RE: [Histonet] Pathology to OR Communication System
We have this and hate it! The speaker phone does not allow for bi-directional conversations. The pathologist may report to the room that he/she sees no tumor in section examined and the OR may only hear tumor in sections examined. This is not a good thing! Mike -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Anthony Reilly Sent: Monday, June 22, 2009 8:45 PM To: 'histonet@lists.utsouthwestern.edu'; 'medla...@listserv.buffalo.edu'; 'path...@mailman.srv.ualberta.ca'; Luke Perkocha Subject: Re: [Histonet] Pathology to OR Communication System Hi Luke A simple cheap solution would be to buy telephones for the OR and the lab that have speaker phone capabilities. No expensive purchase cost or installation required. regards Tony Tony Reilly Chief Scientist Anatomical Pathology Pathology Queensland Level 1, Building 15 Princess Alexandra Hospital Ipswich Rd, Woolloongabba Q 4102 Australia Ph: 07 32402412 Fax:07 32402930 tony_rei...@health.qld.gov.au Perkocha, Luke luke.perko...@ucsf.edu 23/06/2009 2:41 am Hello All, We have a very old speakerphone system that we use to call from the pathologist's office in to our operating rooms to discuss frozen section diagnoses with the surgeons. Both sides are yelling and straining to hear and we're concerned about the risk for miscommunication. We can't go into the OR directly, since Pathology and the OR are too far apart physically. We're looking for some sort of telephone-based communications system, perhaps with a speaker and microphone that can be mounted near the surgeon, so that when we call into the OR with the frozen section diagnosis, it can be switched to speaker and the call can be continued with direct and audible communication between the pathologist on the phone in his/her office and the surgical team at the head of the operating table. Does anyone out there have a system like this? Do you know of a commercial vendor who makes something that would work? We tried an expensive Polycom system meant for conference calls, but its 360 degree microphones picked up too much background noise in the OR. It seems like it should be a simple Radio Shack project, but we're all techno-challenged. Any help would be appreciated. Thanks. Luke Perkocha luke.perko...@ucsf.edumailto:luke.perko...@ucsf.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error. Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters. If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced. If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited. Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person's computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government. ** ___ 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
RE: [Histonet] Leica CV5030
We are very pleased with this instrument. It was originally purchased as a
stand-alone unit. A few years later we were able to purchase the ST5020 stainer
to connect to it. The technical staff at Leica has been great.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 3:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030
I am looking for experiences with this coverslipper from Leica CV5030 model,
good or bad.
Thank you,
Patsy
Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net
web site www.ihctech.net
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RE: [Histonet] Leica CV5030
We absolutely love our CV5030. I really can't think of anything
negative to say about it.
Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR 72202
phone 501.364.4240
fax501.364.3155
visit us on the web at:www.archildrens.org
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 2:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030
I am looking for experiences with this coverslipper from Leica CV5030
model, good or bad.
Thank you,
Patsy
Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net
web site www.ihctech.net
This email is confidential and intended solely for the use of the
Person(s) ('the intended recipient') to whom it was addressed. Any views
or opinions presented are solely those of the author. It may contain
information that is privileged confidential within the meaning of
applicable law. Accordingly any dissemination, distribution, copying, or
other use of this message, or any of its contents, by any person other
than the intended recipient may constitute a breach of civil or criminal
law and is strictly prohibited. If you are NOT the intended recipient
please contact the sender and dispose of this e-mail as soon as
possible.
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[Histonet] Clearing agent advice
Have any of you used Clearify, Naturalene, or Master Clear? I have been using SafeClear II, but need to change. Which of these might be most like SafeClear? Will they all work with Permount? Thank you very much for your insights! Esther Peters, Ph.D. Assistant Professor George Mason University ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Leica CV5030
Hi Patsy,
I will concur with Hazel but would add that the coverslipper has only
been hassle free for us as long we are using the better quality (ie
Premium grade) coverslips. Cheaper coverslips are not economical when
one considers the time lost to fix and reset the instrument and in some
cases re-coverslip slides. But since I switched to using the premium
grade year round (as opposed to only in the more humid months, which is
what I was doing to try andsave money!) I have had almost no glitches at
all!
Cheers!
Greg
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
I find that the harder I work, the
more luck I seem to have.
- Thomas Jefferson
Horn, Hazel V hor...@archildrens.org 6/23/2009 11:16 AM
We absolutely love our CV5030. I really can't think of anything
negative to say about it.
Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR 72202
phone 501.364.4240
fax501.364.3155
visit us on the web at:www.archildrens.org
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 2:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030
I am looking for experiences with this coverslipper from Leica CV5030
model, good or bad.
Thank you,
Patsy
Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net
web site www.ihctech.net
This email is confidential and intended solely for the use of the
Person(s) ('the intended recipient') to whom it was addressed. Any
views
or opinions presented are solely those of the author. It may contain
information that is privileged confidential within the meaning of
applicable law. Accordingly any dissemination, distribution, copying,
or
other use of this message, or any of its contents, by any person other
than the intended recipient may constitute a breach of civil or
criminal
law and is strictly prohibited. If you are NOT the intended recipient
please contact the sender and dispose of this e-mail as soon as
possible.
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RE: [Histonet] Leica CV5030
We actually had our Leica rep suggest a vendor for coverglass. They are not as
expensive as many others, and they work great. Stat Lab, catalog 102450E, 2 oz
or 102450 for the traditional 1 oz/per box. http://www.statlab.com
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Greg
Dobbin
Sent: Tuesday, June 23, 2009 10:42 AM
To: hor...@archildrens.org; pru...@ihctech.net;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Leica CV5030
Hi Patsy,
I will concur with Hazel but would add that the coverslipper has only
been hassle free for us as long we are using the better quality (ie
Premium grade) coverslips. Cheaper coverslips are not economical when
one considers the time lost to fix and reset the instrument and in some
cases re-coverslip slides. But since I switched to using the premium
grade year round (as opposed to only in the more humid months, which is
what I was doing to try andsave money!) I have had almost no glitches at
all!
Cheers!
Greg
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
I find that the harder I work, the
more luck I seem to have.
- Thomas Jefferson
Horn, Hazel V hor...@archildrens.org 6/23/2009 11:16 AM
We absolutely love our CV5030. I really can't think of anything
negative to say about it.
Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR 72202
phone 501.364.4240
fax501.364.3155
visit us on the web at:www.archildrens.org
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 2:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030
I am looking for experiences with this coverslipper from Leica CV5030
model, good or bad.
Thank you,
Patsy
Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net
web site www.ihctech.net
This email is confidential and intended solely for the use of the
Person(s) ('the intended recipient') to whom it was addressed. Any
views
or opinions presented are solely those of the author. It may contain
information that is privileged confidential within the meaning of
applicable law. Accordingly any dissemination, distribution, copying,
or
other use of this message, or any of its contents, by any person other
than the intended recipient may constitute a breach of civil or
criminal
law and is strictly prohibited. If you are NOT the intended recipient
please contact the sender and dispose of this e-mail as soon as
possible.
___
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and protected from disclosure. If the reader of this message is not the
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dissemination, distribution or copying of this communication is
strictly
prohibited. If you have received this communication in error, please
notify
us immediately by replying to the message and deleting it from your
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Thank you.
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This message (including attachments) may contain confidential or privileged
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received this communication in error, please notify the sender immediately. If
you are not the intended recipient, you are not authorized to use, disclose,
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Le pr?sent message (y compris les annexes) peut
[Histonet] Budget Microarray - Finally
Good day Histonetters, A few weeks back, I posted that I had a method for making a tissue microarray on the cheap. I have received a lot of requests for how I do this. I wanted to write it up because, even though it is pretty easy to do, it is difficult to describe. So...I made a PowerPoint on how to do it and posted it at this address: http://highperformancehistology.yolasite.com/ With your indulgence I will re-post a few times iin the next couple of weeks so that those who contacted me won't miss out. (I suppose I could have saved all those addresses...ah, the wonder of hindsight! William (Bill) O'Donnell, HT (ASCP) QIHC Lead Histologist Good Samaritan Hospital 10 East 31st Street Kearney, NE 68847 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Leica CV5030
Not sure if sending attachments is bad. Following is a letter from Leica
recommending several coverslips for their automated machine.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Tuesday, June 23, 2009 10:47 AM
To: Greg Dobbin; hor...@archildrens.org; pru...@ihctech.net;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Leica CV5030
We actually had our Leica rep suggest a vendor for coverglass. They are not as
expensive as many others, and they work great. Stat Lab, catalog 102450E, 2 oz
or 102450 for the traditional 1 oz/per box. http://www.statlab.com
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Greg Dobbin
Sent: Tuesday, June 23, 2009 10:42 AM
To: hor...@archildrens.org; pru...@ihctech.net;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Leica CV5030
Hi Patsy,
I will concur with Hazel but would add that the coverslipper has only been
hassle free for us as long we are using the better quality (ie Premium grade)
coverslips. Cheaper coverslips are not economical when one considers the time
lost to fix and reset the instrument and in some cases re-coverslip slides. But
since I switched to using the premium grade year round (as opposed to only in
the more humid months, which is what I was doing to try andsave money!) I have
had almost no glitches at all!
Cheers!
Greg
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
I find that the harder I work, the
more luck I seem to have.
- Thomas Jefferson
Horn, Hazel V hor...@archildrens.org 6/23/2009 11:16 AM
We absolutely love our CV5030. I really can't think of anything
negative to say about it.
Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR 72202
phone 501.364.4240
fax501.364.3155
visit us on the web at:www.archildrens.org
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 2:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030
I am looking for experiences with this coverslipper from Leica CV5030
model, good or bad.
Thank you,
Patsy
Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net
web site www.ihctech.net
This email is confidential and intended solely for the use of the
Person(s) ('the intended recipient') to whom it was addressed. Any
views
or opinions presented are solely those of the author. It may contain
information that is privileged confidential within the meaning of
applicable law. Accordingly any dissemination, distribution, copying,
or
other use of this message, or any of its contents, by any person other
than the intended recipient may constitute a breach of civil or
criminal
law and is strictly prohibited. If you are NOT the intended recipient
please contact the sender and dispose of this e-mail as soon as
possible.
___
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The information contained in this message may be privileged and
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this
message to the intended recipient, you are hereby notified that any
dissemination, distribution or copying of this communication is
strictly
prohibited. If you have received this communication in error, please
notify
us immediately by replying to the message and deleting it from your
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Thank you.
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Re: [Histonet] Budget Microarray - Finally
Bill, Very nice and thanks for sharing. Victor Victor Tobias Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-598-2792 206-598-7659 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. O'Donnell, Bill wrote: Good day Histonetters, A few weeks back, I posted that I had a method for making a tissue microarray on the cheap. I have received a lot of requests for how I do this. I wanted to write it up because, even though it is pretty easy to do, it is difficult to describe. So...I made a PowerPoint on how to do it and posted it at this address: http://highperformancehistology.yolasite.com/ With your indulgence I will re-post a few times iin the next couple of weeks so that those who contacted me won't miss out. (I suppose I could have saved all those addresses...ah, the wonder of hindsight! William (Bill) O'Donnell, HT (ASCP) QIHC Lead Histologist Good Samaritan Hospital 10 East 31st Street Kearney, NE 68847 ___ 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] Leica CM1850uv
We purchased a Leica CM1850uv cryostat in 2007 and we constantly have problems with buildup of ice on the specimen metal bar. This causes the tissue to stick to the stationary heat extractor which causes significant problems cutting frozen sections. The engineer has serviced the machine several times, but recognizes this as normal ice buildup. We manually defrost the unit 2-3 times a day, but it does not seem to help. Is anyone else experiencing the same problem, and if so, what are they doing about it? Thank you. This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at priv...@saratogacare.org and destroy all copies of this communication and any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Leica CM1850uv
I've worked with 4 of these units, two had the problem, two didn't. Long story short, the problem won't go away until you have the Peltier unit replaced. That is not normal ice buildup. Laurie --Original Message-- From: Demarinis, Carolyn cdemari...@saratogacare.org Date: Tue Jun 23, 2009 -- 10:29:08 AM To: histo...@pathology.swmed.edu Subject:[Histonet] Leica CM1850uv We purchased a Leica CM1850uv cryostat in 2007 and we constantly have problems with buildup of ice on the specimen metal bar. This causes the tissue to stick to the stationary heat extractor which causes significant problems cutting frozen sections. The engineer has serviced the machine several times, but recognizes this as normal ice buildup. We manually defrost the unit 2-3 times a day, but it does not seem to help. Is anyone else experiencing the same problem, and if so, what are they doing about it? Thank you. This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at priv...@saratogacare.org and destroy all copies of this communication and any attachments. ___ 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] Positive Patient ID
Hi Histoland, Recently we had a CAP inspection. One of the deficiencies that we were sited for was a lack of positive patient ID. Here's is our current process (the process that has been in place forever and a day). 1)Specimens are collected. 2)They are assigned the next specimen numbers (the next available number is recorded on a steno pad next to the cassette labeler as well as stored in the cassette labeler). 3)Cassettes are made and the specimen, cassettes and a copy of the paper requisition are given to the pathologist to be grossed in. 4)Once all specimens have assigned numbers and have been given to pathologist, we enter the information into our LIS (Cerner Classic). While we would love to be able to afford to purchase one of the many positive patient ID barcode systems, this isn't feasible at this time. So I am wondering what other labs are doing to comply with positive patient ID? Thanks for all your help! Kelly _ Bing™ brings you maps, menus, and reviews organized in one place. Try it now. http://www.bing.com/search?q=restaurantsform=MLOGENpubl=WLHMTAGcrea=TEXT_MLOGEN_Core_tagline_local_1x1___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Leica CM1850uv
I also am using the CM1850, we have several of them in our hospital system. We do not have ice build-up at all in any of them, and we are in a VERY HUMID and VERY HOT Florida. I would suggest using another service rep. Where are you located? I could recommend a great service company in my area. As a desperate, short-term measure, you could put a cup of desiccant on the back of the work-area plate. Don't let the Turkeys get you down! Janet From: histonet-boun...@lists.utsouthwestern.edu on behalf of Demarinis, Carolyn Sent: Tue 6/23/2009 11:28 AM To: histo...@pathology.swmed.edu Subject: [Histonet] Leica CM1850uv We purchased a Leica CM1850uv cryostat in 2007 and we constantly have problems with buildup of ice on the specimen metal bar. This causes the tissue to stick to the stationary heat extractor which causes significant problems cutting frozen sections. The engineer has serviced the machine several times, but recognizes this as normal ice buildup. We manually defrost the unit 2-3 times a day, but it does not seem to help. Is anyone else experiencing the same problem, and if so, what are they doing about it? Thank you. This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at priv...@saratogacare.org and destroy all copies of this communication and any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet === The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender immediately by replying to this message and deleting the material from any computer. === ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: Pathology to OR Communication System
In the many surgical pathology services I've worked in as a locum tenens pathologist, I have almost never seen anything but a squawk-box system for communicating with the surgeon in the OR. Communication fails if the OR is noisy or if the surgeon doesn't speak English very well. Often I wind up talking to an illiterate circulator. I suppose this arrangement is prescribed in the Hospital Administrator's Top-Secret Handy-Dandy Book on How to Make Life Hard for the Pathologist. (I am deeply convinced such a document exists, since I see exactly the same problems in multiple pathology services.) What I don't understand is - presumably surgeons in the OR rather often need telephone communication with the outside world - how do they do it for important communications, like about a golf game or a hot market tip? I'd want to find this out if I were setting up a system. I never thought of a video link. It would indeed be useful for orienting skin specimens, but adequate macro magnification would be essential, since these specimens are often quite small. Photomicrography would require still another set-up. The traditional frozen section set-up in the operative suite would require all duplicate equipment. We've had this problem for years with microscopes - the worst microscope in the lab is always relegated to the FS suite. I'd want to do the frozen sections in the pathology lab, if I were setting up a new system and could have my druthers. Bob Richmond Samurai Pathologist Knoxville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Ice build up on
You wrote: We purchased a Leica CM1850uv cryostat in 2007 and we constantly have problems with buildup of ice on the specimen metal bar. This causes the tissue to stick to the stationary heat extractor which causes significant problems cutting frozen sections. The engineer has serviced the machine several times, but recognizes this as normal ice buildup. We manually defrost the unit 2-3 times a day, but it does not seem to help. Is anyone else experiencing the same problem, and if so, what are they doing about it? Thank you. Re: By manually defrosting the unit, do you mean using the mini-defrost command for the cold bar area and not the whole cryostat? We have used that command to clear ice from holes but it tends to get really hot. After this is done, the melted ice water is wiped away with 100% alcohol damp gauze IF the water is apparent/obvious since it will simply refreeze and cause ice buildup again.Consequently, we have not used that mini defrost mode too often but rather do the following. To get rid of the ice out of little holes and off cold bar, use a Q tip dampened with 95% alcohol in holes and a 95% dampened gauze on flat surfaces. Since alcohol is an antifreeze we can eliminate the ice without heating up the bar area. Also wipe the underside of the heat extractor to get rid of any ice crystal build up located there. If 95% is not working well, use 70% followed by 95% or 100% to get rid of any residual water left from the 70%. The main thing is to clean the bottom of heat extractor more often and just before freezing since the ice crystals are messing up cryotomy. Just don't get alcohol on your tissue by wiping underside with dry, RT gauze after the alcohol wipe. One, be sure to minimize adding water to the cryostat - sometimes difficult. This can happen when cleaning with 70% alcohol that is dripping off gauze or normal usage. If one dampens the gauze for cleaning and wipes down interior - buildup is minimized. If you see too much 70% then wipe again with 100% to help dry the surfaces before you turn on the UV light. Also, major defrosting of whole cryostat may have to be done more frequently. We raise the removable metal plate and check for excessive ice buildup under the and the back of chamber and defrost the whole cryostat if the ice begins to look like our Montana winter. We live in such a dry climate that frost buildup is minimal, but high humidity days are factor too. Merely suggestions and good luck Gayle M. Callis HTL(ASCP) HT, MT Bozeman MT ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Leica CM1850uv
Carolyn Give me a call I we can arrange to have a service call to repair your instrument. This can be repaired. Best Regards Mari Ann Mailhiot BA HT ASCP Application Specialist/Trainer Leica Microsystems Biosystems Division Technical Assistance Center 800 248 0123 x7267 847 236 3063 fax mari.ann.mailh...@leica-microsystems.com www.leica-microsystems.com Demarinis, Carolyn cdemari...@sarat To OGACARE.ORG histo...@pathology.swmed.edu Sent by: cc histonet-bounces@ lists.utsouthwest Subject ern.edu [Histonet] Leica CM1850uv 06/23/2009 10:28 AM We purchased a Leica CM1850uv cryostat in 2007 and we constantly have problems with buildup of ice on the specimen metal bar. This causes the tissue to stick to the stationary heat extractor which causes significant problems cutting frozen sections. The engineer has serviced the machine several times, but recognizes this as normal ice buildup. We manually defrost the unit 2-3 times a day, but it does not seem to help. Is anyone else experiencing the same problem, and if so, what are they doing about it? Thank you. This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at priv...@saratogacare.org and destroy all copies of this communication and any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ This email has been scanned by the MessageLabs Email Security System. For more information please visit http://www.messagelabs.com/email __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Positive Patient ID
Did you specifically ask what the inspectors wanted you to do to correct the deficiency? I cannot speak for the inspectors, but I believe the issue associated w/ your deficiency is that the patient and accession number are not entered into the LIS at the beginning of your process. not that you need an expensive barcoding system. There are multiple opportunities for duplication of accession numbers and a lack of tracking the case through your process. Again, I suggest you have a detaialed conversation with the inspectors to understand their reasoning for issuing the deficiency. William DeSalvo, B.S., HTL(ASCP) From: kelly_colpi...@hotmail.com To: histonet@lists.utsouthwestern.edu Date: Tue, 23 Jun 2009 11:47:44 -0400 Subject: [Histonet] Positive Patient ID Hi Histoland, Recently we had a CAP inspection. One of the deficiencies that we were sited for was a lack of positive patient ID. Here's is our current process (the process that has been in place forever and a day). 1)Specimens are collected. 2)They are assigned the next specimen numbers (the next available number is recorded on a steno pad next to the cassette labeler as well as stored in the cassette labeler). 3)Cassettes are made and the specimen, cassettes and a copy of the paper requisition are given to the pathologist to be grossed in. 4)Once all specimens have assigned numbers and have been given to pathologist, we enter the information into our LIS (Cerner Classic). While we would love to be able to afford to purchase one of the many positive patient ID barcode systems, this isn't feasible at this time. So I am wondering what other labs are doing to comply with positive patient ID? Thanks for all your help! Kelly _ Bing™ brings you maps, menus, and reviews organized in one place. Try it now. http://www.bing.com/search?q=restaurantsform=MLOGENpubl=WLHMTAGcrea=TEXT_MLOGEN_Core_tagline_local_1x1___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _ Lauren found her dream laptop. Find the PC that’s right for you. http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Positive Patient ID
Kelly, Maybe the problem is in the procedure manual terminology. Do you have it spelled out that when you receive the specimen it is matched to the requisition to assure positive id? Do you have in the grossing process procedure that the specimen is matched to the cassette? And then the cassette to the slide in the sectioning step? Linda -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kelly Colpitts Sent: Tuesday, June 23, 2009 11:48 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Positive Patient ID Hi Histoland, Recently we had a CAP inspection. One of the deficiencies that we were sited for was a lack of positive patient ID. Here's is our current process (the process that has been in place forever and a day). 1)Specimens are collected. 2)They are assigned the next specimen numbers (the next available number is recorded on a steno pad next to the cassette labeler as well as stored in the cassette labeler). 3)Cassettes are made and the specimen, cassettes and a copy of the paper requisition are given to the pathologist to be grossed in. 4)Once all specimens have assigned numbers and have been given to pathologist, we enter the information into our LIS (Cerner Classic). While we would love to be able to afford to purchase one of the many positive patient ID barcode systems, this isn't feasible at this time. So I am wondering what other labs are doing to comply with positive patient ID? Thanks for all your help! Kelly _ Bing(tm) brings you maps, menus, and reviews organized in one place. Try it now. http://www.bing.com/search?q=restaurantsform=MLOGENpubl=WLHMTAGcrea=TEXT_MLOGEN_Core_tagline_local_1x1___ 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] (no subject)
Hi everyone, Has any one used Xylenol orange fluorochrome label for bone. If yes, please contact me directly. I need help. Thank you in advance Shakun Shakun P. Aswani Scientist I, Preclinical Development Acologix, Inc. 3960 Point Eden Way Hayward CA 94545 (510) 512-7231 phone (510) 786-1116 facsimile shakun.asw...@acologix.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] tracking turnaround time of intraoperative consultations
This is why we start the time when we actually receive the specimen in hand. Maria -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce Sent: Tuesday, June 23, 2009 1:12 PM To: Della Speranza, Vinnie; histonet Subject: RE: [Histonet] tracking turnaround time of intraoperative consultations We track from time of receipt. One way you could track from time of order is if the specimen is ordered electronically. We have that set up for some of our units - a requisition is ordered with time of order, etc. But we couldn't get it working in the OR - not enough people and printers at ready access.. Best, j Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Della Speranza, Vinnie Sent: Tuesday, June 23, 2009 16:02 To: histonet Subject: [Histonet] tracking turnaround time of intraoperative consultations CAP utilizes the term intraoperative consultation to describe the utilization of frozen (cryo) sections to provide a rapid diagnosis back to a surgeon in the operating room. The CAP checklist requires a turnaround time of 20 minutes for single specimen submitted for intraoperative consultation. My understanding is that the turnaround time is measured from the time the sample is received in the laboratory until the time the report is issued to the surgeon. Is anyone tracking or measuring turnaround time from the time the consult is ordered in/by the Operating Room until the time the result is issued? If so, would you share how you are able to determine the time the test was ordered and to what extent you have elicited the cooperation of Operating Room personnel. We receive many complex surgical cases and our intraoperative consults frequently consist of multiple surgical samples from the same patient arriving in the lab at the same time. Our head and neck cases, for example, consist of 6-8 biopsies that are sent to pathology at the same time. In this example, we have no knowledge of which biopsies was excised first or last and because the surgeon chooses to allow multiple samples to accumulate before sending them all off to the lab, it's clear that the true pre-analytical time will not be the same for each sample. If you are tracking turnaround from the time of order to the time of result reporting, how are you determining what is an acceptable turnaround time? CAP's standard is the only national standard I am aware of for frozen section turnaround times. Vinnie Della Speranza Manager for Anatomic Pathology Services Medical University of South Carolina 165 Ashley Avenue Suite 309 Charleston, South Carolina 29425 Tel: (843) 792-6353 Fax: (843) 792-8974 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Notice from St.Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] tracking turnaround time of intraoperative consultations
We have just started tracking from order to sign out for frozen sections. (In addition, frozens are tracked from receipt in pathology to sign out using the CAP guidelines). The trouble with the electronic order (in our institution) is that the OR may place the pathology order in hospital computer system early in the surgery so that the order time that prints on the requisition is substantially different than the actual collect time. We have resolved this by having the OR staff write the actual collect time on the requisition and initial it. This collect time is also noted in the OR documentation notes for the surgery. When OR forgets to note collect time manually on the requisition (and they do), I call back and have them look up and verify the collect time. This was started with the cooperation and support of the OR administration. For the pathology accession staff, this means they can not use the order time that crosses the interface to the LIS (lab computer system) but must enter the handwritten time as noted on the requisition. We have set a goal of 40 minutes from frozen order to sign out. This may be lowered to 30 - 35 minutes depending on how our data looks over several months. Our pathology dept. is located on the first floor and the OR on second floor of same building. As for noting collect times for multiple specimens, same case: We have always required the OR to generate a requisition for each container. The collect time is written on each requisition. This is no different than writing the collect date/time and initials that nursing/phlebotomy does for each tube of blood drawn hospitalwide. Would be interested in hearing from others on how this is handled. Becky Garrison Pathology supervisor Shands Jacksonville Jacksonville, FL 32209 904-24-6237 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Della Speranza, Vinnie Sent: Tuesday, June 23, 2009 4:02 PM To: histonet Subject: [Histonet] tracking turnaround time of intraoperative consultations CAP utilizes the term intraoperative consultation to describe the utilization of frozen (cryo) sections to provide a rapid diagnosis back to a surgeon in the operating room. The CAP checklist requires a turnaround time of 20 minutes for single specimen submitted for intraoperative consultation. My understanding is that the turnaround time is measured from the time the sample is received in the laboratory until the time the report is issued to the surgeon. Is anyone tracking or measuring turnaround time from the time the consult is ordered in/by the Operating Room until the time the result is issued? If so, would you share how you are able to determine the time the test was ordered and to what extent you have elicited the cooperation of Operating Room personnel. We receive many complex surgical cases and our intraoperative consults frequently consist of multiple surgical samples from the same patient arriving in the lab at the same time. Our head and neck cases, for example, consist of 6-8 biopsies that are sent to pathology at the same time. In this example, we have no knowledge of which biopsies was excised first or last and because the surgeon chooses to allow multiple samples to accumulate before sending them all off to the lab, it's clear that the true pre-analytical time will not be the same for each sample. If you are tracking turnaround from the time of order to the time of result reporting, how are you determining what is an acceptable turnaround time? CAP's standard is the only national standard I am aware of for frozen section turnaround times. Vinnie Della Speranza Manager for Anatomic Pathology Services Medical University of South Carolina 165 Ashley Avenue Suite 309 Charleston, South Carolina 29425 Tel: (843) 792-6353 Fax: (843) 792-8974 ___ 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
RE: [Histonet] tracking turnaround time of intraoperative consultations
This is basically how we have always done. On scheduled frozens we have 15 minutes for turnaround, unscheduled 30 minutes. Tom Podawiltz, HT (ASCP) Histology Section Head/Laboratory Safety Officer LRGHealthcare 603-524-3211 ext: 3220 From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Garrison, Becky [becky.garri...@jax.ufl.edu] Sent: Tuesday, June 23, 2009 5:51 PM To: Della Speranza, Vinnie; histonet Subject: RE: [Histonet] tracking turnaround time of intraoperative consultations We have just started tracking from order to sign out for frozen sections. (In addition, frozens are tracked from receipt in pathology to sign out using the CAP guidelines). The trouble with the electronic order (in our institution) is that the OR may place the pathology order in hospital computer system early in the surgery so that the order time that prints on the requisition is substantially different than the actual collect time. We have resolved this by having the OR staff write the actual collect time on the requisition and initial it. This collect time is also noted in the OR documentation notes for the surgery. When OR forgets to note collect time manually on the requisition (and they do), I call back and have them look up and verify the collect time. This was started with the cooperation and support of the OR administration. For the pathology accession staff, this means they can not use the order time that crosses the interface to the LIS (lab computer system) but must enter the handwritten time as noted on the requisition. We have set a goal of 40 minutes from frozen order to sign out. This may be lowered to 30 - 35 minutes depending on how our data looks over several months. Our pathology dept. is located on the first floor and the OR on second floor of same building. As for noting collect times for multiple specimens, same case: We have always required the OR to generate a requisition for each container. The collect time is written on each requisition. This is no different than writing the collect date/time and initials that nursing/phlebotomy does for each tube of blood drawn hospitalwide. Would be interested in hearing from others on how this is handled. Becky Garrison Pathology supervisor Shands Jacksonville Jacksonville, FL 32209 904-24-6237 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Della Speranza, Vinnie Sent: Tuesday, June 23, 2009 4:02 PM To: histonet Subject: [Histonet] tracking turnaround time of intraoperative consultations CAP utilizes the term intraoperative consultation to describe the utilization of frozen (cryo) sections to provide a rapid diagnosis back to a surgeon in the operating room. The CAP checklist requires a turnaround time of 20 minutes for single specimen submitted for intraoperative consultation. My understanding is that the turnaround time is measured from the time the sample is received in the laboratory until the time the report is issued to the surgeon. Is anyone tracking or measuring turnaround time from the time the consult is ordered in/by the Operating Room until the time the result is issued? If so, would you share how you are able to determine the time the test was ordered and to what extent you have elicited the cooperation of Operating Room personnel. We receive many complex surgical cases and our intraoperative consults frequently consist of multiple surgical samples from the same patient arriving in the lab at the same time. Our head and neck cases, for example, consist of 6-8 biopsies that are sent to pathology at the same time. In this example, we have no knowledge of which biopsies was excised first or last and because the surgeon chooses to allow multiple samples to accumulate before sending them all off to the lab, it's clear that the true pre-analytical time will not be the same for each sample. If you are tracking turnaround from the time of order to the time of result reporting, how are you determining what is an acceptable turnaround time? CAP's standard is the only national standard I am aware of for frozen section turnaround times. Vinnie Della Speranza Manager for Anatomic Pathology Services Medical University of South Carolina 165 Ashley Avenue Suite 309 Charleston, South Carolina 29425 Tel: (843) 792-6353 Fax: (843) 792-8974 ___ 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 THIS MESSAGE IS CONFIDENTIAL. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not
[Histonet] CSH 2010
Jan, I forgot to give you the dates. May 14, 15, 16, 2010. Jennifer ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Sorry!!
My previous post was not meant to go to the Histonet. Jennifer ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
