Pathology Policy and Procedure Manual

MCN Healthcare’s Pathology Policy and Procedure Manual gives you policies and procedures addressing histopathology, cytopathology, staining, optimal specimen management and much more! This manual is cross-referenced to Joint Commission standards, College of American Pathologists requirements and CLIA regulations. Save time, money and effort with our easy-to-use policies and procedures that you can customize to your pathology laboratory.

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Date Updated Updated Document
2015-07-20 9305 - Autopsy Room
2015-07-20 9304 - Autopsy Reports
2015-07-20 9303 - Consent for Autopsy Form
2015-07-20 9302 - Consent for Autopsy
2015-07-20 9301 - Autopsy Criteria and Next of Kin Authorization
2015-07-20 9217 - Special Stain Control Record Form
2015-07-20 9216 - Special Stain Record Form
2015-07-20 9215 - Quality Control - Special Stains
2015-07-20 9214 - Histology Daily Worksheet
2015-07-20 9213 - Bone Marrow Procedure Requirements
2015-07-20 9212 - Coverslipping
2015-07-20 9211 - Ziehl-Neelson AFB Stain
2015-07-20 9210 - Periodic Acid-Schiff (PAS) Stain
2015-07-20 9209 - Quality Control of Routine Hematoxylin and Eosin Staining
2015-07-20 9208 - Hematoxylin - Eosin Staining
2015-07-20 9207 - Gomori's One-Step Trichrome Stain
2015-07-20 9206 - Gomori's Iron Reaction (Prussian Blue)
2015-07-20 9205 - Eosin-Y
2015-07-20 9204 - Diff-Quik Stain
2015-07-20 9203 - Pap Smear Staining Procedure
2015-07-20 9202 - Stains
2015-07-20 9201 - Reagents/Stains
2015-07-20 9113 - Tumor Case Reporting
2015-07-20 9112 - Pathology Reports
2015-07-20 9111 - Sectioning
2015-07-20 9110 - Paraffin Embedded Tissue
2015-07-20 9109 - Fixation/Dehydration - Tissue Processor
2015-07-20 9108 - Histology Specimen Collection and Fixatives
2015-07-20 9107 - Identification and Retention of Frozen Section Slides
2015-07-20 9106 - Identification and Retention of Slides, Blocks and Wet Tissue
2015-07-20 9105 - Identification of Specimens
2015-07-20 9104 - List of Approved Exempt Specimens
2015-07-20 9103 - Specimen - Gross and Microscopic Examination
2015-07-20 9102 - Frozen Section Protocol
2015-07-20 9101 - Pathology Specimens
2015-07-20 9021 - Outside Reference Laboratory - Non-GYN Cytologies
2015-07-20 9020 - Annual Laboratory Evaluation - Cytology
2015-07-20 9019 - GYN-Pathology Quarterly Reviews
2015-07-20 9018 - Slide Volume Record Form
2015-07-20 9017 - Slide Volume Record
2015-07-20 9016 - Cytology-Histology Correlation Studies Form
2015-07-20 9015 - GYN Cytology - Cervical Histology Correlation Log Policy
2015-07-20 9014 - Diagnostic Correlation Between Screener and Pathologist Form
2015-07-20 9013 - Cytology Screening - Correlation Log
2015-07-20 9012 - Cytology Screening/Rescreening
2015-07-20 9011 - Pap Smear Log Form - Non-GYN-Cytology
2015-07-20 9010 - Pap Smear Log Form - GYN-Cytology
2015-07-20 9009 - Pap Smear Log Policy
2015-07-20 9008 - Processing and Reporting of Cytology Examinations
2015-07-20 9007 - Cytology Preparation
2015-07-20 9006 - Criteria for Rejection of Cytology Specimens
2015-07-20 9005 - Criteria for Accepting Cytology Specimens
2015-07-20 9004 - Cytology Specimen Identification and Requisitions
2015-07-20 9002 - Proficiency Testing (PT) Program - Cytology: GYN Examinations
2015-07-20 9003 - Specimens Excluded from Routine Submission to Cytology
2015-07-20 9001 - Proficiency Testing for Non-Waived Testing
2015-07-20 8007 - Tissue Committee Criteria
2015-07-20 8006 - Tissue Committee PI Trending Sheet
2015-07-20 8005 - Pathology PI Volume Measures/Statistics
2015-07-20 8004 - Pathology PI Outcome Evaluation
2015-07-20 8003 - Pathology PI Trending Sheet
2015-07-20 8002 - Pathology PI Monitoring and Evaluation Plan
2015-07-20 8001 - Performance Improvement Plan - Pathology Department
2015-07-20 7005 - Conducting Root Cause Analysis
2015-07-20 7004 - Sentinel Event
2015-07-20 7003 - Use of Outside Reference Clinical Laboratory Services - Pathology
2015-07-20 7002 - Staffing
2015-07-20 7001 - Scope of Services - Pathology
2015-07-20 6003 - Unacceptable Abbreviation and Symbol List
2015-07-20 6002 - Documentation and the Use of Abbreviations, Acronyms and Symbols
2015-07-20 6001 - Confidentiality of Information - General Issues
2015-07-20 5017 - Creutzfeldt-Jakob Disease Precautions
2015-07-20 5016 - Disposal of Fetuses
2015-07-20 5015 - Disposal of Extremity Amputations
2015-07-20 5014 - Disposal of Anatomical Waste
2015-07-20 5013 - Bloodborne Pathogens/Infectious Diseases and the Laboratory Worker
2015-07-20 5012 - Handling of Biohazardous Waste
2015-07-20 5011 - Definition of Biohazardous Waste
2015-07-20 5010 - Exposure of Staff to Mycobacterium Tuberculosis and Pathogenic Fungi
2015-07-20 5009 - Report of Exposure to Bloodborne Pathogens Form
2015-07-20 5008 - Management of Accidental Blood or Body Fluid Exposure/Contamination
2015-07-20 5007 - Sharps Injury Log Form
2015-07-20 5006 - Disposal of Sharps
2015-07-20 5005 - Sharps Injury Protection Plan
2015-07-20 5004 - Exposure Control Plan
2015-07-20 5003 - Hand Hygiene - CDC Guidelines
2015-07-20 5002 - Standard Precautions
2015-07-20 5001 - Infection Prevention and Control - Clinical Laboratory
2015-07-20 4014 - Peer Education Programs
2015-07-20 4013 - Inservice Education and Continuing Education
2015-07-20 4012 - New Employee Orientation - Pathology
2015-07-20 4009 - Position Description/Performance Evaluation - Pathology Secretary
2015-07-20 4011 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol
2015-07-20 4010 - Annual Competency Skills Assessment - Pathology Secretary
2015-07-20 4008 - Annual Competency Skills Assessment - Histology Technician
2015-07-20 4007 - Position Description/Performance Evaluation - Histology Technician
2015-07-20 4006 - Annual Competency Clinical Skills Assessment - Cytotechnologist
2015-07-20 4005 - Position Description/Performance Evaluation - Cytotechnologist
2015-07-20 4004 - Annual Competency Clinical Skills Assessment - Clinical Laboratory Director
2015-07-20 4003 - Position Description/Performance Evaluation - Clinical Laboratory Director
2015-07-20 4002 - Annual Competency Clinical Skills Assessment - Medical Director of Clinical Laboratory/Pathology Department
2015-07-20 4001 - Position Description/Performance Evaluation - Medical Director of Clinical Laboratory/Pathology Department
2015-07-20 3019 - Eyewash Stations (Plumbed)
2015-07-20 3018 - Sinks
2015-07-20 3017 - Equipment Maintenance - Pathology
2015-07-20 3016 - Equipment Condition and Safety
2015-07-20 3015 - Electrical Safety
2015-07-20 3014 - Fire Safety - Pathology
2015-07-20 3013 - Radioactive Waste Disposal
2015-07-20 3012 - Disposal of Pathology Chemicals
2015-07-20 3011 - Formaldehyde Test Kit
2015-07-20 3010 - Formaldehyde Spill - Emergency Action Plan
2015-07-20 3009 - Formaldehyde Monitoring Record Form
2015-07-20 3008 - Formaldehyde Precautions
2015-07-20 3007 - Incompatible Chemicals - In Storage and Reactions
2015-07-20 3006 - How to Read Safety Data Sheets (SDS)
2015-07-20 3005 - Chemical Training Record Form
2015-07-20 3004 - Hazardous Materials and Waste - Training
2015-07-20 3003 - Staff Latex Sensitivity
2015-07-20 3002 - Hazard Surveillance Detection Survey - Clinical Laboratory
2015-07-20 3001 - Pathology Department Safety
2015-07-20 2002 - Bioterrorism Response - Patient Care Units and Departments
2015-07-20 2001 - Emergency Management - Clinical Laboratory/Pathology
2015-07-20 1011 - "Hand-Off" Communication
2015-07-20 1010 - Critical Results of Tests and Diagnostic Procedures - Reporting of
2015-07-20 1009 - Retention of Laboratory Records
2015-07-20 1008 - Requesting Slides and/or Blocks
2015-07-20 1007 - Electronic Health Record Test Requests and Reporting
2015-07-20 1006 - Verbal and Written Orders - General
2015-07-20 1005 - Labeling of Specimens
2015-07-20 1004 - Tissue Accession Logbook
2015-07-20 1003 - Receipt of Specimens
2015-07-20 1002 - Specimen Identification
2015-07-20 1001 - Pathology Policy and Procedure Manual
2015-07-20 Introduction
2015-07-20 Approval/Signature Sheet
2015-07-20 Disclaimer
2015-07-20 Copyright
2015-07-20 Table of Contents - CAP Standards and CLIA Regulations
2015-07-20 Table of Contents - TJC Standards and CLIA Regulations
2015-07-20 Changes