[Histonet] New Position Alert - Applications Support Specialists 4 Locations!!

2012-04-24 Thread Matt Ward
Good Morning Histonet,



Our client is a global leader in manufacturing histology products has
recently opened 4 new Application Support Specialist positions. Our client
is looking for Histotechs who would be interested in working in the field
and enjoy training and interacting with customers.



Locations include:

NJ/NY/PA (Northeast Region)

NC/Charlotte (Southeast Region)

Atlanta (IHC Specialist)

Southern CA (Western Region)



The positions include a base salary + bonus/commissions and great benefits.
These are expansion opportunities and they offer a great potential for
career growth.

If you or anyone you may know would be interested in learning more, please
contact me at m...@personifysearch.com or 800.875.6188 ext. 103



Regards,



Matt Ward

*Account Executive*

*Personify*

5020 Weston Parkway Suite 315

Cary NC 27513

(Tel) 800.875.6188 direct ext 103

(Fax) 919.460.0642

 www.personifysearch.com
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[Histonet] Hazardous Waste Labeling

2012-04-24 Thread Laurie

   Can  someone  tell  me  the requirements for labeling hazardous waste   
containers and the reference source?

   




   


   Than= ks,

   


   Laurie Colbert
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RE: [Histonet] LIS questions

2012-04-24 Thread Michael Mihalik
Good morning,

I’d like to take up the issue of server vs cloud in Kelly’s original email.
I have some thoughts that I’d like to share, but more importantly, I’d like
to hear other people’s opinions.   This is going to be a continuing ‘hot
topic’ in the LIS world for years to come and I think it would be nice to
have some sort of list for people to start thinking about.  I am aware that
traditionally there has not been a lot of LIS involvement in the histology
laboratory, but with the advent of 'barcode tracking' and new quality
initiatives, I am sure that this is about to change.
 
Server
Pros:
1.More control – you know where your data resides and you have full
control over it.
2.   Ostensibly faster, because you’re just sharing your data traffic
internally, not across the world web.
3.   We know this model works in both low and large volume operations.
Cons:
1.You’re responsible for maintaining the server – operating system
patches which occur every few months it seems and daily backups.
2.   Cost associated with the server(s) – Often times there will be 2
servers – production and development, plus there is a license fee.  Bottom
line, think around 10, 000 to 20,000.  You also need a ‘place’ to put the
servers.
 
 
Cloud
Pros:
1.   A user can get to the system from everywhere  -- great if you don’t
have an infrastructure already in place.
2.  No hardware costs for the server, but I would imagine that there is
some fee hidden somewhere – nothing in life is free, right?
Cons:
1.   No control over your data.  It can reside anywhere in the world and
who knows how the local laws protect your data.  If the data resides in the
US, that’s less of a concern.  With less control, you never really know if
your backups are occurring or not.  
2.  Because you’re on the web, the potential exists for a slower system.
This is probably not as important when a pathologist is signing out a case,
but depending on the LIS, it could be a big problem, if there is a lot of
user interaction.  For instance, anything to do with blocks or slides which
can be numerous and require rapid processing, could be an issue.  In my own
experience, I’ve waited on a ‘web page refresh’ for several seconds from
time to time.  If my specials are due out at 10 a.m. and it’s 9:45, I don’t
have time for a slow connection.
3.  With current technology, instrument interfaces can be difficult
because they require more of a realtime or ‘very fast’ response.
4.  Does anyone know of a large volume lab that uses a web based LIS
where the LIS requires quick response time?
5.  What happens if I change from a web based LIS.  I ‘assume’ I don’t
get access to my data unless I continue to pay some sort of fee.  With a
server based system, I can stop paying maintenance, but I can still access
my data.
 
What do you all think?  Do you disagree with the list?  Do you have more to
add?  
 
Bottom line, I think for me, and remember, I’m an LIS vendor myself, system
functionality would still be a priority as far as system selection is
concerned.  The ‘feel of the company’ would be my next critical concern, and
then I would think about cost and technology.

Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kelly Boyd
Sent: Wednesday, April 18, 2012 11:31 AM
To: histonet
Subject: [Histonet] LIS questions


 


Is anyone out there familiar with any of the following LIS systems, if so,
what are your thoughts??  AIM Path Software systems, Wavefront Software,
WinSURGE, CSS LIS
 
What are the opinions out there for a server based system versus a cloud
based??
Thanks!


Kelly 
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RE: [Histonet] LIS questions

2012-04-24 Thread WILLIAM DESALVO

When we start talking about the issues associated w/ server vs. cloud in 
healthcare, I think discussion needs to start w/ and be centered on capability 
of compliance and enforcement, as it relates to HITECH Act, HIPPA and delivery 
of ePHI. There is a complexity added as more health information exchanges are 
developed and access to data is expanded and the need to develop complex and 
sound Business Associate Agreements.  In my mind, the idea of more access 
and/or ease of access must be directly related to the ability to control and 
provide security of access.
 
I believe this very complex issue and process will rely less on the needs of 
the end user, Histotechnicians/Histotechnologists and more on the need to meet 
HITECH requirements and very secure delivery. This is a very complex IT issue 
and maybe not best discussed on the Histonet w/ technical personnel with 
limited IT knowledge.

William DeSalvo, BS, HTL(ASCP)

 

 From: m...@pathview.com
 To: kdboydhi...@yahoo.com; Histonet@lists.utsouthwestern.edu
 Date: Tue, 24 Apr 2012 08:52:13 -0700
 Subject: RE: [Histonet] LIS questions
 CC: 
 
 Good morning,
 
 I’d like to take up the issue of server vs cloud in Kelly’s original email.
 I have some thoughts that I’d like to share, but more importantly, I’d like
 to hear other people’s opinions. This is going to be a continuing ‘hot
 topic’ in the LIS world for years to come and I think it would be nice to
 have some sort of list for people to start thinking about. I am aware that
 traditionally there has not been a lot of LIS involvement in the histology
 laboratory, but with the advent of 'barcode tracking' and new quality
 initiatives, I am sure that this is about to change.
 
 Server
 Pros:
 1. More control – you know where your data resides and you have full
 control over it.
 2. Ostensibly faster, because you’re just sharing your data traffic
 internally, not across the world web.
 3. We know this model works in both low and large volume operations.
 Cons:
 1. You’re responsible for maintaining the server – operating system
 patches which occur every few months it seems and daily backups.
 2. Cost associated with the server(s) – Often times there will be 2
 servers – production and development, plus there is a license fee. Bottom
 line, think around 10, 000 to 20,000. You also need a ‘place’ to put the
 servers.
 
 
 Cloud
 Pros:
 1. A user can get to the system from everywhere -- great if you don’t
 have an infrastructure already in place.
 2. No hardware costs for the server, but I would imagine that there is
 some fee hidden somewhere – nothing in life is free, right?
 Cons:
 1. No control over your data. It can reside anywhere in the world and
 who knows how the local laws protect your data. If the data resides in the
 US, that’s less of a concern. With less control, you never really know if
 your backups are occurring or not. 
 2. Because you’re on the web, the potential exists for a slower system.
 This is probably not as important when a pathologist is signing out a case,
 but depending on the LIS, it could be a big problem, if there is a lot of
 user interaction. For instance, anything to do with blocks or slides which
 can be numerous and require rapid processing, could be an issue. In my own
 experience, I’ve waited on a ‘web page refresh’ for several seconds from
 time to time. If my specials are due out at 10 a.m. and it’s 9:45, I don’t
 have time for a slow connection.
 3. With current technology, instrument interfaces can be difficult
 because they require more of a realtime or ‘very fast’ response.
 4. Does anyone know of a large volume lab that uses a web based LIS
 where the LIS requires quick response time?
 5. What happens if I change from a web based LIS. I ‘assume’ I don’t
 get access to my data unless I continue to pay some sort of fee. With a
 server based system, I can stop paying maintenance, but I can still access
 my data.
 
 What do you all think? Do you disagree with the list? Do you have more to
 add? 
 
 Bottom line, I think for me, and remember, I’m an LIS vendor myself, system
 functionality would still be a priority as far as system selection is
 concerned. The ‘feel of the company’ would be my next critical concern, and
 then I would think about cost and technology.
 
 Michael Mihalik
 PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kelly Boyd
 Sent: Wednesday, April 18, 2012 11:31 AM
 To: histonet
 Subject: [Histonet] LIS questions
 
 
  
 
 
 Is anyone out there familiar with any of the following LIS systems, if so,
 what are your thoughts??  AIM Path Software systems, Wavefront Software,
 WinSURGE, CSS LIS
  
 What are the opinions out there for a server based system versus a cloud
 based??
 Thanks!
 
 
 Kelly 
 ___
 Histonet mailing list
 

RE: [Histonet] LIS questions

2012-04-24 Thread Blazek, Linda
Not all Histotechnicians/Histotechnologists have limited IT knowledge.  There 
are a great number of those that have an IT team with limited knowledge of what 
exactly occurs in the histology lab.  The more information that 
Histotechnicians/Histotechnologists that are actively searching for a new 
system are armed with the more capable they are to intelligently participate in 
making decisions.  If we are going to limit the discussions here then we would 
have to start weeding out the discussions that pertain to information that only 
applies to a select minority.  Personally I enjoy the information that has no 
bearing on my particular lab.  It gives me information to think about even 
though I may never use.
Linda 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO
Sent: Tuesday, April 24, 2012 12:28 PM
To: m...@pathview.com; Kelly Boyd; histonet
Subject: RE: [Histonet] LIS questions


When we start talking about the issues associated w/ server vs. cloud in 
healthcare, I think discussion needs to start w/ and be centered on capability 
of compliance and enforcement, as it relates to HITECH Act, HIPPA and delivery 
of ePHI. There is a complexity added as more health information exchanges are 
developed and access to data is expanded and the need to develop complex and 
sound Business Associate Agreements.  In my mind, the idea of more access 
and/or ease of access must be directly related to the ability to control and 
provide security of access.
 
I believe this very complex issue and process will rely less on the needs of 
the end user, Histotechnicians/Histotechnologists and more on the need to meet 
HITECH requirements and very secure delivery. This is a very complex IT issue 
and maybe not best discussed on the Histonet w/ technical personnel with 
limited IT knowledge.

William DeSalvo, BS, HTL(ASCP)

 

 From: m...@pathview.com
 To: kdboydhi...@yahoo.com; Histonet@lists.utsouthwestern.edu
 Date: Tue, 24 Apr 2012 08:52:13 -0700
 Subject: RE: [Histonet] LIS questions
 CC: 
 
 Good morning,
 
 I'd like to take up the issue of server vs cloud in Kelly's original email.
 I have some thoughts that I'd like to share, but more importantly, I'd 
 like to hear other people's opinions. This is going to be a continuing 
 'hot topic' in the LIS world for years to come and I think it would be 
 nice to have some sort of list for people to start thinking about. I 
 am aware that traditionally there has not been a lot of LIS 
 involvement in the histology laboratory, but with the advent of 
 'barcode tracking' and new quality initiatives, I am sure that this is about 
 to change.
 
 Server
 Pros:
 1. More control - you know where your data resides and you have full 
 control over it.
 2. Ostensibly faster, because you're just sharing your data traffic 
 internally, not across the world web.
 3. We know this model works in both low and large volume operations.
 Cons:
 1. You're responsible for maintaining the server - operating system 
 patches which occur every few months it seems and daily backups.
 2. Cost associated with the server(s) - Often times there will be 2 
 servers - production and development, plus there is a license fee. 
 Bottom line, think around 10, 000 to 20,000. You also need a 'place' 
 to put the servers.
 
 
 Cloud
 Pros:
 1. A user can get to the system from everywhere -- great if you don't 
 have an infrastructure already in place.
 2. No hardware costs for the server, but I would imagine that there is 
 some fee hidden somewhere - nothing in life is free, right?
 Cons:
 1. No control over your data. It can reside anywhere in the world and 
 who knows how the local laws protect your data. If the data resides in 
 the US, that's less of a concern. With less control, you never really 
 know if your backups are occurring or not.
 2. Because you're on the web, the potential exists for a slower system.
 This is probably not as important when a pathologist is signing out a 
 case, but depending on the LIS, it could be a big problem, if there is 
 a lot of user interaction. For instance, anything to do with blocks or 
 slides which can be numerous and require rapid processing, could be an 
 issue. In my own experience, I've waited on a 'web page refresh' for 
 several seconds from time to time. If my specials are due out at 10 
 a.m. and it's 9:45, I don't have time for a slow connection.
 3. With current technology, instrument interfaces can be difficult 
 because they require more of a realtime or 'very fast' response.
 4. Does anyone know of a large volume lab that uses a web based LIS 
 where the LIS requires quick response time?
 5. What happens if I change from a web based LIS. I 'assume' I don't 
 get access to my data unless I continue to pay some sort of fee. With 
 a server based system, I can stop paying maintenance, but I can still 
 access my data.
 
 What do you all think? Do 

RE: [Histonet] LIS questions

2012-04-24 Thread Michael Mihalik
William, you bring up a very good point, but I”d like to respond to your
concerns this way:

 

1.I don’t know how my online banking security works, but It does.  I
have to believe that the industry and ‘cloud based’ LIS vendors have already
solved this issue or that they will in the short term. Perhaps I am naïve in
where I place my trust, but the ‘cloud’ is such a big marketing thrust these
days, I have to believe that momentum alone will carry this forward.

2.   I guess I’m more of a functionality person than a technical person
though I do have a technical degree from a pretty decent school.  There are
so many perspectives to this issue that I am content to confine the current
thoughts to mostly functionality versus technical or legal.  Still, I always
try to be open to other thoughts and your commentary did just that – thank
you.

3.   Finally, I think this topic is relevant to histonet because I’m
hearing more and more LIS vendors differentiate themselves as cloud vs
server based solutions.  Since I think the LIS will play more of a role in
the daily lives of histotechnologists, I think it’s a good idea to talk
about this and leave some trail of discovery for future people interested in
this topic.

 

 

Michael Mihalik

 http://www.pathview.com/ PathView Systems | cell: 214.733.7688 |
800.798.3540 | fax: 952.241.7369

 

From: WILLIAM DESALVO [mailto:wdesalvo@hotmail.com] 
Sent: Tuesday, April 24, 2012 9:28 AM
To: m...@pathview.com; Kelly Boyd; histonet
Subject: RE: [Histonet] LIS questions

 

When we start talking about the issues associated w/ server vs. cloud in
healthcare, I think discussion needs to start w/ and be centered on
capability of compliance and enforcement, as it relates to HITECH Act, HIPPA
and delivery of ePHI. There is a complexity added as more health information
exchanges are developed and access to data is expanded and the need to
develop complex and sound Business Associate Agreements.  In my mind, the
idea of more access and/or ease of access must be directly related to the
ability to control and provide security of access.
 
I believe this very complex issue and process will rely less on the needs of
the end user, Histotechnicians/Histotechnologists and more on the need to
meet HITECH requirements and very secure delivery. This is a very complex IT
issue and maybe not best discussed on the Histonet w/ technical personnel
with limited IT knowledge.

William DeSalvo, BS, HTL(ASCP)

 

 From: m...@pathview.com
 To: kdboydhi...@yahoo.com; Histonet@lists.utsouthwestern.edu
 Date: Tue, 24 Apr 2012 08:52:13 -0700
 Subject: RE: [Histonet] LIS questions
 CC: 
 
 Good morning,
 
 I’d like to take up the issue of server vs cloud in Kelly’s original
email.
 I have some thoughts that I’d like to share, but more importantly, I’d
like
 to hear other people’s opinions. This is going to be a continuing ‘hot
 topic’ in the LIS world for years to come and I think it would be nice to
 have some sort of list for people to start thinking about. I am aware that
 traditionally there has not been a lot of LIS involvement in the histology
 laboratory, but with the advent of 'barcode tracking' and new quality
 initiatives, I am sure that this is about to change.
 
 Server
 Pros:
 1. More control – you know where your data resides and you have full
 control over it.
 2. Ostensibly faster, because you’re just sharing your data traffic
 internally, not across the world web.
 3. We know this model works in both low and large volume operations.
 Cons:
 1. You’re responsible for maintaining the server – operating system
 patches which occur every few months it seems and daily backups.
 2. Cost associated with the server(s) – Often times there will be 2
 servers – production and development, plus there is a license fee. Bottom
 line, think around 10, 000 to 20,000. You also need a ‘place’ to put the
 servers.
 
 
 Cloud
 Pros:
 1. A user can get to the system from everywhere -- great if you don’t
 have an infrastructure already in place.
 2. No hardware costs for the server, but I would imagine that there is
 some fee hidden somewhere – nothing in life is free, right?
 Cons:
 1. No control over your data. It can reside anywhere in the world and
 who knows how the local laws protect your data. If the data resides in the
 US, that’s less of a concern. With less control, you never really know if
 your backups are occurring or not. 
 2. Because you’re on the web, the potential exists for a slower system.
 This is probably not as important when a pathologist is signing out a
case,
 but depending on the LIS, it could be a big problem, if there is a lot of
 user interaction. For instance, anything to do with blocks or slides which
 can be numerous and require rapid processing, could be an issue. In my own
 experience, I’ve waited on a ‘web page refresh’ for several seconds from
 time to time. If my specials are due out at 10 a.m. and it’s 9:45, I don’t
 have time for a slow connection.
 3. 

[Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread Della Speranza, Vinnie
Hi Tim,

One thing I did not anticipate that was an unfortunate eye opener. 

When humans are given a scanner to read barcodes they seem to trust the 
technology so much that they stop reading with their eyes. 

We had an unfortunate incident where the wrong barcode label was placed onto a 
specimen container at accessioning. Keep in mind the label containing the 
barcode also contained a patient name and MRN. Had the next individual in the 
chain of events, the individual at the grossing table, read the label, she 
might have noticed the discrepancy. Instead, the barcode on the cassettes was 
for the wrong patient and of course, the slides likewise. 

So while I adopted barcodes to reduce the likelihood of error, this event made 
me feel a bit more vulnerable because once the scanners are in use, you may 
find that staff become so reliant on the technology that they are no longer 
vigilant in keeping an eye out for problems. I'm sharing this in the hope that 
by alerting your staff to this pitfall you can avoid experiencing this in your 
lab.


Vinnie Della Speranza, MS, HTL(ASCP)
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue MSC 908
Charleston, SC 29425
tel. 843-792-6353
fax. 843-792-8974


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Monday, April 23, 2012 1:31 PM
To: Histonet
Subject: [Histonet] Barcoding specimen tracking, lessons you learned

To anyone who has implemented a barcoding/specimen tracking system in your lab. 
What lessons did you learn that would make it easier if you did it over? We're 
starting the process and I would like to get some input on things to look out 
for!

Thanks for any info and comments!

Tim Morken
Department of Pathology
UC San Francisco Medical Center
505 Parnassus Ave, Box 1656
Room S570
San Francisco, CA 94132

(415) 353-1266 (ph)
(415) 514-3403 (fax)
tim.mor...@ucsfmedctr.org


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[Histonet] Napsin A

2012-04-24 Thread Martha Ward-Pathology
Hello.   I was wondering if anyone had used the NapsinA from BioCare on the 
Bond III and if so, would you mind sharing your protocol?
Thanks in advance for any advice you can give.

Martha Ward, MT (ASCP) QIHC
Manager, Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest University Baptist Medical Center
Winston-Salem, NC 27157
336-716-2109

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RE: [Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread Michael Mihalik
Unfortunately (or is that fortunately?), pretty much all technology can be
foiled by human beings.  We've seen this  scenario before as well.  We tell
our accession personnel that they must accession and label one case at a
time, but when it comes down to it, there is no real way to FORCE people to
follow a policy.

This is why we have inquiry come up automatically at Gross, Transcription,
and Pathology workcenters.  Ostensibly, one or more people need to confirm
the correct labeling of the case.

...at least that's the theory ... and of course there's that people part of
the equation again.

Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Della
Speranza, Vinnie
Sent: Tuesday, April 24, 2012 11:25 AM
To: Morken, Timothy; Histonet
Subject: [Histonet] RE: Barcoding specimen tracking, lessons you learned

Hi Tim,

One thing I did not anticipate that was an unfortunate eye opener. 

When humans are given a scanner to read barcodes they seem to trust the
technology so much that they stop reading with their eyes. 

We had an unfortunate incident where the wrong barcode label was placed onto
a specimen container at accessioning. Keep in mind the label containing the
barcode also contained a patient name and MRN. Had the next individual in
the chain of events, the individual at the grossing table, read the label,
she might have noticed the discrepancy. Instead, the barcode on the
cassettes was for the wrong patient and of course, the slides likewise. 

So while I adopted barcodes to reduce the likelihood of error, this event
made me feel a bit more vulnerable because once the scanners are in use, you
may find that staff become so reliant on the technology that they are no
longer vigilant in keeping an eye out for problems. I'm sharing this in the
hope that by alerting your staff to this pitfall you can avoid experiencing
this in your lab.


Vinnie Della Speranza, MS, HTL(ASCP)
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue MSC 908
Charleston, SC 29425
tel. 843-792-6353
fax. 843-792-8974


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken,
Timothy
Sent: Monday, April 23, 2012 1:31 PM
To: Histonet
Subject: [Histonet] Barcoding specimen tracking, lessons you learned

To anyone who has implemented a barcoding/specimen tracking system in your
lab. What lessons did you learn that would make it easier if you did it
over? We're starting the process and I would like to get some input on
things to look out for!

Thanks for any info and comments!

Tim Morken
Department of Pathology
UC San Francisco Medical Center
505 Parnassus Ave, Box 1656
Room S570
San Francisco, CA 94132

(415) 353-1266 (ph)
(415) 514-3403 (fax)
tim.mor...@ucsfmedctr.org


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[Histonet] HistoTALK at the FSH Meeting in May

2012-04-24 Thread David Kemler
Hi everyone, HistoTALK www.HistoTALK.com was invited to tape a few 
interviews at this years 2012 Florida Society for Histotechnology Meeting at 
the Grand Hyatt Tampa Bay, May 17th, 18th and 19th. If you would like to be a 
guest on a future HistoTALK program, let me know and we can decide on a good 
time for you to tape.
 
If you want to attend one of the largest and best society meetings on the east 
coast - this is it! Check them out at www.FSHgroup.org.
 
Even if you are not interested in being a guest on the show, stop by the 
HistoTALK mobile studio and say hello or catch up on all the latest!
 
See you at the FSH Meeting in May, the Region VII in Phoenix, AZ in June AND 
the 2012 NSH Symposium / Convention in Vancouver.
 
Yours,
Dave
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Re: [Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread Kim Donadio
Vinnie. I as well found some quirks with this technology and I'm glad you 
brought up that it isn't perfect. I had a bog issue with the fact that you 
couldn't scan all your cassettes when putting on the machine as I felt that was 
the time errors needed to be noticed and fixed. Because finding out even the 
next day that a specimen is missing is not a good time. Ie. Specimen got tossed 
into garbage upon grossing and garbage has been incinerated. Not that I've seen 
this. Just that it could happen. I also noticed that errors at microtomy can 
still happen. Think about this, you pick up a block. Scan it and then can't get 
a section. You put block back in decal or on ice. You pick up next block. 
Whamo. You better pay attention 
So in essence with what ever we use technology wise it's up to us if we are 
paying attention and should never be complacent with our tools. Because our 
tools still require us to think. 
Kim D

Sent from my iPhone

On Apr 24, 2012, at 2:25 PM, Della Speranza, Vinnie del...@musc.edu wrote:

 Hi Tim,
 
 One thing I did not anticipate that was an unfortunate eye opener. 
 
 When humans are given a scanner to read barcodes they seem to trust the 
 technology so much that they stop reading with their eyes. 
 
 We had an unfortunate incident where the wrong barcode label was placed onto 
 a specimen container at accessioning. Keep in mind the label containing the 
 barcode also contained a patient name and MRN. Had the next individual in the 
 chain of events, the individual at the grossing table, read the label, she 
 might have noticed the discrepancy. Instead, the barcode on the cassettes was 
 for the wrong patient and of course, the slides likewise. 
 
 So while I adopted barcodes to reduce the likelihood of error, this event 
 made me feel a bit more vulnerable because once the scanners are in use, you 
 may find that staff become so reliant on the technology that they are no 
 longer vigilant in keeping an eye out for problems. I'm sharing this in the 
 hope that by alerting your staff to this pitfall you can avoid experiencing 
 this in your lab.
 
 
 Vinnie Della Speranza, MS, HTL(ASCP)
 Manager for Anatomic Pathology Services
 Medical University of South Carolina
 165 Ashley Avenue MSC 908
 Charleston, SC 29425
 tel. 843-792-6353
 fax. 843-792-8974
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, 
 Timothy
 Sent: Monday, April 23, 2012 1:31 PM
 To: Histonet
 Subject: [Histonet] Barcoding specimen tracking, lessons you learned
 
 To anyone who has implemented a barcoding/specimen tracking system in your 
 lab. What lessons did you learn that would make it easier if you did it over? 
 We're starting the process and I would like to get some input on things to 
 look out for!
 
 Thanks for any info and comments!
 
 Tim Morken
 Department of Pathology
 UC San Francisco Medical Center
 505 Parnassus Ave, Box 1656
 Room S570
 San Francisco, CA 94132
 
 (415) 353-1266 (ph)
 (415) 514-3403 (fax)
 tim.mor...@ucsfmedctr.org
 
 
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RE: [Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread Della Speranza, Vinnie
Thanks for contacting me Kim. I think that staff feel compelled to be more 
vigilant when manual systems are in place and may get a bit too complacent, 
expecting the electronic tools to think for us. we are working on developing 
our own tools for scanning cassettes before they are loaded into the tissue 
processors, but the tool is in development stage and I can't offer specifics 
yet, however it is supposed to go live in July. We are creating a version of 
CoPath that will be married to Cerner Millenium. At the grossing table, the 
cassettes will be scanned when the tissues are collected and held in formalin, 
then scanned again at the tissue processor and again at the embedding station. 
At embedding, a screen pops up on a monitor that will alert the tech is there 
are special embedding instructions. This is entirely home grown and not an off 
the shelf product. I share this because the scenarios you mentioned are in fact 
possible, I lived through the nightmare of having to search through two tractor 
trailer loads of red bag waste to find a missing kidney biopsy. The specimen 
was found, but it was the most unpleasant experience imaginable. And I survived 
to tell about it ! 


Vinnie Della Speranza, MS, HTL(ASCP)
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue MSC 908
Charleston, SC 29425
tel. 843-792-6353
fax. 843-792-8974


-Original Message-
From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] 
Sent: Tuesday, April 24, 2012 4:25 PM
To: Della Speranza, Vinnie
Cc: Morken, Timothy; Histonet
Subject: Re: [Histonet] RE: Barcoding specimen tracking, lessons you learned

Vinnie. I as well found some quirks with this technology and I'm glad you 
brought up that it isn't perfect. I had a bog issue with the fact that you 
couldn't scan all your cassettes when putting on the machine as I felt that was 
the time errors needed to be noticed and fixed. Because finding out even the 
next day that a specimen is missing is not a good time. Ie. Specimen got tossed 
into garbage upon grossing and garbage has been incinerated. Not that I've seen 
this. Just that it could happen. I also noticed that errors at microtomy can 
still happen. Think about this, you pick up a block. Scan it and then can't get 
a section. You put block back in decal or on ice. You pick up next block. 
Whamo. You better pay attention 
So in essence with what ever we use technology wise it's up to us if we are 
paying attention and should never be complacent with our tools. Because our 
tools still require us to think. 
Kim D

Sent from my iPhone

On Apr 24, 2012, at 2:25 PM, Della Speranza, Vinnie del...@musc.edu wrote:

 Hi Tim,
 
 One thing I did not anticipate that was an unfortunate eye opener. 
 
 When humans are given a scanner to read barcodes they seem to trust the 
 technology so much that they stop reading with their eyes. 
 
 We had an unfortunate incident where the wrong barcode label was placed onto 
 a specimen container at accessioning. Keep in mind the label containing the 
 barcode also contained a patient name and MRN. Had the next individual in the 
 chain of events, the individual at the grossing table, read the label, she 
 might have noticed the discrepancy. Instead, the barcode on the cassettes was 
 for the wrong patient and of course, the slides likewise. 
 
 So while I adopted barcodes to reduce the likelihood of error, this event 
 made me feel a bit more vulnerable because once the scanners are in use, you 
 may find that staff become so reliant on the technology that they are no 
 longer vigilant in keeping an eye out for problems. I'm sharing this in the 
 hope that by alerting your staff to this pitfall you can avoid experiencing 
 this in your lab.
 
 
 Vinnie Della Speranza, MS, HTL(ASCP)
 Manager for Anatomic Pathology Services
 Medical University of South Carolina
 165 Ashley Avenue MSC 908
 Charleston, SC 29425
 tel. 843-792-6353
 fax. 843-792-8974
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, 
 Timothy
 Sent: Monday, April 23, 2012 1:31 PM
 To: Histonet
 Subject: [Histonet] Barcoding specimen tracking, lessons you learned
 
 To anyone who has implemented a barcoding/specimen tracking system in your 
 lab. What lessons did you learn that would make it easier if you did it over? 
 We're starting the process and I would like to get some input on things to 
 look out for!
 
 Thanks for any info and comments!
 
 Tim Morken
 Department of Pathology
 UC San Francisco Medical Center
 505 Parnassus Ave, Box 1656
 Room S570
 San Francisco, CA 94132
 
 (415) 353-1266 (ph)
 (415) 514-3403 (fax)
 tim.mor...@ucsfmedctr.org
 
 
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 Histonet mailing list
 Histonet@lists.utsouthwestern.edu
 http://lists.utsouthwestern.edu/mailman/listinfo/histonet
 
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[Histonet] WNT-16 Antibody

2012-04-24 Thread nancy lowen
Hoping someone can help- Does anyone know of a WNT-16 antibody that will 
work on mouse tissue for IHC?
Thanks, 
nancy.lo...@va.gov
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RE: [Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread Della Speranza, Vinnie
 in order to protect the innocent I want to mention that the lost kidney 
biopsy that was successfully found in a mountain of red bag waste occurred at 
another facility and not where I am currently employed.  This is one of those 
experiences you never forget but fortunately had a happy ending and has been 
the subject of workshops I've given for NSH.


Vinnie Della Speranza, MS, HTL(ASCP)
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue MSC 908
Charleston, SC 29425
tel. 843-792-6353
fax. 843-792-8974


-
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RE: [Histonet] RE: Barcoding specimen tracking, lessons you learned

2012-04-24 Thread O'Donnell, Bill
Dumpster diving should be rare among histotechs, but I suspect we have
all done it in one form or another at some point in our careers. Vinnie,
yours is the most extreme senerio I recall.  Bill

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Della
Speranza, Vinnie
Sent: Tuesday, April 24, 2012 3:55 PM
To: Della Speranza, Vinnie; Kim Donadio
Cc: Histonet; Morken,Timothy
Subject: RE: [Histonet] RE: Barcoding specimen tracking, lessons you
learned


 in order to protect the innocent I want to mention that the lost
kidney biopsy that was successfully found in a mountain of red bag waste
occurred at another facility and not where I am currently employed.
This is one of those experiences you never forget but fortunately had a
happy ending and has been the subject of workshops I've given for NSH.


Vinnie Della Speranza, MS, HTL(ASCP)
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue MSC 908
Charleston, SC 29425
tel. 843-792-6353
fax. 843-792-8974


-
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[Histonet] CD4 and CD45 antibodies

2012-04-24 Thread Chakib Boussahmain
Hello Histonetters,
Does anyone uses CD4 and/or CD45 antibodies? If so, can you share the protocol? 
dilutions? and epitope retrieval?
Thank you for your help!
Appreciated
Chakib Boussahmain
Histotechnologist HTL
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