RE: [Histonet] Unstained slides
We cut a decent number of unstained as well. Mostly the tiny biopsies and cores and we do end up using most of these. I personally see no reason to cut unstained slides on anything else. Since you still have to go back and cut controls, it doesn't really save that much time but of course, it does save tissue. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Brinegar Sent: Wednesday, August 28, 2013 4:47 PM To: Martha Ward-Pathology Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Unstained slides Martha, I have had experience in three different labs. The unstained slides can pile up quickly, especially when you are using charged slides that are just in case slides for sendouts, IHC, etc. For core biopsies (breasts, fine needles, prostate, etc.) we cut levels and put up at least five of the in between sections to keep on hand in case. We maybe use these slides 10 percent of the time and toss the rest after 3-4 weeks. It can seem wasteful, however if you have a small core, you must save precious tissue. Beth Brinegar HTL(ASCP) Anatomic Pathology Supervisor Mercy Medical Center Cedar Rapids, IA 52403 On Wed, Aug 28, 2013 at 9:28 AM, Martha Ward-Pathology mw...@wakehealth.edu wrote: We are looking at ways to improve our work processes, save time and labor and reduce costs, all while maintaining patient quality...as we all are of course. During our conversations the subject of cutting unstained slides has come up and we are looking for bench marking data to see if we are where we need to be.Currently we are cutting unstained slides for various protocols (including prostate biopsies), where the specimens are tiny, but we are also cutting a lot of just in case unstained slides. Our research has shown that about 50% of the time the unstained slides requested are never used and we are trying to find out if that is high, low or about what other institutions are seeing. If anyone has any data they could share with us we would appreciate it. Thanks in advance for your help. I can share what I find out if others are interested. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] mouse brain cryosectioning help
Hi Histonetters, I need your expert advise on how to get good mouse Brain cryosections. We are getting folds, cracks and wrinkles. It may be due to mushy nature of Brain tissue. Any suggestions to eliminate those artifacts. Sayeed. Baylor College of medicine. Houston, TX. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Labels for outside blocks
I do the same thing. Adding a couple of drops of paraffin over the label has worked for us for years. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bitting, Angela K. Sent: Thursday, August 29, 2013 10:43 AM To: Morken, Timothy; Histonet Subject: [Histonet] RE: Labels for outside blocks We get the label with the block and stick it on ourselves with melted paraffin. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Wednesday, August 28, 2013 4:41 PM To: Histonet Subject: [Histonet] Labels for outside blocks Has anyone found a very sticky label for labeling outside consult blocks, ie that won't fall off? Tim Morken UCSF Pathology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Labels for outside blocks
If you keep the layer of paraffin thin enough, it can still be scanned with most barcode scanners. -Original Message- From: Blazek, Linda [mailto:lbla...@digestivespecialists.com] Sent: Thursday, August 29, 2013 11:15 AM To: Bitting, Angela K.; Morken, Timothy; Histonet Subject: RE: Labels for outside blocks I do the same thing. Adding a couple of drops of paraffin over the label has worked for us for years. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bitting, Angela K. Sent: Thursday, August 29, 2013 10:43 AM To: Morken, Timothy; Histonet Subject: [Histonet] RE: Labels for outside blocks We get the label with the block and stick it on ourselves with melted paraffin. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Wednesday, August 28, 2013 4:41 PM To: Histonet Subject: [Histonet] Labels for outside blocks Has anyone found a very sticky label for labeling outside consult blocks, ie that won't fall off? Tim Morken UCSF Pathology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
FW: [Histonet] RE: Quality Metric
From: joelle weaver [joellewea...@hotmail.com] Sent: Wednesday, August 28, 2013 5:34 PM To: Elizabeth Chlipala; Davis, Cassie; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Quality Metric Just in the process of starting a new AP/histology lab myself, and what I used as my main resources to develop the quality metrics, QC and QA were: *the CAP/ASCO guidelines, *CAP checklists, HistoQuip studies, * Quality Management in Anatomic Pathology, ASCP publication, 2003 ( forget the exact title), *CLSI publications QA for Design Control and Implementation of IHC Assays, 2nd edition, * CLSI Fluorescence In Situ Hybridization, methods for Medical Genetics, Approved Guideline. United the standards in the SOP's and LIS documentation/reporting. Overall, I tied them to measures of timeliness, quality of histologic preparations, test phases and benchmarks, competency. Monthly quality meetings, occurrence management with process control ( RCA, etc), Pathologist review documentation. Joelle Weaver MAOM, HTL (ASCP) QIHC From: l...@premierlab.com To: cda...@che-east.org; histonet@lists.utsouthwestern.edu Date: Wed, 28 Aug 2013 13:18:56 -0600 CC: Subject: [Histonet] RE: Quality Metric Just an FYI Dr. Pantanowitz is giving a workshop at the NSH convention on the value of Informatics in the Histology Laboratory on Sunday. I bet some of the information in that powerpoint may be discussed during this workshop. Liz Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC Premier Laboratory, LLC PO Box 18592 Boulder, CO 80308 (303) 682-3949 office (303) 881-0763 cell (303) 682-9060 fax l...@premierlab.com Ship to address: Premier Laboratory, LLC 1567 Skyway Drive, Unit E Longmont, CO 80504 From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davis, Cassie [cda...@che-east.org] Sent: Wednesday, August 28, 2013 12:35 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Quality Metric Here's a good resource... http://www.pathinformatics.pitt.edu/sites/default/files/Quality%20Measures%20in%20AP%20for%20PI2010.pdf Cassandra Davis cda...@che-east.org 302-575-8095 RE: Message: 12 Date: Wed, 28 Aug 2013 09:20:48 -0700 From: Huggins, Haley - MRMC haley.hugg...@dignityhealth.org Subject: [Histonet] FW: Question about quality metrics To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Message-ID: 4f36ec93a5737d4f8a2974e8fb8e2606108ef40...@phx-msg-007-n2.chw.edu Content-Type: text/plain; charset=us-ascii Hello all, I am starting up a new Histology lab and have been asked to determine the quality metrics, so I can hire the staff I need, has anyone else had to prove this and if so, how did you show that through metrics? Haley Huggins Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). 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. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). 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. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] AZ Histology Position
Great opportunity for a Histotechnician in a brand new laboratory! Chandler Endoscopy is looking for a certified HT or HTL for their newly constructed laboratory. Candidate must meet the following criteria: * Meet CLIA Grossing Requirements : CFR 493.1489, http://wwwn.cdc.gov/clia/regs/toc.aspx/ ,prior experience grossing GI specimens * HT ASCP Certified , minimum 3 years working in a histology laboratory , 1-2 years supervisor experience preferred Duties include: * Manage laboratory budget and supplies * Maintenance of QC documents' * Routine histology duties This is a full-time position that offers a competitive rate and flexible hours. Interested applicants should contact Meredith Hale; phone 214-596-2219 or through email mh...@miracals.commailto:mh...@miracals.com Meredith Hale HT (ASCP)cm Director External Sales Support Miraca Life Sciences 6655 North MacArthur Blvd. Irving , Texas 75039 Office: 214-596-2219 Cell: 469-648-8253 Fax: 1-866-688-3280 mh...@miracals.commailto:mh...@miracals.commailto:mh...@miracals.com%3cmailto:mh...@miracals.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Tissue Processor
We always validated our processor but not formally. CAP wants a more formal approach with procedures. What we did in the past was run placenta and colon and reviewed stained slides. We may have to be a little more critical and run various types of slides and programs. Susan T. Paturzo HT (ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet