I agree with you Bill. Although we are no longer CAP inspected, we just finished up a Joint Commission inspection. My inspector was a lovely lady whom we learned a lot from as a whole in the lab. She also stated that it is the primary container that must have two identifiers. Just as a FYI she also stated that FS slides need to have the name and birth date of the patient if you don't log in the specimen until after the frozen has been completed. We are putting the last name on the side of the cassette, but have been doing this for years for our own protection. Rarely will you get the number and name incorrect. Sometimes at the end of the day there aren't any surgical specimens to buffer the endos, so this has helped us a great deal. Just my thoughts.
Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net "Tench, Bill" <bill.te...@pph.org> Sent by: histonet-boun...@lists.utsouthwestern.edu 04/27/2010 04:30 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Patient ID on cassettes A statement was made in a previous posting indicating CAP requirements for 2 unique identifiers throughout the entire analytic process: "To conform to CAP and state regulations that require two unique patient identifiers on a specimen at all analytical steps." The CAP standards GEN 40491, ANP 11460, and ANP12092 specifically indicate two unique identifiers on the PRIMARY specimen container, not on every container throughout the process, and there are notes explaining the requirements. There may be variations in State laws, but these are the most up to date CAP standards. There is no need to go through a lot of contortions adding additional information to cassettes. (however, at least the ones we use also have a side panel which can be written on) Bill Tench Associate Dir. Laboratory Services Chief, Cytology Services Palomar Medical Center 555 E. Valley Parkway Escondido, California 92025 bill.te...@pph.org Voice: 760- 739-3037 Fax: 760-739-2604 -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of histonet-requ...@lists.utsouthwestern.edu Sent: Sunday, April 25, 2010 10:01 AM To: histonet@lists.utsouthwestern.edu Subject: [BULK] Histonet Digest, Vol 77, Issue 31 Send Histonet mailing list submissions to histonet@lists.utsouthwestern.edu To subscribe or unsubscribe via the World Wide Web, visit http://lists.utsouthwestern.edu/mailman/listinfo/histonet or, via email, send a message with subject or body 'help' to histonet-requ...@lists.utsouthwestern.edu You can reach the person managing the list at histonet-ow...@lists.utsouthwestern.edu When replying, please edit your Subject line so it is more specific than "Re: Contents of Histonet digest..." Today's Topics: 1. Patient ID on cassettes (Jeffrey Silverman) 2. Re: Gram stain (Maxim Peshkov) 3. Best books for the HTL? (Paula Sicurello) ---------------------------------------------------------------------- Message: 1 Date: Sat, 24 Apr 2010 10:28:55 -0700 (PDT) From: Jeffrey Silverman <pathmas...@yahoo.com> Subject: [Histonet] Patient ID on cassettes To: joyce.cl...@wchsys.org Cc: histonet@lists.utsouthwestern.edu Message-ID: <690158.71961...@web111108.mail.gq1.yahoo.com> Content-Type: text/plain; charset=iso-8859-1 To conform to CAP and state regulations that require two unique patient identifiers on a specimen at all analytical steps, and to cope with a persnickety cassette labeller that is down more than up, we have taken to writing the patient's first and last initials in the upper left corner of the writing surface of the cassette, above the S10- xxxx. Our pencil sharpeners are running non -stop but it works. Only problem is when a block is sent out for IHC the returned slides are labelled with the initials as part of the reference slides accession numbers and my boss doesn't care for that. Originally we dropped the S in S10- and replaced with the initials to get a little more room, now we added back the S and placed initials above S10-. Patient safety dictates that a prossector verify a match among the labelled cassette and the labelled specimen containers and against the requisition and the number dictated into the gross computer/transcriber. Case by case, on every case. There is no substitute. As for placing the wrong cassettes on the wrong specimen containers, that seems to me to be pure carelessness and a disciplinary issue if it continues. When labelling, matching the initials that the microtomist writes on the slide with the patient's name printed on the slide labels provides a final ID double check if the numbers on the slide get transcribed incorrectly. The initials thing takes minimal effort, but you need to be able to write small LOL. Jeff Silverman. ------------------------------ Message: 2 Date: Sat, 24 Apr 2010 23:08:48 +0400 From: Maxim Peshkov <maxim...@mail.ru> Subject: Re: [Histonet] Gram stain To: "Perry, Margaret" <margaret.pe...@sdstate.edu> Cc: histonet@lists.utsouthwestern.edu Message-ID: <573298402.20100424230...@mail.ru> Content-Type: text/plain; charset=windows-1251 Margaret: We uses 1% aqueous neutral red as red counterstain with very good results. Do not forget rinse slides at 10-15 secs in DW with 1-2 drop of glacial acetic acid before neutral red and after this, because this dye have red color at pH < 6. Sincerely, Maxim Peshkov, Russia, Taganrog. ---Original message--- > Date: Fri, 23 Apr 2010 16:25:30 -0500 > From: "Perry, Margaret" <margaret.pe...@sdstate.edu> > Subject: [Histonet] Gram stain > To: "histonet@lists.utsouthwestern.edu" > <histonet@lists.utsouthwestern.edu> > Message-ID: > > <fca5ef47f9bc694cbb4c58fea04219634ccfb69...@sdsu-mbx.jacks.local> > Content-Type: text/plain; charset="us-ascii" > > Now that I'm done with my rant I have a real > question. We are trying to do a gram stain on fish > and the safranine O is staining everything red. What > other stain would you use? I usually have time to > look at the books but unfortunately it's almost > quiting time and the slides need to be done by noon Monday. Thanks > Margaret Perry mailto:maxim...@mail.ru ------------------------------ Message: 3 Date: Sun, 25 Apr 2010 10:18:13 -0400 From: Paula Sicurello <pat...@gmail.com> Subject: [Histonet] Best books for the HTL? To: HistoNet <histonet@lists.utsouthwestern.edu> Message-ID: <w2ha4ff07d91004250718rfe7fd3b5t1a7195a86a64f...@mail.gmail.com> Content-Type: text/plain; charset=ISO-8859-1 Hello Listers, I am going to study for the HTL exam after being in histology for over 20 years. It seems like more and more labs want the certification and less and less schools are offering the training that's required for the HT/HTL. Anyway, which books are the best to use for the HTL exam? ASCP mentions Bancroft an Gamble "Theory and Practice of Histological Technique" and Garcia "Clinical Laboratory Management". What do you recently certified HTLs think about those suggestions? I'm not getting down on the older certified HTLs but want the opinion of folks who went through the grinder recently. Thanks, -- Paula Sicurello 6 of 6 Duke University EM Lab ------------------------------ _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet End of Histonet Digest, Vol 77, Issue 31 **************************************** mail2.pph.org made the following annotations --------------------------------------------------------------------- Confidential E-Mail: This e-mail is intended only for the person or entity to which it is addressed, and may contain information that is privileged, confidential, or otherwise protected from disclosure. Dissemination, distribution, or copying of this e-mail or the information herein by anyone other than the intended recipient is prohibited. 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