We are  having an issue reporting out grossly blood urines.  Techs tend to call everything "indeterminate" which I feel is unacceptable.  We have, in the past, been taught to put a drop of urine on a glass slide with a coverslip but then there is the problem of quantitating. How are other labs handling this?

I assume you are talking about a microscopic for a urinalysis?  If a urine is grossly bloody, we add a drop of lysing agent from our hema analyzer (weak HCl) to a few drops urine and look for casts. crystals, etc.  In some cases we simply would state present or absent since even semi-quantification on an unspun specimen would be meaningless.

Scott