PREPARING FOR POWER OUTAGE
IN ANATOMIC PATHOLOGY.
(Procedure 255).
http://www.netautopsy.org/axsop/axsop255.htm


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See also: Frozen section policies: 25, 26, 27, 41, 86.



PRINCIPLE OF THE TEST.

      Occasional power outages require preparation by the Anatomic Pathology Laboratory.



STEP-BY-STEP DESCRIPTION.


1. Occasional power outages, both scheduled and unscheduled, require preparation in the Anatomic Pathology Laboratory.

2. In any emergency, the Anatomic Pathology Laboratory has responsibility for the following activities:
2.1. Receiving and processing frozen sections from the Operating Room suite.

2.2. Looking up pathology records (surgical pathology and cytopathology) for signed-out cases.

2.3. Logging in new biopsies, in case the outage is lengthy.


3. If the power-outage is scheduled, then the on-call attending pathologist should inform the surgeons in the operating room that frozen-sections might possibly be delayed.

4. Collect a log of all the surgical pathology and cytopathology cases for off-line searching. Sign on to VistA®

5. To capture the logs onto your local workstation hard-drive:
 Click on TOOLS (toolbar, top middle of screen).
 Enter File Name: surg2005.txt
 Click on START CAPTURE.


6. YOU MUST CHANGE THE SCREEN-LINE-WIDTH to 132 characters, since the surgical pathology and cytopathology logbooks require 132 columns (80 columns is the default width for VistA®). Otherwise, the resulting screen output will have annoying line-wrap characters, that makes it unsuitable for text searching and display.
 Click on PROPERTIES (toolbar, top middle of screen).
 Click on EMULATION (top of menu).
 Click on DISPLAY (upper left corner).
 Change NUMBER OF COLUMNS to 132. Click on OK. 
 Set ENABLE HISTORY to OFF.


4. FOR SURGICAL PATHOLOGY:
 Select LABORATORY MENU Option: ANatomic pathology
                             ANATOMIC PATHOLOGY MENU                             
 Select Anatomic pathology Option: P  Print, anat path                           
 Select Print, anat path Option: PB  Print log book                              
 Select ANATOMIC PATHOLOGY SECTION: BSP  BA-SURGICAL PATHLOGY                    
                     BA-SURGICAL PATHLOGY LOG BOOK                               
 Print SNOMED codes if entered ? NO//   (NO)                                                                                         
 Log book year: 2005 OK ? YES//   (YES)                                                                                              
 Start with Acc #: 1                                                                                                                 
 Go    to   Acc #: LAST //                                                                                                           
 DEVICE: HOME// 0;132;999999999999  VIRTUAL TERMINAL                                                                                           
 May 04, 2004 13:49    BALTIMORE MD VAMC                  Pg: 1      
 BA-SURGICAL PATHLOGY (BSP) LOG BOOK for 2004
 # =Demographic data in file other than PATIENT file                                                                                 
 Date    Num   Patient              ID   LOC      PHYSICIAN       PATHOLOGIST                                                      
 ----------------------------------------------------------------------------
 1/03      1   SMITH,JANE          1234   BGYN     HEALER,JOHN     PLODD,JOE                   
     OutPatient                                                                              
 Date specimen taken:12/28/2003       Entered  by: TECH, JACK
                                     Released by: PLODD,JOE
              1.  ECC.                               
 ----------------------------------------------------------------------------
 1/03      2   JONES,BILL          6543   B5BS     WELBY,MARCUS    PLODD,JOE                   
     OutPatient                                                                                                                     
 Date specimen taken:01/03/2004       Entered  by: TECH, JACK
                                     Released by: PLODD,JOE
              1.  RIGHT NASAL ALA.
-----------------------------------------------------------------------------
FOR CYTOLOGY.
 Select LABORATORY MENU Option: ANatomic pathology
                             ANATOMIC PATHOLOGY MENU                             
 Select Anatomic pathology Option: P  Print, anat path                           
 Select Print, anat path Option: PB  Print log book                              
 Select ANATOMIC PATHOLOGY SECTION: BSP  BA-SURGICAL PATHLOGY                    
 Select ANATOMIC PATHOLOGY SECTION: BCY  BA-CYTOPATHOLOGY                                                                            
                    BA-CYTOPATHOLOGY LOG BOOK                                                                                       
 Print SNOMED codes if entered ? NO//   (NO)                                                                                         
 Log book year: 2004 OK ? YES//   (YES)                  
 Start with Acc #: 1                                                                                                                 
 Go    to   Acc #: LAST //                                                                                                           
 DEVICE: HOME// 0;132;99999999999999999  VIRTUAL TERMINAL                                                                                           
 May 04, 2004 13:49    BALTIMORE MD VAMC                       Pg: 1     
 BA-CYTOPATHOLOGY (BCY) LOG BOOK for 2004  
 # =Demographic data in file other than PATIENT file                                                                                 
 Date    Num   Patient              ID   LOC      PHYSICIAN      PATHOLOGIST                                                      
-----------------------------------------------------------------------------
 Date    Num   Patient              ID   LOC      PHYSICIAN       PATHOLOGIST                                                      
------------------------------------------------------------------------------  1/03      1   SMITH,JANE          1234   BGYN     HEALER,JOHN     PLODD,JOE                   
     OutPatient                                                                                                                     
 Date specimen taken:12/27/2003       Entered  by: CYTOTECH,SALLY
                                     Released by: PLODD,JOE
              CERVICAL/VAGINAL-LIQUID BASE                                                                                          
-----------------------------------------------------------------------------
1/03      2   JONES,SUSAN         6543   BGYN     HEALER,JOHN     PLODD,JOE                   
     OutPatient                                                                                                                     
 Date specimen taken:01/02/2004       Entered  by: CYTOTECH,SALLY
                                     Released by: PLODD,JOE
              PLEURAL FLUID                                                                                                         
-----------------------------------------------------------------------------