Hologic ThinPrep Operator's Manual page 64

Daily Cytotechnologist Screening Rates
Laboratorians should use the following method when calculating workload:
• All slides with Fields of View (FOV) only review count as 0.5 or ½ slide
• All slides with full manual review (FMR) using the Autoscan feature count as 1 slide (as man-
dated by CLIA'88 for manual screening)
• Then, slides with both FOV and FMR count as 1.5 or 1½ slides
• Use these values to count workload, not exceeding the CLIA maximum limit of 100 slides in
no less than an 8-hour day.
Note:
• ALL laboratories should have a clear standard operation procedure for documentation
of their method of workload counting and for establishing workload limits.
• It is the responsibility of the Technical Supervisor to evaluate and set workload limits for indi-
vidual cytotechnologists based on laboratory clinical performance. According to CLIA '88,
these workload limits should be reassessed every six months.
For less than an 8-hour workday, the following formula must be applied to determine the maximum
number of slides to be reviewed during that workday:
The ThinPrep Imaging System limit of 100 slides in an 8-hour workday includes the following:
• Screening 22 Fields of View
• Full manual slide review using the Autoscan feature
• Review clinical history
• Record results and triage appropriately
The manual workload limit does not supersede the CLIA requirement of 100 slides in no less than an
8-hour day. Manual review includes the following types of slides:
• Slides reviewed on the ThinPrep Imaging System using the Autoscan
feature
• Slides reviewed without the ThinPrep Imaging System
• Non–gynecologic slides.
When conducting manual review, refer to the CLIA requirements for calculating workload limits.
O
PERATION OF THE
FMR = 1 slide
FOV = 0.5 slide
FMR + FOV = 1.5 slides
Upper Limit = 100 slides
Number of hours examining slides
8
R S
EVIEW COPE
X 100
Review Scope Operator's Manual
3
3.3