Re: [Histonet] RE: Competency for Anatomic and Clinical Pathology
On Wednesday (yesterday), there was a CAP teleconference on the to-be-updated (to be posted end of July 2013) AP checklist. Someone asked a question about this, mentioning that someone from CAP had said competency assessment does not apply to histology. The reply from the presenter and the CAP office people who could also respond was that competency assess does apply to histology, but that some of the 6 components that have to be checked for may not apply for some or most of the histotech jobs. So if a component of competency doesn't apply, then it doesn't have to be evaluated. Below is part of the standard: GEN.55500 Competency Assessment Phase II The competency of each person to perform his/her assigned duties is assessed. NOTE: The competency of each person to perform the duties assigned must be assessed following training before the person performs patient testing.Thereafter, during the first year of an individual's duties, competency must be assessed at least semiannually. After an individual has performed his/her duties for one year, competency must be assessed annually. Retraining and reassessment of employee competency must occur when problems are identified with employee performance. Elements of competency assessment include but are not limited to: 1. Direct observations of routine patient test performance, including, as applicable, patient identification and preparation; and specimen collection, handling, processing and testing 2. Monitoring the recording and reporting of test results, including, as applicable, reporting critical results 3. Review of intermediate test results or worksheets, quality control records, proficiency testing results, and preventive maintenance records 4. Direct observation of performance of instrument maintenance and function checks 5. Assessment of test performance through testing previously analyzed specimens, internal blind testing samples or external proficiency testing samples; and 6. Evaluation of problem-solving skills These are the 6 components, all of which must be assessed for every task done by histotech - except if it doesn't apply. So, for example, if you are assessing the competency of sectioning, then #2 - reporting of critical values, and #5 - blind testing samples - doesn't apply, so you don't need to assess via #2 and #5. But you would have to assess the person microtoming via the other 4 types of assessment. (But if you are participating in HistoQIP, microtomy is being assess via external proficiency testing sample, so if some of your people's slides were evaluated, you actually have #5 covered for microtomy). So every aspect of the histotech's job (and the lab assistant) must be assessed by as many of the 6 elements above as apply to each task. CAP says we must assess competency, Joint Commission says we must assess competency, and CLIA says we must assess competency, and the 6 elements come from CLIA. So we must assess competency. Peggy A. Wenk, HTL(ASCP)SLS William Beaumont Hospital Royal Oak, MI 48073 The opinions expressed are mine, and do not reflect on my hospital. -Original Message- From: Michelle Lamphere Sent: Wednesday, July 17, 2013 9:10 AM To: 'histonet@lists.utsouthwestern.edu' Cc: Elma Cortinas Subject: [Histonet] RE: Competency for Anatomic and Clinical Pathology I think a few people might find this interesting I recently attended a class about Competency Assessments in the lab. The class was given by Ken Byrd (fairly certain that is how you spell his name), a Senior Inspector at CAP. When this particular question came up, I asked him to give examples of how the histology lab was supposed to use the 6 elements to assess competency. He informed the entire class that the competency assessment question with the six elements did not apply to the histology lab because histology did not report test results. It is the one question on the Gen Lab checklist that did not apply to ANP. Kinda shocking, I know. It does not mean that we scrapped our entire competency program, we simply removed some of the six elements. Michelle Lamphere Senior Tech, Histology Anatomic Pathology Children's Medical Center O: 214.456.2318 | Fax: 214.456.0779 E: michelle.lamph...@childrens.com 1935 Medical District Drive | B1.06 | Dallas, Texas 75235 Message: 9 Date: Tue, 16 Jul 2013 07:14:08 -0400 From: Histology hi...@pathlab.us Subject: [Histonet] Competency for Anatomic and Clinical Pathology at To: histonet@lists.utsouthwestern.edu Message-ID: 9C0B151B30AC5F4ABFD1B69D915F84CF33E6D4@dc01.DominionPath.local Content-Type: text/plain; charset=us-ascii Hi, I would love to see your competency spreadsheet for histology. We just finished our first CAP inspection and got a deficiency here. He said the direct observation was great, but that we need to have all 6 elements. I am having trouble trying to come up with a way to evaluate some of these and would love any help.
RE: [Histonet] RE: Competency for Anatomic and Clinical Pathology
Thanks Peggy. I appreciate this, I hate to think we were taking a step back... Joelle Weaver MAOM, HTL (ASCP) QIHC From: lpw...@sbcglobal.net To: michelle.lamph...@childrens.com; histonet@lists.utsouthwestern.edu Date: Thu, 18 Jul 2013 06:14:16 -0400 Subject: Re: [Histonet] RE: Competency for Anatomic and Clinical Pathology CC: elma.corti...@childrens.com On Wednesday (yesterday), there was a CAP teleconference on the to-be-updated (to be posted end of July 2013) AP checklist. Someone asked a question about this, mentioning that someone from CAP had said competency assessment does not apply to histology. The reply from the presenter and the CAP office people who could also respond was that competency assess does apply to histology, but that some of the 6 components that have to be checked for may not apply for some or most of the histotech jobs. So if a component of competency doesn't apply, then it doesn't have to be evaluated. Below is part of the standard: GEN.55500 Competency Assessment Phase II The competency of each person to perform his/her assigned duties is assessed. NOTE: The competency of each person to perform the duties assigned must be assessed following training before the person performs patient testing.Thereafter, during the first year of an individual's duties, competency must be assessed at least semiannually. After an individual has performed his/her duties for one year, competency must be assessed annually. Retraining and reassessment of employee competency must occur when problems are identified with employee performance. Elements of competency assessment include but are not limited to: 1. Direct observations of routine patient test performance, including, as applicable, patient identification and preparation; and specimen collection, handling, processing and testing 2. Monitoring the recording and reporting of test results, including, as applicable, reporting critical results 3. Review of intermediate test results or worksheets, quality control records, proficiency testing results, and preventive maintenance records 4. Direct observation of performance of instrument maintenance and function checks 5. Assessment of test performance through testing previously analyzed specimens, internal blind testing samples or external proficiency testing samples; and 6. Evaluation of problem-solving skills These are the 6 components, all of which must be assessed for every task done by histotech - except if it doesn't apply. So, for example, if you are assessing the competency of sectioning, then #2 - reporting of critical values, and #5 - blind testing samples - doesn't apply, so you don't need to assess via #2 and #5. But you would have to assess the person microtoming via the other 4 types of assessment. (But if you are participating in HistoQIP, microtomy is being assess via external proficiency testing sample, so if some of your people's slides were evaluated, you actually have #5 covered for microtomy). So every aspect of the histotech's job (and the lab assistant) must be assessed by as many of the 6 elements above as apply to each task. CAP says we must assess competency, Joint Commission says we must assess competency, and CLIA says we must assess competency, and the 6 elements come from CLIA. So we must assess competency. Peggy A. Wenk, HTL(ASCP)SLS William Beaumont Hospital Royal Oak, MI 48073 The opinions expressed are mine, and do not reflect on my hospital. -Original Message- From: Michelle Lamphere Sent: Wednesday, July 17, 2013 9:10 AM To: 'histonet@lists.utsouthwestern.edu' Cc: Elma Cortinas Subject: [Histonet] RE: Competency for Anatomic and Clinical Pathology I think a few people might find this interesting I recently attended a class about Competency Assessments in the lab. The class was given by Ken Byrd (fairly certain that is how you spell his name), a Senior Inspector at CAP. When this particular question came up, I asked him to give examples of how the histology lab was supposed to use the 6 elements to assess competency. He informed the entire class that the competency assessment question with the six elements did not apply to the histology lab because histology did not report test results. It is the one question on the Gen Lab checklist that did not apply to ANP. Kinda shocking, I know. It does not mean that we scrapped our entire competency program, we simply removed some of the six elements. Michelle Lamphere Senior Tech, Histology Anatomic Pathology Children's Medical Center O: 214.456.2318 | Fax: 214.456.0779 E: michelle.lamph...@childrens.com 1935 Medical District Drive | B1.06 | Dallas, Texas 75235 Message: 9 Date: Tue, 16 Jul 2013 07:14:08 -0400 From: Histology hi...@pathlab.us Subject: [Histonet] Competency for Anatomic and Clinical Pathology at To:
[Histonet] Microtome advise...
Hello all. I am preparing my budget and am seeking recommendations on automated microtomes. I am specifically interested in brands other than Leica (I already have two). I would appreciate any thoughts you may have. Thanks. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: Competency for Anatomic and Clinical Pathology
We do the blinded sample part. Our manager has us look at an HE stained slide and we identify the tissue (basic histo) and we are asked what stain is appropriate for the tissue (special stain or IHC) Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee Peggy Wenk Sent: Thursday, July 18, 2013 5:14 AM To: Michelle Lamphere; histonet@lists.utsouthwestern.edu Cc: Elma Cortinas Subject: Re: [Histonet] RE: Competency for Anatomic and Clinical Pathology On Wednesday (yesterday), there was a CAP teleconference on the to-be-updated (to be posted end of July 2013) AP checklist. Someone asked a question about this, mentioning that someone from CAP had said competency assessment does not apply to histology. The reply from the presenter and the CAP office people who could also respond was that competency assess does apply to histology, but that some of the 6 components that have to be checked for may not apply for some or most of the histotech jobs. So if a component of competency doesn't apply, then it doesn't have to be evaluated. Below is part of the standard: GEN.55500 Competency Assessment Phase II The competency of each person to perform his/her assigned duties is assessed. NOTE: The competency of each person to perform the duties assigned must be assessed following training before the person performs patient testing.Thereafter, during the first year of an individual's duties, competency must be assessed at least semiannually. After an individual has performed his/her duties for one year, competency must be assessed annually. Retraining and reassessment of employee competency must occur when problems are identified with employee performance. Elements of competency assessment include but are not limited to: 1. Direct observations of routine patient test performance, including, as applicable, patient identification and preparation; and specimen collection, handling, processing and testing 2. Monitoring the recording and reporting of test results, including, as applicable, reporting critical results 3. Review of intermediate test results or worksheets, quality control records, proficiency testing results, and preventive maintenance records 4. Direct observation of performance of instrument maintenance and function checks 5. Assessment of test performance through testing previously analyzed specimens, internal blind testing samples or external proficiency testing samples; and 6. Evaluation of problem-solving skills These are the 6 components, all of which must be assessed for every task done by histotech - except if it doesn't apply. So, for example, if you are assessing the competency of sectioning, then #2 - reporting of critical values, and #5 - blind testing samples - doesn't apply, so you don't need to assess via #2 and #5. But you would have to assess the person microtoming via the other 4 types of assessment. (But if you are participating in HistoQIP, microtomy is being assess via external proficiency testing sample, so if some of your people's slides were evaluated, you actually have #5 covered for microtomy). So every aspect of the histotech's job (and the lab assistant) must be assessed by as many of the 6 elements above as apply to each task. CAP says we must assess competency, Joint Commission says we must assess competency, and CLIA says we must assess competency, and the 6 elements come from CLIA. So we must assess competency. Peggy A. Wenk, HTL(ASCP)SLS William Beaumont Hospital Royal Oak, MI 48073 The opinions expressed are mine, and do not reflect on my hospital. -Original Message- From: Michelle Lamphere Sent: Wednesday, July 17, 2013 9:10 AM To: 'histonet@lists.utsouthwestern.edu' Cc: Elma Cortinas Subject: [Histonet] RE: Competency for Anatomic and Clinical Pathology I think a few people might find this interesting I recently attended a class about Competency Assessments in the lab. The class was given by Ken Byrd (fairly certain that is how you spell his name), a Senior Inspector at CAP. When this particular question came up, I asked him to give examples of how the histology lab was supposed to use the 6 elements to assess competency. He informed the entire class that the competency assessment question with the six elements did not apply to the histology lab because histology did not report test results. It is the one question on the Gen Lab checklist that did not apply to ANP. Kinda shocking, I know. It does not mean that we scrapped our entire competency program, we simply removed some of the six elements. Michelle Lamphere Senior Tech, Histology Anatomic Pathology Children's Medical Center O:
[Histonet] Hepatocyte Nuclear Factor (HNF-1B)
Good morning all, One of our pathologists has requested this antibody and we don't have it in our inventory. So I'm asking if there are any reference labs offering HNF-1B for FFPE human tissue? Thanks for any/all responses. Linda A. Sebree University of Wisconsin Hospital Clinics IHC/ISH Laboratory 600 Highland Ave. Madison, WI 53792 (608)265-6596 FAX: (608)262-7174 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Microtome advise...
How about the new Sakura with the auto orientation feature! I saw it on display at the Missouri Society for Histotechnology meeting and it was quite impressive! Of course if you have the budget, there's alway the non-contact laser microtome from Rowiak! I have seen and used that unit to cut fresh soft tissues (brain) and resin embedded bone and biomaterial implants! Jack On Jul 18, 2013, at 7:57 AM, Tom McNemar tmcne...@lmhealth.org wrote: Hello all. I am preparing my budget and am seeking recommendations on automated microtomes. I am specifically interested in brands other than Leica (I already have two). I would appreciate any thoughts you may have. Thanks. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ 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] Microtome advise...
BTW. I'm certain that the Sakura unit will be on display at the NSH S/C meeting in Providence, RI (20-25 Sept 2013) and I know for a fact that the laser microtome will be on display there as well because it will be demonstrated and used, along with a Leica rotary microtome for part of a workshop I am co-presenting with Bob Skinner (WS # 61 - A Detailed Examination of Working With Decalcified and Undecalcified Bone In Support of Preclinical and Clinical Research). Jack On Jul 18, 2013, at 8:55 AM, Jack Ratliff ratliffj...@hotmail.com wrote: How about the new Sakura with the auto orientation feature! I saw it on display at the Missouri Society for Histotechnology meeting and it was quite impressive! Of course if you have the budget, there's alway the non-contact laser microtome from Rowiak! I have seen and used that unit to cut fresh soft tissues (brain) and resin embedded bone and biomaterial implants! Jack On Jul 18, 2013, at 7:57 AM, Tom McNemar tmcne...@lmhealth.org wrote: Hello all. I am preparing my budget and am seeking recommendations on automated microtomes. I am specifically interested in brands other than Leica (I already have two). I would appreciate any thoughts you may have. Thanks. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] CLIA Compliance Regulations for histology staff coverage
Good morning to all in Histoland! Hopefully, one of you can help me with a question which was proposed to me by a fellow histologist working in a very small GI histology lab. Here is what information she gave me: She is training a histology assistant in house to do all the histology technical responsibilities at the request of the GI doctors. She said her OJT assistant is doing a great job technically, but she has not yet registered in school to finish her AA Degree so she can sit for the HT exam. She has been working under her instruction for 1 year. Her lab is California State and CLIA licensed. The GI doctors want the assistant to cover for her while she is on vacation. The pathologist who is the medical director does not think that CLIA Regulations allows this and wants the specimens sent out during her absence. She needs the CLIA Regulations stating what the guidelines are so her lab is complying to regulations. She didn’t want to call CLIA because it would send a RED FLAG up. I also didn’t want to call them because they may ask me what the name of the lab was that was proposing this question. I told her that this was most likely illegal, but she needs it in black and white. Do any of you have that information or a web link to go to at your finger tips? She needs the regulations by next week. Thank you in advance for your help, Akemi Akemi Allison-Tacha, BS, HT/HTL (ASCP) Pathology Manager Monterey Bay GI Consultants 23 Upper Ragsdale Drive, Suite 200 Monterey, CA 93940 (381) 375-3577 X117 Email: aalli...@montereygi.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] My perfusion problem
Hi! When I used to do whole body perfusion, it tooks me around 10 minutes to perfuse with 0,9% salin and another 10 minutes with PFA. (Sorry, I haven´t with me the rpm) but it was around 300 ml of each. I think you have to increase the amount of 0,9% salin you perfuse (because you have increased the circuit) to avoid clot formation. I hope you find it useful and I wish you good luck! Ignacio Ruz-Caracuel Medical Student, Histology Intern Student Faculty of Medicine, University of Córdoba SPAIN 2013/7/17 Leila Etemadi leila.etem...@med.lu.se Hi, I am desperately looking for an answer to my problem in perfusion procedure. What is my problem? To explain that I thought first I may clear what is my usual routin. I used to perfuse rat's brain through this procedure: 1- Anesthetise animal with sufficient amount of pentobarbital. 2- Clamp the vessel lying beside vertebra in the back, and then using a perfusion pump with an 17 or 18 gauge blunted needle inserted into the ascending aorta. 3- Washout blood with 0.9% salin ( room temperature), 150-200 ml, 76 rpm speed ( usually I wait to see the out put solution from the heart is not looking so red/ blood look like). 4- Switch to the 4% cold paraformaldehyde ( with buffer, 7.4 pH) ( on ice cold), 150-200 ml, 46 rpm speed. ( some times I can see the formalin dance but not always !). 5- after using this amount of PFA normally the neck part is quite stiff, then animal will be decapitated. I extract the brain right away, postfix in PFA over the night ( 4°c in the refrigerator). 6- Move to the sucrose 20%. When I saw brain is sinking in the solution ( which normally it happens in one and half day), I freeze the brain on dry ice quickly. The results of this procedure is good enough histology after dissection with cryostat ( 12-20µm). For my recent project I need brain and spinal cord both so basically I skip clamping the back along vertebra to circulate solution through whole body ( I didn't change any other steps, so I do exactly whatever I mentioned above except for spinal cord post fixation in PFA is about 2 hours). After sectioning ( 16µm), I've got a proper tissue from spinal cord but when it comes to the brain result is quite different !!, when I replaced my sections on the slide ( with plus charge), suddenly a lot of hole began to shaped in the tissue which practically ruined the entire piece..!!!, First I had no clue for what I could see but then I noticed during post fixation procedure, when I transfer brain from PFA solution to the sucrose, brain is sinking right away ( it is not floating at all, as it suppose to do..) ! So I've run another perfusion procedure but this time when I reached to the washing out by cold PFA I didn't decreased the pump speed ( as normally I decrease it from 76 rpm to 46 rpm, this time I run whole procedure with the speed of 76 rpm), on the other hand I used more PFA solution ( about 350 ml PFA). After extracting brain I noticed brain was looking dried up. during post fixation and cryoprotection procedure (sucrose solution), sinking was looking normal, but after sectioning of course brain tissue was destroyed again!!! Now, I need your expert advices for my problem. I apologise for my naivety on this subject in advance. Humbly appreciate for your great time and attention in advance. I severely looking forward to your help and valuable tips. With the best, Leila Leila Etemadi M.Sc., Ph.D Candidate Neuronano Research Center (NRC) Lund University, BMC F10 Sweden Tel: +46-46-2221503tel:+46-46-2221503 E-mail: leila.etem...@med.lu.semailto:leila.etem...@med.lu.se Sent from my iPad ___ 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] RE: Histology Video
Let's make one! Actually, I probably am not allowed to...but the rest of you could! Go for it! Jeanine H. Sanders Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 404-639-3590 j...@cdc.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen - SMMC-SF Sent: Thursday, July 18, 2013 1:00 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Video Does anyone know of any Histology parody videos out there on YouTube? Just curious! Karen Heckford HT ASCP CE Lead Histology Technician St. Mary's Medical Center 450 Stanyan St. San Francisco, Ca. 94117 415-668-1000 ext. 6167 karen.heckf...@dignityhealth.org Caution: This email message, including all content and attachments, is CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The information contained in this email message is intended only for the use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you have received this document in error. Any further review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by reply email. Thank you. ___ 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] RE: Histology Video
Thrift Lab - UF Pathology Diana Harris QC Method Development Technologist Dept. Of Laboratory Medicine Anatomical Pathology Royal Jubilee Hospital - VIHA 250-370-8402 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen - SMMC-SF Sent: Thursday, July 18, 2013 10:00 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Video Does anyone know of any Histology parody videos out there on YouTube? Just curious! Karen Heckford HT ASCP CE Lead Histology Technician St. Mary's Medical Center 450 Stanyan St. San Francisco, Ca. 94117 415-668-1000 ext. 6167 karen.heckf...@dignityhealth.org Caution: This email message, including all content and attachments, is CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The information contained in this email message is intended only for the use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you have received this document in error. Any further review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by reply email. Thank you. ___ 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] RE: Histology Video
I saw a few a while back. Pretty funny. It looks like they were made by some Pathology residents and techs. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sanders, Jeanine (CDC/OID/NCEZID) Sent: Thursday, July 18, 2013 1:02 PM To: Heckford, Karen - SMMC-SF; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Histology Video Let's make one! Actually, I probably am not allowed to...but the rest of you could! Go for it! Jeanine H. Sanders Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 404-639-3590 j...@cdc.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen - SMMC-SF Sent: Thursday, July 18, 2013 1:00 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Video Does anyone know of any Histology parody videos out there on YouTube? Just curious! Karen Heckford HT ASCP CE Lead Histology Technician St. Mary's Medical Center 450 Stanyan St. San Francisco, Ca. 94117 415-668-1000 ext. 6167 karen.heckf...@dignityhealth.org Caution: This email message, including all content and attachments, is CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The information contained in this email message is intended only for the use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you have received this document in error. Any further review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by reply email. Thank you. ___ 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CLIA Compliance Regulations for histology staff coverage
California does not have licensure for histotechs. To my knowledge California does not have any regulations concerning who can cut biopsies. There are many labs that have uncertified people working without the supervision of certified people. That being said, is this the only reason the Pathologist wants the cases sent our during her absence? He is the one that has to sign his name to the cases. From: Akemi Allison akemiat3...@yahoo.com To: Histonet Histonet@lists.utsouthwestern.edu Date: 07/18/2013 08:34 AM Subject:[Histonet] CLIA Compliance Regulations for histology staff coverage Sent by:histonet-boun...@lists.utsouthwestern.edu Good morning to all in Histoland! Hopefully, one of you can help me with a question which was proposed to me by a fellow histologist working in a very small GI histology lab. Here is what information she gave me: She is training a histology assistant in house to do all the histology technical responsibilities at the request of the GI doctors. She said her OJT assistant is doing a great job technically, but she has not yet registered in school to finish her AA Degree so she can sit for the HT exam. She has been working under her instruction for 1 year. Her lab is California State and CLIA licensed. The GI doctors want the assistant to cover for her while she is on vacation. The pathologist who is the medical director does not think that CLIA Regulations allows this and wants the specimens sent out during her absence. She needs the CLIA Regulations stating what the guidelines are so her lab is complying to regulations. She didn’t want to call CLIA because it would send a RED FLAG up. I also didn’t want to call them because they may ask me what the name of the lab was that was proposing this question. I told her that this was most likely illegal, but she needs it in black and white. Do any of you have that information or a web link to go to at your finger tips? She needs the regulations by next week. Thank you in advance for your help, Akemi Akemi Allison-Tacha, BS, HT/HTL (ASCP) Pathology Manager Monterey Bay GI Consultants 23 Upper Ragsdale Drive, Suite 200 Monterey, CA 93940 (381) 375-3577 X117 Email: aalli...@montereygi.com ___ 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] Histology Training and Competency checklist
Hi Again in Histoland. I have another favor to ask. I was going to give my friend a Histology Training and Compentency Checklist, but I had it on my old computor and didn't transfer it to my new MAC. I only have my Compentency checklist for Client Services from PhenoPath. Would anyone like to share theirs with me? Thank you in advance for your assistance, Akemi Akemi Allison-Tacha, BS, HT/HTL (ASCP) Pathology Manager Monterey Bay GI Consultants 23 Upper Ragsdale Drive, Suite 200 Monterey, CA 93940 (381) 375-3577 X117 Email: aalli...@montereygi.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Histology Video
In Providence? Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen - SMMC-SF Sent: Thursday, July 18, 2013 12:00 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Video Does anyone know of any Histology parody videos out there on YouTube? Just curious! Karen Heckford HT ASCP CE Lead Histology Technician St. Mary's Medical Center 450 Stanyan St. San Francisco, Ca. 94117 415-668-1000 ext. 6167 karen.heckf...@dignityhealth.org Caution: This email message, including all content and attachments, is CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The information contained in this email message is intended only for the use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you have received this document in error. Any further review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by reply email. Thank you. ___ 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] Carnoys solution
Hello to all in histoland. Does anyone have a carnoys recipe that does not have call for chloroform? I had a recipe for one, but now I can't find it. Any and all help will be appreciated. Allison Scott HT(ASCP) Supervisor, Histology Lab LBJ Hospital Harris Health System Office: 713-566-2148 Lab: 713-566-5287 CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail and any attachments from your computer system. To the extent the information in this e-mail and any attachments contain protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), PL 104-191; 45 CFR Parts 160 and 164; or Chapter 181, Texas Health and Safety Code, it is confidential and/or privileged. This e-mail may also be confidential and/or privileged under Texas law. The e-mail is for the use of only the individual or entity named above. If you are not the intended recipient, or any authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments is strictly prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Histotech openings 2nd and 3rd shifts
ASCP certified Histotechs with IHC experience needed for a Florida laboratory. Two shifts available. Email me for full job description! Brannon Owens Recruitment Manager Allied Search Partners LinkedIn: http://www.linkedin.com/pub/brannon-owens/28/528/823 http://www.alliedsearchpartners.com T: 888.388.7571 ext. 106 F: 888.388.7572 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] voice recognition
We are currently working on implementing voice recognition for grossing (and reading in the future). I understand how it all works but am having a hard time figuring it into my workflow. If there is anyone in the eastern PA area that is doing this (we are using Dragon) could you please email me offline. Thanks Allison ahut...@dh.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: Histology Video
If one is organized for NSH, count me in!! Sent from my iPhone On Jul 18, 2013, at 11:09 AM, Bernice Frederick b-freder...@northwestern.edu wrote: In Providence? Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen - SMMC-SF Sent: Thursday, July 18, 2013 12:00 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Video Does anyone know of any Histology parody videos out there on YouTube? Just curious! Karen Heckford HT ASCP CE Lead Histology Technician St. Mary's Medical Center 450 Stanyan St. San Francisco, Ca. 94117 415-668-1000 ext. 6167 karen.heckf...@dignityhealth.org Caution: This email message, including all content and attachments, is CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The information contained in this email message is intended only for the use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you have received this document in error. Any further review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by reply email. Thank you. ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] FW: Carnoys solution
Clarke's fixative has been known to work as a replacement to Carnoy's, it is said to be the original Carnoy's I, whereas the Carnoy's as it is known today with chloroform is Carnoy's II. http://stainsfile.info/StainsFile/prepare/fix/fixatives/clarke.htm Taylor CM Clifford Research Associate Albany Research Institute Albany Stratton VA Medical Center 113 Holland Avenue Albany, NY 12208 Room A610 518-626-5474 taylor.cliff...@va.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D Sent: Thursday, July 18, 2013 2:25 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Carnoys solution Hello to all in histoland. Does anyone have a carnoys recipe that does not have call for chloroform? I had a recipe for one, but now I can't find it. Any and all help will be appreciated. Allison Scott HT(ASCP) Supervisor, Histology Lab LBJ Hospital Harris Health System Office: 713-566-2148 Lab: 713-566-5287 CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail and any attachments from your computer system. To the extent the information in this e-mail and any attachments contain protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), PL 104-191; 45 CFR Parts 160 and 164; or Chapter 181, Texas Health and Safety Code, it is confidential and/or privileged. This e-mail may also be confidential and/or privileged under Texas law. The e-mail is for the use of only the individual or entity named above. If you are not the intended recipient, or any authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments is strictly prohibited. ___ 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] CLIA Compliance Regulations for histology staff coverage
CLIA only regulated labs can have uncertified or licensed personel doing task such as embedding, microtomy and standard HE staining as CLIA does not regulate those task as Jennifer mentioned. That said, who is going to gross in the biopsies( High complexity task) in the other persons absence? Because that is a CLIA regulated task and needs to be done by someone who meets CLIA 1489, which is the education, AS degree that includes the required biology and chemistry, or 60 hrs of education that includes the required biology and chemistry. http://www.mass.gov/eohhs/docs/dph/clinical-lab/clia-lab-qualifications.pdf Kim D From: Jennifer MacDonald jmacdon...@mtsac.edu To: Akemi Allison akemiat3...@yahoo.com Cc: Histonet Histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu Sent: Thursday, July 18, 2013 1:27 PM Subject: Re: [Histonet] CLIA Compliance Regulations for histology staff coverage California does not have licensure for histotechs. To my knowledge California does not have any regulations concerning who can cut biopsies. There are many labs that have uncertified people working without the supervision of certified people. That being said, is this the only reason the Pathologist wants the cases sent our during her absence? He is the one that has to sign his name to the cases. From: Akemi Allison akemiat3...@yahoo.com To: Histonet Histonet@lists.utsouthwestern.edu Date: 07/18/2013 08:34 AM Subject: [Histonet] CLIA Compliance Regulations for histology staff coverage Sent by: histonet-boun...@lists.utsouthwestern.edu Good morning to all in Histoland! Hopefully, one of you can help me with a question which was proposed to me by a fellow histologist working in a very small GI histology lab. Here is what information she gave me: She is training a histology assistant in house to do all the histology technical responsibilities at the request of the GI doctors. She said her OJT assistant is doing a great job technically, but she has not yet registered in school to finish her AA Degree so she can sit for the HT exam. She has been working under her instruction for 1 year. Her lab is California State and CLIA licensed. The GI doctors want the assistant to cover for her while she is on vacation. The pathologist who is the medical director does not think that CLIA Regulations allows this and wants the specimens sent out during her absence. She needs the CLIA Regulations stating what the guidelines are so her lab is complying to regulations. She didn’t want to call CLIA because it would send a RED FLAG up. I also didn’t want to call them because they may ask me what the name of the lab was that was proposing this question. I told her that this was most likely illegal, but she needs it in black and white. Do any of you have that information or a web link to go to at your finger tips? She needs the regulations by next week. Thank you in advance for your help, Akemi Akemi Allison-Tacha, BS, HT/HTL (ASCP) Pathology Manager Monterey Bay GI Consultants 23 Upper Ragsdale Drive, Suite 200 Monterey, CA 93940 (381) 375-3577 X117 Email: aalli...@montereygi.com ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] QA forms
Our state requires us to keep them for 4 years.. Before we write retention policies, we are required to look at CMS, State and CAP requirements. I have these attachment charts in my retention policy (as references). The policy states that we will retain for a minimum of __(most astringent). Like most, if space allows, I can keep longer, however, not obligatedsee attached Stated from CAP Some state regulations as well as other federal mandates may require retention of records and/or materials for a longer time period than that specified in the CLIA 88 regulations; therefore any applicable state or federal laws should be reviewed carefully when individual laboratories develop their record retention policies. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
