The below statement is correct and our last Joint Commission inpector clarified 
that the 2 patient identifier rule only applies to the specimen containers 
coming in the door.  Once they are accessioned in Path you can label slides and 
blocks with only the accession number and do not need the 2 patient identifiers 
on them.  We do make sure the patient name is on the side of the block if we 
send out just for completeness sakr and all of out final slides labels have the 
patient name on them as well.


Dawn D. Schneider, HT(ASCP)
Lead HT
Howard Young Medical Center
240 Maple Ave.
Woodruff, WI 54558
715-356-8174

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, 
Jr.
Sent: Tuesday, July 30, 2013 3:31 PM
To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Two Patient Identifiers on slides

I don't think this is technically correct according to the CAP.  The question 
in the most recent checklist states:

**REVISED** 07/11/2011

ANP.52000 Specimen ID                           Phase II
The identity of every specimen and image, including blocks, slides, and 
electron micrographs, is maintained through each step in processing.

NOTE: Each block of tissue must be individually labeled with unique patient 
identifier(s), e.g.
accession number etched onto the block or embedded into it. Storage of 
unlabeled blocks in separate containers that are labeled with patient number or 
name does not meet this requirement.
Evidence of Compliance:

✓ Written procedure describing system for maintaining specimen identity

This question does not state that 2 identifiers must be on the slides and 
blocks, etc.  It states it must be a unique identifier throughout the process.  
A specimen accession number would technically suffice.  You can add additional 
identifiers if that helps in your process but they are not required.

I believe that this is often confused with the General lab question GEN.40491 
which requires that any specimen that is collected and submitted to the lab 
must have 2 unique identifiers on it.  Once the specimen is in the lab, the 
unique accession number would suffice.

Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I 
think it is a good idea as an extra precaution step.  We are fortunate to have 
a xylene resistant label and printer that allows us to label the slides prior 
to processing.

My two cents as a manager,

Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790  F: 802.747.6525
Email joewal...@rrmc.org    www.rrmc.org

Our Vision:
To be the Best Community Healthcare System in New England

Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet 
Recognition® and the Governor’s Award for Performance Excellence


-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore
Sent: Tuesday, July 30, 2013 3:46 PM
To: Jean Wood; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Two Patient Identifiers on slides

We are writing path #, date of birth & patient initials as identifiers. Michelle


________________________________
From: Jean Wood <jw...@fairchildmed.org>
To: "histonet@lists.utsouthwestern.edu" <histonet@lists.utsouthwestern.edu>
Sent: Tuesday, July 30, 2013 2:37 PM
Subject: [Histonet] Two Patient Identifiers on slides


Hello Histonetters,

      Recently we started utilizing a slide labeling component that is built 
into our AP Easy LIS system and has accession number, levels and patients first 
and last name when labels are printed out. Dymo does not have a chemically 
resistant label (we have a Dymo 450 printer) and we have been putting the 
labels on AFTER the slides are stained and cover slipped.

In the meantime, the HT is writing in pencil the accession # and levels on the 
slide which is then covered up with the permanent label after cover slipping. 
Our Lab Manager is worried that we are not compliant as we do not have two 
patient identifiers on throughout the whole process (she wants us to write 
patient names on slides in pencil (before staining) and then cover that up with 
the pre-printed label after staining.

1. What is everyone else doing?
2. Have any of you found a chemically resistant label compatible with the Dymo 
labeler?


Jean Wood BS, HT
Fairchild Medical Center Pathology Dept.
Ph:530.841.6243 Fax:530.841.6232
jw...@fairchildmed.org<mailto:jw...@fairchildmed.org>
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