Re: [Histonet] Immunohistochemistry ghosting

[Duddey, Aimee via Histonet]

When we saw this happening it was slide related, especially with it happening 
across all platforms.  We use Cardinal Healthcare SuperFrost Plus and haven't 
had an issue.  Every time we have tried another brand we have seen this happen 
to some degree. 

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax


-Original Message-
From: Robyn L. Vazquez via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Thursday, February 09, 2017 7:42 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Immunohistochemistry ghosting

Hello,
We have been experiencing problems with ghosting (inconsistent and/or no 
staining) mainly affecting our control area which is located at the bottom of 
the slide.  Random antibodies markers are being affected. We were using Fisher 
Scientific then TruBond slides. We are using Ventana Ultras X4 and XT in which 
it is occurring on all machines. Ventana has come in to troubleshoot, in which 
we have not reached a solution.

Any suggestions would be greatly appreciated

Robyn L. Vazquez
Kaiser Permanente
Portland, Oregon
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Re: [Histonet] ventana customers

[Duddey, Aimee via Histonet]

I am glad to see someone else is concerned about the upgrade.  The chance of an 
entire run aborting is a bit frightening, mainly for the loss of irreplaceable 
small biopsy tissue.  The possibility of an incorrectly stained slide is 
equally as frightening.  However, with appropriate controls an incorrect 
antibody should be detectable.  I don't believe that either option is good, but 
the only ones to work with.  The overlay on the other hand is something that we 
have never used.  When we first started with Vantage (we were early adopters) 
the overlay was not available.  When it was we tried it for a while and the 
only difference was that it gummed up the coverslipper if slides were in xylene 
too long before they were coverslipped.  We are still contemplating the upgrade 
as the resolution is tentative for early summer. 

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax



-Original Message-
From: Kuhnla, Melissa via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Monday, January 23, 2017 10:54 AM
To: ' (histonet@lists.utsouthwestern.edu)'
Subject: [Histonet] ventana customers

Good Morning, I am looking for feedback into technical bulletins and memos 
recently released.  We run benchmark ultras and special strainers.  We are also 
a facility that uses Vantage.  We have never used the clear label overlays they 
say are mandatory.  I also do not like the sounds of the software patch they 
are looking to install to eliminate the rare occurrence of invalid keycodes.  
Any input or opinions?  If you are opting out of these...how are you 
documenting?  Thank you

Melissa Kuhnla
Lead Medical Technologist
for IHC and FISH testing
Regional Laboratory Services
Good Samaritan Hospital
631-609-2551

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[Histonet] Full time histology technical specialist position available

[Duddey, Aimee via Histonet]

Full time position available in Pinehurst, NC

Job Title:  Histology Technical Specialist  
  Supervised by:  Asst. Director of Pathology

Job Summary:
The Histology Technical Specialist coordinates and monitors the day-to-day 
workflow of the histology area of pathology, serves as the first line resource 
for daily operations and assists the Assistant Director of Laboratory for 
Pathology with schedule management activities and provides technical - level 
services in the area of expertise. Histotechnologist duties include practicing 
clinical laboratory science in the specialty of histology to include 
immunohistochemistry.  May be required to perform other duties within the 
pathology department as directed by the pathologist or assistant director of 
Pathology.  May include clerical duties or duties within the cytology area of 
the laboratory depending on the availability of personnel.  The Histology 
Technical Specialist works with the Histology Technical supervisor and AD to 
establish Histology department processes, and reviews, updates and writes 
histology laboratory procedures to ensure the high quality of specimen 
preparations.  Respo
 nsible for recognizing issues or problems that require referral to the 
Pathologist.  Maintains performance improvement activities within the 
department and participates in quality improvement activities. Coordinates and 
monitors daily activities of histology workflow; assists AD in activities that 
may include interviewing, work allocation, orientation, training and competency 
assessment, contributing to performance evaluations and motivating employees to 
achieve peak performance. Demonstrates pro-active problem solving skills to 
include identifying a problem and taking appropriate action; knows when to seek 
guidance to complete troubleshooting protocol; communicates necessary 
information to AD.  Acts as a resource to customers, both within the department 
and outside the department. Accepts responsibility for own development to 
include cross-training in other functions or positions to ensure satisfactory 
operation of the department or to permit flexible staffing assignments.
Regulatory Requirements:

  1.  High School graduate or equivalent.
  2.  Graduated from accredited school of histotechnology or medical laboratory 
technology.
  3.  Current MLT, MT, HT, or HTL certification, i.e., American Society of 
Clinical Pathologists.
Skills:

  1.  Demonstrates the ability to coordinate multiple tasks with precision and 
flexibility to provide accurate results within the minimum turnaround time 
established by this laboratory.
  2.  Knowledge and skills related to laboratory computer information systems 
and word processing is desirable.
  3.  Must be able to work within a framework of a team concept to accomplish 
identified mission and goals.
  4.  Excellent verbal, written, and clerical skills
Physical Demands:

  1.  Ability to carry objects weighing up to 25 pounds.
  2.  Responsible for lifting, carrying, pushing, and pulling objects involving 
laboratory related equipment and supplies.
  3.  Able to withstand sufficient noise and interruptions to cause 
distractions and stress.
  4.  Daily functions may include incidental exposure to vapors, fumes, moving 
mechanical parts, chemical and biological hazards, patient contact, 
needles/syringes, waste handling, and computer use.
Reasonable accommodations may be made to enable individuals with disabilities 
to perform the essential functions of the position without compromising client 
care.
Please visit 
www.firsthealth.org/join-our-team/careers
 and use keyword histology to find the posting and apply.
Thank you for reading,

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax

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Re: [Histonet] Microm HM 355S Issues

[Duddey, Aimee via Histonet]

We are currently having the same problem with 2 of ours.  Stepper motor 
replacement did not work either.  I would be interested to hear any responses 
as well.

Aimee


-Original Message-
From: Sandra Cheasty via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Friday, September 23, 2016 10:41 AM
To: Histonet (histonet@lists.utsouthwestern.edu)
Cc: BARBARA J REESE
Subject: [Histonet] Microm HM 355S Issues

Hello,
We have 2 Microm HM355S motorized microtomes. We use the motor 
to move the block close to the blade, but turn the wheel manually when 
sectioning. Both are "jumping" forward on their own occasionally while 
sectioning, which is unsettling and chunks into the block. One of them also 
backs up on its own as you're manually turning the handle, just as you're about 
to get a ribbon.
The stepper motor has been replaced on one with no improvement. 
Any suggestions, remedies, or tales of similar issues and how they were 
resolved would be most appreciated.
Thanks,
Sandy

Sandra J. Cheasty, HT (ASCP)
Histology & Necropsy Supervisor
UW-Madison, School of Veterinary Medicine

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[Histonet] Assigning cases to pathologists in EPIC

[Duddey, Aimee via Histonet]

For anyone currently using EPIC Beaker or any other system where you assign 
pathologists at accession, please share how you assign cases.  We are still 
currently using transcriptionists who assign the case to a pathologist as they 
listen to them dictate.  For purposes of outstanding lists we would like to 
assign cases as soon in the process as possible.  Please share how you doings 
this.
Thank you in advance,

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax

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Re: [Histonet] (no subject)

[Duddey, Aimee via Histonet]

We ran into this situation with TJC.  We had a very limited check off sheet.  
In effort to standardize processes across the laboratory we adopted a program 
very similar to the NY facility whose program is referenced in the TJC leading 
practice library.  It is very rigorous and time consuming but serves its 
purpose well.  Also, CAP has a competency assessment program specifically for 
histology that is a subscription based purchase regardless if you are 
accredited by them.

Aimee

-Original Message-
From: Nirmala Srishan via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Thursday, September 01, 2016 1:49 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] (no subject)

Hi,

What is everyone doing about the Histology Staff competencies.  I know CLIA has 
several criteria for the med-tech competencies.  Since the Histotechs do not 
report out results, how is everyone implementing this process.  Any information 
is greatly appreciated.


Nirmala 







Holy Name Medical Center is ranked among the top hospitals in the nation for 
patient care, clinical performance and workplace excellence.
Click here to learn more.

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Re: [Histonet] cryostat decontamination

[Duddey, Aimee via Histonet]

Our last discussion with TJC to clarify their definition of "regular interval" 
was to follow the manufacturers guidelines.  I recommend determining what 
manufacturer suggests with the use of the UV decon and write that in your 
policy that addresses this standard.  If you are following their guidelines, 
you should be in compliance.

Aimee

-Original Message-
From: Nancy Schmitt via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Monday, August 15, 2016 9:58 AM
To: '
Subject: [Histonet] cryostat decontamination

ANP.23410 states that cryostat is defrosted and wiped down at regular 
intervals.  What if you have UV decontam?  Is there a ruling on that?

Thanks

Nancy Schmitt MLT, HT(ASCP)
Dubuque, IA

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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.


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Re: [Histonet] Pathology Ladder System

[Duddey, Aimee via Histonet]

I have had the same discussion with lab administration recently.  I would be 
interested in the same information.

Aimee

-Original Message-
From: Steve via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, August 09, 2016 7:20 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Pathology Ladder System

Good morning everyone.  I had a meeting recently with hospital administration 
where I was asked what leadership could do to retain and keep quality staff.  
Besides the obvious, pay increase's, I suggested a ladder type progression 
system for all lab staff, similar to what some hospitals offer nursing staff.  
My question to this group is, if any of you are using such a system would you 
mind sharing it with me?

Thanks,

Stephen Clark  HT, BS, DESSO
Pathology Dept. Supervisor
Laboratory Safety Officer
Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29579
Desk: 843-692-1459
Lab: 843-692-1486
Fax: 843-449-6213

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Re: [Histonet] slides on the Benchmark Ultra

[Duddey, Aimee via Histonet]

We use super frost plus and have tried many different slides over the last 15 
years.  We always go back to SuperFrost plus.  Cardinal Healthcare carries them 
under their brand but they are made by Erie Scientific.  It is my understanding 
that there are very few companies that make slides, they are just branded 
differently.  Check the manufacturer and if its Erie Scientific and they are 
SuperFrost then they should work as well.

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax

-Original Message-
From: Amy Johnson via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Wednesday, August 03, 2016 10:06 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] slides on the Benchmark Ultra

Hello Histonetters,

WE currently run the Benchmark Ultra for our IHC staining.  We have been using 
SuperFrost Plus slides on the recommendation by Ventana.  What are others using 
if you aren't using SuperFrost Plus slides.
Our vendor that we get SuperFrost Plus from no longer carries them and has 
replaced them with another type..Just wondering what others think


Thanks
Amylin Johnson, B.S. HTL(ASCP)
Associates in Pathology
Wausau Wi 54401
715-847-2130

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[Histonet] Fetal demise

[Duddey, Aimee via Histonet]

North Carolina Histologists - Would anyone be willing to share their fetal 
demise and disposition policy with me?  We are reviewing and there are some 
things that are unclear and several different referrals to NCGS that makes it 
even more confusing.
Thanks in advance,

Aimee M. Duddey, MLT(ASCP)
Assistant Director of Laboratory - Pathology
FH Moore Regional Hospital
910-715-5286 office
910715-1944 fax

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