For example, we have a 35+ year Immunotech with a Bachelors of Science who 
learned bench techniques by hand, when the automated stainer malfunctions, she 
is able to identify how to pick up where the machine left off and complete the 
test, saving the tissue. As Rene said, by understanding the science and theory 
behind the mechanics, you improve patient outcomes and are capable of high 
complexity testing even if you have mechanic assistance under most 
circumstances.  

-----Original Message-----
From: [email protected] 
[mailto:[email protected]] On Behalf Of Rene J Buesa
Sent: Thursday, January 24, 2013 12:43 PM
To: [email protected]; 'Sullivan, Beatrice'; 'Mark Tarango'; 'Tim 
Higgins'
Cc: [email protected]; [email protected]
Subject: Re: [Histonet] Re: Question

We have to remember that it is not just putting slides in/out of automated 
stainer. 
It is also understanding what the histotech is doing, how to design a 
validation experiment, how to look for an antibody the pathologists wants to 
test, how to troubleshoot a problem, how to justify switching from a detection 
system to another more convenient to the procedure on hand that for any reason 
no longer "works".
A histotech needs to know what s/he is doing. And to do all of the above has to 
have knowledge besides the training and the mechanics of what s/he is doing.
Designating a task as "high complexity" demands that the histotech has the 
basic theoretical knowledge and therefore deserves a better pay.
As some people has said before, putting slides in/out of an automated stainer 
of any kind) can be done by a monkey.
Understanding what is involved in IHC is above a monkey's pay grade.
René J.

From: "[email protected]" <[email protected]>
To: "'Sullivan, Beatrice'" <[email protected]>; 'Mark Tarango' 
<[email protected]>; 'Tim Higgins' <[email protected]> 
Cc: [email protected]; [email protected] 
Sent: Thursday, January 24, 2013 11:18 AM
Subject: RE: [Histonet] Re: Question

It also depends on the State you are in.  Florida considers this a high
complexity test and requires that a licensed technologist either do the test
or oversee a licensed technician who is performing the test.

>>From my view, especially with all the automatic stainers out there, simply
putting the slides on/off the stainer should not be considered high
complexity!  The interpretation of the stain should be done by a trained
individual though.

Just my $0.02.

Michelle

-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Sullivan,
Beatrice
Sent: Thursday, January 24, 2013 7:57 AM
To: Mark Tarango; Tim Higgins
Cc: [email protected]; [email protected]
Subject: RE: [Histonet] Re: Question

I called CAP a short time ago about who was qualified to run these. I was
told then that there was no requirement for a degreed person to run these. 

-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Mark Tarango
Sent: Wednesday, January 23, 2013 4:20 PM
To: Tim Higgins
Cc: [email protected]; [email protected]
Subject: Re: [Histonet] Re: Question

If anyone has any documentation that says the staining of IHC slides is NOT
high complexity it would help a histonetter out there.  I got an e-mail from
someone who is HT(ASCP)QIHC but does not have an AA degree.  Their lab
director is threatening their job saying they aren't qualified to do IHC
staining.  If anyone has something to refer to it would be helpful for this
person.  I already suggested contacting CAP and getting a written response.

I believe IHC is high complexity but not the staining portion.  Since no
result is being produced by the IHC tech how can this be high complexity?

thanks

Mark

On Wed, Jan 23, 2013 at 11:44 AM, Tim Higgins <[email protected]> wrote:

>
> The professional interpretation is considered a high complexity test 
> but not the actual technical component.
>
>
>
> Thanks,
>
>
>
> Timothy N. Higgins, HT (ASCP), QIHC
>
> _______________________________________________
> Histonet mailing list
> [email protected]
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
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