[Histonet] RE: Two Patient Identifiers on slides
Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet 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] New Job Opportunity - Field Histology Applications Specialist
Good morning! We have had a new opportunity open with a world leading manufacturer of histology products. Our client is growing and searching for a histology professional to join their team on the West Coast. The ideal candidate will be based in CA, and will work in the field with sales reps as the technical specialist. This opportunity is perfect for someone who is looking to break out of the laboratory and into the field. The opportunity offers a competitive base salary + bonus/commission + great benefits. If this sounds like something you would be interested in learning more about, please contact me at m...@personfiysearch.com, or call 800.875.6188 ext. 103. I look forward to connecting soon! Best Regards, Matt Ward 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
AW: [Histonet] nanodrop of DNA preps from paraffin sections
It depends on... We isolate DNA from very small biopsies -- 10-40 ng/µl (10 slices, measured with Qubit; Nanodrop is usuall about 2-3 fold more). From surgical tissue -- 50-150 ng/µl (1 cm2, 3-4 slices) We use the Qiacube with filter columns for isolation, so too much DNA would be sticking in the silicate-membrane. What is the question behind your question? Gudrun -Ursprüngliche Nachricht- Von: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] Im Auftrag von Lewis, Patrick Gesendet: Mittwoch, 31. Juli 2013 01:13 An: 'Histonet@lists.utsouthwestern.edu' Betreff: [Histonet] nanodrop of DNA preps from paraffin sections Hi Everyone, Just out of curiosity, what sort of nanodrop values do you typically get with DNA extractions from paraffin sections. I usually get around 100 ng/uL, depending on tissue size, and the number of churls I take. Around 80% are 100 ng to 200 ng/uL. Rarely, I get as high as 1000 ng/uL, 0-5% of the samples I take. Occasionally I get 10-40 ng/uL 5-15% of the samples I take. I primarily extract from tonsil, but I have done several other tissue types. Patrick. I also primarily use QIAgen Mini kits. CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information protected by law. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. ___ 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] polyomavirus antigen immunostain in urine cytology specimens
Fellow techs, Does any one have any experience with a immunostain for a polyomavirus antigen in urine cytology specimens? Thanks, Ron ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Shipping Slides
Good Morning! Can anyone tell me the best way that you have found to ship slides by Fed Ex? I need to send several cases out and want the safest way possible to eliminate broken slides. We have tried plastic slide boxes with gauze for cushioning and then taped shut and a few other ways. Are there special transport slide containers, other than the 5 slide holders. Any suggestions would be greatly appreciated! Thank you, Debbie Granato HT(ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: Two Patient Identifiers on slides
I often see blocks from many institutions that only have surgical numbers on them, then after the slides are always expected to have both. Seems like blocks are the only exception to this rule, but it is probably just a commonly practiced noncompliancy type of thing more than an exception. Sent from my iPhone On Jul 30, 2013, at 3:41 PM, Boyd, Debbie M dkb...@chs.net wrote: Your manager is correct. You must have two patient identifiers through the whole process. We write the full name, accession number and designation ( a, b L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull the labels back looking for 2 identifiers. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ 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] Louisiana Position
Great full time opportunity for a Histotechnician in Shreveport, Louisiana ! Regional Urology is looking for a certified HT or HTL to join their laboratory . Candidate must meet the following criteria: * Meet CLIA Grossing Requirements : CFR 493.1489, http://wwwn.cdc.gov/clia/regs/toc.aspx/ ,prior experience grossing GI specimens * HT ASCP Certified Duties include: * Grossing * Cytology preparation * Embedding * Microtomy * Staining * Ability to be flexible and take on additional duties' as needed This is a full time position that offers a competitive rate and flexible hours. Interested applicants should contact Meredith Hale; phone 214-596-2219 or through email mh...@miracals.commailto:mh...@miracals.com Meredith Hale HT (ASCP)cm Director External Sales Support Miraca Life Sciences 6655 North MacArthur Blvd. Irving , Texas 75039 Office: 214-596-2219 Cell: 469-648-8253 Fax: 1-866-688-3280 mh...@miracals.commailto:mh...@miracals.commailto:mh...@miracals.com%3cmailto:mh...@miracals.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Shipping Slides
We use a rectangular cut bubble wrap inside the box on top of the slides, then wrap the entire box in bubble wrap a few times around. Its the best skill to teach your interns, cutting bubble wrap, boxing it up and bringing to fedex, then picking up coffee on the way back! Some slide boxes come with bubble wrap from the vendor, we save those and use when shipping also. Sent from my iPhone On Jul 31, 2013, at 11:04 AM, Debbie Granato debgran...@yahoo.com wrote: Good Morning! Can anyone tell me the best way that you have found to ship slides by Fed Ex? I need to send several cases out and want the safest way possible to eliminate broken slides. We have tried plastic slide boxes with gauze for cushioning and then taped shut and a few other ways. Are there special transport slide containers, other than the 5 slide holders. Any suggestions would be greatly appreciated! Thank you, Debbie Granato HT(ASCP) ___ 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] RE: Two Patient Identifiers on slides
I notice the new AP checklists effective 7/31/2013 do not include ANP.11800. From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Lisa Hamilton [lhamil...@wcplaboratories.com] Sent: Tuesday, July 30, 2013 4:09 PM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] RE: Two Patient Identifiers on slides The Two Identifiers are for Intra-Operative (frozen section) slides only, not routine HE slides *ANP.11800* at least so far! Routine slide information is listed under *ANP.21050 Specimen Identity* -Lisa H. On 7/30/2013 1:41 PM, Boyd, Debbie M wrote: Your manager is correct. You must have two patient identifiers through the whole process. We write the full name, accession number and designation ( a, b L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull the labels back looking for 2 identifiers. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ 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] Seeking part time position
Posting for a friend who is a highly qualified histotech, looking for a 2-3 day per week permanent position in Northern Illinois. Got a job? Please send me your contact information, or I can provide information to you privately. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Shipping Slides
The trick to successful shipping is to make sure the slides cannot rattle in the slide box. If you put your tissue, gauze, or bubble wrap layer on top and shut the box, shake gently to see if they can move. If so, you can put a piece of tape across all the slides in the box to anchor them in place (stick the tape ends to the outside of the box. Then make sure the box is securely shut, putting tape or rubber bands around the outside in both directions. Then pack in a well-padded sturdy shipping box! Esther C. Peters, Ph.D. Assistant Professor Environmental Science Policy George Mason University From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Rathborne, Toni [trathbo...@somerset-healthcare.com] Sent: Wednesday, July 31, 2013 11:38 AM To: 'Debbie Granato'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Shipping Slides If the slides are well dried, you can also bunch them together and wrap in a paper towel if you don't have too many. Tape when wrapped, then place in a slide box and insert in a padded envelope for shipping. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Debbie Granato Sent: Wednesday, July 31, 2013 11:05 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Shipping Slides Good Morning! Can anyone tell me the best way that you have found to ship slides by Fed Ex? I need to send several cases out and want the safest way possible to eliminate broken slides. We have tried plastic slide boxes with gauze for cushioning and then taped shut and a few other ways. Are there special transport slide containers, other than the 5 slide holders. Any suggestions would be greatly appreciated! Thank you, Debbie Granato HT(ASCP) ___ 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
RE: [Histonet] Two Patient Identifiers on slides
The below statement is correct and our last Joint Commission inpector clarified that the 2 patient identifier rule only applies to the specimen containers coming in the door. Once they are accessioned in Path you can label slides and blocks with only the accession number and do not need the 2 patient identifiers on them. We do make sure the patient name is on the side of the block if we send out just for completeness sakr and all of out final slides labels have the patient name on them as well. Dawn D. Schneider, HT(ASCP) Lead HT Howard Young Medical Center 240 Maple Ave. Woodruff, WI 54558 715-356-8174 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, Jr. Sent: Tuesday, July 30, 2013 3:31 PM To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Two Patient Identifiers on slides I don't think this is technically correct according to the CAP. The question in the most recent checklist states: **REVISED** 07/11/2011 ANP.52000 Specimen ID Phase II The identity of every specimen and image, including blocks, slides, and electron micrographs, is maintained through each step in processing. NOTE: Each block of tissue must be individually labeled with unique patient identifier(s), e.g. accession number etched onto the block or embedded into it. Storage of unlabeled blocks in separate containers that are labeled with patient number or name does not meet this requirement. Evidence of Compliance: ✓ Written procedure describing system for maintaining specimen identity This question does not state that 2 identifiers must be on the slides and blocks, etc. It states it must be a unique identifier throughout the process. A specimen accession number would technically suffice. You can add additional identifiers if that helps in your process but they are not required. I believe that this is often confused with the General lab question GEN.40491 which requires that any specimen that is collected and submitted to the lab must have 2 unique identifiers on it. Once the specimen is in the lab, the unique accession number would suffice. Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I think it is a good idea as an extra precaution step. We are fortunate to have a xylene resistant label and printer that allows us to label the slides prior to processing. My two cents as a manager, Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor’s Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore Sent: Tuesday, July 30, 2013 3:46 PM To: Jean Wood; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Two Patient Identifiers on slides We are writing path #, date of birth patient initials as identifiers. Michelle From: Jean Wood jw...@fairchildmed.org To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tuesday, July 30, 2013 2:37 PM Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ 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 (and any
Re: [Histonet] Background on Jones Stain
I'd guess it's silver residue. For some reason, non-specific silver is sticking to the new slides. Why don't you just buy a case of your old slides to keep around for the Jones stain? Sincerely, Jay A. Lundgren, M.S., HTL (ASCP) On Tue, Jul 30, 2013 at 5:00 PM, Vickroy, Jim vickroy@mhsil.com wrote: Recently we switched to a different hydrophilic slide for our special stains and IHC stains. Everything is working great except for one stain..the Jones Silver stain. There is a brown stain all over the slide except where the tissue is. It appears that the Jones has worked. Everyone of our other silver stains work fine with this new slide. We use Ventana stainers and when we use a different hydrophilic slide or even some hydrophobic slides the Jones does not have this background stain all over the slide. Any ideas on what is happening or has anyone else experienced this problem? James Vickroy BS, HT(ASCP) Surgical and Autopsy Pathology Technical Supervisor Memorial Medical Center 217-788-4046 This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, 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] RE: Two Patient Identifiers on slides
Just for clarification, patient first and last name? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Wednesday, July 31, 2013 5:49 AM To: 'Jean Wood'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Two Patient Identifiers on slides Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet 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 The information contained in this e-mail message is intended only for the personal and confidential 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 are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Recycled Xylene
We do our own recycling of alcohol and xylene. W e use the recycled xylene for everything including cleaning the processors.. No problems..been using it for years -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert Sent: Monday, July 29, 2013 10:47 AM To: Histonet Post (histonet@lists.utsouthwestern.edu) Subject: [Histonet] Recycled Xylene Does anyone out there have any problems with using recycled xylene to clean the tissue processor? I was just told that we should not use recycled xylene to clean the tissue processor. How about using recycled xylene for either processing or staining? Laurie Colbert, HT (ASCP) Histology Supervisor PATH MD 8158 Beverly Blvd. Los Angeles, CA 90048 (323) 648-3214 direct (424) 245-7284 main lab ___ 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] Two Patient Identifiers on slides
My understanding was the same as Joe's and at least to date, that is what we have presented during survey and it has been deemed acceptable. However, we are accredited by TJC not CAP. My question to those of you who are providing 2 patient identifiers on blocks? How do you make it fit? If anyone could scan an image to caroline.pr...@uphs.upenn.edu I would greatly appreciate it! As of now, we have the unique patient accession number and a barcode with the accession number as well. We are in our survey window I would like to be sure we are compliant. One more question, if you label slides and blocks with a name and DOB from the requisition and find out during insurance validation that the name is misspelled or the DOB is inaccurate, how do you handle that? Thanks for your help. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, Jr. Sent: Tuesday, July 30, 2013 4:31 PM To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Two Patient Identifiers on slides I don't think this is technically correct according to the CAP. The question in the most recent checklist states: **REVISED** 07/11/2011 ANP.52000 Specimen ID Phase II The identity of every specimen and image, including blocks, slides, and electron micrographs, is maintained through each step in processing. NOTE: Each block of tissue must be individually labeled with unique patient identifier(s), e.g. accession number etched onto the block or embedded into it. Storage of unlabeled blocks in separate containers that are labeled with patient number or name does not meet this requirement. Evidence of Compliance: ✓ Written procedure describing system for maintaining specimen identity This question does not state that 2 identifiers must be on the slides and blocks, etc. It states it must be a unique identifier throughout the process. A specimen accession number would technically suffice. You can add additional identifiers if that helps in your process but they are not required. I believe that this is often confused with the General lab question GEN.40491 which requires that any specimen that is collected and submitted to the lab must have 2 unique identifiers on it. Once the specimen is in the lab, the unique accession number would suffice. Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I think it is a good idea as an extra precaution step. We are fortunate to have a xylene resistant label and printer that allows us to label the slides prior to processing. My two cents as a manager, Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor’s Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore Sent: Tuesday, July 30, 2013 3:46 PM To: Jean Wood; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Two Patient Identifiers on slides We are writing path #, date of birth patient initials as identifiers. Michelle From: Jean Wood jw...@fairchildmed.org To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tuesday, July 30, 2013 2:37 PM Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu
RE: [Histonet] RE: Two Patient Identifiers on slides
We use the surgical case number and a minimum of the first 5 letters of the patients name on barcode labeled cassettes and then that code will be transferred to the slides as they are printed. We have found that having two identifiers on every cassette and slide has saved us when an error was made with the cassette labeling or slide labeling process. It has been a way to confirm or clear up an issue very quickly. Whether it is required or not; at this point we will continue to use both identifiers for both the patient's safety and our ability to backtrack/clear issues of possible miss identification of a cassette or slide. We are all human and mistakes happen so plan a way to limit the possibilities. Pam Marcum UAMS -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt, Caroline Sent: Wednesday, July 31, 2013 12:47 PM To: Tom McNemar; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Two Patient Identifiers on slides Just for clarification, patient first and last name? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Wednesday, July 31, 2013 5:49 AM To: 'Jean Wood'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Two Patient Identifiers on slides Our cassettes are printed with the accession number, patient name, and a barcode that also contains the DOB. When sectioning, this barcode is scanned at the microtome when the slides are cut. Labels are printed, again at the microtome, and the slides are labeled. The slide label contains the accession number, patient name, level number or special stain, the pathologist's initials, and the hospital address. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood Sent: Tuesday, July 30, 2013 3:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started utilizing a slide labeling component that is built into our AP Easy LIS system and has accession number, levels and patients first and last name when labels are printed out. Dymo does not have a chemically resistant label (we have a Dymo 450 printer) and we have been putting the labels on AFTER the slides are stained and cover slipped. In the meantime, the HT is writing in pencil the accession # and levels on the slide which is then covered up with the permanent label after cover slipping. Our Lab Manager is worried that we are not compliant as we do not have two patient identifiers on throughout the whole process (she wants us to write patient names on slides in pencil (before staining) and then cover that up with the pre-printed label after staining. 1. What is everyone else doing? 2. Have any of you found a chemically resistant label compatible with the Dymo labeler? Jean Wood BS, HT Fairchild Medical Center Pathology Dept. Ph:530.841.6243 Fax:530.841.6232 jw...@fairchildmed.orgmailto:jw...@fairchildmed.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet 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 The information contained in this e-mail message is intended only for the personal and confidential 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 are hereby notified that you have received this document
RE: [Histonet] Two Patient Identifiers on slides
Due to legal issues, if we have a cassette mislabeled we request a cassette with the correct patient information immediately and re-embed the block. Biopsies are a concern as it is sometimes difficult to re-embed a small tissue, so we do our best. We have had times when we cross out the barcode as we could not reliably re-embed and carefully make notes for any future legal problems (no matter how unlikely the case may be) to establish the identity clearly. If the slides were cut and we cannot go back to the block due to tissue size or disease state we use the same procedure as cassettes and a paper label. The real issue is training everyone to double check the name and case number with the paperwork as the cassettes and slides are printed and have no mistakes. We are human and has been proven difficult at times. Pam Marcum -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt, Caroline Sent: Wednesday, July 31, 2013 1:14 PM To: Joe W. Walker, Jr.; Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Two Patient Identifiers on slides My understanding was the same as Joe's and at least to date, that is what we have presented during survey and it has been deemed acceptable. However, we are accredited by TJC not CAP. My question to those of you who are providing 2 patient identifiers on blocks? How do you make it fit? If anyone could scan an image to caroline.pr...@uphs.upenn.edu I would greatly appreciate it! As of now, we have the unique patient accession number and a barcode with the accession number as well. We are in our survey window I would like to be sure we are compliant. One more question, if you label slides and blocks with a name and DOB from the requisition and find out during insurance validation that the name is misspelled or the DOB is inaccurate, how do you handle that? Thanks for your help. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, Jr. Sent: Tuesday, July 30, 2013 4:31 PM To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Two Patient Identifiers on slides I don't think this is technically correct according to the CAP. The question in the most recent checklist states: **REVISED** 07/11/2011 ANP.52000 Specimen ID Phase II The identity of every specimen and image, including blocks, slides, and electron micrographs, is maintained through each step in processing. NOTE: Each block of tissue must be individually labeled with unique patient identifier(s), e.g. accession number etched onto the block or embedded into it. Storage of unlabeled blocks in separate containers that are labeled with patient number or name does not meet this requirement. Evidence of Compliance: ✓ Written procedure describing system for maintaining specimen identity This question does not state that 2 identifiers must be on the slides and blocks, etc. It states it must be a unique identifier throughout the process. A specimen accession number would technically suffice. You can add additional identifiers if that helps in your process but they are not required. I believe that this is often confused with the General lab question GEN.40491 which requires that any specimen that is collected and submitted to the lab must have 2 unique identifiers on it. Once the specimen is in the lab, the unique accession number would suffice. Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I think it is a good idea as an extra precaution step. We are fortunate to have a xylene resistant label and printer that allows us to label the slides prior to processing. My two cents as a manager, Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor’s Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore Sent: Tuesday, July 30, 2013 3:46 PM To: Jean Wood; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Two Patient Identifiers on slides We are writing path #, date of birth patient initials as identifiers. Michelle From: Jean Wood jw...@fairchildmed.org To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tuesday, July 30, 2013 2:37 PM Subject: [Histonet] Two Patient Identifiers on slides Hello Histonetters, Recently we started
RE: [Histonet] Shipping Slides
Same here and then in a box with more bubble wrap or we use some of those disposable bench underpads for space filler. 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 Benjamin Sent: Wednesday, July 31, 2013 10:18 AM To: Debbie Granato Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Shipping Slides We use a rectangular cut bubble wrap inside the box on top of the slides, then wrap the entire box in bubble wrap a few times around. Its the best skill to teach your interns, cutting bubble wrap, boxing it up and bringing to fedex, then picking up coffee on the way back! Some slide boxes come with bubble wrap from the vendor, we save those and use when shipping also. Sent from my iPhone On Jul 31, 2013, at 11:04 AM, Debbie Granato debgran...@yahoo.com wrote: Good Morning! Can anyone tell me the best way that you have found to ship slides by Fed Ex? I need to send several cases out and want the safest way possible to eliminate broken slides. We have tried plastic slide boxes with gauze for cushioning and then taped shut and a few other ways. Are there special transport slide containers, other than the 5 slide holders. Any suggestions would be greatly appreciated! Thank you, Debbie Granato HT(ASCP) ___ 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] Collagen IV FITC
Is anyone out there running Collagen IV by FITC? Derm cases? Which vendor are you most happy with? Any advice on this antibody would be really appreciated? Many Thanks, Susan ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: Two Patient Identifiers on slides
Realizing we're talking about regulator compliance rather than good sense here - nonetheless let a pathologist observe that having the patient's name on the slide is a very important defense against mixing up cases at sign-out. Small labs still usually have no identifier on the slide other than a hand-scribbled accession number (two of the three small labs I'm working in at the moment don't - both CAP accredited), and it's easy for the pathologist to misread the label. I saw a mixup like this just a few days ago - it wasn't my case, but I should have caught the misreading when I reviewed the case, which involved a squamous carcinoma that wasn't. Good management, bad medicine. Bob Richmond Samurai Pathologist Maryville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Position in N. Illinois
Posting for a friend looking for a permanent 2-3 day a week position in N. Illinois. Very qualified histotech. Please contact me privately. Jackie O' ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
