RE: [Histonet] RE: competency form
We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto:ronald.hous...@nationwidechildrens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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] RE: competency form
I don't know if it's reasonable to share with all of us, but I bet there are a lot of us that would be interested in how others are approaching these topics. I doubt there are that many workshops on the issue-or have there been teleconferences maybe that cover the subject? _Sally Sally Ann Drew,MT(ASCP) UW SMPH-Dept. of Pathology TRIP/TSB-TRIP Lab Manager CSC, K4/435 608.265.4378 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Tuesday, April 08, 2014 4:18 PM To: Houston, Ronald; Histonet Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto:ronald.houston@nationwidechild rens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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] RE: competency form
We based ours off the Michigan Society of Histotechnologist's Competency Assessment Handbook (available on their website for a nominal fee). We took some of their forms/ideas and modified them for our use. Patrick Laurie(HT)ASCP QIHC Histology Manager Celligent Diagnostics, LLC 101 East W.T. Harris Blvd | Suite 1212 | Charlotte, NC 28262 Work: 704-970-3300 Cell: 704-266-0869 On Wed, Apr 9, 2014 at 8:19 AM, Sally Ann Drew sad...@wisc.edu wrote: I don't know if it's reasonable to share with all of us, but I bet there are a lot of us that would be interested in how others are approaching these topics. I doubt there are that many workshops on the issue-or have there been teleconferences maybe that cover the subject? _Sally Sally Ann Drew,MT(ASCP) UW SMPH-Dept. of Pathology TRIP/TSB-TRIP Lab Manager CSC, K4/435 608.265.4378 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Tuesday, April 08, 2014 4:18 PM To: Houston, Ronald; Histonet Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto: ronald.houston@nationwidechild rens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
Thanks for the reference Patrick! Date: Wed, 9 Apr 2014 08:22:34 -0400 From: foreig...@gmail.com To: sad...@wisc.edu Subject: Re: [Histonet] RE: competency form CC: histonet@lists.utsouthwestern.edu; ronald.hous...@nationwidechildrens.org We based ours off the Michigan Society of Histotechnologist's Competency Assessment Handbook (available on their website for a nominal fee). We took some of their forms/ideas and modified them for our use. Patrick Laurie(HT)ASCP QIHC Histology Manager Celligent Diagnostics, LLC 101 East W.T. Harris Blvd | Suite 1212 | Charlotte, NC 28262 Work: 704-970-3300 Cell: 704-266-0869 On Wed, Apr 9, 2014 at 8:19 AM, Sally Ann Drew sad...@wisc.edu wrote: I don't know if it's reasonable to share with all of us, but I bet there are a lot of us that would be interested in how others are approaching these topics. I doubt there are that many workshops on the issue-or have there been teleconferences maybe that cover the subject? _Sally Sally Ann Drew,MT(ASCP) UW SMPH-Dept. of Pathology TRIP/TSB-TRIP Lab Manager CSC, K4/435 608.265.4378 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Tuesday, April 08, 2014 4:18 PM To: Houston, Ronald; Histonet Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto: ronald.houston@nationwidechild rens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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 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: competency form
Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 11:10:18 + Subject: RE: [Histonet] RE: competency form CC: We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto:ronald.hous...@nationwidechildrens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
The NSH does have some good basic forms that may help in getting your organization's forms together. I would probably evolve them from those into what fits in with your situation. There have been a couple of webinars in the past dealing with competency in histology and meeting requirements under CLIA and CAP. I think that it is a recurring topic that comes up since competency crosses over into many other arenas such as personnel staffing, education training, compliance, test performance( reliability/reproducibility), errors and process improvements, and potentially other areas that supervisors and managers juggle every day. Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: foreig...@gmail.com; sad...@wisc.edu Date: Wed, 9 Apr 2014 12:24:36 + Subject: RE: [Histonet] RE: competency form CC: histonet@lists.utsouthwestern.edu; ronald.hous...@nationwidechildrens.org Thanks for the reference Patrick! Date: Wed, 9 Apr 2014 08:22:34 -0400 From: foreig...@gmail.com To: sad...@wisc.edu Subject: Re: [Histonet] RE: competency form CC: histonet@lists.utsouthwestern.edu; ronald.hous...@nationwidechildrens.org We based ours off the Michigan Society of Histotechnologist's Competency Assessment Handbook (available on their website for a nominal fee). We took some of their forms/ideas and modified them for our use. Patrick Laurie(HT)ASCP QIHC Histology Manager Celligent Diagnostics, LLC 101 East W.T. Harris Blvd | Suite 1212 | Charlotte, NC 28262 Work: 704-970-3300 Cell: 704-266-0869 On Wed, Apr 9, 2014 at 8:19 AM, Sally Ann Drew sad...@wisc.edu wrote: I don't know if it's reasonable to share with all of us, but I bet there are a lot of us that would be interested in how others are approaching these topics. I doubt there are that many workshops on the issue-or have there been teleconferences maybe that cover the subject? _Sally Sally Ann Drew,MT(ASCP) UW SMPH-Dept. of Pathology TRIP/TSB-TRIP Lab Manager CSC, K4/435 608.265.4378 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Tuesday, April 08, 2014 4:18 PM To: Houston, Ronald; Histonet Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto: ronald.houston@nationwidechild rens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ 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 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] RE: competency form
What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 12:26:47 + Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 11:10:18 + Subject: RE: [Histonet] RE: competency form CC: We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F)
RE: [Histonet] RE: competency form
True there is inspector variation. Maybe we should all pool our resources and see what we can come up with collaboratively? It is great to know what the CAP feedback has been so we can all fill in any gaps. Joelle Weaver MAOM, HTL (ASCP) QIHC From: trathbo...@somerset-healthcare.com To: sm...@msn.com; joellewea...@hotmail.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 13:04:17 + CAP inspectors may have opinions which differ from our own, and their interpretation of standards may also be different. Have you challenged this deficiency with CAP? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 09, 2014 8:52 AM To: joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 12:26:47 + Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 11:10:18 + Subject: RE: [Histonet] RE: competency form CC: We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance
RE: [Histonet] RE: competency form
CAP inspectors may have opinions which differ from our own, and their interpretation of standards may also be different. Have you challenged this deficiency with CAP? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 09, 2014 8:52 AM To: joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 12:26:47 + Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 11:10:18 + Subject: RE: [Histonet] RE: competency form CC: We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone
[Histonet] Re: High complexity testing
Just to clarify, IHC is not high complexity testing. Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Holy Redeemer Hospital Laboratory 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3676 Fax: 215-938-3874 Message: 12 Date: Wed, 9 Apr 2014 12:26:47 + From: joelle weaver joellewea...@hotmail.com Subject: RE: [Histonet] RE: competency form Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC - CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Competency checklist
I have an extensive competency form that has passed many inspections. I will be glad to email it to anyone who is interested. I, too, struggled to make QA/QC compliance folks understand that this is not testing. I tell them that what we do is prep work and that the interpretation of the slides is the test. I finally gave up. They don't care, they just want a competency checklist, so they got one, lol. Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Holy Redeemer Hospital Laboratory 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3676 Fax: 215-938-3874 2. competency form (Houston, Ronald) - CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Telepathology
This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] PLA2R1 Antibody Protocol
Hi Histonet, I am working up the PLA2R1 antibody on a ventana benchmark optiview, and am having false positive staining with the negative control I am using. Is anyone working up the PLA2R1 antibody, if so what is your protocol for this antibody? What fixative are you using for your kidney biopsies for using this antibody? signed stressed student ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Telepathology
We are looking into Sakura's slide scanner for frozen sections. We looked at several a few months back and liked the Sakura model best but put it on the backburner. Now we're ready to purchase. Hope this helps. Sheila Haas MicroPath Laboratories, Inc. Lakeland, FL From: ll...@aipathology.com To: histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 19:07:13 + Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.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
RE: [Histonet] Telepathology
We have used a WebEx session before. The remote site projects the microscopic image onto their desktop then shares the desktop. We also have one account that has an IP addressable microscope. This costs more but is more efficient. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang Sent: Wednesday, April 09, 2014 3:07 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet - No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4355 / Virus Database: 3882/7317 - Release Date: 04/08/14 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Re: High complexity testing
yes, I know- just meant the things that were more complicated- as in my checklist is longer. I mis-spoke, or mis-typed I guess. Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Wed, 9 Apr 2014 13:12:58 -0400 From: tbr...@holyredeemer.com To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: High complexity testing Just to clarify, IHC is not high complexity testing. Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Holy Redeemer Hospital Laboratory 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3676 Fax: 215-938-3874 Message: 12 Date: Wed, 9 Apr 2014 12:26:47 + From: joelle weaver joellewea...@hotmail.com Subject: RE: [Histonet] RE: competency form Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC - CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. ___ 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] Telepathology
Here is the scenario..we are located in one state and the hospital we want to provide frozen section coverage for is in another state. Can they have a histotech on site that can prepare the frozen and then send the image to my pathologist to read it? Does that person onsite have to be a pathologist assistant, or can the Pathologist use technology to guide the histotech on what sections to take? We are getting mixed answers on this. Some say yes, we can and others are saying because it is not FDA approved, we cannot use this as primary screening. Appreciate any input. Like the idea of the WebEx too, thanks Douglas. And thank you Sheila for the info on Sakura. Has anyone used Remove Meeting Technologists (RMT) Software? Thank you, LeAnn -Original Message- From: Douglas Porter [mailto:doug.por...@caplab.org] Sent: Wednesday, April 09, 2014 2:27 PM To: LeAnn Lang; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Telepathology We have used a WebEx session before. The remote site projects the microscopic image onto their desktop then shares the desktop. We also have one account that has an IP addressable microscope. This costs more but is more efficient. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang Sent: Wednesday, April 09, 2014 3:07 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet - No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4355 / Virus Database: 3882/7317 - Release Date: 04/08/14 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Telepathology
We just installed the VisionTek from Sakura. It is my understanding that the primary diagnosis cannot be made by telepathology at this time. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang Sent: Wednesday, April 09, 2014 1:22 PM To: 'Douglas Porter'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Telepathology Here is the scenario..we are located in one state and the hospital we want to provide frozen section coverage for is in another state. Can they have a histotech on site that can prepare the frozen and then send the image to my pathologist to read it? Does that person onsite have to be a pathologist assistant, or can the Pathologist use technology to guide the histotech on what sections to take? We are getting mixed answers on this. Some say yes, we can and others are saying because it is not FDA approved, we cannot use this as primary screening. Appreciate any input. Like the idea of the WebEx too, thanks Douglas. And thank you Sheila for the info on Sakura. Has anyone used Remove Meeting Technologists (RMT) Software? Thank you, LeAnn -Original Message- From: Douglas Porter [mailto:doug.por...@caplab.org] Sent: Wednesday, April 09, 2014 2:27 PM To: LeAnn Lang; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Telepathology We have used a WebEx session before. The remote site projects the microscopic image onto their desktop then shares the desktop. We also have one account that has an IP addressable microscope. This costs more but is more efficient. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang Sent: Wednesday, April 09, 2014 3:07 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet - No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4355 / Virus Database: 3882/7317 - Release Date: 04/08/14 ___ 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: competency form
So I went to one of the CAP webinars regarding competency And when I asked what about histology there were complete silence on the other end of the line and than they said there was nothing for histology. At our site they want something for very division so I put together a basic form and use it for the multitude of major tasks in histology. We are not getting inspeted until next year but from what I hear CAP is planning on making major changes for the pathology protion of CAP's checklist, what that means I do not know. Since CAP canot give us concrete rules for histology I think that anything a lab does is better than nothing, and shows initiative on their part to meet CAP's requirements. Since this is a peer review the inspector can suggest alternatives but cannot say you are in violation because the do not like your form. Just my thoughts S. Paturzo TJUH ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Telepathology
Regarding sectioning of the specimen for frozen section, we had a video camera set up so the pathologist could view the specimen and direct the person on the other end how and what to section. We ended up not using this scenario, but had planned to see if it was an approved method. I suspect you'd have to have a PA or equivalent person on the specimen end for it to be approved. We used WebEx for this also. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: LeAnn Lang [mailto:ll...@aipathology.com] Sent: Wednesday, April 09, 2014 4:22 PM To: 'Douglas Porter'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Telepathology Here is the scenario..we are located in one state and the hospital we want to provide frozen section coverage for is in another state. Can they have a histotech on site that can prepare the frozen and then send the image to my pathologist to read it? Does that person onsite have to be a pathologist assistant, or can the Pathologist use technology to guide the histotech on what sections to take? We are getting mixed answers on this. Some say yes, we can and others are saying because it is not FDA approved, we cannot use this as primary screening. Appreciate any input. Like the idea of the WebEx too, thanks Douglas. And thank you Sheila for the info on Sakura. Has anyone used Remove Meeting Technologists (RMT) Software? Thank you, LeAnn -Original Message- From: Douglas Porter [mailto:doug.por...@caplab.org] Sent: Wednesday, April 09, 2014 2:27 PM To: LeAnn Lang; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Telepathology We have used a WebEx session before. The remote site projects the microscopic image onto their desktop then shares the desktop. We also have one account that has an IP addressable microscope. This costs more but is more efficient. Douglas A. Porter, HT (ASCP) Grossing Technician IT Coordinator Cancer Registrar CAP-Lab, PLC 2508 South Cedar Street Lansing, MI 48910-3138 517-372-5520 (phone) 517-372-5540 (fax) doug.por...@caplab.org www.caplab.org The information contained in this message may be privileged and/or confidential and protected from disclosure. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, copying, forwarding or capture of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by return e-mail and delete this and all copies. Thank-you. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang Sent: Wednesday, April 09, 2014 3:07 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet - No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4355 / Virus Database: 3882/7317 - Release Date: 04/08/14 - No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4355 / Virus Database: 3882/7317 - Release Date: 04/08/14 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Telepathology
Dissection for frozen sections is a high complexity task, there may be an issue with the histologist. I am not so sure about usnig telepathology for the pathologist to ID where to take the section. This is touchy and I would hate to put the tech in the position if there was an error. S. Paturzo TJUH ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: competency form
Well, it would be nice if that was the case but we ended up with a deficiency. It was rather disappointing given our overall documentation. Sent from my iPhone On Apr 9, 2014, at 4:37 PM, Sue suetp...@comcast.net wrote: So I went to one of the CAP webinars regarding competency And when I asked what about histology there were complete silence on the other end of the line and than they said there was nothing for histology. At our site they want something for very division so I put together a basic form and use it for the multitude of major tasks in histology. We are not getting inspeted until next year but from what I hear CAP is planning on making major changes for the pathology protion of CAP's checklist, what that means I do not know. Since CAP canot give us concrete rules for histology I think that anything a lab does is better than nothing, and shows initiative on their part to meet CAP's requirements. Since this is a peer review the inspector can suggest alternatives but cannot say you are in violation because the do not like your form. Just my thoughts S. Paturzo TJUH ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Gi-Bx's
We have 4 slides with 2 section on each. We take a ribbon put 2 sections for unstained and 2 sections for HE pare in about 200um depending on how much tissue there is then re-soak cool and take2 sections for unstained and 2 sections HE. We do this for all colon Bx's. We re-soak to prevent the chatter you see with these types of Bx's. Hope this helps Glenn This message and any attached documents are only for the use of the intended recipient(s), are confidential and may contain privileged information. Any unauthorized review, use, retransmission, or other disclosure is strictly prohibited. If you have received this message in error, please notify the sender immediately, and then delete the original message. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
I appreciate your thoughts. True, seems like they couldn't be too specific in their requirements if they cannot list specifically what they require ( when you specifically ask), what a sentence! We will all find out if that is the case or not soon enough. Anyhow, I just want to agree with you that all the signs seem to be that there will be tightening, based on their magazine articles and web site postings, etc; seems like validation verification, competency, PT ( interlaboratory correlation) will be at the top of the list...stay tuned. Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Wed, 9 Apr 2014 20:37:55 + From: suetp...@comcast.net To: joellewea...@hotmail.com CC: trathbo...@somerset-healthcare.com; sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] RE: competency form So I went to one of the CAP webinars regarding competency And when I asked what about histology there were complete silence on the other end of the line and than they said there was nothing for histology. At our site they want something for very division so I put together a basic form and use it for the multitude of major tasks in histology. We are not getting inspeted until next year but from what I hear CAP is planning on making major changes for the pathology protion of CAP's checklist, what that means I do not know. Since CAP canot give us concrete rules for histology I think that anything a lab does is better than nothing, and shows initiative on their part to meet CAP's requirements. Since this is a peer review the inspector can suggest alternatives but cannot say you are in violation because the do not like your form. Just my thoughts S. Paturzo TJUH ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] CPT codes
Does anyone know where I can find a list of all the special stains/IHC stains with their appropriate CPT code? Is there a book to buy or can I google it and print something off? Thanks! ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CPT codes
just get the coding book ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
There is a great need for standardization in histotechnology, from forms, policies, procedures/methods to controls processes and protocols. Hope NSH is working with ASCP and CAP to make this happen. MSgt Ian R Bernard, HT(ASCP), MSHA-UAB Anatomic Pathology Lab Manager USAF- Active Duty 210-687-7540 Cell ibern...@uab.edu ian.bern...@comcast.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver Sent: Wednesday, April 09, 2014 7:09 AM To: Rathborne, Toni; 'Sheila Haas'; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form True there is inspector variation. Maybe we should all pool our resources and see what we can come up with collaboratively? It is great to know what the CAP feedback has been so we can all fill in any gaps. Joelle Weaver MAOM, HTL (ASCP) QIHC From: trathbo...@somerset-healthcare.com To: sm...@msn.com; joellewea...@hotmail.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 13:04:17 + CAP inspectors may have opinions which differ from our own, and their interpretation of standards may also be different. Have you challenged this deficiency with CAP? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 09, 2014 8:52 AM To: joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 12:26:47 + Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education
RE: [Histonet] RE: competency form- Inspector Perspective.
I recently had the great honor to serve as a CAP inspector in Arizona. The lab we inspected will be accredited. Lest we forget as inspectors or future inspectors, I hope the below perspective illuminates the purpose of the CAP inspection and helps preserve the integrity of the program if adhered to. As inspectors, we are trained to be thorough but to simultaneously use objective judgment i.e. there may be several ways to meet the intent of the question and that we must review all pertinent documentation and then determine if the process meets the intent of the requirement. Keeping in mind that the purpose of CAP inspection is not punitive but quality laboratory improvement to fulfill the regulatory purpose of the inspection (CLIA). Our focus should be, in the interest of time and thoroughness major compliance issue rather than nitpick. This helps us maintain professionalism and preserve the peer-review nature of the program. So what is it that constitutes compliance? Per CAP: - One, that the laboratory has defined a policy, a procedure, or a plan of the three P's for how they are going to do things in the lab. - Secondly, actual practices that matches those three P's. - Finally, documentation to support the fact that practice has indeed matched policies and procedures. So what is a deficiency? Per CAP: A deficiency means that the lab did not meet the intent of the checklist item. It's not the wording; it's not the specifics. It is the intent. If any of the three above criteria are not yet met, we should cite a deficiency We are admonished to remember that there may be many ways to accomplish an objective. The lab may not do things exactly the way that your lab does, but may still be meeting the intent of the requirement(s). Citing a laboratory for not doing it the way we do it is a common inspector error. Per CAP, partial compliance is the following: If there is partial compliance (e.g., some records are inconsistent, one bottle of reagent was not labeled completely, a few temperatures were not recorded, etc.), you must judge whether the degree of non-compliance is likely to have adverse effects on test accuracy, patient care, or worker safety. Also, determine if the lab staff was aware of the inconsistency and if corrective actions were performed. If adverse effects are likely or if there are definite patterns (e.g., missing temperatures only on weekends) without corrective actions only then we must cite a deficiency. Bottom-line, If you feel you were incorrectly cited since you met the intent of the question, you should appeal to CAP. It is an inspected lab's right. If a phase 11 deficiency, submit your evidence of compliance and the Lab Accreditation Committee will either overrule or sustain. I suspect they will overrule. Just saying, but based upon just what you described, it sounds like you all met the intent of the question. MSgt Ian R Bernard, HT(ASCP), MSHA-UAB Anatomic Pathology Lab Manager USAF- Active Duty ibern...@uab.edu ian.bern...@comcast.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni Sent: Wednesday, April 09, 2014 7:04 AM To: 'Sheila Haas'; joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form CAP inspectors may have opinions which differ from our own, and their interpretation of standards may also be different. Have you challenged this deficiency with CAP? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 09, 2014 8:52 AM To: joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net;
