Re: [Histonet] Interview Questions
First of all, DON'T ASSUME ANYTHING. Ask questions about every aspect of the position. Let them know what they will be responsible for. Look for desired qualities ie: detail oriented, high work standard, team worker, flexible, multitasker, critical thinker, acceptable to constructive criticism, good verbal communication, etc. Interview Questions I use are: Are you proficient with frozen sections? Are you willing to work over occasionally to perform frozen sections? What are your interest or hobbies? Where are your professional goals. Where do you see yourself in 5 years. I always ask one critical thinking question about processing to test their knowledge. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Breeden, Sara sbree...@nmda.nmsu.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 01/25/2012 10:41 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Interview Questions Okay, My People - I will be one of the interviewers for locating my replacement). I've not been this fortunate before and I do know there are questions one cannot ask so that's not an issue. What I'd like to know is what I SHOULD ask. This position is fairly straightforward - basic veterinary histology with nothing significantly challenging (but with that potential). What would YOU want to know about a candidate that would convince you that this person was The One? I need questions with meat to them. Your suggestions will be much-ly appreciated. Gracias! Sally Breeden, HT(ASCP) New Mexico Department of Agriculture Veterinary Diagnostic Services 1101 Camino de Salud NE Albuquerque, NM 87102 505-383-9278 (Histology Lab) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: slide file storage to dry slides
Joyce, Interesting! What methodology are using to remove the coverslip and with what difficulty? I may be interested in changing to this medium. Are you using this same medium with Non-gyn Cytology and have you had any bleeding problems? Also we do not use Xylene. We use a substitute. Thanks! Debbie Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Weems, Joyce jwe...@sjha.org Sent by: histonet-boun...@lists.utsouthwestern.edu 01/19/2012 09:58 AM To Sebree Linda A lseb...@uwhealth.org, Histonet@lists.utsouthwestern.edu Histonet@lists.utsouthwestern.edu cc Subject [Histonet] RE: slide file storage to dry slides We use fast dry mounting media from ThermoFisher Scientific - Item# 22 050 102 - that doesn't need extra drying. File the next day with no sticking.. j Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A Sent: Thursday, January 19, 2012 09:26 To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] slide file storage to dry slides Good morning all, We've recently switched from film coverslipping back to glass and therefore need to thoroughly dry our slides before permanent filing. I recall, in my first histology job30 + years ago, that we used metal stacking slide files that you could put an insert into the drawers that looked like a non-stretchy spring. The wires of this spring held the slides apart to dry, then they could be filed without the spring when they were completely dry. Anyone know if that product still exists? Or does anyone have a better solution for drying slides while still keeping them in order? Thanks for the assist, Linda ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] formalin managment--what about recycling?
Ditto Renee! Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Rene J Buesa rjbu...@yahoo.com Sent by: histonet-boun...@lists.utsouthwestern.edu 01/13/2012 12:56 PM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, Cheryl tkngfl...@yahoo.com cc Subject Re: [Histonet] formalin managment--what about recycling? I am absolutely opposed to formalin recycling because the least you are exposed to formalin, the better. When you buy specimen containers prefilled with formalin, your exposure is minimal. If after that you start collecting the used formalin into larger containers and recycle it your exposure increases ddramatically. The worst case scenario is recycling by distillation when, after the formalin is recycled, you have to check the pH and add the salts to neutralize it. Any recycling method used involves that you will have to keep dealing with it while filling the specimen containers. If there was a stingy histology manager that was me, BUT I never traded a few dollars savings for my staff safety. There is no savings that can compensate for the dangerous exposure to formalin. Use it the least, in the least amounts possible (2:1 is enough), in very well ventilated areas and pay somebody to take it away. That is how I feel about it. René J. --- On Fri, 1/13/12, Cheryl tkngfl...@yahoo.com wrote: From: Cheryl tkngfl...@yahoo.com Subject: [Histonet] formalin managment--what about recycling? To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Date: Friday, January 13, 2012, 12:29 PM Now I'm curious. We all struggle with what is okay to go down the drain vs. what we're willing to put down the drain (I don't like dumping xylene substitues even when my water district says I can-- I like fish that swim right-side up! ) Can someone comment on the recycling programs out there for formalin and the costs vs. commercial waste haulers? Is the end product worth the effort? Thanks! Cheryl Kerry, HT(ASCP) , Histology Recruiter Full Staff Inc. Staffing the AP Lab by helping one GREAT Tech at a time. 281.852.9457 Office 800.756.3309 Phone Fax ad...@fullstaff.org Sign up for the FREE newsletter AP News--updates, tricks of the trade and current issues for Anatomic Pathology Clinical Labs. Send a 'subscribe' request to apn...@fullstaff.org. Please include your name and specialty in the body of the email. ___ 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 -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Cytology Immediate Evals
If you have 4 immediate evaluations during a FNA are you all charging 4 immed. eval. charges 88172 and an 88108 for each pass (cytospins)? Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Urine cytologies
Saponin and Calcium Gluconate. Let me know if you would like the procedure and I will send it to you under separate cover. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Bryan Watson bryan.wat...@neiurology.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/25/2011 09:26 AM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] Urine cytologies What is a good reagent for lysing red cells in extremely bloody urine specimens for cytology? thanks, Bryan ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Ann Preece (was decal [sic] question)
I have both a 1959 and 1972 copy of Preece's book! Both were left by the previous Histology Manager. What a treasurer for me. I also used Preece when studying for the registry. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Bob Richmond rsrichm...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/04/2011 11:39 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Ann Preece (was decal [sic] question) Bernice Frederick HTL (ASCP), Senior Research Tech at the Pathology Core Facility of the Robert. H. Lurie Cancer Center at Northwestern University in Chicago notes Ann Preece states acid decal uses aqueous solutions of either formic, nitric, or trichloroacetic acid. Other methods mentioned are Ion-exchange resin, electrical ionization and chelation. The histo bible! You've got to be almost as geezer as me to remember when Ann Preece's A Manual for Histologic Technicians was the histo bible. I was fortunate to be able to purloin a pristine (no stain spills) copy of the third edition (1972) from the wreckage of an old histology lab about 20 years ago. Indeed, Patsy Ruegg! Decal is a trademark of the Decal Chemical Corporation and should not be used generically for decalcifying solutions. See decal-bone.com Bob Richmond Samurai Pathologist Knoxville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Microtome Repair
Tech One Biomedical 866-497-3033 Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Wimer, Helen wim...@si.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 07/27/2011 09:42 AM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] Microtome Repair Can anyone recommend a company that does microtome repair in the Washington, DC/ Maryland area? Thanks! Helen F Wimer HT (ASCP) Smithsonian Institution Department of Vertebrate Zoology Washington, DC (301) 496-1391 wim...@si.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Formalin down the drain??
Ditto Rene! All Federal Regulations trump state if they are more stringent. In other words states can have more stringent regulations but NEVER less. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Rene J Buesa rjbu...@yahoo.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/25/2011 04:54 PM To mtitf...@aol.com, histonet@lists.utsouthwestern.edu, BillO'Donnell billodonn...@catholichealth.net cc Subject RE: [Histonet] Formalin down the drain?? Your rant is interesting but wrong. OSHA (which is a FEDERAL agency) prohibits dumping ANY type of hazardous materials down the drain. I was also taken aback by Amy's posting. No, regardless of what your state law may or may not permit you to dump in the drain, you should not put some $avings over the well being of the environment and the drinking water of people. Formaldehyde is toxic and recently officially declared carcinogen. In the same way that frackting methods to obtain gas from shale has been deemed dangerous, equally dumping formaldehyde, xylene and any other chemical ought to be the source of concern. This in my rant! René J. --- On Mon, 7/25/11, O'Donnell, Bill billodonn...@catholichealth.net wrote: From: O'Donnell, Bill billodonn...@catholichealth.net Subject: RE: [Histonet] Formalin down the drain?? To: mtitf...@aol.com, histonet@lists.utsouthwestern.edu Date: Monday, July 25, 2011, 4:19 PM One should not automtically assume that laws are broken here. (Rant begins here) First of all, it is the States that set the limits of what can and cannot be dumped. All States must meet Federal standards,but States are free to determine how they do that. (It's one of the benefits of the American Revolution) Some states are more heavily regulated than others. California and Colorado come to mind immediately. Different organizations, locations and circumstances may allow for disposal of products that may be diluted to such a degree as to be negligable in the waste stream. Our institution generates 65,000 gallons of waste water daily, which allows us to make the dilution limits of anything that our histo lab could produce in a day. No laws are broken if I should pour xylene, formalin, alcohols or other common compounds that we might generate on even our busiest days into the waste stream. HOWEVER, while we may be allowed to do so by state and local regulations, we have decided it is not prudent to do so and so we collect, ship, neutralize or recycle most all that the histo lab generates. We do this at the lab level, with lab funding. It is the responsible thing to do, and we are morally and ethically bound to do so, but we are not outside the law if we do not. If your local municipal waste systems people give you the green light on dumping formalin down the drain. you are not breaking the law, federal or otherwise, in doing so. It is true that if you wish to affect things globally, one has to be responsible locally. Here is what my rant comes down to Make certain that you are meeting local standards for your chemical disposal or you may well be breaking the law. And a big thank you (from myself, my children, grandchildren and great-grand children and that lady who sells me the slurpee at the local convenience store) for anything anyone is doing above and beyond that. :)Rant is over... Have a nice day :) You cannot Like this rant on Facebook or follow this rant on Twitter. Bill -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of mtitf...@aol.com Sent: Monday, July 25, 2011 12:59 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Formalin down the drain?? I was a little distressed to read the message from Amy in Camp Hill, Pennsylvania declaring she dumps everything (and I mean everything) from her histology lab down the drain. There are a bunch of Federal Laws governing handling and disposal of chemicals used in the histology laboratory and she appears to be breaking several. The wastewater law limits how much formalin you can discard down the sink (and you cannot dilute as you go). The same law forbids disposal of organic solvents like xylene, or solutions containing organic solvents. Local laws in Pennsylvania may be more strict. I recommend to Amy that she purchases a book like, Hazardous materials in the histopathology laboratory by Janet Richard Dapson and read the whole thing cover to cover! Michael Titford Pathology USA Mobile AL USA ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu
Re: [Histonet] blurry tissue
Are you using recycled alcohols? Check your concentrations. Could your cassettes be floating up during processing? It is possible they have air bubbles trapped in the cassette and aren't properly dehydrated. Check and change your staining alcohols and clearants to make sure there isn't water from humidity or carry over. It has always been my experience that recycled dehydrants/clearants are the culprit. But, that being said, we have on occasions had an errant cassettes to float up during processing. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Carol Bryant cb...@lexclin.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/25/2011 01:42 PM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] blurry tissue I would like some thoughts on how to resolve some blurry looking tissue. We have had occasional tissue that looks blurry and not crisp for several weeks now. It is not all the cases only random tissues. The tissue is not on the same tissue processor either. We have 2 processors. The latest cases were a breast, some skins, and a prostate. I am not certain if this is happening on the tissue processor or in the stainer. It has been very humid in our lab so I have started running a dehumidifier in case there is water in the xylene. It is so hit and miss that I am puzzled. Any suggestions would be greatly appreciated. Thank you in advance for your thoughts. Carol Bryant, CT (ASCP) Cytology/Histology Manager Pathology Services Lexington Clinic Phone (859) 258-4082 Fax (859) 258-4081 cb...@lexclin.com NOTICE OF CONFIDENTIALITY This message, including any attachments, is intended only for the sole use of the addressee and may contain confidential or privileged information that is protected by the State of Kentucky and/or Federal regulations. If you are not the intended recipient, do not read, copy, retain or disseminate this message or any attachment. If you have received this message in error, please call the sender immediately at (859)258-4000 and delete all copies of this message and any attachment. Any unauthorized review, use, disclosure, copying or distribution is strictly prohibited. Neither the transmission of this message or any attachment, nor any error in transmission or misdelivery shall constitute waiver of any applicable legal privilege. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] What is a great manual microtomes
We have two Leica's and love them a RM 2255 and a RM2235. No problems. A real work horse! Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net lsc...@sfcn.org Sent by: histonet-boun...@lists.utsouthwestern.edu 07/12/2011 02:22 PM To Histonet@lists.utsouthwestern.edu cc Subject [Histonet] What is a great manual mirotome Hi, Our small lab is looking for some advise on what microtome to replace a fairly new Leica RM2235 with. We have been looking at the Sakura SRM 200 and the Leica 2125. We are looking for reliability and have net gotten it from the RM2235. Is anyone using either of these that would be willing to offer suggestions? Thanks, Scott Hendricksen HT (ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Bone Marrows
Yes we do. We assist with all bone marrows regardles of where they are (not hematology). We dress out in scrubs, etc. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Slide Bright Question
Christopher I use Americlear and have not had a staining problem. Your last alcohols must be absolute and as stated previously your mounting media must be compatible. I do not, however, use Americlear on the processor as we did have processing problems there. We use ProPar from Anatech on the processor. With the expense and carcinogen factor of Xylene, this set up works great for us. As with any clearing agent, water contamination , produces leching eosin as one of many problems. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Christopher Conlisk cconl...@kcskincenter.com Sent by: histonet-boun...@lists.utsouthwestern.edu 06/03/2011 02:17 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Slide Bright Question Hello Everyone, I have worked in labs that use Xylene my entire career and I just started at a Lab That only uses a Xylene Substitute Slide-Bright. I am having problems with the HE. After staining and coverslipping (The slides look fine innitially), Then about 5-10 minutes after coverslipping the Eosin starts bleeding out all around the tissue. I have asked several of my Histotech Friends that are old timers and they say that Xylene Substitutes are awful at deparrifinization and awful at clearing. They told me that the alcohol isnt getting thoroughly cleared in the Slide Brite and then it is eventually leeching out after coverslipping??? Is this true and does anyone have any guidance for this issue? We also run MOHS slides on the same stainer and I keep all the reagents clean as a whistle. I really hate Xylene Substitute's Thanks C.S. Conlisk HT(ASCP), PBT(ASCP) Kansas City Skin and Cancer Center ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Unlabeled specimens
Irretrivable specimens are not rejected and are reconciled by calling the offending department/ office. The offending person is responsible for coming to the lab and correcting the error. The error is noted on the original Pathology Requistion. The incident is logged into the computer system and reported in the final Pathology report. A Risk Management form is filled out and sent to Risk Manangement. We also perform work for a lab 40 miles away. We have them write an attestation to the fact that they are sure this is the correct patient/information. Sign it and fax it to us. We staple it to the Path. Requisition (requisitions are kept for 2 years). Then we proceed with the steps as stated above. The attending/surgeon is notified by the pathologist. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Podawiltz, Thomas tpodawi...@lrgh.org Sent by: histonet-boun...@lists.utsouthwestern.edu 05/25/2011 01:34 PM To 'Histonet@lists.utsouthwestern.edu' Histonet@lists.utsouthwestern.edu cc Subject [Histonet] Unlabeled specimens What are your procedures for rejection and correction when you receive either a surgical or Nongyn specimen that has incomplete information on the requisitions or the container is not labeled properly? Do you send it back to the provider's office? Have them come to your lab to make the corrections? Throw away the specimen? Tom THIS MESSAGE IS CONFIDENTIAL. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not the intended recipient, you may not print,distribute, or copy this message or any attachments. If you have received this communication in error, please notify the sender by return e-mail and delete this message and any attachments from your computer. Any views or opinions expressed are solely those of the author and do not necessarily represent those of LRGHealthcare. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Breast fixation over the weekend
What percentage of alcohol are you using to hold breast over the weekend, so as not to interfere with Her2 breast markers? Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Poll on B5
We do not use B5. We've used Z5 (an Anatech product) for at least 10 years. Great product, it is a formaldehyde, zinc and ethanol mixture. We fix our core biopsies for a minimum of 2 hours before decalcification and processing. The aspiration is placed in 10% formalin per usual procedure. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Pitts, Jaclyn S. (Jackie), HT(ASCP) pitts.jac...@mayo.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 03/31/2011 04:25 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Poll on B5 Hello all. I was asked by our director to try to come up with a list of places that do still use and do not still use B5. We are working hard on trying to get to be a mercury free facility and other than the B5 we use for bone marrows we are mercury free. So, if you all could be so kind as to send me a response that would be much appreciated. I would like to know what you currently use, if you used B5 in the past or if you are currently using B5 now, and hospital name. I would absolutely appreciate any and all comments and help you all can provide. Thank you! Jaclyn Pitts, HT(ASCP) Histotechnician Department of Laboratory Medicine and Pathology Mayo Clinic, Rochester MN E-mail: pitts.jac...@mayo.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Peripheral smear
We accession the peripheral smear into our Clinical Microscopy module of the computer program. We stain the slide, coverslip it and give it to the pathologist with a hematology CBC print out. The pathologist interprets the slide and dictates the report. The transcriptionist types the report (much like any surgical report). The pathologist reviews the completed transcription and either makes corrections or electronically finalizes it. It then is available to all personnel to view in the computer system. We charge an 85060 for the professional fee. I am not aware of a technical fee we can charge. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Martin, Gary gmar...@marshallmedical.org Sent by: histonet-boun...@lists.utsouthwestern.edu 03/29/2011 04:39 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Peripheral smear Our pathologist review peripheral smears for the clinical lab, and I'm wondering how other facilities handle the reporting. We presently receive the smear from a tech, the pathologist provides a comment and returns it to the lab. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Ventilated Specimen Storage
We do. One in Histology and one in the Morgue. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Amy Self as...@georgetownhospitalsystem.org Sent by: histonet-boun...@lists.utsouthwestern.edu 03/22/2011 11:37 AM To 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu cc Subject [Histonet] Ventilated Specimen Storage Hello Histonetters, How many of you have ventilated storage cabinets for storage of specimens? Thanks in advance for all your help, Amy GHS 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. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Adequacy charges
Can we charge adequacy charges for each pass on an FNA. We enter each specimen separately and make cytospins on the rest of the material, and generate a report for each. We charge each case an 88108 for the cytospins. But are we allowed to charge an adequacy charge on each case. Also can the pathologist charge for each adequacy pass. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CAP
That's a good thing! That means you need more ventilation and admin listens when inspectors speak! Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Angela Bitting akbitt...@geisinger.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 02/23/2011 10:30 AM To histonet histonet@lists.utsouthwestern.edu, Akemi Allison akemiat3...@yahoo.com cc Subject Re: [Histonet] CAP We just had ours last week. We did well, but the inspecting Pathologist said the lab smelled like oranges we were in a way too cramped space. Go figure.. Akemi Allison akemiat3...@yahoo.com 2/23/2011 9:02 AM Lot's of Labs in LA are in their CAP window! We had our CAP inspection yesterday and having our summation this morning at 9:00. I think our department did pretty good. Keeping my fingers crossed. Akemi Allison BS, HT(ASCP)HTL ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Joint Comm and patient identifiers
The Joint Commission web site: http://www.jointcommission.org/accreditation/accreditation_main.aspx click on Standards and then click on National Patient Safety Goals. It is the first standard in the chapter. Standard number: NPSG.01.01.01 Debbie M. Boyd, HT(ASCP) l Chief Hitologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net histot...@imagesbyhopper.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/23/2011 02:40 PM To 'histonet' histonet@lists.utsouthwestern.edu cc Subject [Histonet] Joint Comm and patient identifiers Hi Histonetters! I have a question related to the two patient identifiers that TJC requires: can anyone point (online) me to the actual regulation? It was my understanding that the 2 identifiers related to the *collection* of the specimen, meaning that the container and associated requisition had to have 2 positive patient identifiers. The question is, do they *specifically* state that the 2 identifiers must be carried through to the final surgical slide? The reason I ask is that I have a friend who got dinged for their slides not having 2 patient identifiers on them. They have the surgical number and name of institution, but not the patient name or MRN. My friend is just looking for the actual statute so that he can read and follow exactly as expected. Also, can anyone confirm that the surgical number and a bar code would suffice as 2 identifiers? Thanks! Michelle ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Ventana Rep.
Can a Ventana Representative for the Southern Virginia region, please give me a call at the number below. Please only a Ventana rep. I do not have authorization to deal with another company at this time. Thank you. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cassette labeling
B. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Lee Mayhew lmayh...@cogeco.ca Sent by: histonet-boun...@lists.utsouthwestern.edu 02/08/2011 04:57 PM To Histonet Histonet@lists.utsouthwestern.edu cc Subject [Histonet] Cassette labeling Hi Histonetters, At my hospital, we are having a discussion about how to label cassettes. I have worked at 2 hospitals, and they each do it a different way. Our cassette labeller will print either way. Could you please indicate which way you do it at your site, A or B. A..When the cassette is open and sitting on the bench facing you with the lid on the far side and the surface for writing on is closest to you, the surgical number is upside down. B.When the cassette is open and sitting on the bench facing you with the lid on the far side and the surface for writing on is closest to you, the surgical number is right side up. Thanks in advance. Lee Mayhew MLT St. Josephs Hospital Hamilton, ON Canada ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Thyroid Smears
Our procedure is as such: The FNA of the thyroid is place in 5mls of plasmalyte ( an electrolyte solution). We lyse the red blood cells and make cytospins. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Fawn Bomar fawn.bo...@halifaxregional.com Sent by: histonet-boun...@lists.utsouthwestern.edu 01/12/2011 09:37 AM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] Thyroid Smears Hello Everyone! Happy New Years to all! I have a question regarding the preparation of thyroid smears. As of right now, we go up to the room and collect the thyroid sample. The Pathologist makes the smears in the room and immediately puts them into 95% Isopropanol to fix. We then complete the stain later on in the day. The problem that we are encountering is that all of the blood and cells are coming off of the slides before we make it through the entire stain. Does anyone have any suggestions or are willing to share the procedure that they use? We had a couple of suggestions that we recommended to the Doctor but they were dismissed. I don't want to tell what are suggestions were so that the doctor cannot accuse us of influencing every one else's opinions. Thank you in advance, Fawn - This electronic message may contain information that is confidential or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute, or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] billing for breast cases
My understanding is: Inked margins (on any specimen type) are 88307. Doesn't specify who inks the margin. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Hutton, Allison ahut...@dh.org Sent by: histonet-boun...@lists.utsouthwestern.edu 12/29/2010 12:35 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] billing for breast cases A debate has arisen and I am looking to histonet for a more definitive answer. We have a breast surgeon who, after he removes the lumpectomy specimen, always goes back and removes more tissue around the margins of the lumpectomy. Our question is how should these additional margins be charged. Currently we charge an 88305 for each of the additional margins (there are no sutures indicating any orientation, however, one can determine the old and new margins). Is 88305 the correct charge in this situation or should they be higher at an 88307? Thank you in advance, Allison ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CHECKING ALCOHOL CONCENTRATIONS
Fisher Scientific. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Vickroy, Jim vickroy@mhsil.com Sent by: histonet-boun...@lists.utsouthwestern.edu 11/23/2010 02:07 PM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] CHECKING ALCOHOL CONCENTRATIONS Does anyone know where we can purchase a hydrometer or other instrument for confirming alcohol percentages, such as 70, 85, 95, 100? We had a mixup in chemicals on a processor and I am going to be asked about instruments to confirm percentages before processing. Meeting with risk management tomorrow. James Vickroy BS, HT(ASCP) Surgical and Autopsy Pathology Technical Supervisor Memorial Medical Center 217-788-4046 This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Eosin to dye small Biopsies
We use eosin at the grossing bench on endoscopic specimens and hematoxylin on prostate/liver biopsies. The pathologist drops a drop of stain on each specimen. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Scott, Allison D allison_sc...@hchd.tmc.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 10/21/2010 04:37 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Eosin to dye small Biopsies Hello to all in histoland. Are any of you using eosin on the processor to dye your small bx's? If so, are you putting it in the 100% alcohol to do so? Any help in this matter will be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital Houston, Texas 77026 CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail and any attachments from your computer system. To the extent the information in this e-mail and any attachments contain protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), PL 104-191; 45 CFR Parts 160 and 164; or Chapter 181, Texas Health and Safety Code, it is confidential and/or privileged. This e-mail may also be confidential and/or privileged under Texas law. The e-mail is for the use of only the individual or entity named above. If you are not the intended recipient, or any authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments is strictly prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Re: Eosin to dye small Biopsies
As much as I respect Dr. Richmond, I would have to disagree that staining bx's with eosin is a waste of pathologist time. It helps the embedding tech and cutting tech see the minute pieces, which may be otherwise lost. Sometimes that is the diagnostic material. We would not want to put a patient through another procedure because we couldn't recover the tissue submitted. We use a vial with a dropper. Once the biopsy is placed in the cassette you take 1 second more to drop a drop of eosin on the specimen. Well worth everyone's time in my humble opinion. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Robert Richmond rsrichm...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/22/2010 10:44 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Re: Eosin to dye small Biopsies Allison Scott at LBJ Hospital in Houston, Texas asks about the use of eosin to dye small biopsy specimens. Several replies mention addition of eosin to one of the processing alcohols. I have never seen this done, in maybe 60 pathology services I've worked in. (I'd know, because I nearly always examine the paraffin block when I order recuts or send a case out for consultation.) It's a fine time-waster for the pathologist to mark small specimens with dye while grossing. I've used Mercurochrome (merbromin, related to eosin but with 26% mercury) which fortunately was banned in the USA about ten years ago. I've used eosin, and I've used safranin (from the microbiology lab's Gram stain setup). I don't know whether safranin interferes with FISH, as eosin is well known to, nor do I know if you can put safranin in the processing alcohol. And I've used Davidson tissue marking inks. I've never seen or heard of cobalt blue used for this purpose - is this the insoluble coloring material, chemically cobalt aluminate? Bob Richmond Samurai Pathologist Knoxville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] (no subject)
Sean, Tech One @ 603-623-1271. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Sean McBride smcbr...@andrew.cmu.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 09/29/2010 10:34 PM Please respond to smcbr...@andrew.cmu.edu To histonet@lists.utsouthwestern.edu cc Subject [Histonet] (no subject) Hello everyone, I have an old Leica RM 2065 microtome that is in need of repair (the clutch stopped working), but according to Leica, the machine is no longer supported by the company. Does anyone have any suggestions for a company or technician who might be able to repair the machine? Thanks in advance, ~Sean ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: Questions
Well said, Shirley! Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Shirley A. Powell powell...@mercer.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 09/20/2010 11:37 AM To Senn, Amy R ars...@hsh.org, Histonet@lists.utsouthwestern.edu Histonet@lists.utsouthwestern.edu cc Subject [Histonet] RE: Questions Amy, You do not need to apologize for asking a question to which you did not know the answer. This is an educational avenue, for histology, and there is no such thing as a stupid question if you need answers to solve a problem. Those of us who teach know questions are important, even if you think you know the answer but not exactly sure, or in your case you knew but needed documented verification from others in the field. I hope your fellow workers and supervisors got the message and please feel free to ask. There are those in the field who feel this is a social network for experts and that is okay too, but the real reason NSH and histosearch was started was to expand knowledge of the histology community and to improve our profession. Remembering when histology was in the basement and no one knew we were there, it makes me proud of the progress we have made in the 48 years I have been in the field. Keep asking and share what you know, no need for apologies. Shirley -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Senn, Amy R Sent: Monday, September 20, 2010 11:19 AM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] Questions I originally asked my questions because I *knew* it was being done incorrectly and no one @ my workplace believed me when I tried to show them the way I was taught/trained-as stated in my original post. Regardless, it never occurred to me that my questions were something that would be met with oh no or oh my gosh - I feel as though I should apologize for my stupid question. However, thank you, to those who responded with your procedures. I'm making a great case based on what we know! Have a good week! Amy R. Senn Holy Spirit Health System 503 N. 21st Street Camp Hill, PA 17011 Phone: 717-763-2124 Fax: 717-763-2947 www.hsh.org Attention: This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you. ___ 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 -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Powdered reagent expiration dates
Some of our stains are very old also, about 10 years ago we wrote on a label on each stain; Opened prior to: with that days date and Stable. We were CAP inspected many times after that and we had no problems. Just as you would label your reagents you make up as Stable when there isn't an expiration time period. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Pat Laurie foreig...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/26/2010 01:27 PM To Histonet@lists.utsouthwestern.edu cc Subject [Histonet] Powdered reagent expiration dates We were inspected by CAP on friday and we were cited for ANP.21366 *Are reagents and solutions properly labeled, as applicable and appropriate, with the following elements?* * * 1. *Content and quantity, concentration or titer* 2. *Storage requirements* 3. *Date prepared or reconstituted by laboratory* 4. *Expiration date* Specifically that our staining powders didn't have an expiration date printed on the bottle. All of our reconsituted reagents which are in use were dated with an expiration date properly though. I have always assumed, perhaphs incorrectly, that powdered stains never expire. We have powders like Luxol Echt Blau, etc. that were purchased and opened over 40 years ago.If so, then these powdered reagents have gone through CAP inspections since the beginning and this inspector was the first one to find this problem. Is this one that we might protest? -- Patrick Laurie HT(ASCP)QIHC CellNetix Pathology Laboratories 1124 Columbia Street, Suite 200 Seattle, WA 98104 PH: 206-215-5949 plau...@cellnetix.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] biohazard bags
We were doing just that and our Infection Control Nurse has banded this practice. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Jeff Birkner jbirk...@colabserv.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/22/2010 03:11 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] biohazard bags We are looking into our current use of biohazard bags. How many of you are currently re-using any bags for specimen transport? These would only be bags were the actual specimen was inside a secondary container and thus never directly came into contact with the bags. Thanks! Jeffrey C. Birkner, CT(ASCP) Manager, Pathology Laboratory Section Collaborative Laboratory Services, L.L.C. 1005 Pennsylvania Ave, Suite 102 Ottumwa, IA 52501 641-455-5414 ORHC Extension #3538 jbirk...@colabserv.com The information contained in this communication may be confidential, is intended only for the use of the recipient(s) named above, and may be legally privileged. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication, or any of its contents, is strictly prohibited. If you have received this communication in error, please return it to the sender immediately and delete the original message and any copy of it from your computer system. If you have any questions concerning this message, please contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] assisting with patient bone marrows
Back in the 80-late 90's Hematology assisted. Since the late 90's Histology assist with all bone marrows. We have a Wescor Wright stainer and we stain all smears for the bone marrow including the peripheral smear. It all started with Hema not being able to perform the Fe stain on smears to the pathologist liking. First we got the Fe stain then it wasn't long we got the whole shebang! Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Lynn L lynnlee2...@live.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/13/2010 09:16 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] assisting with patient bone marrows Can anyone provide some input about which department (Hematology, Histology etc.) assists on the patient floors with bone marrow aspirations and to what extent? Thanks in advance! Lynn Lee Casa Grande, AZ _ The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. http://www.windowslive.com/campaign/thenewbusy?tile=multicalendarocid=PID28326::T:WLMTAGL:ON:WL:en-US:WM_HMP:042010_5___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CORRECT BILLING?
We prepare cytospins and charge 88108 for the cytospin preparation and 88305 for the cell block. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Sara Baldwin/mhhcc.org sbald...@mhhcc.org Sent by: histonet-boun...@lists.utsouthwestern.edu 07/13/2010 09:38 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] CORRECT BILLING? HISTONETTERS Another question for CPT codes on NON-GYNS (Pelvic washing and etc) and a cell block do you use 88160 88305? Thanks Pathology Supervisor Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-482-0210, 482-0216, Fax 812-482-0232, Pager 812-481-0897 Confidential information, Authorized use only. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] (no subject)
It seems to me that Histotech non-registered without pay increase would be appropriate. Why would you change his title and give him an increase in pay when he didn't fulfill his employment agreement? I would not decrease his pay and I would not terminate a good employee. Apparently he earned his present pay as an undocumented non-registered Histotech and nothing has changed. He should continue to get merit increases as per usual, with the goal of getting the Associates Degree, and registry (if still interested). He should be allowed to perform any function he has been deemed competent to perform. Just my 2 cents. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Fredrickson, Mona mfredrick...@nrh-ok.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/07/2010 01:04 PM To Histonet@lists.utsouthwestern.edu Histonet@lists.utsouthwestern.edu cc Subject [Histonet] (no subject) Hello All in Histoland, I have a tech who is employed as Histotech eligible, but he was not able to pass the HT exam and now is no longer eligible to thake the test because he has to get his associates degree in science. The lab management wants to change his title from histotech eligible to histotech non-registered without pay increase. But I feel the pay should be increased. So I would appreciate comments on the following: 1.) should title be changed from eligible to non-registered? 2.) After having done this for 8 years should his pay stay the same? 3. Should job responsibilities remain the same Thank you in advance for feedback! Histotech in Oklahoma FONT face=Tahoma size=2 FONT color=#ffUFONT size=2 PCONFIDENTIALITY NOTICE:/U/P PThis e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender immediately and destroy all copies of this communication and any attachments./FONT/FONT/FONT/P ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] JAHCO vs. CAP
We switched from CAP to TJC about 3 years ago. Proficiency is the same. Order from CAP per usual. TJC recognizes CAP as an accrediting agency and peer. I have not seen a down side. I have on the other hand seen an up side to the TJC Lab inspection. You are no longer being inspected by your peers, who sometimes lose perspective of the regulations and try to make you a mirror image of there institute. Or you may get inspectors who have just gone through a bad inspection and take it out on you. I have seen this done before. When we were CAP and inspected hospitals, our group always tried to make it a learning experience for both parties. I just had my 2nd TJC inspection in March. The inspector was wonderful, very knowledgeable and more than welling to share. Best inspection I've ever had. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Martin, Gary gmar...@marshallmedical.org Sent by: histonet-boun...@lists.utsouthwestern.edu 06/09/2010 03:44 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] JAHCO vs. CAP We are having a discussion about switching our inspection process form CAP to JAHCO. One of our questions is, can we still participate in the proficiency testing through CAP If anyone has done this can you explain the process and the upside and the down side. Thanks Gary M. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] block disposal
We red bag (biohazard) ours and they are incinerated. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Microtome PM
Who are you all using to do your PM on your microtomes? Not necessarily the manufacturer, but an independent contractor. Thanks. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CYP.07680 - cytology cross contamination
Brandi, Body effusions have a high potential for cross contamination during the staining procedure. Body fluids ie: pleural fluid, peritoneal fluid, etc. For that reason they are not stained with other non-gyn specimens ie: bronch. wash, esoph. brush, CSF etc. Also after the staining all solutions up to the 95% before the OG-6 are dumped and refilled. The Hematoxylin, OG-6 and EA65 are filtered. The 95% after the EA-65 is dumped and alcohols are rotated up. This should prevent cross contamination. Written documentation should be your procedure and proof that you are changing/filtering solutions. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Brandi Higgins brandihigg...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 05/11/2010 03:28 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] CYP.07680 - cytology cross contamination Hello all, For CAP policy CYP.07680 for procedures to prevent cross-contamination of specimens during processing and staining - what are your labs doing? I work in a small lab so the histotechs process the cytology specimens and the pathologists read the slides (we have no PA's or cytoprep techs or cytotechs to screen slides). We also process only non-GYN, so we don't have to worry about GYN/non-GYN cross contamination. The notes under this policy say procedures must prevent cross-contamination between highly cellular specimens and suggest the screening method of toluidine blue stain to determing if specimens are highly cellular. Does anyone use the toluidine blue for this purpose? If so could you tell me the procedure for toluidine blue you use? And how do you determing which specimens you stain with toluidine blue and what qualifies as highly cellular. If so do you retain these toluidine blue slides for any period of time? CAP policy also suggests inserting a clean blank slide in each stain run and examine for contamination. Is anyone doing this? We have been inspected before with no problems with this CAP question, but I just want to make sure we are doing everything we can to prevent cross-contamination. Thanks in advance for your input! Brandi Higgins, HT (ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Does anyone have and use Shandon Excelsior EX
Michelle, We have two Excelsiors and absolutely love them. The tech time saved on rotating solutions is well worth the cost. Solutions rotate out according to your specifications or alcohol content. Solutions are loaded during the next cycle. Tech time saved once again. We also are able to get more usage out of our reagents. Line up a demo and see for yourself. Great processors. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Michelle MacVeigh-Aloni macve...@usc.edu Sent by: histonet-boun...@lists.utsouthwestern.edu 04/16/2010 03:51 PM To Histonet@lists.utsouthwestern.edu cc Subject [Histonet] Does anyone have and use Shandon Excelsior EX Hi all, According to the advertisement, this is supposed to be the most histotech friendly processor. Does anyone have a comment? Michelle ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] eProtocols
I have printed off the CAP worksheets off the web site. We use them as work sheets for the pathologist. He checks off and fills in what is pertinent to the case, then the transcriptionist transcribes the Synoptic Report into the final report directly under the Final Diagnosis. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Weems, Joyce jwe...@sjha.org Sent by: histonet-boun...@lists.utsouthwestern.edu 04/08/2010 09:54 AM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] eProtocols Hello Everyone, Are any of your pathologists using the Cancer eProtocols provided by CAP? If so you would you let me know of your experiences and how you interfaced it with your LIS? Thanks much!, j Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax Confidentiality Notice: This email, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please reply to the sender that you have received the message in error, then delete this message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Prostate Bx's
National Safety Goals state that you have to label the container in front of the patient. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Nails, Felton flna...@texaschildrens.org Sent by: histonet-boun...@lists.utsouthwestern.edu 03/22/2010 10:45 AM To 'S R' sjkit...@live.com, histo net histonet@lists.utsouthwestern.edu cc Subject RE: [Histonet] Prostate Bx's Why would you want to prelabel the containers prior to seeing the patient? Outside of the kit being labeled LLB LLM LLA, etc., the individual containers should not be label until you actually add the sample to avoid mistakes. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of S R Sent: Monday, March 22, 2010 9:26 AM To: histo net Subject: [Histonet] Prostate Bx's Good Morning Everyone, I was wondering for those of you working in POL labs or even hospitals, if you are pre-lableing specimen bottles before the patient comes in? Ie 12 part prostate boxes have the patient's name and the bx site pre-made days or weeks before the patient comes in. If not do you know of any documentation that states this should not be done. I have been looking for something that says the bottles should not be pre-labeled before the patient is seen, but have unfortunatley have not been able to find any. thanks in advanced sammy _ The New Busy is not the old busy. Search, chat and e-mail from your inbox. http://www.windowslive.com/campaign/thenewbusy?ocid=PID27925::T:WLMTAGL:ON:WL:en-US:WM_HMP:032010_3___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination, or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail from your computer system. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Accessioning Similar Samples
Sara, Unfortunately the response you got is more common than I would like to see. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] hydrometer
We ordered ours from Fisher Scientific. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing for HE stains
I've never done a HE on cytology just a Pap stain and Diff Quik. The stain charge, however is determined by the preparation technique (a smear or cytospin concentration preparation). The cytospin prep (Non Gyn) is 88108: the smear (NonGyn) is 88104. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net awe...@shorememorial.org Sent by: histonet-boun...@lists.utsouthwestern.edu 03/02/2010 10:45 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Billing for HE stains Good Morning Anyone out there doing HE on cytology slides? Currently I am trying to do HE stains on our FNA's, is there a separate charge for billing the HE per slide? Andrea J Weiss BST CT (ASCP) Cytotechnologist 609 653 3577 Ext 4907 awe...@shorememorial.org This transmittal from Shore Memorial Health System is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review or use, including disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender and destroy all copies of the transmittal. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Fire in the lab
Not exactly the same, but very similar. We had an automatic stainer by the sink and one of the techs was washing glassware, the stainer was running. The water apparently splashed on the wiring and a fire broke out. We jumped into action. Just as we had been in-service. You are correct what a mess to clean up! Fire extinquishers are wonderful but extremely messy. We had totally taken care of the situation by the time the fire department got here. We actually got accolades for preventing a much larger fire. It was determined that there was some exposed wires on the stainer. A good lesson for all. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net CHRISTIE GOWAN christiego...@msn.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/26/2010 09:21 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Fire in the lab Dear Histonet Friends, I just wanted to share an incident we recently had with an old paraffin pot. One of my techs came in on Sunday to embed some tissues, went into the processor room and smelled something burning. He noticed our old paraffin pot had charred looking labels on the outside so he went over, opened the lid and poof!!! the pot went up in flames. The thermostat had gone haywire and heated the paraffin to flash point. Opening the lid gave it the oxygen it needed to ignite. He triggered the alarm, made the appropriate call and then put it out with an extinguisher. Of course it kept re-igniting because he could not get behind it to pull the plug. The fire dept finally was able to get it pulled out and unplugged. Needless to say the tech was shaken and the room was a mess. I applaud his courage and am not sure I would have done the same. There was enough xylene and alcohol on the 4 processors to cause quite an explosion but everything else was in a flammable cabinet. I was wondering if this type of thing had ever happened to anyone else?? Needless to say, we have de-comissioned all old paraffin pots and will order only those with over temp safety features. I guess I just wanted to remind everyone that fires can happen in the lab and do probably more often than we hear about. This was the first time for me and I have been in this business for over 20 years. Take care and be safe. Christie Gowan HT (ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Peripheral Blood Smears
We have had this discussion many times in our institute and would like some outside thoughts. Is there a charge/cpt code that is acceptable for the technical aspect of a peripheral smear? Hematology doesn't stain our slides. They make the smear and we accession, stain and coverslip, etc. But the pathologist is the only one actually interpreting the smear. Thanks. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Peripheral Blood Smears
I would love to get them out of histology, but the pathologist want us to stain them. They are not happy with the hematology stain. Also the report is generated through Histology when it is for pathologist review. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Daniel Schneider dlschnei...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/11/2010 09:57 AM To dkb...@chs.net cc histonet@lists.utsouthwestern.edu Subject Re: [Histonet] Peripheral Blood Smears On Thu, Feb 11, 2010 at 8:27 AM, dkb...@chs.net wrote: Hematology doesn't stain our slides. Why not? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Peripheral Blood Smears
We are running a Romanowsky stain which is the same as our hematology department (same stain, same reagents and stainer). Perhaps I should mention, we also assist with and stain all bone marrows as well. We are a relatively small hospital (260 beds) we have 3 pathologist and everyone has a say in what goes down. All three perfer that we do the staining, assisting etc. Of course, that could be a compliment to our department. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Elliott, Rachel A. rachel.elli...@thermofisher.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/11/2010 10:05 AM To dkb...@chs.net dkb...@chs.net, Daniel Schneider dlschnei...@gmail.com cc histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, histonet-boun...@lists.utsouthwestern.edu histonet-boun...@lists.utsouthwestern.edu Subject RE: [Histonet] Peripheral Blood Smears What stain does your hematology department do? Which one are you running? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of dkb...@chs.net Sent: Thursday, February 11, 2010 10:02 AM To: Daniel Schneider Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu Subject: Re: [Histonet] Peripheral Blood Smears I would love to get them out of histology, but the pathologist want us to stain them. They are not happy with the hematology stain. Also the report is generated through Histology when it is for pathologist review. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Daniel Schneider dlschnei...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/11/2010 09:57 AM To dkb...@chs.net cc histonet@lists.utsouthwestern.edu Subject Re: [Histonet] Peripheral Blood Smears On Thu, Feb 11, 2010 at 8:27 AM, dkb...@chs.net wrote: Hematology doesn't stain our slides. Why not? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] LIS
We use Impac (PowerPath). It is great for histology/cytology. It has great QC potential. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Myers, Johnathon johnathon.my...@usoncology.com Sent by: histonet-boun...@lists.utsouthwestern.edu 02/11/2010 10:46 AM To Histonet@lists.utsouthwestern.edu cc Subject [Histonet] LIS Can anyone recommend a lab information system that would function well in a histology lab? Thanks, John The contents of this electronic mail message and any attachments are confidential, possibly privileged and intended for the addressee(s) only. Only the addressee(s) may read, disseminate, retain or otherwise use this message. If received in error, please immediately inform the sender and then delete this message without disclosing its contents to anyone. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] light staining
Do you use city water in your wash stations? Have you had more snow/ice than usual? If so the Water Tx Plant is putting more chlorine in the water than usual. This will affect you HE. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Wright-Giemsa stain
We also do the bone marrow assisting/staining etc. We stain our smears on a Wescor AeroSpray slide stainer. We use the Rapid program which is a 5 min program. But, we have to stain them twice to get the correct intensity that our pathologist prefer. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Marshall, Kimberly kimberly.marsh...@ahss.org Sent by: histonet-boun...@lists.utsouthwestern.edu 01/22/2010 04:27 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Wright-Giemsa stain I am from a small Hospital where due to the size, Histology does the Bone Marrow's. We go to the procedure, make the smears, as well as do the Wright-Giemsa stain. I am having a hard time getting the Wright's stain dark enough for my Pathologist. I have added stain time, checked the pH of my stain, tried different rinse's and buffers, but still not getting it dark enough. I do go back to the stain for 45 mins or more and that will get it at least close to what they want. Is there anyone out there that can give me some advise on this stain? Thanks in advance for your time Kimberly == 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 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 the sender immediately by replying to this message and deleting the material from any computer. == ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] CAP question
We are no longer CAP inspected but Joint Commission. Could someone tell me what the CAP standard for breast biopsies states about formalin fixation?ie: 24 hrs, 36 hrs etc. Thanks. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Policy on Floaters
Lots of traffic on this one. Yes you definitely need a policy. The policy should define how you will try to eliminate floaters ie; clean water bath after each block, spray/wipe/change paper towels after each specimen while grossing etc. It also must include how it will be resolved. This covers everyone involved and is considered best practice. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Marcia Funk fu...@mercyhealth.com Sent by: histonet-boun...@lists.utsouthwestern.edu 01/06/2010 05:23 PM To Mark Tarango marktara...@gmail.com, Soo-Jin Cho soo-jin@ucsfmedctr.org cc histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Subject Re: [Histonet] Policy on Floaters Floaters Yes, you are so right, for patient safety and your safety, policy is a must. Protects you and the patient. Marcia Marcia Funk Histology Laboratory Mercy Medical Center North Iowa Mason City, IA, 50401 641-422-7907 Mark Tarango marktara...@gmail.com 01/06/2010 2:21 PM Your goal is not to have floaters. If you get one, your policy should set out to determine the cause of these incidents. You should track who did it (in a spreadsheet), where it happened (grossing, embedding, cutting...). Then you should have a meeting every so often with people from the lab and some pathologists where you go over all the incidents, brainstorm for corrective actions, and decide about what you can do differently. Make sure you have the techs invovled or it won't be very effective. Mark On Wed, Jan 6, 2010 at 10:45 AM, Cho, Soo-Jin soo-jin@ucsfmedctr.orgwrote: Hello, I'm a resident at UCSF currently working on a QA/QI project regarding floaters, with the ultimate goal of formulating a departmental policy regarding floaters. Despite extensive searching on the internet and the Histonet archives, I have not found any concrete examples of policies at other institutions and was hoping someone could help me out in this regard. Thank you in advance for your help. Most sincerely, Soo-Jin Cho Anatomic Pathology University of California, San Francisco ___ 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 -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] FNA code
88173 Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Demarinis, Carolyn cdemari...@saratogacare.org Sent by: histonet-boun...@lists.utsouthwestern.edu 12/30/2009 08:18 AM To histo...@pathology.swmed.edu cc Subject [Histonet] FNA code Which CPT code are labs using for fine needle aspirations that are processed using thinprep technique - FNA interpretation and report-88173 or thinprep non-gyn 88112? Thank you. This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Saratoga Hospital immediately by e-mail at priv...@saratogacare.org and destroy all copies of this communication and any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] FNA stain
This question is for those of you who perform fine needle aspirations. What stain are you using for your immediate evaluation? Or do you give an immediate evaluation/adequacy? Thanks. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Lumpectomy question
Good Friday Afternoon, Does anyone know if there is a modifier for 88307 for Lumpectomies when 20-30 blocks are submitted. We are currently charging 88307 but the pathologist thinks there should be a modifier. Thanks. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Conventional Tissue Processors
We have 2 Shandon Excelsiors. We absolutely love them. Great processing and the time saved by not having to rotate reagents is wonderful. We have had very little problems with ours. One is 6 years old and the other is 1.5 years old. The older one has had a few problems that we have attributed to the move (when we moved from an old facility to a new one). The new one hasn't had any problems. Hope this helps. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Bell, Lynne lynne.b...@cvmc.org Sent by: histonet-boun...@lists.utsouthwestern.edu 11/04/2009 11:10 AM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] Conventional Tissue Processors We are in the process of purchasing a new tissue processor to replace an aging Tissue-Tek VIP E300. I would love to have opinions on the following processors - Leica ASP300 S, Shandon Excelsior ES, and Tissue-Tek VIP 6. Obviously, reliability is the utmost concern. I would also like to know from those in the New England area how service is for any of these processors. Thank you, Lynne Bell, HT (ASCP) Lead Histologist Central Vermont Medical Center 130 Fisher Road Barre, VT 05641 802-371-4923 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Plants windows in lab
What a great guy Dr. Gown is!! Kudos, Dr. Gown. I'm printing this email and leaving it in strategic places in the lab! Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Akemi Allison-Tacha akemiat3...@yahoo.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/22/2009 05:22 PM To histonet histo...@pathology.swmed.edu, Patti Loykasek ployka...@phenopath.com, LindaBlazek lbla...@digestivespecialists.com cc Subject RE: [Histonet] Plants windows in lab Linda, Patti's lab would make you envious indeed! Not only does she have windows, but she has windows lining the whole length of the lab looking onto a canal that has sailboats, as well as luxury ships passing by! The break room has the same view. The architect wanted the break-room to be offices, but Dr. Gown thought his staff needed a space to enjoy when they were taking a break. WOW a pathologist that thinks of his staff. That's a novel concept! Dr. Gown provides a professional Starbucks coffee maker that brews coffee to order, as well as provides Stash teas. He also has fresh organic fruit brought in every Monday for the staff, and stocks the frig with condiments. Unfortunately, most of the young people who have never had to pitch money in the coffee fund don't appreciate these bonuses. PhenoPath is a great place to work. Akemi Allison-Tacha BS, HT(ASCP)HTL PresidentPhoenix Lab ConsultingTele: 408.402.5257 Cell: 408.335.9994 E-Mail: akemiat3...@yahoo.com --- On Thu, 10/22/09, Blazek, Linda lbla...@digestivespecialists.com wrote: From: Blazek, Linda lbla...@digestivespecialists.com Subject: RE: [Histonet] Plants in lab To: 'Akemi Allison-Tacha' akemiat3...@yahoo.com, histonet histo...@pathology.swmed.edu, Patti Loykasek ployka...@phenopath.com Date: Thursday, October 22, 2009, 1:38 PM Windows!! Yaho If I had windows I wouldn't mind not having plants! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Akemi Allison-Tacha Sent: Thursday, October 22, 2009 3:59 PM To: histonet; Patti Loykasek Subject: Re: [Histonet] Plants in lab Well, that makes more sense, especially after Mary's statement Some Health departments state that plants and their potting soil can be a potential microbial and fungi contaminate in the lab. Mary Anne Haynes Patti, you do have a wonderful assortment of plants lining your window sill... Akemi Allison-Tacha BS, HT(ASCP)HTL PresidentPhoenix Lab ConsultingTele: 408.402.5257 Cell: 408.335.9994 E-Mail: akemiat3...@yahoo.com --- On Thu, 10/22/09, Patti Loykasek ployka...@phenopath.com wrote: From: Patti Loykasek ployka...@phenopath.com Subject: [Histonet] Plants in lab To: histonet histo...@pathology.swmed.edu Date: Thursday, October 22, 2009, 12:44 PM Hi All. Just to clarify - the inspection we had was not a CAP inspection... It was an audit based on the GLP regulations. Thanks for all the feedback on plants in the lab. Patti Ann Loykasek PhenoPath Laboratories This e-mail message, including any attachments, is for the sole use of the intended recipients and may contain privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message, or you may call PhenoPath Laboratories, Seattle, WA U.S.A... at (206) 374-9000. ___ 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 -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Floaters in Waterbath
Kim Wipes pulled across the top of the water will pick up most, if not all floaters. Very thin so they don't deplete the water bath. Should be done after each block to prevent floaters. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Stella Mireles estellamire...@gmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/23/2009 10:12 AM To Histonet@lists.utsouthwestern.edu cc Subject [Histonet] Floaters in Waterbath I know we have all had some problems with floaters in our waterbath at some point in our microtomy career. Our doctors are very picky and I need some tips on keeping an immaculate clean waterbath, but not sacrificing the speed in a regular routine lab. We use the pyrex waterbath and paper towels for wiping our area. Thanks ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CHARGING FOR SLIDES TO BE CUT AND SENT OUT FOR LEGAL, MEDICAL PURPOSES
For legal cases we charge $25.00 per slide and send on their FedEx account. We do not charge for patient referral work, it is considered a courtesy for using our facility. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net sris...@mail.holyname.org Sent by: histonet-boun...@lists.utsouthwestern.edu 10/07/2009 10:27 AM To histonet-boun...@lists.utsouthwestern.edu, histonet@lists.utsouthwestern.edu cc Subject [Histonet] CHARGING FOR SLIDES TO BE CUT AND SENT OUT FOR LEGAL, MEDICAL PURPOSES Hi All, I know this question has been asked before. What is everyone doing about cutting and preparing slides and blocks for legal purposes as well as requests from other hospitals or patients. Is there any charges and how much are the charges? Thanks in advance for your suggestions. Nirmala Srishan __ I am seeking a Pathology Manager for a hospital system located in a great city in the Pacific NW. The manager would oversee three supervisors who manage Histo, Cyto and Pathology Transcription. There are about 60 Full Time employees working under these Supervisors. The position of Pathology Manager is one primarily focused on delivering pathology related service commitments to six hospitals and numerous outreach customers by coordinating the technical and support sections of cytopathology processing and screening, histology, surgical pathology grossing and transcription with the professional physician staff (pathologists). For more details contact me at 574.633.1231. Jeri Vitello OPS Search Group 574.633.1231 www.opssearchgroup.com j...@opssearchgroup.com where OPPORTUNITY and PEOPLE meet SUCCESSFULLY ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Holy Name Hospital is the recipient of: Magnet Recognition for Excellence in Patient Care, American Nurses Credentialing Center 100 Best Places to Work in Healthcare, Ranked Sixth Nationally by Modern Healthcare , 2008 Best Places to Work in New Jersey, NJBIZ - 2006, 2007, 2008 2009 Awards for Emergency, Outpatient and Inpatient Service Excellence, J.D. Power - 2006 2007 Distinguished Hospital Awards for Clinical Excellence, HealthGrades - 2005, 2006, 2007 2008 Excellence Awards for Stroke, Gastrointestinal and Pulmonary Care, HealthGrades - 2008 2009 Chest Pain Center Accreditation, Society of Chest Pain Centers Primary Stroke Center Designation, The Joint Commission and NJ Department of Health and Human Services Warning: The information contained in this message is privileged and CONFIDENTIAL and is intended only for the use of the addressee above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the content of this message is strictly prohibited. If you have received this communication in error, please notify the sender by replying to this message, and then delete it from your system. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Pneumocystis Controls
Newcomer Supply. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Marshall, Kimberly kimberly.marsh...@ahss.org Sent by: histonet-boun...@lists.utsouthwestern.edu 10/06/2009 11:47 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Pneumocystis Controls Hello all Was hoping I could get some info on Pneumocystis Controls. The company I used to get them from has stopped preparing them, and the couple of other companies I have checked with are in short supply, so only selling to customers that buy from them already. Any info would be appreciated. Thanks in advance Kimberly Marshall HT (ASCP) == 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 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 the sender immediately by replying to this message and deleting the material from any computer. == ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] time in paraffin and fried bloody specimen
Nancy, Tissue should be processed @ between 60-62 degrees centigrade. We have three paraffin baths. The 1st bath is set for 45 mins, the 2cd and 3rd are for 1 hour each. This is for large specimens. Small specimens are for 30 mins. the first two baths and 45 mins for the last. It is very true that too much time in paraffin causes hard tissue. Remember the whole time the tissue is setting in paraffin it is being exposed to heat. Your second question: Have the specimen transferred from the lens paper it arrived in and put on a new piece which has been moistened with formalin. Sometimes in surgery the lens paper is wet with saline. If it is a scant amount process with your Endoscopic biopsies. Too long in your alcohols will over dehydrate the specimen. Hope this helps. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Nancy Schmitt nancy_schm...@pa-ucl.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/05/2009 11:07 AM To Histonet (histonet@lists.utsouthwestern.edu) histonet@lists.utsouthwestern.edu cc Subject [Histonet] time in paraffin and fried bloody specimen Good Morning Histonetters- First question: Textbook says tissue should remain in paraffin the shortest time necessary for good infiltration because exposure to prolonged heat causes shrinkage and hardening. Can anyone define exposure to prolonged heat? Is that an hour? Three hours? Sitting in the paraffin waiting to be drained. I would appreciate some insight on this. Second question: Endom, POC tissue, even some sinus contents arrive wrapped in lens paper. These bloody specimens are fried (for lack of a better word) and almost impossible to separate from the lens paper. Is there something different we or the PA can be doing differently or just the nature of the tissue. Thanks for your help! Nancy NOTICE: This email may contain legally privileged information. The information is for the use of only the intended recipient(s) even if addressed incorrectly. If you are not the intended recipient, please notify the sender that you have received it in error and then delete it along with any attachments. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Basement membranes
Periodic Acid-Methenamine Silver Procedure for Basement Membranes. Basement membranes will stain black with the Ag reaction. PAS will also work with the basement membrane showing PAS positive. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net William Lafayette Mundey wmo...@verizon.net Sent by: histonet-boun...@lists.utsouthwestern.edu 10/02/2009 07:36 AM Please respond to wmo...@verizon.net To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Basment membranes Does anyone know any stains Specific for basement membrane? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] SOP's reference
Freda Carson; Histotechnology A Self Instruction Text. Sheehan Hrapchak: Theory and practice of Histotechnology Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net carmen loiselle carmen_loise...@hotmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 10/01/2009 02:24 PM To pathology education histo...@pathology.swmed.edu cc Subject [Histonet] SOP's reference Hello everyone, I've been assigned recently to prepare the SOP's for the histology laboratory for the accreditation of my institution that englobes 4 major hospitals, that will take place next september (2010). As you well know it's a very demanding and time consuming task, so I'm asking your help, once again. If anyone will be able to send me the best sites where I can find the informations about different stains , like purpose , objectives etc , in order to facilitate the production of all these SOP's . Specially that I'm doing it only part time. Any info or references would be greatly appreciated. Thanks in advance Carmy _ Nous sommes vos photos. Partagez-nous dès maintenant avec Windows Live Photos. http://go.microsoft.com/?linkid=9666051___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] formalin storage
No. We store only the 37% in a flammable cabinet. Ten percent formalin is not considered a flammable substance according to the MSDS for Richard Allen 10% formalin. Which brand are you using. Your storage should be according to the manufacturer's MSDS. Grant it, they should be all on the same page since it is a concrete formula. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Riesen, Rebecca rebecca.rie...@nchmd.org Sent by: histonet-boun...@lists.utsouthwestern.edu 09/11/2009 09:19 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] formalin storage We have been directed by our Safety Officer to store all formalin (37% and 10% NBF) in a flammable storage room, cabinet or container. Yes, 37% Formalin we do store in this manner, but I have never heard of this requirement for 10%NBF. I looked on line to many MSDS sheets from different vendors and found only one that stated such storage requirements for 10% NBF. During this search I found all but one company states that formalin is not flammable. I brought this to the Safety Officer. He agrees that it is not flammable but that it IS combustible. Combustible=Flash point of 100F to 200F. Of the dozen sites I visited I found the following data concerning the Flash Point of 10% NBF: from NA / 200F / 122F to 185F. The NFPA (National Fire Protection Agency) guideline of no more than 1 gallon in a flammable storage container and 1 gallon outside of a safety cabinet/container per 100 square feet is already quite limiting. Using this guideline, we have calculated acceptable volumes of the known flammables (Alcohols and Xylenes) we can store. Adding 10% NBF to the equation will have us traveling to our bulk storage area constantly. Does anyone out there store 10%NBF in flammable cans/cabinets? Riesen, Rebecca rebecca.rie...@nchmd.org NCH Healthcare Systems Direct 239-436-5000 x2188 Fax 239-436-6767 Visit our website at http://www.nchmd.org CONFIDENTIALITY NOTICE This email and any files transmitted with it are from the NCH Healthcare System. This message is confidential and is intended only for the addressee. If you are not the intended recipient or have received this email in error, please call us immediately at (239) 436-5000 and ask to speak to the message sender or promptly email the message sender of the delivery error and then delete the message. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Trouble making a good Cell Block
Hi Maria, Are you saying you are using formalin as a preservative for non-gyn's? We collect all aspirations in Plasmalyte which is an electrolytic balance for infusion. All other fluids are collected in a green top, sodium heparinized tube. Bronch specimens are sent in saline. Urine and CSF are sent fresh. When a cell block is requested we centrifuge the sediment to get a button. Pour off the supernate. Then we use HistoGel to make the button. As indicated, HistoGel is a gel you heat up in the microwave. Pour off an equal amount into the non-gyn button let it solidify then you process the solid material just as any other specimen. Hope this helps. Debbie M. Boyd, HT(ASCP) I Chief Histologist I Southside Regional Medical Center I 200 Medical Park Boulevard I Petersburg, Va. 23805 I T: 804-765-5050 I F: 804-765-5582 I dkb...@chs.net Maria Katleba maria.katl...@stjoe.org Sent by: histonet-boun...@lists.utsouthwestern.edu 08/25/2009 01:00 PM To histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu cc Subject [Histonet] Trouble making a good Cell Block Hi All, Can anyone give me a good protocol for making a cell block from a non-gyn fluid? (abdominal fluid, bronchial wash, pleural fluid, etc) First of all, we have switched to formalin. Yes! Formalin!! So as you would expect, no button forms. The reason? The pathologists believe the formalin is better than alcohol (95%) especially when you expect to run IHCs on the cell blocks. Please send me ideas Maria Katleba HT(ASCP) MS Notice from St. Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] New Lab Monitoring
We monitor for formalin. We do not use xylene. We have an outside company that comes in to perform air quality and exchanges. The techs wear formaldehyde badges for an 8 hr. period. The pathologist are monitored for 15 mins. while they are grossing. The technician that dumps formalin off tissues to be discarded wears a badge for 15 mins as well. We are monitored every year. I believe this is an OSHA requirement. If you use xylene you must be monitored as well. Debbie M. Boyd, HT(ASCP),Chief Histologist, Southside Regional Medical Center, 200 Medical Park Boulevard, Petersburg, Va. 23805, T: 804-765-5050, F: 804-765-5582, dkb...@chs.net Knutson, Deanne dknut...@primecare.org Sent by: histonet-boun...@lists.utsouthwestern.edu 08/18/2009 03:21 PM To 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu cc Subject [Histonet] New Lab Monitoring Fellow Histonetters, I am interested to hear your process in monitoring a new lab for formaldehyde, xylene, etc We are moving our lab into a different area of the hospital. So we will be monitoring for xylene and formaldehyde. Does anyone monitor for alcohols also? If all monitors turn out within acceptable numbers, does the monitor need to be repeated or are we good? Thank you in advance for your help and I look forward to reading with interest on how others have completed this. Deanne Knutson Anatomic Pathology Supervisor St. Alexius Medical Center 900 E. Broadway Bismarck, North Dakota 58506 (701)-530-6730 dknut...@primecare.org mailto:dknut...@primecare.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Re: Eosin in alcohol
We use eosin on the gross bench. We keep a bottle of concentrated Eosin and Hematoxylin on the bench with an eyedropper. The eosin is for endoscopic biopsies and the hematoxylin is for prostate biopsies. Neither has never interfered with IHC staining. Debbie M. Boyd, HT(ASCP),Chief Histologist, Southside Regional Medical Center, 200 Medical Park Boulevard, Petersburg, Va. 23805, T: 804-765-5050, F: 804-765-5582, dkb...@chs.net Jennifer Johnson jmjohnso...@hotmail.com Sent by: histonet-boun...@lists.utsouthwestern.edu 07/01/2009 01:09 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Re: Eosin in alcohol We have used Eosin in the last 95% alcohol on the tissue processor for several years. I usually add approximately 5 ml to the full jug. It is a great tool to use for embedding. However, we received a letter from the lab that we send our prostate biopsies to saying that it was undesirable because it interfered with their immuno staining. They sent us some cobalt blue to use in the place of eosin along with mixing instructions and the whole batch of tissues came out such a dark blue. There is no delineations in the color of the blue and I found it to be useless for helping to embed. I would rather do without anything than use cobalt blue. I guess the point of my rambling is, Eosin is a wonderful tool to use unless you are doing immunos on prostate biopsies. Thanks, Jennifer Johnson, HTL (ASCP) _ Hotmail® has ever-growing storage! Don?t worry about storage limits. http://windowslive.com/Tutorial/Hotmail/Storage?ocid=TXT_TAGLM_WL_HM_Tutorial_Storage_062009___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
