[Histonet] ISH edge effect on TMA

2010-12-22 Thread Settembre, Dana
Has anyone experience edge affect on TMA when doing ISH?
Dana Settembre

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RE: [Histonet] RE: Edge affect on TMA?

2010-12-22 Thread Helen Fedor
Here is a hint to keep your TMA from falling apart. After construction put the 
block face down on a glass slide a put in a 37degree C oven for 15-30 minutes 
(the paraffin should not be allowed to melt). Then take the block/slide out and 
gently compress with even pressure. (uneven pressure will cause the block to 
become misshapen). Cool the block at room temperature. You can repeat this 
process several times to help the cores adhere to the recipient block. The 
larger the core size, the more severe this problem is. One of the reasons that 
we choose not to use the 2.0 mm core is that this problem is more severe with 
this size core.

Hope that will help you.

Helen L. Fedor

Tissue Microarray Lab, Manager
Prostate Spore Lab, Manager
Johns Hopkins University
600 N. Wolfe St, | Marburg Room 406
Baltimore, MD | 21287-7065

410.614.1660





From: IRENA SREBOTNIK KIRBIS [mailto:irena.kir...@hotmail.com]
Sent: Wednesday, December 22, 2010 1:54 AM
To: Helen Fedor; sette...@umdnj.edu; ahut...@dh.org; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Edge affect on TMA?

how to prevent spots coming off during sectioning TM's? we do sometimes facing 
problems sectioning TM's, they're just falling apart?
thanks for any hints
Irena

 From: hfe...@jhmi.edu
 To: sette...@umdnj.edu; ahut...@dh.org; histonet@lists.utsouthwestern.edu
 Date: Tue, 21 Dec 2010 16:13:31 -0500
 CC:
 Subject: [Histonet] RE: Edge affect on TMA?

 Hello, We do not usually see that. If we do its very rare because I can't 
 think of any examples off hand. The usual problems are the spots came off or 
 shifted/smushed, not an edge effect.

 Helen




 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Settembre, 
 Dana
 Sent: Tuesday, December 21, 2010 3:00 PM
 To: 'Hutton, Allison'; histonet@lists.utsouthwestern.edu
 Subject: [Histonet] Edge affect on TMA?

 Does anyone experience edge affect on TMA?
 Dana Settembre

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[Histonet] Happy Holidays from Pam Barker and RELIA

2010-12-22 Thread Pam Barker
Happy Holidays Histonetters!!
 
I hope you are enjoying a wonderful holiday season.  I need your help.
I need a really unique and yummy cookie recipe for a cookie swap.  What
would you make?  Do you have a recipe to share?  If you have a minute
Iwould like to tell you about the jobs that I am working on.  All my
clients are willing to move now or wait until after the holidays to
accommodate you.  The labs and hospitals that I work with offer
excellent compensation packages including great pay and benefits and
relocation assistance.
 
Here is a list of my current openings:
 
MANAGEMENT:
NH- Histology Supervisor Manchester, NH
CA - Histology Lab Manager – Central Valley of CA
CO - Histology Supervisor – Colorado Springs, CO
LA - Histology Supervisor – Baton Rouge, LA
 
HISTOTECHNICIANS/HISTOTECHNOLOGISTS
TX – Austin – Great lab and crew to work with.
TN – Nashville Histotech -night shifts avail.
TN – Chattanooga Grossing Histotech
CA – Northern CA-Inside Sales/Technical Support – TEM exper required.
NY-  Orange/Rockland County Brand New Lab NYS license
NY-  Orange/Rockland County – Immunohistochemistry Specialist
NY – Rochester Dermpath Histotech NYS license required 
FL – Orlando FL Technologist license required. 
 
If you or anyone you know might be interested in hearing about any of
these opportunities or are looking for a new position in another area
please feel free to contact me or pass along my contact information to
them.
 
 
 
Now back to the cookies…  Whatcha Got?
 
 
 
Thanks and again Happy Holidays to you and yours!
 
 
 
Thank You!
  
 
 
 
Pam Barker
President
RELIA 
Specialists in Allied Healthcare Recruiting
5703 Red Bug Lake Road #330
Winter Springs, FL 32708-4969
Phone: (407)657-2027
Cell: (407)353-5070
FAX: (407)678-2788
E-mail: rel...@earthlink.net 
www.facebook.com  search Pam Barker RELIA
www.linkedin.com/reliasolutions
www.myspace.com/pamatrelia
www.twitter.com/pamatrelia 
 
 

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[Histonet] CMS Postpones Deadline for Physician Signatures

2010-12-22 Thread WILLIAM DESALVO

I have just received notice that the CMS requirement for Physician Signature 
Deadline of Jan 1, 2011 has been postponed.
 
http://www.cms.gov/ClinicalLabFeeSched/
 
CMS has decided that in the first quarter of 2011 they will be developing 
educational and outreach materials to help educate all of us that are affected 
by the policy change. Looks like we have a little more time to figure this new 
process out.  

William DeSalvo, B.S., HTL(ASCP)




 
 From: wdesalvo@hotmail.com
 To: trathbo...@somerset-healthcare.com; jel...@yumaregional.org; 
 jwe...@sjha.org; histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 12:38:12 -0700
 Subject: RE: [Histonet] Physician Signatures
 CC: 
 
 
 They sign into the case prior to surgery, they have Physician Assistant (PA) 
 assigned to the case, a nurse is assigned to the case and they then enter 
 additional information into the system after they complete surgery. It meets 
 requirements. In Pathology, many of your Frozen Section specimens arrive in 
 the lab on verbal orders or nursing applying a signature and we have 
 processed for years. I believe the key point that you have to wrap your head 
 around is that the electronic orders by the surgeon are complete before there 
 is any delivery of results, the signed and preliminary or final report by the 
 pathologist and that meets regulatory requirements. I have more concern on 
 the clinical side. Orders can be entered, tests performed and results 
 delivered more easily than in Pathology. 
 
 William DeSalvo, B.S., HTL(ASCP)
 
 
 
 
 
  Subject: RE: [Histonet] Physician Signatures
  Date: Fri, 17 Dec 2010 14:06:04 -0500
  From: trathbo...@somerset-healthcare.com
  To: wdesalvo@hotmail.com; jel...@yumaregional.org; jwe...@sjha.org; 
  histonet@lists.utsouthwestern.edu
  
  So how do the surgeons electronically order a test? Do they order it before 
  the procedure? What if they discover something and need to add an 
  additional specimen? Our orders are electronically entered in the OR during 
  the procedure. The surgeon is scrubbed and performing the procedure while 
  the circulating nurse places the order.
  
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu
  [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of WILLIAM
  DESALVO
  Sent: Friday, December 17, 2010 1:56 PM
  To: Jesus Ellin; jwe...@sjha.org; histonet
  Subject: RE: [Histonet] Physician Signatures
  
  
  
  I previously did not go into to deep detail about security and compliance, 
  but in our system all computer portals are password protected, orders are 
  signed with electronic signature of the ordering person and when a hard 
  copy paper form is printed, the ordering physician's electronic signature 
  is applied. It is the same type of process and signature that is used by 
  the pathologist to electronically sign off all pathology reports. I 
  absolutely agree that you must control access to ordering and maintain 
  integrity in the system. As you work through your process to develop a more 
  electronic system, you will have the opportunity to build in and require 
  proper controls. With those controls implemented, you can then become 
  confident that the electronic process can and will meet your regulatory 
  requirements. 
  
  William DeSalvo, B.S., HTL(ASCP)
  
  
  
  
  
   Subject: RE: [Histonet] Physician Signatures
   Date: Fri, 17 Dec 2010 10:46:15 -0700
   From: jel...@yumaregional.org
   To: jwe...@sjha.org; wdesalvo@hotmail.com; 
   histonet@lists.utsouthwestern.edu
   
   This is true about electronic ordering but there is a provision on what
   is acceptable for electronic order, just ordering in a system and
   spitting out requisitions does not comply, There needs to be password
   verification and review of this information by the clinician before it
   is ordered and sent to the laboratory performing the service when the
   requisition is created. They go on to say that orders and requisitions
   are different aspects and should not be confused. IF the orders are just
   received through an electronic interface then there is a difference.
   But if the specimen is received using any paper form then this needs to
   be signed by the clinician either electronically or manually.
   
   We are looking at this really closely, with using paper requisitions,
   even orders from the OR for frozens, molecular studies, interoperative
   work, all needs to be signed by the surgeon. Can you imagine the impact
   that this is going to cause. 
   
   Our current solutions is to have maybe standing orders in place and move
   and look at process within the Main OR's, outpatient OR and clients.
   Once again a huge problem,, but Bill is right this will lead to more and
   more paperless enviroments.
   
   
   Jesus Ellin
   Yuma Regional Medical Center 
   
   __
   This message is confidential, intended 

[Histonet] long term storage of tissue

2010-12-22 Thread Mazan, Melissa
Hi all, 
I have lungs that have been inflated with formalin/agar for a stereology study 
- mice had also been treated wtih BRDU.  Problem is - took the mice down today 
and now find out that I cannot get them into paraffin for at least a week.  
Lungs are in formalin now - should I change them to 70% ethanol for long term 
(7-10 day) storage? Thanks! Melissa

Melissa R. Mazan, DVM, Diplomate ACVIM
Associate Professor, Director of Equine Sports Medicine
Department of Clinical Sciences
Cummings School of Veterinary Medicine
Tufts University
200 Westborough Road
North Grafton, MA, 01536
tel: 508-839-5395
email: melissa.ma...@tufts.edu
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[Histonet] Re: CMS Postpones Deadline for Physician Signatures

2010-12-22 Thread Jesus Ellin
Yes we received the update.  But there is still questions about difference from 
electronic ordering CPOE vs review and verify correct entry before proccessing 
by a clinician.  Even though it states that this does not address electronic 
orders. We feel that this can be a problem for the future.  

Sent via DROID one Verizon Wireless


-Original message-


From: WILLIAM DESALVO wdesalvo@hotmail.com
To: trathbo...@somerset-healthcare.com, Jesus Ellin 
jel...@yumaregional.org, jwe...@sjha.org, histonet 
histonet@lists.utsouthwestern.edu
Sent: Wed, Dec 22, 2010 15:44:34 GMT+00:00
Subject: CMS Postpones Deadline for Physician Signatures


I have just received notice that the CMS requirement for Physician 
Signature Deadline of Jan 1, 2011 has been postponed.
 
http://www.cms.gov/ClinicalLabFeeSched/
 
CMS has decided that in the first quarter of 2011 they will be 
developing educational and outreach materials to help educate all of us that 
are affected by the policy change. Looks like we have a little more time to 
figure this new process out.  

William DeSalvo, B.S., HTL(ASCP)




 
 From: wdesalvo@hotmail.com
 To: trathbo...@somerset-healthcare.com; jel...@yumaregional.org; 
jwe...@sjha.org; histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 12:38:12 -0700
 Subject: RE: [Histonet] Physician Signatures
 CC: 
 
 
 They sign into the case prior to surgery, they have Physician 
Assistant (PA) assigned to the case, a nurse is assigned to the case and they 
then enter additional information into the system after they complete surgery. 
It meets requirements. In Pathology, many of your Frozen Section specimens 
arrive in the lab on verbal orders or nursing applying a signature and we have 
processed for years. I believe the key point that you have to wrap your head 
around is that the electronic orders by the surgeon are complete before there 
is any delivery of results, the signed and preliminary or final report by the 
pathologist and that meets regulatory requirements. I have more concern on the 
clinical side. Orders can be entered, tests performed and results delivered 
more easily than in Pathology. 
 
 William DeSalvo, B.S., HTL(ASCP)
 
 
 
 
 
  Subject: RE: [Histonet] Physician Signatures
  Date: Fri, 17 Dec 2010 14:06:04 -0500
  From: trathbo...@somerset-healthcare.com
  To: wdesalvo@hotmail.com; jel...@yumaregional.org; 
jwe...@sjha.org; histonet@lists.utsouthwestern.edu
  
  So how do the surgeons electronically order a test? Do they order 
it before the procedure? What if they discover something and need to add an 
additional specimen? Our orders are electronically entered in the OR during the 
procedure. The surgeon is scrubbed and performing the procedure while the 
circulating nurse places the order.
  
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu
  [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of 
WILLIAM
  DESALVO
  Sent: Friday, December 17, 2010 1:56 PM
  To: Jesus Ellin; jwe...@sjha.org; histonet
  Subject: RE: [Histonet] Physician Signatures
  
  
  
  I previously did not go into to deep detail about security and 
compliance, but in our system all computer portals are password protected, 
orders are signed with electronic signature of the ordering person and when a 
hard copy paper form is printed, the ordering physician's electronic signature 
is applied. It is the same type of process and signature that is used by the 
pathologist to electronically sign off all pathology reports. I absolutely 
agree that you must control access to ordering and maintain integrity in the 
system. As you work through your process to develop a more electronic system, 
you will have the opportunity to build in and require proper controls. With 
those controls implemented, you can then become confident that the electronic 
process can and will meet your regulatory requirements. 
  
  William DeSalvo, B.S., HTL(ASCP)
  
  
  
  
  
   Subject: RE: [Histonet] Physician Signatures
   Date: Fri, 17 Dec 2010 10:46:15 -0700
   From: jel...@yumaregional.org
   To: jwe...@sjha.org; wdesalvo@hotmail.com; 
histonet@lists.utsouthwestern.edu
   
   This is true about electronic ordering but there is a provision 
on what
   is acceptable for electronic order, just ordering in a system and
   spitting out requisitions does not comply, There needs to be 
password
   verification and review of this information by the 

[Histonet] RE: CMS Postpones Deadline for Physician Signatures

2010-12-22 Thread Weems, Joyce
Thanks for sharing!!


From: WILLIAM DESALVO [mailto:wdesalvo@hotmail.com]
Sent: Wednesday, December 22, 2010 10:45
To: trathbo...@somerset-healthcare.com; Jesus Ellin; Weems, Joyce; histonet
Subject: CMS Postpones Deadline for Physician Signatures

I have just received notice that the CMS requirement for Physician Signature 
Deadline of Jan 1, 2011 has been postponed.

http://www.cms.gov/ClinicalLabFeeSched/

CMS has decided that in the first quarter of 2011 they will be developing 
educational and outreach materials to help educate all of us that are affected 
by the policy change. Looks like we have a little more time to figure this new 
process out.

William DeSalvo, B.S., HTL(ASCP)





 From: wdesalvo@hotmail.com
 To: trathbo...@somerset-healthcare.com; jel...@yumaregional.org; 
 jwe...@sjha.org; histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 12:38:12 -0700
 Subject: RE: [Histonet] Physician Signatures
 CC:


 They sign into the case prior to surgery, they have Physician Assistant (PA) 
 assigned to the case, a nurse is assigned to the case and they then enter 
 additional information into the system after they complete surgery. It meets 
 requirements. In Pathology, many of your Frozen Section specimens arrive in 
 the lab on verbal orders or nursing applying a signature and we have 
 processed for years. I believe the key point that you have to wrap your head 
 around is that the electronic orders by the surgeon are complete before there 
 is any delivery of results, the signed and preliminary or final report by the 
 pathologist and that meets regulatory requirements. I have more concern on 
 the clinical side. Orders can be entered, tests performed and results 
 delivered more easily than in Pathology.

 William DeSalvo, B.S., HTL(ASCP)





  Subject: RE: [Histonet] Physician Signatures
  Date: Fri, 17 Dec 2010 14:06:04 -0500
  From: trathbo...@somerset-healthcare.com
  To: wdesalvo@hotmail.com; jel...@yumaregional.org; jwe...@sjha.org; 
  histonet@lists.utsouthwestern.edu
 
  So how do the surgeons electronically order a test? Do they order it before 
  the procedure? What if they discover something and need to add an 
  additional specimen? Our orders are electronically entered in the OR during 
  the procedure. The surgeon is scrubbed and performing the procedure while 
  the circulating nurse places the order.
 
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu
  [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of WILLIAM
  DESALVO
  Sent: Friday, December 17, 2010 1:56 PM
  To: Jesus Ellin; jwe...@sjha.org; histonet
  Subject: RE: [Histonet] Physician Signatures
 
 
 
  I previously did not go into to deep detail about security and compliance, 
  but in our system all computer portals are password protected, orders are 
  signed with electronic signature of the ordering person and when a hard 
  copy paper form is printed, the ordering physician's electronic signature 
  is applied. It is the same type of process and signature that is used by 
  the pathologist to electronically sign off all pathology reports. I 
  absolutely agree that you must control access to ordering and maintain 
  integrity in the system. As you work through your process to develop a more 
  electronic system, you will have the opportunity to build in and require 
  proper controls. With those controls implemented, you can then become 
  confident that the electronic process can and will meet your regulatory 
  requirements.
 
  William DeSalvo, B.S., HTL(ASCP)
 
 
 
 
 
   Subject: RE: [Histonet] Physician Signatures
   Date: Fri, 17 Dec 2010 10:46:15 -0700
   From: jel...@yumaregional.org
   To: jwe...@sjha.org; wdesalvo@hotmail.com; 
   histonet@lists.utsouthwestern.edu
  
   This is true about electronic ordering but there is a provision on what
   is acceptable for electronic order, just ordering in a system and
   spitting out requisitions does not comply, There needs to be password
   verification and review of this information by the clinician before it
   is ordered and sent to the laboratory performing the service when the
   requisition is created. They go on to say that orders and requisitions
   are different aspects and should not be confused. IF the orders are just
   received through an electronic interface then there is a difference.
   But if the specimen is received using any paper form then this needs to
   be signed by the clinician either electronically or manually.
  
   We are looking at this really closely, with using paper requisitions,
   even orders from the OR for frozens, molecular studies, interoperative
   work, all needs to be signed by the surgeon. Can you imagine the impact
   that this is going to cause.
  
   Our current solutions is to have maybe standing orders in place and move
   and look at process within the Main OR's, outpatient OR and clients.
   Once again a huge problem,, 

[Histonet] Full Time Histo Opening in Ohio-Near Columbus

2010-12-22 Thread Alyssa Peterson
*Position:* Histotechnician, Histotechnologist, Histology Technician, MOHS
Technician


*Location:*  OH-About 25 Miles North of Columbus, Large Practice

*Schedule:* Full Time, Direct (Permanent) Hire. Employee will be
scheduled  between
3-4 days when the MOHS surgeon is scheduled for MOHS. On the rare occasion
he/she will be scheduled 2 days for MOHS surgery. On the days the MOHS
surgeon is not doing MOHS, that time will be spent in the Dermpath
Laboratory. Day Shift.



*Environment: *

*A* large comprehensive dermatology practice, established in 1980 who takes
pride in providing high quality care and professional service.

*Requirements:*



   - Ability to assist with CLIA documentation
   - Experience with both frozen sections  paraffin *preferred*
   - Candidates looking for long term employment
   - At least 2-5 years experience working with frozen sections for MOHS
   surgery  Paraffin.



*Benefits:*

* *

Medical coverage that is paid 90% by the company, 10% by the employee.

Dental and vision plans that can be obtained in addition

Disability coverage that can be obtained in addition

Company paid life insurance policy

Paid Holidays

Vacation Time

401K program that are always contributed to by doctors

Sick time

Personal Day(s)

Uniform Reimbursement



*To Apply:*

* *

To apply for this position please send resume to
aly...@alliedsearchpartners.com , salary requirements, and availability to
speak to one of our recruiters directly. Thank you!!!


-- 

* *

**If you wish to no longer receive emails from Allied Search Partners please
reply with “Remove.” *

Alyssa Peterson, Director of Candidate Recruitment
LinkedIN:http://www.linkedin.com/in/alyssapetersonasp

Allied Search Partners

T: 888.388.7571

F: 888.388.7572

www.alliedsearchpartners.com

This email including its attachments is intended only for the confidential
use of the individual to whom it is addressed. If you are not the intended
recipient, any use, dissemination, distribution or copying of this message
or its attachments is prohibited.  If you have received this message in
error, please notify us immediately, and delete this message and its
attachments permanently from your system.
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[Histonet] RE: CMS Postpones Deadline for Physician Signatures

2010-12-22 Thread WILLIAM DESALVO

I completely agree that both electronic and paper requisitions will require 
strict processes to ensure that either the hand written or electronic signature 
is secure and correct. Even after CMS educates us, their process and 
direction will probably be vague and will require all our best efforts.
 
MERRY CHRISTMAs and have a WONDERFUL NEW YEAR!!!   

William DeSalvo, B.S., HTL(ASCP)




 


Subject: Re: CMS Postpones Deadline for Physician Signatures
Date: Wed, 22 Dec 2010 09:09:32 -0700
From: jel...@yumaregional.org
To: wdesalvo@hotmail.com; trathbo...@somerset-healthcare.com; 
jwe...@sjha.org; histonet@lists.utsouthwestern.edu





Yes we received the update.  But there is still questions about difference from 
electronic ordering CPOE vs review and verify correct entry before proccessing 
by a clinician.  Even though it states that this does not address electronic 
orders. We feel that this can be a problem for the future.  

Sent via DROID one Verizon Wireless

-Original message-


From: WILLIAM DESALVO wdesalvo@hotmail.com
To: trathbo...@somerset-healthcare.com, Jesus Ellin jel...@yumaregional.org, 
jwe...@sjha.org, histonet histonet@lists.utsouthwestern.edu
Sent: Wed, Dec 22, 2010 15:44:34 GMT+00:00
Subject: CMS Postpones Deadline for Physician Signatures





I have just received notice that the CMS requirement for Physician Signature 
Deadline of Jan 1, 2011 has been postponed.
 
http://www.cms.gov/ClinicalLabFeeSched/
 
CMS has decided that in the first quarter of 2011 they will be developing 
educational and outreach materials to help educate all of us that are affected 
by the policy change. Looks like we have a little more time to figure this new 
process out.  

William DeSalvo, B.S., HTL(ASCP)




 
 From: wdesalvo@hotmail.com
 To: trathbo...@somerset-healthcare.com; jel...@yumaregional.org; 
 jwe...@sjha.org; histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 12:38:12 -0700
 Subject: RE: [Histonet] Physician Signatures
 CC: 
 
 
 They sign into the case prior to surgery, they have Physician Assistant (PA) 
 assigned to the case, a nurse is assigned to the case and they then enter 
 additional information into the system after they complete surgery. It meets 
 requirements. In Pathology, many of your Frozen Section specimens arrive in 
 the lab on verbal orders or nursing applying a signature and we have 
 processed for years. I believe the key point that you have to wrap your head 
 around is that the electronic orders by the surgeon are complete before there 
 is any delivery of results, the signed and preliminary or final report by the 
 pathologist and that meets regulatory requirements. I have more concern on 
 the clinical side. Orders can be entered, tests performed and results 
 delivered more easily than in Pathology. 
 
 William DeSalvo, B.S., HTL(ASCP)
 
 
 
 
 
  Subject: RE: [Histonet] Physician Signatures
  Date: Fri, 17 Dec 2010 14:06:04 -0500
  From: trathbo...@somerset-healthcare.com
  To: wdesalvo@hotmail.com; jel...@yumaregional.org; jwe...@sjha.org; 
  histonet@lists.utsouthwestern.edu
  
  So how do the surgeons electronically order a test? Do they order it before 
  the procedure? What if they discover something and need to add an 
  additional specimen? Our orders are electronically entered in the OR during 
  the procedure. The surgeon is scrubbed and performing the procedure while 
  the circulating nurse places the order.
  
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu
  [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of WILLIAM
  DESALVO
  Sent: Friday, December 17, 2010 1:56 PM
  To: Jesus Ellin; jwe...@sjha.org; histonet
  Subject: RE: [Histonet] Physician Signatures
  
  
  
  I previously did not go into to deep detail about security and compliance, 
  but in our system all computer portals are password protected, orders are 
  signed with electronic signature of the ordering person and when a hard 
  copy paper form is printed, the ordering physician's electronic signature 
  is applied. It is the same type of process and signature that is used by 
  the pathologist to electronically sign off all pathology reports. I 
  absolutely agree that you must control access to ordering and maintain 
  integrity in the system. As you work through your process to develop a more 
  electronic system, you will have the opportunity to build in and require 
  proper controls. With those controls implemented, you can then become 
  confident that the electronic process can and will meet your regulatory 
  requirements. 
  
  William DeSalvo, B.S., HTL(ASCP)
  
  
  
  
  
   Subject: RE: [Histonet] Physician Signatures
   Date: Fri, 17 Dec 2010 10:46:15 -0700
   From: jel...@yumaregional.org
   To: jwe...@sjha.org; wdesalvo@hotmail.com; 
   histonet@lists.utsouthwestern.edu
   
   This is true about electronic ordering but there is a provision on what
   is acceptable for electronic order, 

[Histonet] Fwd: Physician Signature Requirement Update

2010-12-22 Thread Richard Cartun
FYI

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax


 Denise Bologna 12/21/2010 5:27 PM 
FYI

 CLMA i...@clma.org 12/21/2010 3:44 PM 

 ( 
http://www.clma.org/link.asp?ymlink=406069finalurl=http%3A%2F%2Fwww%2Eclma%2Eorg
 )

Physician Signature Requirement Update 

Centers for Medicare  Medicaid Services (CMS) has issued a temporary 
(approximately three month) delay on the implementation of the Physician 
Signature Requirement. 

Please check back with CLMA ( 
http://www.clma.org/link.asp?ymlink=406069finalurl=http%3A%2F%2Fwww%2Eclma%2Eorg
 ) often for updated information and read more ( 
http://www.clma.org/link.asp?ymlink=406069finalurl=http%3A%2F%2Fwww%2Ecms%2Egov%2FClinicalLabFeeSched%2F
 ) at the CMS website. 




 ( 
http://www.clma.org/link.asp?ymlink=406069finalurl=http%3A%2F%2Fwww%2Eclma%2Eorg
 )


This email was sent to 'dbol...@clpct.com' from CLMA - Clinical Laboratory 
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[Histonet] Re: long term storage of tissue

2010-12-22 Thread Johnson, Teri
Melissa,

I definitely would store them in 70% ethanol rather than leaving them in 
fixative for that time period. They should be fine for BrdU immunostaining 
after paraffin processing.

Good luck with your studies!

Teri

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[Histonet] Kathleen Dittrich, where are you?

2010-12-22 Thread Settembre, Dana
Kathleen Dittrich, formerly from Dako.
Where are you?
Dana Settembre

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[Histonet] Physician signature

2010-12-22 Thread Webb, Dorothy L
According to our manager, the physician signature is for clinical testing only, 
not anatomic pathology.  If anyone knows that this is inaccurate, would love to 
see the written rules!!

Thanks and everyone have the most blessed Holiday!!




  
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[Histonet] Thomas Crowell is out of the office.

2010-12-22 Thread thomas . crowell

I will be out of the office starting  12/22/2010 and will not return until
01/03/2011.

Please contact Kelly Miner at 617-871-5122 if you have any questions
regarding clinical trial samples.
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RE: [Histonet] RE: Physician signature

2010-12-22 Thread Mike Pence
And where would one go to see this proposal?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems,
Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature


It specifically mentions AP technical charges in the proposal.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webb,
Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical
testing only, not anatomic pathology.  If anyone knows that this is
inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!




  
This e-mail and any files transmitted with it are confidential and are
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addressed. If you are not the intended recipient or the individual
responsible for delivering the e-mail to the intended recipient, please
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dissemination, forwarding, printing, or copying of this e-mail is
strictly prohibited.

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RE: [Histonet] RE: Physician signature

2010-12-22 Thread Weems, Joyce
The Federal Register is always a good place to find interesting reading. 

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle 
column on page 40162 charges for TC for AP are mentioned. 

consistent with the principle in
§ 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be
signed by the ordering physician or
NPP. That is, the policy that signatures
are not required on requisitions for
clinical diagnostic laboratory tests paid
based on the CLFS applies only to
requisitions (as opposed to written
orders) (74 FR 33642).  

Blah blah blah

At the end they say We believe that this policy would result in a less 
confusing process.

Merry Christmas, Everyone! j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 



-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net] 
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature


It specifically mentions AP technical charges in the proposal.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, 
not anatomic pathology.  If anyone knows that this is inaccurate, would love to 
see the written rules!!

Thanks and everyone have the most blessed Holiday!!




  
This e-mail and any files transmitted with it are confidential and are intended 
solely for the use of the individual or entity to whom they are addressed. If 
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[Histonet] High Paying Job Opportunity - Live anywhere

2010-12-22 Thread Alisha Dynan


Hi Histonet Members,

 

I am a healthcare recruiter, specifically focused on the laboratory/pathology 
space. I have openings all across the country and would be interested in 
speaking with anyone interested in searching for a new job.

 

I am currently working on an amazing opportunity with a cancer diagnostics 
company. This company is looking to hire on Technical Support Specialists in 
several areas across the country. They currently are looking for people located 
anywhere West of the Mississippi River or in Atlanta, GA or in Nashville, TN or 
in New York City or in Philadelphia. The TSS would be responsible for training 
pathologists, surgeons, radiologists, and pathologist assistant's to ensure 
adequate sampling on breast cancer and colon cancer tissues. They are looking 
for someone with a Bachelor's Degree and 5+ years experience in tissue 
grossing/sampling, histology, or in a pathology or surgical capacity. The ideal 
candidate with be PA(ASCP) or HTL(ASCP) certified. This position requires 
extensive travel, paid for by the company. The compensation package is 
fantastic with a high base salary and up to a 20% bonus. If interested in 
learning more details, please email me at ali...@ka-recruiting.com.

 

If you are not interested but know of someone you could recommend for this 
position, please pass on their contact information to me. We have a referral 
bonus for anyone you refer to me that I place into a new job.


Sincerely,

 

Alisha (Taylor) Dynan, Founder

K.A. Recruiting, Inc.

Your Partner in Healthcare Recruiting

10 Post Office Square 8th Floor SOUTH

Boston, MA 02109

P: (617) 692-2949

F: (617) 507-8009

ali...@ka-recruiting.com

www.ka-recruiting.com

 






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[Histonet] Fisher MicroProbe manual staining system

2010-12-22 Thread Martha Ward
Does anyone have one of these systems that they would be willing to donate?  
One of our pathologists is going on a mission trip to Honduras and would like 
to take one of these down there with him.  We used to have the set up but 
recently got rid of it.  (Timing is everything!!)

Martha Ward, MT (ASCP) QIHC
Assistant Manager
Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest University Baptist Medical Center
Winston-Salem, NC 27157
336-716-2104

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RE: [Histonet] RE: Physician signature

2010-12-22 Thread Morken, Tim
Joyce wrote: 
The Federal Register is always a good place to find interesting reading

Gee, Joyce, all these years I've known you and I never realized you are a 
masochist!!

But maybe the fact you are the go-to person for regulations should have been a 
clue!;)

Tim Morken

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 11:48 AM
To: Mike Pence; Webb, Dorothy L; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

The Federal Register is always a good place to find interesting reading. 

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle 
column on page 40162 charges for TC for AP are mentioned. 

consistent with the principle in
§ 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be
signed by the ordering physician or
NPP. That is, the policy that signatures
are not required on requisitions for
clinical diagnostic laboratory tests paid
based on the CLFS applies only to
requisitions (as opposed to written
orders) (74 FR 33642).  

Blah blah blah

At the end they say We believe that this policy would result in a less 
confusing process.

Merry Christmas, Everyone! j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 



-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net] 
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature


It specifically mentions AP technical charges in the proposal.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, 
not anatomic pathology.  If anyone knows that this is inaccurate, would love to 
see the written rules!!

Thanks and everyone have the most blessed Holiday!!




  
This e-mail and any files transmitted with it are confidential and are intended 
solely for the use of the individual or entity to whom they are addressed. If 
you are not the intended recipient or the individual responsible for delivering 
the e-mail to the intended recipient, please be advised that you have received 
this e-mail in error and that any use, dissemination, forwarding, printing, or 
copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the 
HealthPartners Support Center by telephone at (952) 967-6600. You will be 
reimbursed for reasonable costs incurred in notifying us.
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not the intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 
 


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not the intended recipient, please delete this message, and 
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[Histonet] Frozen Specimen Handling

2010-12-22 Thread John Shelley
Hi HistoLand,

I have a question regarding frozen specimen handling. I have a group that gave  
me hearts, brown fat and white fat and there are some issues with the 
morphology of the tissue and also the cutting quality. Unfortunately I was part 
of the whole process from tissue harvesting to cutting and staining of 
specimens. We placed harvested tissue in a cryo mold with OCT and snap froze 
the block in LN2 and then placed on dry ice. I know sometimes the quick freeze 
can cause some effects but was wondering how others are addressing the freezing 
of tissue, especially fat. We have frozen fat this way before and did not have 
the same issues. Any help or suggestions would be great. Thanks!!!

Kind Regards!

John Shelley

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RE: [Histonet] RE: Physician signature

2010-12-22 Thread Weems, Joyce
Oh dear, now you all know! 

You all ought to see where our tax dollars are going!! Such a convoluted mess. 
I don't know how the writer can understand what he/she is saying! We could save 
so may trees if they would just get to the point! j

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Tim
Sent: Wednesday, December 22, 2010 15:33
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

Joyce wrote: 
The Federal Register is always a good place to find interesting reading

Gee, Joyce, all these years I've known you and I never realized you are a 
masochist!!

But maybe the fact you are the go-to person for regulations should have been a 
clue!;)

Tim Morken

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 11:48 AM
To: Mike Pence; Webb, Dorothy L; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

The Federal Register is always a good place to find interesting reading. 

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle 
column on page 40162 charges for TC for AP are mentioned. 

consistent with the principle in
§ 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be signed by the ordering physician or 
NPP. That is, the policy that signatures are not required on requisitions for 
clinical diagnostic laboratory tests paid based on the CLFS applies only to 
requisitions (as opposed to written
orders) (74 FR 33642).  

Blah blah blah

At the end they say We believe that this policy would result in a less 
confusing process.

Merry Christmas, Everyone! j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax 



-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature


It specifically mentions AP technical charges in the proposal.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, 
not anatomic pathology.  If anyone knows that this is inaccurate, would love to 
see the written rules!!

Thanks and everyone have the most blessed Holiday!!




  
This e-mail and any files transmitted with it are confidential and are intended 
solely for the use of the individual or entity to whom they are addressed. If 
you are not the intended recipient or the individual responsible for delivering 
the e-mail to the intended recipient, please be advised that you have received 
this e-mail in error and that any use, dissemination, forwarding, printing, or 
copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the 
HealthPartners Support Center by telephone at (952) 967-6600. You will be 
reimbursed for reasonable costs incurred in notifying us.
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It may contain information that is privileged and confidential.  Any 
unauthorized review, use, disclosure, or distribution is prohibited. If you are 
not the intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 
 


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and is 

[Histonet] Symphony cover slipper

2010-12-22 Thread Clare Thornton
Hello,

Anyone else out there have issues with misaligned cover slips on the Symphony 
stainer?  We have two stainers and there doesn't seem to be a pattern.  
Sometimes it's one stainer, sometimes the other, sometimes every tray, 
sometimes one out of ten trays.  Usually the cover slip is off just enough to 
have a sharp edge and we need to fix it, which for any other Symphony owners 
you know that's a pain.  Whenever they adjust the cover slipper, it will work 
well for a day or two then start acting up again.  Is it just us?

Thanks!
Clare

Clare J. Thornton, HTL(ASCP), QIHC
Assistant Histology Supervisor
Dahl-Chase Diagnostic Services
417 State Street, Suite 540
Bangor, ME 04401
cthorn...@dahlchase.com

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[Histonet] VIP 1000 Help

2010-12-22 Thread Drew Meyer
We've got the old workhorse, the VIP 1000, that we still use.  During a
move, the guide, which shows all the commands you can do with that magnet,
got lost.  Is there anyone out there that has this and could send or fax me
a copy?  It would be much appreciated!

Thanks,
Drew Meyer

-- 








































































~Love is like a booger. You keep picking at it until you get it, then wonder
what to do with it.
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[Histonet] FW: ASCP Action Alert - Physician Signature Requirement _FYI

2010-12-22 Thread Liz Chlipala

FYI - saw alot about this today, just got this e-mail from ASCP

Liz

-Original Message-
From: American Society for Clinical Pathology [mailto:a...@site1.ascpmail.org]
Sent: Wed 12/22/2010 2:42 PM
To: Liz Chlipala
Subject: ASCP Action Alert - Physician Signature Requirement
 
 http://portal.mxlogic.com/images/transparent.gif 

 


Physician Signature Requirement Burdens Labs, Jeopardizes Patients 

ASCP urges you to act before the Jan. 3 deadline 

Recently, the Centers for Medicare and Medicaid Services (CMS) finalized its 
Medicare Physician Fee Schedule final rule for the 2011 calendar year. The rule 
includes a troubling policy change requiring a physician's or qualified 
nonphysician practitioner's (NPP) signature on requisitions for clinical 
diagnostic laboratory tests paid under the clinical laboratory fee schedule 
(effective Jan. 1, 2011). CMS defines a requisition as the actual paperwork, 
such as a form, which is provided to a clinical diagnostic laboratory that 
identifies the test or tests to be performed for a patient. Currently, a 
physician signature is required only on orders for laboratory services. 

ASCP believes the new rule could adversely affect patient care and complicate 
the provision of the laboratory services. In cases where a signature from the 
ordering physician or NPP is absent, laboratories could be left scrambling 
trying to obtain the signature. 

Late Breaking News Rule: Recently CMS has partially agreed to a delayed 
implementation request from ASCP and other members of the clinical laboratory 
coalition organizations. CMS will delay implementation of the rule for three 
months. During this period, ASCP will continue to pressure CMS to withdraw its 
new proposal. 

ASCP urges you to contact CMS and tell them of your opposition to the policy 
change. 

Contact CMS before the Jan. 3 Comment Deadline to maximize the effectiveness of 
your voice. 

Read more and take action today . . . 
http://emessage.chicago.ascp.org/emessageirs/servlet/IRSL?v=4l=1r=10644m=22015e=2
 

  


 

Tell a friend:
Not everyone receives ASCP's Action Alerts, so please forward this message to 
your peers and co-workers!


 http://www.chicago.ascp.org/pics/email/logoASCP-final-2736.jpg 

2010 American Society for Clinical Pathology
33 West Monroe Street, Suite 1600, Chicago, IL 60603
312.541.4999 
~ i...@ascp.org 

 http://portal.mxlogic.com/images/transparent.gif 

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RE: [Histonet] Frozen Specimen Handling

2010-12-22 Thread sgoebel
Cutting frozen fat is virtually impossible.  There are a few articles I
have seen online (one is called something along the lines of the fat
demon or something pun-tastic like that).  Because fat is so oily it
usually doesn't freeze at all.  If you have a lot of fat in the tissue
you are trying to freeze and not just a big hunk of fat (say an inguinal
LN incased in fat), cutting the fatty tissue can be a challenge too.  I
have heard you can try and cut it thicker, but some doc's don't like
that.  Another thing we tried was fixing the fat for about 15 minutes in
Pen-Fix (or some other alcoholic formalin mixture), if you have this
much time then that can also help.
Good Luck!!


Sarah Goebel, BA, HT(ASCP)
Histotechnologist
Mirna Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of John
Shelley
Sent: Wednesday, December 22, 2010 2:37 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Frozen Specimen Handling

Hi HistoLand,

I have a question regarding frozen specimen handling. I have a group
that gave  me hearts, brown fat and white fat and there are some issues
with the morphology of the tissue and also the cutting quality.
Unfortunately I was part of the whole process from tissue harvesting to
cutting and staining of specimens. We placed harvested tissue in a cryo
mold with OCT and snap froze the block in LN2 and then placed on dry
ice. I know sometimes the quick freeze can cause some effects but was
wondering how others are addressing the freezing of tissue, especially
fat. We have frozen fat this way before and did not have the same
issues. Any help or suggestions would be great. Thanks!!!

Kind Regards!

John Shelley

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[Histonet] Used embedding center and microtome

2010-12-22 Thread alineumann
Hello Histonetters, especially those in the Denver area, we have the following 
available:
?
A functional?embedding center, Reichert Histostat 8034, purchased in 
1/2002,?used,?for $1500, with manual.? Will sell for $700, or $1100 if shipping 
is required (ie, if you cannot pick it up from our Denver suburb location)..
?
A functional microtome, Leitz 1512,??purchased used in 10/2004 for $1500.??We 
can sell for $700, or $850 if shipping is required.? Pay Pal and corporate 
checks accepted.? Please contact me at the email or phone below if interested.? 
Thank you, 


Alice Neumann MD
Western Wyoming Pathology PC
Pinnacle Pathology PC
9423 West Kentucky Place
Lakewood, CO?? 80226
24 Hour Cell Phone:? 307-413-4092
alineum...@aol.com?
?
?

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[Histonet] CAP Question regarding procedure manual

2010-12-22 Thread Victor Tobias
Is there a requirement to have a signature of every staff member on a 
procedure if they perform that procedure in a manual? Wouldn't one 
signature on a cover page suffice that you have read and understand what 
is in the manual?


Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
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then destroy all copies of the message and any attachments.


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RE: [Histonet] CAP Question regarding procedure manual

2010-12-22 Thread Weems, Joyce
Please tell me that is good enough! We do that here - for each manual.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias
Sent: Wednesday, December 22, 2010 18:17
To: Histonet
Subject: [Histonet] CAP Question regarding procedure manual

Is there a requirement to have a signature of every staff member on a procedure 
if they perform that procedure in a manual? Wouldn't one signature on a cover 
page suffice that you have read and understand what is in the manual?

Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be contained 
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addressed to you in error, do not read, disclose, reproduce, distribute, 
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sender by reply e-mail, and then destroy all copies of the message and any 
attachments.


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RE: [Histonet] CAP Question regarding procedure manual

2010-12-22 Thread WILLIAM DESALVO

You will need a signature for the manual and for each procedure that is 
implemented or amended during your cycle year. If your manual is very stable, a 
yearly signature page for the entire manual may suffice, but the inspector will 
note the date everyone signed the manual review page and then go through the 
manual to see if there are any implementation dates or procedure change dates 
after the manual review date. Each occurrence found one can be a deficiency.

In my lab, it is not uncommon for new procedures to be written and implemented 
or existing procedures implemented during a cycle year and all these events 
require a signature by System Medical Director, Site Medical Director, Site Lab 
Director, System Technical Specialist (responsible for physically writing) and 
all employees affected. You must prove to CAP that all personnel know where the 
procedure manual is located, that they have reviewed the manual as a whole and 
that they have reviewed all additions implemented. We have employees sign each 
technical alert, procedure update/change and new procedures, along with a once 
a year review of all manuals.

This type of signature trail is part of and right in line with quality 
management and document control. This process alone can be a daunting task and 
requires a lot or forethought. To better manage this process, we are moving to 
an electronic on-line, web based procedure manual with document control 
functions that tracks usage by employee and captures electronic signatures for 
each step of the creation, review and implementation process. Thankfully, this 
process is the responsibility of our Technical Specialist for Anatomic 
Pathology and our System Quality Department.


William DeSalvo, B.S., HTL(ASCP)





 Date: Wed, 22 Dec 2010 15:16:37 -0800
 From: vic...@pathology.washington.edu
 To: Histonet@lists.utsouthwestern.edu
 CC: 
 Subject: [Histonet] CAP Question regarding procedure manual
 
 Is there a requirement to have a signature of every staff member on a 
 procedure if they perform that procedure in a manual? Wouldn't one 
 signature on a cover page suffice that you have read and understand what 
 is in the manual?
 
 Victor
 
 -- 
 Victor Tobias
 Clinical Applications Analyst
 University of Washington Medical Center
 Dept of Pathology Room BB220
 1959 NE Pacific
 Seattle, WA 98195
 vic...@pathology.washington.edu
 206-598-2792
 206-598-7659 Fax
 =
 Privileged, confidential or patient identifiable information may be
 contained in this message. This information is meant only for the use
 of the intended recipients. If you are not the intended recipient, or
 if the message has been addressed to you in error, do not read,
 disclose, reproduce, distribute, disseminate or otherwise use this
 transmission. Instead, please notify the sender by reply e-mail, and
 then destroy all copies of the message and any attachments.
 
 
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 Histonet@lists.utsouthwestern.edu
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RE: [Histonet] CAP Question regarding procedure manual

2010-12-22 Thread Jesus Ellin
Currently Victor we use to have the techs sign off on all the policies
and procedures.  As Bill stated this is a big pain.  We are now all
electonic and have gone live with I-Passport our document control
software,, this has saved tons of time and effort.  Electronic is the
way to go especially for updates and new information.  Users are notifed
by email and it allows the supervisor to keep track of edits and much
more. 


 

Jesus A Ellin  HT/PA  ASCP

Department of Pathology/Histology

Yuma Regional Medical Center

2400 South Ave A

Yuma, AZ  85364 - 7170

( Office:  (928) 336-1743

(Fax:  (928) 336-7319

*Email: jel...@yumaregional.org 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM
DESALVO
Sent: Wednesday, December 22, 2010 4:46 PM
To: vic...@pathology.washington.edu; histonet
Subject: RE: [Histonet] CAP Question regarding procedure manual


You will need a signature for the manual and for each procedure that is
implemented or amended during your cycle year. If your manual is very
stable, a yearly signature page for the entire manual may suffice, but
the inspector will note the date everyone signed the manual review page
and then go through the manual to see if there are any implementation
dates or procedure change dates after the manual review date. Each
occurrence found one can be a deficiency.

In my lab, it is not uncommon for new procedures to be written and
implemented or existing procedures implemented during a cycle year and
all these events require a signature by System Medical Director, Site
Medical Director, Site Lab Director, System Technical Specialist
(responsible for physically writing) and all employees affected. You
must prove to CAP that all personnel know where the procedure manual is
located, that they have reviewed the manual as a whole and that they
have reviewed all additions implemented. We have employees sign each
technical alert, procedure update/change and new procedures, along with
a once a year review of all manuals.

This type of signature trail is part of and right in line with quality
management and document control. This process alone can be a daunting
task and requires a lot or forethought. To better manage this process,
we are moving to an electronic on-line, web based procedure manual with
document control functions that tracks usage by employee and captures
electronic signatures for each step of the creation, review and
implementation process. Thankfully, this process is the responsibility
of our Technical Specialist for Anatomic Pathology and our System
Quality Department.


William DeSalvo, B.S., HTL(ASCP)





 Date: Wed, 22 Dec 2010 15:16:37 -0800
 From: vic...@pathology.washington.edu
 To: Histonet@lists.utsouthwestern.edu
 CC: 
 Subject: [Histonet] CAP Question regarding procedure manual
 
 Is there a requirement to have a signature of every staff member on a 
 procedure if they perform that procedure in a manual? Wouldn't one 
 signature on a cover page suffice that you have read and understand 
 what is in the manual?
 
 Victor
 
 --
 Victor Tobias
 Clinical Applications Analyst
 University of Washington Medical Center Dept of Pathology Room BB220
 1959 NE Pacific
 Seattle, WA 98195
 vic...@pathology.washington.edu
 206-598-2792
 206-598-7659 Fax
 =
 Privileged, confidential or patient identifiable information may be 
 contained in this message. This information is meant only for the use 
 of the intended recipients. If you are not the intended recipient, or 
 if the message has been addressed to you in error, do not read, 
 disclose, reproduce, distribute, disseminate or otherwise use this 
 transmission. Instead, please notify the sender by reply e-mail, and 
 then destroy all copies of the message and any attachments.
 
 
 ___
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