Gross Only

Auto text: “Insert Legal Bullet” or “Insert Gross Only”

These specimens can be grossed the same day they are received. Please wait until after other work is done before working on gross-only specimens.

  • Some gross-only specimens require photographs; others do not. If a photo is taken, please dictate in the gross description.
  • Objects that REQUIRE a gross photo:
    • Breast implants (not expanders)
    • Bullets
    • Legal cases
    • Cardiac hardware, i.e. AICDs, pacemakers, and leads (returned to manufacturer; make sure both sides including all serial numbers are photographed)
    • ANY object to be returned to physician or patient
  • Objects that DO NOT require a gross photo:
    • Chemotherapy or Dialysis ports (such as port-a-cath or PD catheters.
    • Orthopedic hardware (arthroplasty revisions)
    • Routine foreign objects (pennies, peas, plastic pieces, etc)
    • UNLESS the object is to be returned to physician or patient! Then it must be photographed.
  • Do not put formalin on any cardiac related hardware. See a PA or AP Tech if you have questions.
  • Measure and describe the pieces, being sure to dictate any alphanumeric markings present on the objects.
  • In the event that significant amounts of soft tissue are present, consider submitting for histologic examination.
    • If tissue is scant or needs to be scraped off – do not worry about submitting. Ask an attending if unsure
  • If no cassettes are being submitted for any part of the case, please remember to enter the Final Diagnosis in Case Results and advance the case status to Final Diagnosis Done:

Final Diagnosis:

Site, specimen; removal:
– Surgical hardware (gross examination only).

(can use the .HARD SmartText)

Site, specimen; removal:
– Foreign object (gross examination only).

(can use the .FOBJ SmartText)

Site, specimen; extraction:
– Teeth (gross examination only).

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