[Histonet] Looking for a sliding microtome

[Chaitanya Kolluru via Histonet]

Hi,

I'm searching online for a microtome where the sample is fixed and the
knife is moving. The microtome cutting movement needs to be motorized and
automatic.

Is there a microtome that has this functionality or is this something that
simply does not exist?

Thank you!
-- 
Chaitanya
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[Histonet] Cutting benchmarks

[Hagon, Christopher (Health) via Histonet]

UNCLASSIFIED

Hello Histonetters,

Just wondering if anyone has had any benchmarks put in place in regards to 
blocks cut or slides produced per histotech/scientist per day? I realise that 
there are differing levels of complexity per block, we range from 1 slide per 
block to 21 one micron sections per renal block. Has any lab has WHS involved 
as far as Repetitive Strain Injuries are concerned?

I'm not looking for any definitive answers that I'll hold anyone to, just if 
anyone has expectations of maximum throughput. We have a tracking system that 
we can accurately see how much work each person is doing. There seem to be 
limits on how many cases a pathologist can report in  a day (again, varying 
levels of complexity) but what about for lab staff?

Any thoughts greatly appreciated.

Chris Hagon | Senior Scientist, Anatomical Pathology
Phone: (02) 5124 2874 |  Email: 
christopher.ha...@act.gov.au
ACT Pathology | Canberra Health Services | ACT Government
Canberra Hospital | Building 10 Level 1 | PO Box 11, Woden ACT 2606 | 
health.act.gov.au


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Re: [Histonet] Incomplete sectioning

[Terri Braud via Histonet]

A quality check can be accomplished in 2 places.  It can be done at cutting, 
but it should already be being done and it doesn't seem to be working.
Ideally, the stained H should be checked against the block face as it is 
pulled from the coverslipper to be given to the pathologist. Then it can be 
handed immediately to the tech that made the original error to  "do over"
Also, a common excuse will be "it was embedded poorly".  The answer to that is 
that it is the cutting tech's responsibility to hand back a poorly embedded 
block for it to be re-embedded if they feel that they can't get a 
representation section.
Remember, it could also be poorly cut gross, too.
Then you can nip it in the bud before the slide reaches the pathologist, and 
you can quickly identify who is turning out inferior sections and counsel them 
appropriately if needed.
Hope this helps. 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


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Today's Topics:

   1. Incomplete cross sections of all tissue in blocks (Amy Self)
   2. Re: Incomplete cross sections of all tissue in blocks
  (John Garratt)


--

Message: 1
Date: Tue, 3 Mar 2020 15:31:59 +
From: Amy Self 
To: "histonet@lists.utsouthwestern.edu"

Subject: [Histonet] Incomplete cross sections of all tissue in blocks
Message-ID:



Content-Type: text/plain; charset="utf-8"

Good Morning HistoNetters,

I am reaching out to the histonet in hopes to get some suggestions from you on 
how to handle incomplete cross-sections of tissue in blocks. We are a small lab 
so this has not been an issue in the past but now that we are growing and our 
staff has increased I am getting feed-back from pathologist that the sections 
of tissue are not complete. They are asking for too many deepers that possibly 
could be avoided if it was cut deep enough to begin with. I have been given 
some managerial type duties ? which I don?t like cause I know nothing about 
managing people and I need to approach this but I need to approach this issue 
correctly.  Do you have the histotech compare his/her cut slides to the block 
to make sure that a complete cross-section is obtained and is this documented 
somehow?  Any and all suggestions I need.

Thanks in advance for your help and as always you all rock.. ?

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
(843) 520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.


NOTE:
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the intended recipient, you are hereby notified that any dissemination, 
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Message: 2
Date: Tue, 03 Mar 2020 17:01:55 +
From: John Garratt 
To: Amy Self ,
"histonet@lists.utsouthwestern.edu"

Subject: Re: [Histonet] Incomplete cross sections of all tissue in
blocks
Message-ID:



Content-Type: text/plain; charset=UTF-8

I suggest that each histotech is responsible for the blocks they cut and they 
cut the deepers on the their own blocks when they are requested. With feedback 
on the reason for the deeper from the pathologists they (the techs) will become 
more confident and learn how deep to cut.

John

On Tue, Mar 3, 2020 at 7:31 AM, Amy Self via Histonet 
 wrote:

> Good Morning HistoNetters,
>
> I am reaching out to the histonet in hopes to get some suggestions from you 
> on how to handle incomplete cross-sections of tissue in blocks. We 

Re: [Histonet] [EXTERNAL] Re: Incomplete cross sections of all tissue in blocks

[Perl, Alison via Histonet]

Each of our techs is responsible for fully facing their blocks and getting a 
representative section. If the docs see something is amiss (epidermis missing, 
incomplete cross section, etc), they can order a Technical Recut rather than a 
routine Recut. Unfortunately, it sounds like you (or someone else of 
authority), has to give some feedback/coaching that the sections are 
insufficient, particularly if it's a recurring problem. Is it one tech that 
needs a 1-on-1 convo, or a meeting with the whole staff to address widespread 
issues?

Alison Perl, HTL(ASCP)CM
Anatomic Pathology Manager 
CareMount Medical
(914) 302-8424
ap...@caremount.com


-Original Message-
From: John Garratt via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, March 3, 2020 12:02 PM
To: Amy Self; histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] Re: [Histonet] Incomplete cross sections of all tissue in 
blocks

I suggest that each histotech is responsible for the blocks they cut and they 
cut the deepers on the their own blocks when they are requested. With feedback 
on the reason for the deeper from the pathologists they (the techs) will become 
more confident and learn how deep to cut.

John

On Tue, Mar 3, 2020 at 7:31 AM, Amy Self via Histonet 
 wrote:

> Good Morning HistoNetters,
>
> I am reaching out to the histonet in hopes to get some suggestions from you 
> on how to handle incomplete cross-sections of tissue in blocks. We are a 
> small lab so this has not been an issue in the past but now that we are 
> growing and our staff has increased I am getting feed-back from pathologist 
> that the sections of tissue are not complete. They are asking for too many 
> deepers that possibly could be avoided if it was cut deep enough to begin 
> with. I have been given some managerial type duties – which I don’t like 
> cause I know nothing about managing people and I need to approach this but I 
> need to approach this issue correctly. Do you have the histotech compare 
> his/her cut slides to the block to make sure that a complete cross-section is 
> obtained and is this documented somehow? Any and all suggestions I need.
>
> Thanks in advance for your help and as always you all rock.. 
>
> Amy Self
> Histology Lab Senior Tech
> Lab
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> (843) 520-8711
> as...@tidelandshealth.org
> Our mission: We help people live better lives through better health.
>
> NOTE:
> The information contained in this message may be privileged, confidential and 
> protected from disclosure. If the reader of this message is not the intended 
> recipient, or an employee or agent responsible for delivering this message to 
> the intended recipient, you are hereby notified that any dissemination, 
> distribution or copying of this communication is strictly prohibited. If you 
> have received this communication in error, please notify us immediately by 
> replying to this message and deleting it from your computer.
> Thank you.
> ___
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Re: [Histonet] Incomplete cross sections of all tissue in blocks

[John Garratt via Histonet]

I suggest that each histotech is responsible for the blocks they cut and they 
cut the deepers on the their own blocks when they are requested. With feedback 
on the reason for the deeper from the pathologists they (the techs) will become 
more confident and learn how deep to cut.

John

On Tue, Mar 3, 2020 at 7:31 AM, Amy Self via Histonet 
 wrote:

> Good Morning HistoNetters,
>
> I am reaching out to the histonet in hopes to get some suggestions from you 
> on how to handle incomplete cross-sections of tissue in blocks. We are a 
> small lab so this has not been an issue in the past but now that we are 
> growing and our staff has increased I am getting feed-back from pathologist 
> that the sections of tissue are not complete. They are asking for too many 
> deepers that possibly could be avoided if it was cut deep enough to begin 
> with. I have been given some managerial type duties – which I don’t like 
> cause I know nothing about managing people and I need to approach this but I 
> need to approach this issue correctly. Do you have the histotech compare 
> his/her cut slides to the block to make sure that a complete cross-section is 
> obtained and is this documented somehow? Any and all suggestions I need.
>
> Thanks in advance for your help and as always you all rock.. 
>
> Amy Self
> Histology Lab Senior Tech
> Lab
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> (843) 520-8711
> as...@tidelandshealth.org
> Our mission: We help people live better lives through better health.
>
> NOTE:
> The information contained in this message may be privileged, confidential and 
> protected from disclosure. If the reader of this message is not the intended 
> recipient, or an employee or agent responsible for delivering this message to 
> the intended recipient, you are hereby notified that any dissemination, 
> distribution or copying of this communication is strictly prohibited. If you 
> have received this communication in error, please notify us immediately by 
> replying to this message and deleting it from your computer.
> Thank you.
> ___
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[Histonet] Incomplete cross sections of all tissue in blocks

[Amy Self via Histonet]

Good Morning HistoNetters,

I am reaching out to the histonet in hopes to get some suggestions from you on 
how to handle incomplete cross-sections of tissue in blocks. We are a small lab 
so this has not been an issue in the past but now that we are growing and our 
staff has increased I am getting feed-back from pathologist that the sections 
of tissue are not complete. They are asking for too many deepers that possibly 
could be avoided if it was cut deep enough to begin with. I have been given 
some managerial type duties – which I don’t like cause I know nothing about 
managing people and I need to approach this but I need to approach this issue 
correctly.  Do you have the histotech compare his/her cut slides to the block 
to make sure that a complete cross-section is obtained and is this documented 
somehow?  Any and all suggestions I need.

Thanks in advance for your help and as always you all rock.. 

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
(843) 520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.


NOTE:
The information contained in this message may be privileged, confidential and 
protected from disclosure. If the reader of this message is not the intended 
recipient, or an employee or agent responsible for delivering this message to 
the intended recipient, you are hereby notified that any dissemination, 
distribution or copying of this communication is strictly prohibited. If you 
have received this communication in error, please notify us immediately by 
replying to this message and deleting it from your computer.
Thank you.
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