Re: [Histonet] Logging everything you do.
I'm glad to hear that the staff suggested the tracking of tasks. If I had to guess the items causing the most trouble are: Poorly grossed specimens if someone other than a Histotech grosses - all of which cause poor processing: too big filling the entire cassette; too thick squishing out the top and bottom causing waffling; not decalled long enough needing extra long surface decal to cut. Microtomes: messed up knife holders with all sorts of dings and dents so the blade doesn't clamp right causing thick & thin sections or chatter; block clamping head getting out of alignment or full of wax resulting in poor sections. Cruddy blades - just because it costs less doesn't make it a better blade; knife marks from hitting staples that the grosser swore they took out. Waterbath: too cold and getting wrinkles; too hot and sections poof into non-existance. Floaters from not cleaning the surface between blocks; floaters from someone's skin cells because they don't like wearing gloves when sectioning. Supplies: or lack of, it seems like there may still be supply chain issues. Everyone's favorite: clinicians calling asking why it's taking so long to get results. This week I had one tell me she got her flow results in a day and Histo has had the specimens for two days - so what's the hold up? Please share what items are troubling after the lists are compiled. It will be interesting to see what they have to say. Sincerely, Paula Sicurello On Sat, Jul 22, 2023 at 1:39 PM, Samantha Golden via Histonet wrote: Thanks for taking the time to respond. It was actually staff who suggested we see what tasks are being performed, when, and how long. No punitive action is being taken. As I indicated, we, as in the team, want to find the pain points. I do continually ask for ideas and feedback; staff repeatedly tell me they cannot see any other way to do things. I am on the bench daily and I know what the problems are. But like you said, I want staff to feel involved in the discussion, and this was their idea. Sent from my iPhone > On Jul 22, 2023, at 4:15 PM, Terri Braud via Histonet > wrote: > > As someone who has been a supervisor in 3 institutions for 35 years, this is > not that way to improve productivity. To log in every minute of activity > feels very punitive and I can't imagine that it would be well received by > staff. The best way to improve productivity is to start by asking each tech > on a daily basis what problems do they feel impacts productivity. Some items > already have general standard established such as embedding, cutting, > staining. Ask your techs for their ideas. I'm sure they will have some > valid ones. Don't let the talks dissolve into complaining. Ask for concrete > ideas for improvement that can be tried. Look for duplicity in work, records, > and labeling. Make sure they have the right tools to do their job. Get on > the bench and see it for yourself. There is nothing like first had > experience to find the weak spots. > They worst way to improve productivity is to require such an onerous demand > such as a task log. All you are doing is slowing productivity, not > improving. > Respectfully, Terri > > Terri L. Braud, HT(ASCP) > HNL Laboratories for > Holy Redeemer Hospital > 1648 Huntingdon Pike > Meadowbrook, PA 19046 > Ph: 215-938-3689 > Fax: 215-938-2021 > Honesty > AccouNtability > AgiLity > CoLlaboration > CoMpassion > > > Message: 5 > Date: Fri, 21 Jul 2023 21:42:20 -0400 > From: Samantha Golden > Subject: [Histonet] Productivity log > I have asked staff to start logging all the tasks they perform and the amount > of time it is taking them to complete. We would like to identify pain points > and waste in an effort to improve our overall productivity. Rather than > reinventing the wheel, does someone have a form they?ve used in the past that > they would be willing to share? > Thank you for sharing your experience. > Samantha > > ___ > 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] Logging everything you do.
Thanks for taking the time to respond. It was actually staff who suggested we see what tasks are being performed, when, and how long. No punitive action is being taken. As I indicated, we, as in the team, want to find the pain points. I do continually ask for ideas and feedback; staff repeatedly tell me they cannot see any other way to do things. I am on the bench daily and I know what the problems are. But like you said, I want staff to feel involved in the discussion, and this was their idea. Sent from my iPhone > On Jul 22, 2023, at 4:15 PM, Terri Braud via Histonet > wrote: > > As someone who has been a supervisor in 3 institutions for 35 years, this is > not that way to improve productivity. To log in every minute of activity > feels very punitive and I can't imagine that it would be well received by > staff. The best way to improve productivity is to start by asking each tech > on a daily basis what problems do they feel impacts productivity. Some items > already have general standard established such as embedding, cutting, > staining. Ask your techs for their ideas. I'm sure they will have some > valid ones. Don't let the talks dissolve into complaining. Ask for concrete > ideas for improvement that can be tried. Look for duplicity in work, records, > and labeling. Make sure they have the right tools to do their job. Get on > the bench and see it for yourself. There is nothing like first had > experience to find the weak spots. > They worst way to improve productivity is to require such an onerous demand > such as a task log. All you are doing is slowing productivity, not > improving. > Respectfully, Terri > > Terri L. Braud, HT(ASCP) > HNL Laboratories for > Holy Redeemer Hospital > 1648 Huntingdon Pike > Meadowbrook, PA 19046 > Ph: 215-938-3689 > Fax: 215-938-2021 > Honesty > AccouNtability > AgiLity > CoLlaboration > CoMpassion > > > Message: 5 > Date: Fri, 21 Jul 2023 21:42:20 -0400 > From: Samantha Golden > Subject: [Histonet] Productivity log > I have asked staff to start logging all the tasks they perform and the amount > of time it is taking them to complete. We would like to identify pain points > and waste in an effort to improve our overall productivity. Rather than > reinventing the wheel, does someone have a form they?ve used in the past that > they would be willing to share? > Thank you for sharing your experience. > Samantha > > ___ > 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] Logging everything you do.
Is this documentation for a work/labor study to determine pricing or show upper leadership how hands-on and time consuming histology is? If not, then what you are asking is punitive. Not to mention that it will kill any comradery that your histotechs may have. This will be seen as either a competition or a way to point out those that are not as fast/skilled/etc. I can hear it now (where I used to work had the histotechs write stuff down for all to see (I stopped that practice right away) "Betty is picking and choosing her blocks" "Bob is leaving all the bone blocks for me to do" "What are YOU going to do about Joe being so slow?" "Why am I the only one who cuts the prostate biopsies?" That's only a few of the nicer complaints I heard. Plus it will be a quick way to make for an over all negative environment. I agree with Terri - ask them for to improve, streamline, etc. Asking the staff for help to improve the lab goes a long way to making a good working environment. With fewer and fewer people becoming histotechs - the work environment is crucial. Sincerely, Paula Sicurello On Saturday, July 22, 2023 at 01:02:21 PM PDT, Terri Braud via Histonet wrote: As someone who has been a supervisor in 3 institutions for 35 years, this is not that way to improve productivity. To log in every minute of activity feels very punitive and I can't imagine that it would be well received by staff. The best way to improve productivity is to start by asking each tech on a daily basis what problems do they feel impacts productivity. Some items already have general standard established such as embedding, cutting, staining. Ask your techs for their ideas. I'm sure they will have some valid ones. Don't let the talks dissolve into complaining. Ask for concrete ideas for improvement that can be tried. Look for duplicity in work, records, and labeling. Make sure they have the right tools to do their job. Get on the bench and see it for yourself. There is nothing like first had experience to find the weak spots. They worst way to improve productivity is to require such an onerous demand such as a task log. All you are doing is slowing productivity, not improving. Respectfully, Terri Terri L. Braud, HT(ASCP) HNL Laboratories for Holy Redeemer Hospital 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3689 Fax: 215-938-2021 Honesty AccouNtability AgiLity CoLlaboration CoMpassion Message: 5 Date: Fri, 21 Jul 2023 21:42:20 -0400 From: Samantha Golden Subject: [Histonet] Productivity log I have asked staff to start logging all the tasks they perform and the amount of time it is taking them to complete. We would like to identify pain points and waste in an effort to improve our overall productivity. Rather than reinventing the wheel, does someone have a form they?ve used in the past that they would be willing to share? Thank you for sharing your experience. Samantha ___ 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] Logging everything you do.
As someone who has been a supervisor in 3 institutions for 35 years, this is not that way to improve productivity. To log in every minute of activity feels very punitive and I can't imagine that it would be well received by staff. The best way to improve productivity is to start by asking each tech on a daily basis what problems do they feel impacts productivity. Some items already have general standard established such as embedding, cutting, staining. Ask your techs for their ideas. I'm sure they will have some valid ones. Don't let the talks dissolve into complaining. Ask for concrete ideas for improvement that can be tried. Look for duplicity in work, records, and labeling. Make sure they have the right tools to do their job. Get on the bench and see it for yourself. There is nothing like first had experience to find the weak spots. They worst way to improve productivity is to require such an onerous demand such as a task log. All you are doing is slowing productivity, not improving. Respectfully, Terri Terri L. Braud, HT(ASCP) HNL Laboratories for Holy Redeemer Hospital 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3689 Fax: 215-938-2021 Honesty AccouNtability AgiLity CoLlaboration CoMpassion Message: 5 Date: Fri, 21 Jul 2023 21:42:20 -0400 From: Samantha Golden Subject: [Histonet] Productivity log I have asked staff to start logging all the tasks they perform and the amount of time it is taking them to complete. We would like to identify pain points and waste in an effort to improve our overall productivity. Rather than reinventing the wheel, does someone have a form they?ve used in the past that they would be willing to share? Thank you for sharing your experience. Samantha ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] changing expiration dates once open
The inspector is wrong. Sometimes there is an expiration upon opening, but the majority of reagents do not have this. Just smile and say OK like you really mean it, then check your CLIA regulations and be prepared to back up your defense for the next inspector. Terri L. Braud, HT(ASCP) HNL Laboratories for Holy Redeemer Hospital 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3689 Fax: 215-938-2021 Honesty AccouNtability AgiLity CoLlaboration CoMpassion -Original Message- From: histonet-requ...@lists.utsouthwestern.edu Sent: Saturday, July 22, 2023 1:00 PM Today's Topics 1. Expiration date after opeing a reagent (Paula) Date: Fri, 21 Jul 2023 13:08:33 -0700 From: "Paula" Hello, We just got CLIA inspected and had no deficiencies. The inspector did say he wants to see us write down on any reagent containers when it was opened, and write down the new expiration date. The containers have the expiration date on them from the manufacturer, but the inspector said when the container is opened, the expiration will change and we need to write the date on the container under the opened date. I've never heard of this requirement and I would like to ask if you have. He said if the vendor does not give us any written documentation of when a reagent would expire after it's opened, then we should seek an alternate vendor who can. Any comments, etc. are greatly appreciated. Paula Lucas Bio-Path Medical Group ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
