Online Resources for Students, Residents, and Pathologists
Welcome to LLUPath, a reference website for LLU Pathology Residents, PA Students, and Faculty. Many resources require account login to access; the grossing manual is viewable without login. Any suggestions or other feedback is welcome; use the chat function below. Our hope is that you find this site informative and useful, and that it helps to facilitate your training in the practice and art of pathology!
LLU DEPARTMENT OF ANATOMIC PATHOLOGY: COVID-19 PRECAUTIONS
Specimens from known or suspected COVID-19 patients: Specimens will be enclosed in a sealed bag (with the outside disinfected) by accessioning personnel and placed in the right-sided fume hood within the gross room. The outside of the container will be disinfected within this fume hood, and the contents will be disinfected via extended formalin fixation. See posted instructions on fume hood for further details.
Fixation: High-risk specimens (lobectomy, pneumonectomy, sinonasal/oropharyngeal specimens, gastrointestinal resections) will be fixed for one extra day (over standard duration), regardless of COVID-19 status. Small biopsy specimens (with high formalin to tissue ratios) do not require additional formalin fixation. After additional formalin fixation, specimen is no longer considered high risk.
Personal Protective Equipment (PPE): Careful adherence to proper PPE usage within the gross room and handling of specimens at grossing stations with negative pressure ventilation is sufficient to minimize risk from routine specimens. For high risk specimens (see above), use N95 mask.
For ALL frozen sections, staff will wear an N95 mask and refrain from using the freeze spray in the cryostat.
N95 masks are reusable - please label individual N95 masks and store for future use
For all lung frozen sections, prepare the tissue in the left fume hood in the gross room. After tissue selection, take tissue to the frozen suite to complete the intraoperative consultation.
Known or suspected COVID-19 positive patients: For known COVID-19 positive patients, an autopsy will not be performed. For suspected COVID-19 positive patients, an autopsy will only be performed if antemortem COVID-19 tests comes back negative; the autopsy will be postponed until test results are available. For suspected positive cases without antemortem COVID-19 testing, an autopsy will not be performed. For all other cases, autopsies will be performed as usual. During this time, in an effort to minimize potential to infectious organisms, autopsies will be organ limited to the systems of interest (as directed by the clinical scenario) at the discretion of the supervising pathologist.
ROSE: To minimize exposure to pathology personnel, ROSE is postponed until further notice. Resumption of ROSE coverage will be re-assessed as testing for patients and staff becomes readily available.
Workflow: To minimize intradepartmental interactions, the bulk of the cytopathologists have been stationed at the FMO until further notice. During this time of modified work-flow, all cytopathology specimens (gyn and non-gyn) will be sent to the FMO
Double scoping: To aid in appropriate "social distancing", double scoping of cases is suspended. Residents are expected to preview and write-up cases as usual. The attending pathologist will read the cases independently. The residents should expect detailed feedback from the pathologist for their cases. If no feedback is received, please kindly remind of the need for educational feedback.
Conferences: In-person didactic conferences (including Wednesday morning grand rounds) are cancelled until further notice. Virtual conferences/online educational activities will be utilized when possible.
11234 Anderson Street
Loma Linda, CA 92354