You mention how many rotations you use for facing your blocks. That assumes 
whoever did the embedding did a good job.  And even with no unnecessary 
ribbons.....whether there are extra sections or not, you still have to keep the 
water bath scrupulously clean which means wiping out with a Kimwipe after each 
block...whether there are ribbons floating or not.

Jeanine H. Bartlett
Centers for Disease Control and Prevention
Infectious Diseases Pathology Branch
404-639-3590
jeanine.bartl...@cdc.hhs.gov


-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Contact 
HistoCare
Sent: Thursday, October 25, 2012 12:23 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Number of blocks

Hi,

To most folks that number does seem high but I've met many old school techs who 
can do this easily. One of my first learning experiences was watching a 57 year 
old woman crank out tons of slides with no errors and who regularly got praises 
from the pathologists for producing the most beautiful slides.

While I have never been required to produce a certain amount within a certain 
window, I have built up the ability to cut a lot more than 50 per hour. I have 
even doubled this number. Of course it depends on the tissue type, but assuming 
properly decalcified bone, nothing popping out of the block, and a cold block 
of ice, it's very easy for me to produce a high quality slide at 3,4,5 microns. 
I get compliments all the time of my slides.

My methods are quite different from most techs though. When facing, I don't 
waste movements. I actually count the rotations and spend less than 8 seconds 
facing each block. I also get the right section usually in about the third or 
fourth crank and I only put at the most two sections in the water bath to pick 
up. 

I don't cut unnecessary ribbons just to have them sit in the water bath and 
eventually have to wipe away with the Kimwipe, which in my opinion is wasteful 
of both materials and time. I also make sure I have enough ice to keep the 
blocks very cold and adequately hydrated.

I'm not sure if being in decent physical shape matters but I think it gives me 
the arm stamina to do this. I use only my wrists and fingers and not my whole 
arm in the rotational motion.

Hope this helps,


M


www.HistoCare.com



>>> From: Dorothy Ragland-Glass <techman...@yahoo.com>
>>> To: Histonet@lists.utsouthwestern.edu
>>> Sent: Wednesday, October 24, 2012 8:38 AM
>>> Subject: [Histonet] Number of blocks
>>> 
>>> It was annouced by a histo lab manager that techs are expected to cut 40-50 
>>> blocks per hour. That seems to me to be rather high. I don't see quality 
>>> slides being turned out. It is quantity and profit above patient care. I am 
>>> old school, and I remember something about quality and patient first. 
>>> Besides  what kind of impact on morality of the techs, back problems and 
>>> carpal tunnel syndrom is laying ahead for the cutter after cranking the 
>>> microtome repeatedly that many blocks without a break.
>>> 

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