you are dealing with liquid base samples usually using a 
Thin-Prep Imaging System (TIS) and the sample covers one-half or less of the 
slide surface, CLIA88 has expanded the limit from 100 to 200 slides/day.
René J.

--- On Fri, 7/16/10, Victor Tobias <vic...@pathology.washington.edu> wrote:


From: Victor Tobias <vic...@pathology.washington.edu>
Subject: [Histonet] Cytology 100 slide limit
To: "Histonet" <Histonet@lists.utsouthwestern.edu>
Date: Friday, July 16, 2010, 3:33 PM


Our Cytology Supervisor was telling me about the 100 slide maximum that they 
can screen in a day. Our LIS is not capturing the NON-GYN slides being 
screened, so unless you are very diligent in recording the slides screened, you 
could go over the 100 limit.

Our supervisor also believes the computer system should notify the user when 
the limit has been reached and prevent them from continuing. Is this a CAP 
requirement? How are you dealing with this problem or is it a problem for you?

Victor

-- Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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