II.        Frozen Section Service                                                 List                Main Page

Responsibilities

• Review OR schedule and obtain essential clinical history of potential FS cases in advance.
• Pick up specimen and correct requisition form from OR when you are paged or otherwise notified.
• Determine what type of information the surgeon hopes to gain from the FS.
• Collate clinical information with the request of the surgeon.
• Intraoperative specimen gross description in writing.
• Supervise and assist PA (if there is one) in frozen section.
• Review case with attending pathologist on FS service.
• Make sure that all frozen section slides and all frozen section remnants are properly labeled and processed.
• Open, pin to a board, and immerse in formalin any large specimens.

Sequence of Actions                                        

• The day before surgery:
• Obtain and review OR schedule.
• Look up pertinent clinical history of potential FS cases in the computer.
• Print out or note down important clinical information for potential FS cases.
• Pull out pertinent and representative slides of patient’s previous pathology for potential FS cases.
• Frozen section day:
• 1.   Pick up specimen in OR, and request of the surgeon the following:
• Essential history, if not on the requisition form.
• Specific requests of surgeon (margin, diagnosis, gross only, culture, etc.).
• Prepare the specimen (measure, ink, open, etc.)
• Supervise and oversee FS process by PA.
• Review FS slides and prepare the intraoperative diagnostic report with attending pathologist.
• Bring FS report to OR and inform the surgeon about the diagnosis.
• Make sure that all slides and FS remnants are correctly labeled and organized.