Cap uses a term called "conventional processing" which is not well defined and at the interruption of the inspector, but I have been told that tissue processing that is not "conventional" (taking the tissues out of the wax and letting them harden after process and wait a few days to embed, or leaving the tissue in 70% alcohol on the processor for 48 hours may be interpreted by some inspectors as "not conventional" processing) and in that case you would need to do validation studies showing that the results are as good as "conventional" 48 hour processing when these deviations are not used.
Regards, Patsy Patsy Ruegg, HT(ASCP)QIHC IHCtech, LLC Fitzsimmons BioScience Park 12635 Montview Blvd. Suite 215 Aurora, CO 80010 P-720-859-4060 F-720-859-4110 email pru...@ihctech.net website www.ihctech.net IHC Resource Group www.ihcrg.org -----Original Message----- From: Rathborne, Toni [mailto:trathbo...@somerset-healthcare.com] Sent: Friday, November 27, 2009 10:12 AM To: Rene J Buesa; Patsy Ruegg; Cheryl; robin.tay...@prexushealth.com; hymclab Cc: histonet@lists.utsouthwestern.edu Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea Do you know if the lab that was cited, appealed? -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Rene J Buesa Sent: Friday, November 27, 2009 12:09 PM To: 'Patsy Ruegg'; 'Cheryl'; robin.tay...@prexushealth.com; hymclab Cc: histonet@lists.utsouthwestern.edu Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea Usually is the inspector's (also usually unqualified ) opinion. Just the "adrenaline rush" of citing somebody. René J. --- On Fri, 11/27/09, hymclab <hymclab.hymc...@ministryhealth.org> wrote: From: hymclab <hymclab.hymc...@ministryhealth.org> Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea To: "'Patsy Ruegg'" <pru...@ihctech.net>, "'Cheryl'" <tkngfl...@yahoo.com>, "robin.tay...@prexushealth.com" <robin.tay...@prexushealth.com> Cc: "histonet@lists.utsouthwestern.edu" <histonet@lists.utsouthwestern.edu> Date: Friday, November 27, 2009, 11:18 AM I know of a lab that was dinged by CAP for doing this. The inspector said that was not a suitable solution to the problem. The lab had to change their scheduling patterns and have someone come in and embed the tissues on Saturday am. This was just one instance that I heard of and was probably the inspector's personal opinion. Dawn -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy Ruegg Sent: Wednesday, November 25, 2009 4:21 PM To: 'Cheryl'; robin.tay...@prexushealth.com Cc: histonet@lists.utsouthwestern.edu Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea This would work but make sure your tissue is very well fixed 24-48hrs before letting them sit in 70% or they will get alcohol fixed and that can be a problem. Patsy Ruegg, HT(ASCP)QIHC IHCtech 12635 Montview Blvd. Ste.215 Aurora, CO 80045 720-859-4060 fax 720-859-4110 www.ihctech.net www.ihcrg.org -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cheryl Sent: Wednesday, November 25, 2009 12:34 PM To: robin.tay...@prexushealth.com Cc: histonet@lists.utsouthwestern.edu Subject: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea hi Robin- IThere are a dozen ways to address this but a very simple one without extra resources might be this: Set your processor with the extra 24-48 hours held in the first alcohol. You probably don't want to spread the time across the whole machine or your end product will be VERY different than your weekly processing. 70% doesn't harden the biopsies and meets the fixation requirements currently under regulations. This works if you don't add to the processors after they're first loaded--set your end time for Monday morning and go! Once they change the reg to 6-72 hours, then rethink the distribution of time. All the other solutions are valid, but his way you don't have to obligate the pathologists to extra handling or have to deal with more than one processor and it's still inside current regs. Happy Thanksgiving! Cheryl Kerry, HT(ASCP) Full Staff Inc. 800.756.3309 _______________________________________________ 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 communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. 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