Re: [Histonet] Paperwork

2018-07-27 Thread WILLIAM DESALVO via Histonet 
I am not a a big supporter of batch controls and managing that process.

Place a control section above patient sample, choosing 1 slide/case, prior to 
moving slides to stain. Control always gets to pathologist that is reading 
patient slides, assuming patient slides always get to pathologist and control 
is filed with the case.

Think through what are the opportunities for error and develop a change to 
either eliminate or reduce the opportunity.

There are multiple solutions to your problem and you will need to decide what 
process change gives you the results you desire. There should be multiple 
responses to facilitate your change.

William

William DeSalvo


From: Campbell, Tasha M. 
Sent: Friday, July 27, 2018 11:00 AM
To: WILLIAM DESALVO; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Paperwork

I am a little confused about your batch control explanation.  Do you mean to 
put a piece of control tissue on every case slide?




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

From: WILLIAM DESALVO [mailto:wdesalvo@outlook.com]
Sent: Friday, July 27, 2018 1:20 PM
To: Campbell, Tasha M.; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Paperwork

I have a few suggestions:

Batch control - you do need to continue documentation of which cases/slides 
corresponds to the one control and be able to provide for inspection or 
re-review of a case. I suggest you consider taking pre-cut slide, add a new cut 
control section (1 per case if there are multiple slides) before staining. This 
conserves control tissue and removes some of the logistics of locating and 
matching batch control. I believe this will be a quality improvement without 
high cost.

Accessioning/ LIS - Ditch the log sheets and do not print, unless there is a 
specific need. All of your manual tracking process is now electronic. Do update 
all SOP’s and note date of change in process.

William

William DeSalvo


From: Campbell, Tasha M. via Histonet 
Sent: Friday, July 27, 2018 8:41 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Paperwork

Hi everyone,

I have 2 questions:


1. Could someone please share some ways to keep track of the control that goes 
with the slides that it was used for? So I am a small GI lab and there is a 
pathologist here a couple days a week. We do trichrome on Microscopic colitis 
cases and so I have been batching the trichromes because it's a long stain to 
do by hand and it's a lot easier to do it that way. But my slides are 
automatically printed for me and they have the date on them that the specimen 
was entered into the system. I cut the slide but then hold it until I am ready 
to do the stain. I put a date on the trichrome control slide but it of course 
does not match the date on the patient slides because they have been held for a 
few days. Is this something I even need to worry about? So far I have just been 
writing down the date that I stain the patient slide on a log sheet but I am 
trying to minimize the amount of paperwork/manual logging.


1. We recently got a accessioning system and I can now pull the number of 
blocks and stains done each day. Do I need to still keep writing down in my log 
sheet the number of blocks and stains? Do I need to print out the report that 
has the numbers and file it or since I have the ability to pull it from the 
system, I don't need to have physical logs.

I am just trying to minimize as much manual logging and paperwork as possible! 
Thanks in Advance!!!




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

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Re: [Histonet] Paperwork / tracking batch controls

2018-07-27 Thread Terri Braud via Histonet 
There is an easy method to track batch controls using a blank slide. For each 
case stained, file a blank slide that has been labeled with the actual case 
number, the stain, and also the date of the control slide.  Easy peasy.  I 
published this method in Histologic in Aug. 1995 and it has stood the test of 
CAP and time.
As far as recording blocks and slides, if your new computer software system 
keeps those records and they can be retrieved easily, then you don't need to 
keep paper anymore. Happy Histo-ing!  Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal

Today's Topics:
   6. Paperwork (Campbell, Tasha M.)
Message: 6
Date: Fri, 27 Jul 2018 15:16:26 +
From: "Campbell, Tasha M." 
Hi everyone,
I have 2 questions:
  1.  Could someone please share some ways to keep track of the control that 
goes with the slides that it was used for?  So I am a small GI lab and there is 
a pathologist here a couple days a week.  We do trichrome on Microscopic 
colitis cases and so I have been batching the trichromes because it's a long 
stain to do by hand and it's a lot easier to do it that way. But my slides are 
automatically printed for me and they have the date on them that the specimen 
was entered into the system.  I cut the slide but then hold it until I am ready 
to do the stain.  I put a date on the trichrome control slide but it of course 
does not match the date on the patient slides because they have been held for a 
few days.  Is this something I even need to worry about?  So far I have just 
been writing down the date that I stain the patient slide on a log sheet but I 
am trying to minimize the amount of paperwork/manual logging.
  1.  We recently got a accessioning system and I can now pull the number of 
blocks and stains done each day.  Do I need to still keep writing down in my 
log sheet the number of blocks and stains?  Do I need to print out the report 
that has the numbers and file it or since I have the ability to pull it from 
the system, I don't need to have physical logs.
I am just trying to minimize as much manual logging and paperwork as possible!  
Thanks in Advance!!!
Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144



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End of Histonet Digest, Vol 176, Issue 17
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Re: [Histonet] Paperwork

2018-07-27 Thread Campbell, Tasha M. via Histonet 
I am a little confused about your batch control explanation.  Do you mean to 
put a piece of control tissue on every case slide?




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

From: WILLIAM DESALVO [mailto:wdesalvo@outlook.com]
Sent: Friday, July 27, 2018 1:20 PM
To: Campbell, Tasha M.; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Paperwork

I have a few suggestions:

Batch control - you do need to continue documentation of which cases/slides 
corresponds to the one control and be able to provide for inspection or 
re-review of a case. I suggest you consider taking pre-cut slide, add a new cut 
control section (1 per case if there are multiple slides) before staining. This 
conserves control tissue and removes some of the logistics of locating and 
matching batch control. I believe this will be a quality improvement without 
high cost.

Accessioning/ LIS - Ditch the log sheets and do not print, unless there is a 
specific need. All of your manual tracking process is now electronic. Do update 
all SOP's and note date of change in process.

William

William DeSalvo


From: Campbell, Tasha M. via Histonet 
Sent: Friday, July 27, 2018 8:41 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Paperwork

Hi everyone,

I have 2 questions:


1. Could someone please share some ways to keep track of the control that goes 
with the slides that it was used for? So I am a small GI lab and there is a 
pathologist here a couple days a week. We do trichrome on Microscopic colitis 
cases and so I have been batching the trichromes because it's a long stain to 
do by hand and it's a lot easier to do it that way. But my slides are 
automatically printed for me and they have the date on them that the specimen 
was entered into the system. I cut the slide but then hold it until I am ready 
to do the stain. I put a date on the trichrome control slide but it of course 
does not match the date on the patient slides because they have been held for a 
few days. Is this something I even need to worry about? So far I have just been 
writing down the date that I stain the patient slide on a log sheet but I am 
trying to minimize the amount of paperwork/manual logging.


1. We recently got a accessioning system and I can now pull the number of 
blocks and stains done each day. Do I need to still keep writing down in my log 
sheet the number of blocks and stains? Do I need to print out the report that 
has the numbers and file it or since I have the ability to pull it from the 
system, I don't need to have physical logs.

I am just trying to minimize as much manual logging and paperwork as possible! 
Thanks in Advance!!!




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

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Re: [Histonet] Paperwork

2018-07-27 Thread WILLIAM DESALVO via Histonet 
I have a few suggestions:

Batch control - you do need to continue documentation of which cases/slides 
corresponds to the one control and be able to provide for inspection or 
re-review of a case. I suggest you consider taking pre-cut slide, add a new cut 
control section (1 per case if there are multiple slides) before staining. This 
conserves control tissue and removes some of the logistics of locating and 
matching batch control. I believe this will be a quality improvement without 
high cost.

Accessioning/ LIS - Ditch the log sheets and do not print, unless there is a 
specific need. All of your manual tracking process is now electronic. Do update 
all SOP’s and note date of change in process.

William

William DeSalvo


From: Campbell, Tasha M. via Histonet 
Sent: Friday, July 27, 2018 8:41 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Paperwork

Hi everyone,

I have 2 questions:


1. Could someone please share some ways to keep track of the control that goes 
with the slides that it was used for? So I am a small GI lab and there is a 
pathologist here a couple days a week. We do trichrome on Microscopic colitis 
cases and so I have been batching the trichromes because it's a long stain to 
do by hand and it's a lot easier to do it that way. But my slides are 
automatically printed for me and they have the date on them that the specimen 
was entered into the system. I cut the slide but then hold it until I am ready 
to do the stain. I put a date on the trichrome control slide but it of course 
does not match the date on the patient slides because they have been held for a 
few days. Is this something I even need to worry about? So far I have just been 
writing down the date that I stain the patient slide on a log sheet but I am 
trying to minimize the amount of paperwork/manual logging.


1. We recently got a accessioning system and I can now pull the number of 
blocks and stains done each day. Do I need to still keep writing down in my log 
sheet the number of blocks and stains? Do I need to print out the report that 
has the numbers and file it or since I have the ability to pull it from the 
system, I don't need to have physical logs.

I am just trying to minimize as much manual logging and paperwork as possible! 
Thanks in Advance!!!




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

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[Histonet] formalin vs alcohol storage

2018-07-27 Thread Blanca Lopez via Histonet 
Morning Histonnetes:
Can somebody give your opinion on how to storage alcohol and formalin?
Is formalin consider corrosive that can't be storage together with alcohol?
What is your opinion?
Thanks for your help...


Blanca Lopez HT (ASCP)
Histotechnologist
UT Southwestern Medical Center
Harold C. Simmons Comprehensive Cancer Center
Histology Lab
K1-210
214-648-7598
blanca.lo...@utsouthwestern.edu





UT Southwestern


Medical Center



The future of medicine, today.

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[Histonet] Paperwork

2018-07-27 Thread Campbell, Tasha M. via Histonet 
Hi everyone,

I have 2 questions:


  1.  Could someone please share some ways to keep track of the control that 
goes with the slides that it was used for?  So I am a small GI lab and there is 
a pathologist here a couple days a week.  We do trichrome on Microscopic 
colitis cases and so I have been batching the trichromes because it's a long 
stain to do by hand and it's a lot easier to do it that way. But my slides are 
automatically printed for me and they have the date on them that the specimen 
was entered into the system.  I cut the slide but then hold it until I am ready 
to do the stain.  I put a date on the trichrome control slide but it of course 
does not match the date on the patient slides because they have been held for a 
few days.  Is this something I even need to worry about?  So far I have just 
been writing down the date that I stain the patient slide on a log sheet but I 
am trying to minimize the amount of paperwork/manual logging.


  1.  We recently got a accessioning system and I can now pull the number of 
blocks and stains done each day.  Do I need to still keep writing down in my 
log sheet the number of blocks and stains?  Do I need to print out the report 
that has the numbers and file it or since I have the ability to pull it from 
the system, I don't need to have physical logs.

I am just trying to minimize as much manual logging and paperwork as possible!  
Thanks in Advance!!!




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144

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