Re: [Histonet] On the lighter side...

2014-08-08 Thread Beth Brinegar
3 years in histology, 2 years registered!

Beth Brinegar HTL (ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Fri, Aug 8, 2014 at 9:53 AM, Elizabeth Chlipala l...@premierlab.com
wrote:

 Too funny Richard - you would pass with flying colors

 For me its 31 years - HTL-930

 I have really been blessed, I love my job and I have really enjoyed my
 career.  Every day there is something new to learn or to work on, for
 example the lab is putting the final touches on a poster that will be
 displayed at NSH this year, working on that has been exciting and a lot of
 fun too.

 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 Cartun, Richard [
 richard.car...@hhchealth.org]
 Sent: Friday, August 08, 2014 8:32 AM
 To: Douglas Porter; histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] On the lighter side...

 36 years; however, not registered.   Hopefully, I can take the QIHC
 someday and pass.

 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) 972-1596 Office
 (860) 545-2204 Fax
 richard.car...@hhchealth.org


 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu [mailto:
 histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Douglas Porter
 Sent: Thursday, August 07, 2014 2:39 PM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] On the lighter side...

 How long have you been a registered histotech?  36 years here.  You???



 Douglas A. Porter, HT (ASCP)
 Grossing Technician
 IT Coordinator

 Cancer Registrar


 CAP-Lab, PLC
 2508 South Cedar Street
 Lansing, MI 48910-3138

 517-372-5520 (phone)
 517-372-5540 (fax)

  mailto:doug.por...@caplab.org doug.por...@caplab.org

  http://www.caplab.org/ www.caplab.org



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[Histonet] Ventana ultraview users

2014-07-09 Thread Beth Brinegar
Hello all,

Our lab is getting ready to switch from using the iview DAB to the
ultraview - any tips for validation?  How many cases did you run for each
antibody?

Thanks!
Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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[Histonet] Negative controls

2014-04-28 Thread Beth Brinegar
Hello fellow histonetters,

What is are other labs doing to satisfy the ANP.22570 QC - Antibodies
Appropriate negative controls are used.

I apologize, I know this question has been asked before.  I'm trying to
satisfy these requirements in one procedure.

Thank you all for your assistance!!

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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[Histonet] To those attending Tri-State in Rochester MN

2014-02-19 Thread Beth Brinegar
Just giving a heads up to those needing hotels for the TriState Symposium
4/30-5/2 that the Super 8 is located just 1.1 miles down S Broadway from
the Double Tree Hotel (where the symposium is being held) and is only
$50.49 a night (if booked early) instead of $132.00 a night (at the Double
Tree).

Just thought I'd give you all a heads up!
Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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Re: [Histonet] wax on the floors

2013-12-11 Thread Beth Brinegar
We use a paraffin scraper - it looks like an oversized ice scraper for your
car, however it gets the debris off and in pile so it's easier to sweep it
away.  Then every couple of months, it's stripped and waxed.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Wed, Dec 11, 2013 at 11:49 AM, Paula Pierce 
cont...@excaliburpathology.com wrote:

 A brand name! LOL

 Paula K. Pierce, HTL(ASCP)HT
 President
 Excalibur Pathology, Inc.
 5830 N Blue Lake Dr. Please note new address!
 Norman, OK 73069
 405-759-3953 Lab
 405-759-7513 Fax
 www.excaliburpathology.com


 
  From: Victor A. Tobias vtob...@uw.edu
 To: Paula Pierce cont...@excaliburpathology.com; Nancy Schmitt 
 nancy_schm...@pa-ucl.com; Histonet histonet@lists.utsouthwestern.edu
 Sent: Wednesday, December 11, 2013 11:25 AM
 Subject: RE: [Histonet] wax on the floors


 Is Bruce a Brand name or the employee?

 Victor Tobias HT(ASCP)
 Clinical Applications Analyst
 Harborview Medical Center
 Dept of Pathology Room NJB 244
 Ninth  Jefferson
 Seattle, WA 98104
 vtob...@u.washington.edu
 206-744-2735
 206-744-8240 Fax
 =
 Privileged, confidential or patient identifiable information may be
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 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu [mailto:
 histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce
 Sent: Wednesday, December 11, 2013 9:17 AM
 To: Nancy Schmitt; Histonet
 Subject: Re: [Histonet] wax on the floors

 Bruce floor stripper!

 Paula K. Pierce, HTL(ASCP)HT
 President
 Excalibur Pathology, Inc.
 5830 N Blue Lake Dr. Please note new address!
 Norman, OK 73069
 405-759-3953 Lab
 405-759-7513 Fax
 www.excaliburpathology.com


 
 From: Nancy Schmitt nancy_schm...@pa-ucl.com
 To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
 
 Sent: Wednesday, December 11, 2013 11:05 AM
 Subject: [Histonet] wax on the floors


 Happy Hump Day!

 What is everyone doing to clean floors of paraffin?  Does anyone have any
 great secrets to how the floors are cleaned of the debris?

 Thanks for any input!

 Nancy

 Nancy Schmitt HT, MLT(ASCP)
 Histology Coordinator
 United Clinical Laboratories




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[Histonet] QIHC

2013-09-25 Thread Beth Brinegar
Hello Histoland!

I have been an HTL for about a year and a half now and I'm looking to go
for my QIHC - any suggestions for studying?  What are the best resources
for study?  Are there any good websites or practice questions?  Any study
tips or must-have resources?  I've looked at the ASCP website and I have
most of the books on there plus some others that were handed down to me.

Any assistance would be greatly appreciated!!

Thanks!
Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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Re: [Histonet] EPIC Beaker

2013-09-04 Thread Beth Brinegar
Good afternoon!  We just went live with Epic Beaker June 2013 and it's been
one fat mess.  I have plenty of information for anyone interested.  It
seems there were lots of things that weren't considered for AP with Epic
beaker.  We have faced a lot of problems with go-live.  My first piece of
advice is to keep all you pathologists VERY involved with the build
structure and to consult with  Optime frequently.  We've had the most
difficulty with Optime and Beaker talking and specimens getting lost in
Epic.  Or, we've had AP specimens get lost in core lab, and everything has
to be reordered to get things moving.

Please feel free to contact me with any questions.  The build is a big
beast, and we didn't have much success with our go-live because there were
many things we didn't really know to consider.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
319-432-2239 (cell)

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Wed, Sep 4, 2013 at 4:45 PM, Paula Sicurello pat...@gmail.com wrote:

 See if you can get your Beaker people to talk to the Beaker people who are
 working on the Duke University Health System-ClinLabs AP build.  We are
 taking it one step at a time and the AP module is being built separately
 from the CP build.

 Beaker is taking over 18 months to build, we have tentative go-live for
 July 2014.

 Paula

 --
 Paula Sicurello, HTL (ASCP)
 Supervisor, Clinical Electron Microscopy Laboratory
 Duke University Health System
 Rm.#251M, Duke South, Green Zone
 Durham, North Carolina 27710
 P: 919.684.2091
 HIPAA Privacy Notification: This message and any accompanying documents are
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 On Wed, Sep 4, 2013 at 10:15 AM, Pam Marcum mucra...@comcast.net wrote:

 
 
 
  I know asked this a couple of months ago however; we are just getting
  ready to work with the EPIC people on the Histology/IHC/Slide 
 Block/Gross
  Room issues we need in AP.  I am looking for any advise or
 recommendations
  anyone who is running Epic Beaker now or is in the process as we are to
  implement it in the next 6 months or so.  I would prefer this is off line
  if anyone resonding is OK doing it that way.  If others want the info
 then
  please to Histonet will work too.
 
 
 
  We are having issues getting our IT group and Epic to understand AP is
 not
  the same as CP.
 
 
 
  Thank You,
 
  Pam Marcum
 
  UAMS Histology Supervisor
 
 
 
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Re: [Histonet] Tissue Processor Validation

2013-08-28 Thread Beth Brinegar
Yes, we do a few validation runs. Nothing too extreme, however we gross
some extra patient tissue and do a small run, then increase the amount of
blocks processed until we are ready to run cases for patient diagnosis. It
really only takes a week or two. After those blocks are cut, then we
compare them to the previous processor results and make changes if
neccessary.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Wed, Aug 28, 2013 at 8:27 AM, Rathborne, Toni 
trathbo...@somerset-healthcare.com wrote:

 How do you validate IHC  FISH with a new processor?

 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu [mailto:
 histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver
 Sent: Wednesday, August 28, 2013 9:23 AM
 To: dianar...@aol.com; histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] Tissue Processor Validation

 Yes definitely, 5 programs, 25-50 sister, serial sections on tissue that
 represents patient samples.




 Joelle Weaver MAOM, HTL (ASCP) QIHC

  From: dianar...@aol.com
  Date: Tue, 27 Aug 2013 22:07:19 -0400
  To: histonet@lists.utsouthwestern.edu
  Subject: [Histonet] Tissue Processor Validation
 
  I am interested in knowing how many of you out there Validate your
  Tissue Processors before you put them into use and how extreme you go.
 
  Diana Ripley
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Re: [Histonet] Unstained slides

2013-08-28 Thread Beth Brinegar
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





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Re: [Histonet] Labels for outside blocks

2013-08-28 Thread Beth Brinegar
Try General Data Inc. - they have good products, although their customer
service is not up to par.  They first started out by creating labels that
went on automotive parts and stayed there even through the grease and
grime.  Their labels are very high quality, but again, their customer
service is lacking.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Wed, Aug 28, 2013 at 3:41 PM, Morken, Timothy 
timothy.mor...@ucsfmedctr.org wrote:

 Has anyone found a very sticky label for labeling outside consult blocks,
  ie that won't fall off?

 Tim Morken
 UCSF Pathology

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Re: [Histonet] Uncertified Histotechs

2013-08-23 Thread Beth Brinegar
Well, my opinion is based on my own experience.  I was hired as a histotech
with no prior histology experience besides what I completed in the
laboratory in college (This was only four years ago in Columbia, MO).  I
trained on the job, then moved to be a histotech in Cedar Rapids Iowa.  I
then decided that this was what I wanted to do.  So, I bought the
textbooks, read them, and sat for my HTL exam (the route 2 method).  I
graduated top of my class with a triple major in biology, life science and
chemistry.  Once I became an HTL, I decided to move along my career.  Age
27, only in histology for three years, I am the anatomic pathology
supervisor.  I really think it varies on facility hiring.  Some places you
must have the certification.  By doing the self study and learning on the
job, I learned great skills from a handful of senior techs and I passed my
exam on the first try.  I have two friends that went through histo school
and have each failed the test twice.  My point?  I feel it depends on the
individual and where you are.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Fri, Aug 23, 2013 at 9:17 AM, joelle weaver joellewea...@hotmail.comwrote:

 I also test any bench HT's practical ability whether they appear with
 credentials of certification, degrees or otherwise.  They MUST have the
 practical  technical abilities to do well on the bench, enough said.

 In an interview situation, what you have are some tools and bits of
 information in a very contrived situation to give you some insight into how
 the person will act and perform as an actual employee.

 If your market or your organization,  allows you the freedom to make your
 own hiring criteria, then good for you. But if there are legislative or
 organizational policies where you live or work that create stipulations,
 then that is how it goes. This discussion has rarely gone anywhere in the
 posts before, and seems to make more people upset than anything else.  I
 guess no one appreciates being placed into some category.  Hey, if you want
 to become certified, go for it, if you don't that is fine too.

 The question was about whether this affecting hiring-  and I do think it
 does, in some places very much, in others maybe less? There are always a
 multitude of factors.




 Joelle Weaver MAOM, HTL (ASCP) QIHC

  From: bsulli...@virtua.org
  To: joellewea...@hotmail.com; jon2038...@maricopa.edu;
 histonet@lists.utsouthwestern.edu
  Subject: RE: [Histonet] Uncertified Histotechs
  Date: Fri, 23 Aug 2013 12:29:20 +
 
  While I understand the need for certification and continuing education,
 because of regulations it is very hard to even have your OJT's sit for
 their certification. Recently I interviewed candidates for an open position
 at my facility. One candidate in particular looked very good on paper. I
 brought this person in for an interview. Candidate was certified by CAP as
 a Histo- Technician. I always test their microtomy skills. Imagine my
 dismay when after more than I hour this person had not produced one decent
 slide. Needless to say the interview was pretty much over. Lesson here is
 that letters after one's  name does not make a good Histo-Tech.
 
  Beatrice Sullivan HT(ASCP)HTL  CLSP(NCA)
  Corporate Histology Supervisor
  Virtua,Voorhees
 
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu [mailto:
 histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver
  Sent: Friday, August 23, 2013 8:00 AM
  To: Jon Hannasch; histonet@lists.utsouthwestern.edu
  Subject: RE: [Histonet] Uncertified Histotechs
 
  It still seems to vary by market ( many factors including licensure in
 some states), and by organization based on my observations. But I believe
 that there is certainly a trend toward certification. At my organization
 they require certification for any consideration, and also education to
 meet CLIA.   But you are likely to get many different opinions on your
 question.
 
 
 
 
  Joelle Weaver MAOM, HTL (ASCP) QIHC
 
   From: jon2038...@maricopa.edu
   Date: Thu, 22 Aug 2013 16:43:10 -0700
   To: histonet@lists.utsouthwestern.edu
   Subject: [Histonet] Uncertified Histotechs
  
   Is getting a job as an uncertified histotech a thing of the past? I
 have a friend who has been a very skilled histotech for many years and they
 have been looking for a job for about a year now. Is this due to bad
 interviewing or a lack of certification? I'm curious to see if this has
 happened to other people. They have applied at hospitals and bigger labs
 such as Caris. Im not asking for a job lead for them I'm just more curious
 if certification has become a prerequisite now.
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Re: [Histonet] Cautery-Like Artefact

2013-08-19 Thread Beth Brinegar
How long is your overnight processing run? Are these specimens being
processed on an eight hour run, a four hour run, or something like a rapid
run?

On Monday, August 19, 2013, Roger Heyna wrote:

 We are experiencing a staining artefact on our HE's, most commonly seen
 on skin specimens, but also observed on other specimen types as well.

 Within the dermis and subcutaneous regions of the skin specimens, there
 are portions of what should be collagen that appear homogenized and stained
 with hematoxylin, instead of the
 usual eosin staining. It's often on the edge of the section and varies in
 size between different specimens. The pathologist is normally able to read
 around it, but there have been cases that were made more difficult to
 diagnosis by this artefact.

 Our pathologists believe this artefact resembles cautery artefact, but the
 dermatologists insist they are not using cautery during collection.

 We have a large derm service, and most of our derm specimens fix
 overnight. We have both microwave and conventional processing, and the
 artefact specimens have been processed on both. All of these specimens
 have grossing ink on them.

 Any thoughts on what could be causing this? If it's not cautery, does it
 seem like a fixation issue? Has anyone seen grossing ink affect processing?

 Thanks ahead of time for your help.
 Roger



-- 
Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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[Histonet] Dako users

2013-08-16 Thread Beth Brinegar
Does anyone out there have Dako IHC and special stains as well as their HE
coverslipper?  We currently use Ventana and are needing an upgrade soon.
Any pros and cons would be greatly appreciated.  Thanks!

B
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