Please remember that from time to time CAP inspectors sit to ponder "what something new can we add to our list so it appears that we are not using always the same old one?". And from time to time the come up with requirements like this. You will never change them and the requirements will keep piling up one on top of the other. Caveat: sometimes the changes are warranted (only some). René J.
--- On Tue, 2/23/10, Pamela Marcum <mucra...@comcast.net> wrote: From: Pamela Marcum <mucra...@comcast.net> Subject: Re: [Histonet] New cryostat decontamination CAP statndard To: "Jeffrey Silverman" <jsilver...@nshs.edu> Cc: histonet@lists.utsouthwestern.edu, "Jeffrey Silverman" <jsilver...@nshs.edu> Date: Tuesday, February 23, 2010, 10:05 AM Thank you Jeffery. I am not sure how we get to CAP on this however; it makes no sense for a really busy lab unless they want to give us enough cryostats to make up for the problem this will cause. Is this something NSH might decide to help with? It may be time to bombard them (CAP) with questions and report the issues it will cause with patient care. None of us want to use a contaminated cryostat but we also know how to decontaminate without being in danger and stopping surgery for frozens . Pam Marcum UAMS - Anatomic Pathology ----- Original Message ----- From: "Jeffrey Silverman " < JSilverman @ NSHS . edu > To: histonet @lists. utsouthwestern . edu Cc: "Jeffrey Silverman " < JSilverman @ NSHS . edu > Sent: Tuesday, February 23, 2010 8:23:39 AM GMT -06:00 US/Canada Central Subject: [ Histonet ] New cryostat decontamination CAP statndard Here is the new standard for cryostat decontamination. No references are given documenting or supporting the need for this onerous and cumbersome weekly requirement. I suggest we lobby the CAP and demand both documentation supporting the need for weekly defrosting or, better, a more user friendly and sensible standard. Jeff Silverman **REVISED** 06/15/2009 ANP .12087 Phase II N/A YES NO Is there a documented procedure for the routine decontamination of the cryostat at defined intervals, and are decontamination records evident? NOTE: The cryostat must be defrosted and decontaminated with a tuberculocidal disinfectant at an interval appropriate for the institution; this must be weekly for instruments used daily. Trimmings and sections of tissue that accumulate inside the cryostat must be removed during decontamination. Although not a requirement, steel mesh gloves should be worn when changing knife blades. --------------------------------------------------------------------------------- The information contained in this electronic e-mail transmission and any attachments are intended only for the use of the individual or entity to whom or to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering this communication to the intended recipient, you are hereby notified that any dissemination, distribution, copying or disclosure of this communication and any attachment is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by telephone and electronic mail, and delete the original communication and any attachment from any computer, server or other electronic recording or storage device or medium. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client, physician-patient or other privilege. Thank you. _______________________________________________ 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
