My understanding was the same as Joe's and at least to date, that is what we
have presented during survey and it has been deemed acceptable. However, we
are accredited by TJC not CAP. My question to those of you who are providing 2
patient identifiers on blocks? How do you make it fit? If anyone could scan
an image to caroline.pr...@uphs.upenn.edu I would greatly appreciate it! As of
now, we have the unique patient accession number and a barcode with the
accession number as well. We are in our survey window I would like to be sure
we are compliant.
One more question, if you label slides and blocks with a name and DOB from the
requisition and find out during insurance validation that the name is
misspelled or the DOB is inaccurate, how do you handle that? Thanks for your
help.
-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker,
Jr.
Sent: Tuesday, July 30, 2013 4:31 PM
To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Two Patient Identifiers on slides
I don't think this is technically correct according to the CAP. The question
in the most recent checklist states:
**REVISED** 07/11/2011
ANP.52000 Specimen ID Phase II
The identity of every specimen and image, including blocks, slides, and
electron micrographs, is maintained through each step in processing.
NOTE: Each block of tissue must be individually labeled with unique patient
identifier(s), e.g.
accession number etched onto the block or embedded into it. Storage of
unlabeled blocks in separate containers that are labeled with patient number or
name does not meet this requirement.
Evidence of Compliance:
✓ Written procedure describing system for maintaining specimen identity
This question does not state that 2 identifiers must be on the slides and
blocks, etc. It states it must be a unique identifier throughout the process.
A specimen accession number would technically suffice. You can add additional
identifiers if that helps in your process but they are not required.
I believe that this is often confused with the General lab question GEN.40491
which requires that any specimen that is collected and submitted to the lab
must have 2 unique identifiers on it. Once the specimen is in the lab, the
unique accession number would suffice.
Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I
think it is a good idea as an extra precaution step. We are fortunate to have
a xylene resistant label and printer that allows us to label the slides prior
to processing.
My two cents as a manager,
Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790 F: 802.747.6525
Email joewal...@rrmc.org www.rrmc.org
Our Vision:
To be the Best Community Healthcare System in New England
Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet
Recognition® and the Governor’s Award for Performance Excellence
-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore
Sent: Tuesday, July 30, 2013 3:46 PM
To: Jean Wood; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Two Patient Identifiers on slides
We are writing path #, date of birth & patient initials as identifiers. Michelle
________________________________
From: Jean Wood <jw...@fairchildmed.org>
To: "histonet@lists.utsouthwestern.edu" <histonet@lists.utsouthwestern.edu>
Sent: Tuesday, July 30, 2013 2:37 PM
Subject: [Histonet] Two Patient Identifiers on slides
Hello Histonetters,
Recently we started utilizing a slide labeling component that is built
into our AP Easy LIS system and has accession number, levels and patients first
and last name when labels are printed out. Dymo does not have a chemically
resistant label (we have a Dymo 450 printer) and we have been putting the
labels on AFTER the slides are stained and cover slipped.
In the meantime, the HT is writing in pencil the accession # and levels on the
slide which is then covered up with the permanent label after cover slipping.
Our Lab Manager is worried that we are not compliant as we do not have two
patient identifiers on throughout the whole process (she wants us to write
patient names on slides in pencil (before staining) and then cover that up with
the pre-printed label after staining.
1. What is everyone else doing?
2. Have any of you found a chemically resistant label compatible with the Dymo
labeler?
Jean Wood BS, HT
Fairchild Medical Center Pathology Dept.
Ph:530.841.6243 Fax:530.841.6232
jw...@fairchildmed.org<mailto:jw...@fairchildmed.org>
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