[Histonet] Cutting paraffin sections on a cryostat operated at room temperature? Nope.

2013-06-17 Thread Harrison, Sandra C.
Ever tried turning the handle of the cryostat, when it's at room
temperature?
Cryostats are tooled  manufactured to operate at a low temperature.
Since metal contracts at the low temperature, you'll find that you can't
operate the microtome at the higher temperature.  The handle will barely
move.  

Sandy Harrison, HTL (ASCP)
Histology Supervisor
Minneapolis VAHCS
612-467-2449

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Johnson,
Kevin
Sent: Friday, June 14, 2013 3:09 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Cutting paraffin sections...on a cryostat?

Hi, all.  A bit of an odd question: a colleague knows of someone wanting
to cut paraffin sections who has a cryostat, but no microtome. Since a
cryostat's basically a microtome in a freezer chamber, I thought that it
may be awkward, but theoretically doable once it was brought to room
temp and dried out thoroughly. However, I wondered if lubricants
formulated for the cold might become too thin for use at room temp,
possibly causing damage to moving parts.  Any thoughts?

Kevin Johnson
University of Miami
Diabetes Research Institute
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RE: [Histonet] Countertop fume hoods

2013-04-12 Thread Harrison, Sandra C.
Dear Merissa,
I have used the Labconco countertop fume hood in a few different
Histology settings, both MOHS and general, and found it to be very
compact, easy to change the filter, and very effective at pulling the
fumes away from the user.  It is also a ductless system. 

See  http://www.labconco.com/product/fume-adsorbers/35

Sincerely,
Sandy Harrison
VA Histology Supervisor, Minneapolis, MN
612-467-2449

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of M.O.
Sent: Thursday, April 11, 2013 7:02 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Countertop fume hoods

Hello Histonet!  I am looking into small countertop fume hoods or maybe
a filter system that I can use to place tissue under that has been in
formalin or decalcifier to diminish the fumes.  Do you have any
recommendation on what and where to look for something like this?

Thank you!
- Merissa
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[Histonet] Leica 4020 linear stainer

2013-01-07 Thread Harrison, Sandra C.
Could I get some feedback on linear stainers?Has anyone had any
experience with the Leica ST4020?

We are going to purchase a linear stainer for a new MOHS laboratory.

 

Thanks,

Sandy Harrison

Histology Supervisor

VA Health Care Systems, Minneapolis

612-467-2449

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[Histonet] procedure for destaining a cytology slide followed by restaining with a special stain, such as PAS?

2012-11-16 Thread Harrison, Sandra C.
Does anyone have a procedure for restaining a cytology slide?  We
experienced a loss of cells on an FNA aspirate of a lymph node, which
had been originally stained with Diff Qwik.  The procedure we used was
as follows:

 

1)  Destain using 1% Acid Alcohol (1 ml. concentrated HCL added to
99 ml. 70% alcohol) for approx. 30-60 seconds.

2)  Restain on automated stainer (Ventana)  with PAS kit.

 

Thanks,

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] H.Pylori

2012-10-17 Thread Harrison, Sandra C.
We do an H.P. routinely on stomach, body, fundus, antrum, pyloric,
prepyloric, and gastric (Not on cardia area of stomach or GE jcn.)

We use a kit from Newcomer Supply of a Steiner-Chapman modified Silver
Stain.

The pathologist's order an IHC for H.P. only about 5% of the time, if
for example, they do not see H.P. from the silver stain, but the patient
has a history of H.P. 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] Are those sites using the Thermo Fisher Slide Mate slide printer also using Thermo slides?

2012-10-10 Thread Harrison, Sandra C.
I just purchased 6 Slide Mates.  We just began using them yesterday. 

 

Are any of you using slides that are NOT Fisher slides on your
SlideMates?  

 

When you respond, could you answer the following questions?

a)  Is the print job consistently satisfactory?

b)  How long have had your SlideMate(s)?

c)   What difficulties did you have, getting it to consistently
print well?

d)  Approximately how many slides per day you are printing on (each)
SlideMate?

 

Thanks,

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] BOND IHC instrument- anyone experiencing multiple heater failures??

2012-08-06 Thread Harrison, Sandra C.
We have 2 Bond Max instruments and have experienced multiple heaters
getting contaminated and corroded underneath, with a particulate matter,
causing the heaters to fail.  Our 2nd BOND Max is 3 years old and we
have had to replace a total of 12 heaters (out of 30.)

The only thing we do that is non-standard is we have been dewaxing off
line, to save time.  Does anyone else dewax off line?  Is anyone else
experiencing heater failures?

 

We did a major P.M. 3 months ago, including changing the aspirating
probe.  That not-withstanding, we had to replace 5 more heaters last
week.  

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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RE: [Histonet] automated H+E and cover slipper

2012-07-18 Thread Harrison, Sandra C.
Leica Autostainer XL with CV5030 coverslipper and transfer station.  

This has been a real timesaver for us.  It automatically moves the
slides from the stainer to the coverslipper.  It has been relatively
trouble free.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe
Hardin
Sent: Wednesday, July 18, 2012 3:23 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] automated H+E and cover slipper

Hi All,
I will be trying out new H+E autostainers and cover slippers soon. Does
anyone have a favorite, and why? Thanks for your responses.


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RE: [Histonet] Mohs

2012-07-03 Thread Harrison, Sandra C.
Depends ;-)
All kidding aside, there are factors that weigh in, such as geography,
availability, training, experience, speed, etc.

10 years ago, when I worked as a Mohs' tech in the Denver, Colorado
area, I received $25.00 per hour, plus benefits.  I usually only worked
3 days per week, but on some rare occasions, worked till 9 p.m. trying
to get to clear margins.  

I don't know what the current wages are.

Sandy Harrison, HTL
Histology Supervisor, Minneapolis VA

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rebecca
a. Johnson
Sent: Monday, July 02, 2012 5:37 PM
To: histonet
Subject: [Histonet] Mohs 


Need to know what Mohs techs are getting paid.  


Thanks
Becky
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RE: [Histonet] Humidity Check

2012-07-03 Thread Harrison, Sandra C.
Yes, we have a wireless temperature monitoring system, called Checkpoint, and 
each room has a sensor that monitors temp and humidity.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
lau...@blufrogpath.com
Sent: Monday, July 02, 2012 3:20 PM
To: Histonet post
Subject: [Histonet] Humidity Check


   Do others check the humidity of their Histo lab on a daily basis?=

   




   


   Laurie Colbert
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RE: [Histonet] Paperless Histology

2012-06-29 Thread Harrison, Sandra C.
And what about a paperless procedure manual?  

We have an electronic system, called Proquis, for our manuals.  It sends
an e-mail to all the appropriate people, when there is a new procedure
to review or when old procedures are due for review.  Pretty cool.

The only drawback is, most of the time, people would rather grab a
notebook to look up a procedure, rather than the cumbersome process of
logging in, clicking thru a bunch of menus to view what you could have
physically touched and seen in seconds.

Plus, you better have a lot of terminals.  

Or better yet, let's issue I-Pads to all employees.  ;-)   

We live in a brave new world!

Sandy H.
Histology Supervisor, VA Minneapolis

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Stella
Mireles
Sent: Friday, June 29, 2012 10:25 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Paperless Histology

My director would like for our histology lab to go totally paperless.
Is there a lab out there that is already paperless?
Are there any software programs for this?
It seems to me that this would include; gross sheets, logging in
specimens, AQ sheets that are delivered with slides, decal log, special
stains request.
Would appreciate all the info. Thanks
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[Histonet] compatibility of Thermo slide printers with Leica cassette printer

2012-05-29 Thread Harrison, Sandra C.
1)  Does anyone have a Leica Cassette Printer on which they are
printing 2-Dimensional barcodes?

 

2)  Is anyone using a Thermo slide printer, with bar code reader, to
read cassettes printed off of a Leica Cassette Printer with 2-D bar
codes?

 

Thanks for your input.

 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] Chicago Sky Blue stain vs. KOH - striking comparison

2011-11-10 Thread Harrison, Sandra C.
Does anyone have ordering information for a stain called Chicago Sky
Blue(CSB)?  I just saw an article in the NOV issue of ASCP LABMEDICINE
(page 649) comparing KOH vs. CSB and, wow, is that a beautiful stain.  

 

The results were dramatic, with about a 25-50%  increase in the
Dermatophytes identified and about a 5X increase in the Pityriasis
versicolor identification.   

 

Thanks, 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] saving slides between levels for IHC?

2011-10-25 Thread Harrison, Sandra C.
Does anyone know if it is standard  to save sections from between the
levels for IP?  Is it standard at your institution?

 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] Leica cassette and slide printer ink

2011-09-21 Thread Harrison, Sandra C.
I have been told that I can no longer buy only the replacement ink
cartridges for Leica cassette and slide printers.  The ink cartridge was
already an outrageous $411.00 each.  Now you have to by a kit for
$566.00 each.  The kit includes a replacement plate along with the ink.

  

Why in the world the replacement plate would need to be replaced every
time you replace an expired ink cartridge is beyond me, other than a
shameless scam to up the price on the already completely overpriced ink
cartridge.

 

Has everybody been told this by their Leica distributor?  If so, I think
a lot of us will be looking HARD at other instruments when it comes time
to replace slide/cassette printers!

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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[Histonet] gout processing procedure

2011-08-30 Thread Harrison, Sandra C.
Could someone share their gout processing procedure?  The specimen is
fresh, not in formalin.

 

Thanks,

 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

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RE: [Histonet] bluing

2011-06-24 Thread Harrison, Sandra C.
Hi Dorothy,

Try Richard Allan Bluing Reagent.  

Here's what they say about their product:  It is a buffered product
that ensures the proper alkalinity (pH=8.0).  Unlike ammonia and lithium
carbonate, RA's Bluing Reagent does not allow for the pH shift which can
affect the crispness of nuclear detail.

When I first began supervising this lab 5 years ago, they made from
scratch their own hematoxylin and eosin (not to mention buffered
formalin.)  Unfortunately, the quality of the stain was very spotty and
caused the Pathologists a lot of problems.  I switched us to the Richard
Allan 7211 Hematoxylin, which has beautiful, crisp nuclear detail.  We
also went with the recommended Richard Allan Clarifier, Bluing and
Eosin, as well, so that we could produce a consistently high quality HE
every time.  

In 5 years, we've had very few complaints about the stain from the 8-10
Pathologists we've worked with, except for one occasion when there was
some isolated nuclear hazing.  We did some detective work and determined
that the cause was due to a rack or two that had been placed in the oven
without properly removing the excess water or draining of the slides
before placing them in the oven.

Have a great week-end everybody.  It's practically the 1st sunny day
we've had, here in Minneapolis, for the past 2 weeks and Saturday and
Sunday's forecast looks good, too!

Sandy Harrison
VA-Minneapolis
Supervisor, Anatomical and Surgical Pathology
612-467-2449



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webb,
Dorothy L
Sent: Friday, June 24, 2011 2:21 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] bluing

Looking to change my bluing step in the HE process to obtain a bluer
(less purple) hue to the nuclear detail.  What is everyone using in
their bluing step??

Thanks for all of your ideas!!



  
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RE: [Histonet] question on H pylori

2011-06-10 Thread Harrison, Sandra C.
We do either IHC or a Modified Steiner, depending on the Pathologist's
preference.  We switched to Newcomer Supply's Steiner-Chapman Modified
Silver Stain Kit about a year ago, because it eliminated the use of
Uranyl Nitrate.  We have been delighted with the consistency of the
stain.

Sandy Harrison, HTL (ASCP)
Anatomical and Surgical Pathology Supervisor,
VAMC Minneapolis
612-467-2449



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Setlak,
Lisa
Sent: Tuesday, June 07, 2011 1:12 PM
To: histonet@lists.utsouthwestern.edu;
'histonet-requ...@lists.utsouthwestern.edu'
Subject: [Histonet] question on H pylori

I was just curious what everyone is using for standard of care regarding
H =
Pylori..is everyone doing IHC or are you doing a Giemsa?
Thanks,
Lisa
Lisa M. Van Valkenberg, B.S., HT- ASCP
Histology Manager
2300 Children's Plaza
Chicago, IL 60614
773-868-8949



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RE: [Histonet] Input needed

2011-04-22 Thread Harrison, Sandra C.
Out of 6 recent hires, I hired two 50+ employees.  One had been employed
in another department for over 28 years.  One was a fairly recent grad.
of a Histology program.  They were both good employees, though neither
had much routine Histology experience.  

That being said, neither one of them are still here: one chose to
retire, after 3 years in our department.
The other one decided to return to the previous place of employment
within 6 months, stating that the fast pace of our lab was a deciding
factor.

Bottom line - neither age or gender played a role in their getting
hired.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike
Pence
Sent: Friday, April 22, 2011 8:11 AM
To: Mary; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Input needed

Age and gender should not play a role in your chances of getting a job.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mary
Sent: Thursday, April 21, 2011 5:06 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Input needed


What's the chance of getting a job in histology as a new grad at age 57.
Will gender be an issue?  Thanks for the input.  Jason
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RE: [Histonet] Control Slides

2011-03-14 Thread Harrison, Sandra C.
We dry the control slide at the same time that we dry the tissue being
stained, since controls are supposed to be handled in the same manner as
the test tissue.  That being said, I guess if we were truly following
that rule, we would cut the control on the same day we cut the test
sample.  :-)


Other people say that, after 
they dry the slide, they dip the slide in paraffin, to cover the tissue,
so 
that the air doesn't touch the tissue during the months before the slide
is 
used in a stain.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee 
Peggy Wenk
Sent: Thursday, March 10, 2011 6:39 PM
To: Amador, Amanda; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Control Slides

I've noticed that our spirochete control slides don't stain as intense 
starting about 3 months after they are sectioned, and that they stop 
staining by about 6 months. (This is with a silver stain.)

I've talked with other histotechs, and they say they've seen the same 
phenomenon with AFB and Gram controls. (We use ours up too quickly - we 
never have 6-12 months old control slides for these, so I can't attest
to 
this. )

Bancroft's book talks about this phenomenon with amyloid, and suggests
that 
oxidation of the tissue (proteins) due to exposure to air may be the
cause. 
I'm guessing the it probably applies to the precut microorganism control

slides, too.

We only cut enough slides for 6 months, and date them. Other people say
they 
put their cut control slides in a slide box with a lid after drying, and

then place the box in the refrig, as cold slows down the chemical
change, 
and the lid keeps the moving air off the slide. Other people say that,
after 
they dry the slide, they dip the slide in paraffin, to cover the tissue,
so 
that the air doesn't touch the tissue during the months before the slide
is 
used in a stain. Just 3 suggestions to stop this problem.

Peggy A. Wenk, HTL(ASCP)SLS
Beaumont Hospital
Royal Oak, MI 48073

--
From: Amador, Amanda aama...@ameripath.com
Sent: Wednesday, March 09, 2011 10:22 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Control Slides

 Is there guidelines for how long special stains controls are good for
once 
 they are cut?  We have spirochetes for our Steiner that is from 2007
and 
 we are having issues.

 Amanda Amador, HT(ASCP)CM
 AmeriPath | Histology Group Lead/Trainer |2560 N Shadeland Ave, Suite
A | 
 Indianapolis, IN  46219 | phone 317.275.8052 | 
 aama...@ameripath.commailto:aama...@ameripath.com | 
 www.AmeriPath.comhttp://www.ameripath.com/

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RE: [Histonet] No Mail??

2010-12-17 Thread Harrison, Sandra C.
Wow...didn't realize how addicted to Histonet I'd become till
this week!

Sandy Harrison
Histology Supervisor
VA Medical Center
Minneapolis, MN 55417
612-467-2449

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems,
Joyce
Sent: Friday, December 17, 2010 9:54 AM
To: Behnaz Sohrab; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] No Mail??

And I kept getting a returned msg yesterday that I was trying to post. I
am experiencing withdrawal!!! :)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 Behnaz
Sohrab
Sent: Friday, December 17, 2010 10:48
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] No Mail??

Any Problem? I have not received any email from Histo-net last few days
??
Behnaz

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RE: [Histonet] CHECKING ALCOHOL CONCENTRATIONS

2010-11-23 Thread Harrison, Sandra C.
CBG Biotech.  Their contact info is 1-800-941-9484 or you can e mail
them at i...@cbgbiotech.com.  I purchased my recycler through them and
have ordered extra hydrometers from them, too.  They give excellent
customer service.

Sandy Harrison, HTL(ASCP)
Histology Supervisor, VA Minneapolis
612-467-2449

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
dkb...@chs.net
Sent: Tuesday, November 23, 2010 2:48 PM
To: Vickroy, Jim
Cc: histonet@lists.utsouthwestern.edu;
histonet-boun...@lists.utsouthwestern.edu
Subject: 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



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RE: [Histonet] ThermoFisher's PrintMate (cassette printer) and SlideMate (slide labeler with scanner)

2010-11-15 Thread Harrison, Sandra C.
I'm looking at the Slide Mate and Print Mate, too.  Currently, I have
the Leica cassette and slide printers.  They have really been great.
Reliable and relatively problem free.  But they are so large.  I'd like
to find a slide printer that has a small footprint, like the Slide Mate,
so that we can place one at each microtomy station. 
Assuming there are other slide printers out there, besides
ThermoFisher's Slide Mate and Leica's, what are their pro's and con's? 

Sandy Harrison

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie
Colbert
Sent: Monday, November 15, 2010 9:29 AM
To: Damaris Beil; histonet
Subject: RE: [Histonet] ThermoFisher's PrintMate (cassette printer) and
SlideMate (slide labeler with scanner)

We are using both.  They both have had their fair share of problems, but
overall I think the improved efficiency is worth working out the kinks.
I recommend both.

Laurie Colbert

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Damaris
Beil
Sent: Saturday, November 13, 2010 6:42 AM
To: histonet
Subject: [Histonet] ThermoFisher's PrintMate (cassette printer) and
Slide Mate (slide labeler with scanner)


Hello,

I'm interested in finding out if anyone is using ThermoFisher's  new
PrintMate (cassette printer) and Slide Mate (slide labeler with scanner)
and how they are working out for you.

Thanks in advance for your help,

Damaris
 
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RE: [Histonet] Block release

2010-10-22 Thread Harrison, Sandra C.
Here's what the recently revised CAP checklist says about releasing blocks; 
scroll down to Note 2:

**REVISED** 06/17/2010
ANP.12500 Record Retention Phase II
Surgical pathology records and materials are retained for an appropriate period.
NOTE 1: Minimum requirements for surgical pathology, providing these are not 
less stringent than
state and federal regulations, are:
1. Accession log records - 2 years
2. Wet tissue (stock bottle) - 2 weeks after final report
3. Paraffin blocks - 10 years (subject to Note 2, below)
4. Glass slides (including control slides) and reports - 10 years (slides must 
remain
readable for this period)
5. Surgical pathology reports - 10 years (see Notes 3 and 4, below)
6. Fluorochrome-stained slides - at the discretion of the laboratory director
7. Fine needle aspiration slides - 10 years
8. Images of FISH studies - 10 years (see Note 5, below)
There must be a documented policy for protecting and preserving the integrity 
and retrieval of
surgical pathology materials and records.The retention period should be 
extended, when appropriate,
to provide documentation for adequate quality control and medical care.

NOTE 2: Regarding release of blocks for research purposes: Federal regulations 
require that a
laboratory retain paraffin blocks for two years. The CLA requires, however, 
that they must be kept
for at least 10 years. Nevertheless, blocks may be released for research 
purposes after the two-year
regulatory requirement if all of the following criteria are met:
1. The written consent of the patient is obtained. For laboratories subject to 
U.S.
regulations, the consent must include formal authorization in accordance with 
the
requirements of HIPAA, if identifiable patient information is released.
2. The laboratory retains sufficient blocks to support the diagnosis for the 
full 10-year
period.
3. Provision is made for retrieval by the laboratory of any blocks or material 
that remain
after use in research, if the blocks or material are needed for diagnostic, 
legal, or other
legitimate purposes.
4. The laboratory meets other relevant requirements including but not limited 
to the
requirements of the institution, the directives of any applicable institutional 
review board
(IRB) or similar entity; and state and local laws and regulations.
NOTE 3: Pathology reports may be retained in either paper or electronic format. 
If retained in
electronic format alone, however, the electronic reports must include a secure 
pathologist electronic
signature. Images of paper reports--such as microfiche or PDF files--are 
acceptable.
NOTE 4: Reports of outside consultations performed on cases from the laboratory 
(whether or not
such consultation was requested by the laboratory) must be retained for 10 
years after the date on
which the original report was issued.
NOTE 5: There is no retention requirement for images when the source slides 
remain readable for
the required 10-year retention period. The 10-year retention requirement 
applies to images of slide
preparations that are not readable for the 10-year period (e.g. FISH studies).
22 of 44
VA Med Ctr - Minneapolis
Path  Lab Med Service 113
Anatomic Pathology Checklist 06.17.2010
Evidence of Compliance:
✓ Written record and specimen retention policy(ies)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bernice 
Frederick
Sent: Monday, October 18, 2010 10:04 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Block release

Everyone,

I have been asked to post a query as to what your institution does in terms
of releasing blocks for oncology clinical trials. Please respond as it is
important to us as we receive a lot of those blocks here at Northwestern
(policies, procedures, alternative submissions etc) If you are in Australia,
Ireland, Canada, Puerto Rico or Peru please also answer (though I sort of
know already) as we do get blocks from you also.

Thanks

Bernice

 

 

Bernice Frederick HTL (ASCP)

Northwestern University

Pathology Core Facility

ECOGPCO-RL 

710 N Fairbanks Court

Olson 8-421

Chicago,IL 60611

312-503-3723

 

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RE: [Histonet] Cassette Labeler

2010-09-17 Thread Harrison, Sandra C.
We have the Leica Cassette Labeler.  It works just fine.  I have looked
at the Thermo Fisher Cassette Printer, which had a much smaller
footprint than the Leica.  I would be tempted to go with the Thermo if I
have to replace my current labeler.

These are expensive instruments but worth having.  It would be
appropriate for your workload. Plus, these cassette labelers can print a
bar code, in addition to the pt. id and name.  Laboratories can
eliminate numbering errors by utilizing bar code scanners throughout the
entire work flow;  at grossing, processing and microtomy.  Bar coding
can also assist you with implementing LEAN processes. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
dianar...@aol.com
Sent: Thursday, September 16, 2010 7:45 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette Labeler

I work in a small lab and process approx 150 cassettes a day.  We  
currently use a chemical resistant pen 
that works great.  We write the number on top and the patient initials
on 
the side.  We are considering getting a cassette labeler.  Is it  really

worth the expense for 150 blocks a day?  Is it possible to enter
information 
on the side of the cassette?  Can you share some of your  experience
with 
different ones with me.
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RE: [Histonet] accu-edge low profile microtome blades

2010-09-01 Thread Harrison, Sandra C.
About 1/2 of my tech.'s wipe the oil off; otherwise it causes the first
2-3 ribbons to curl off the knife, rather than forming a nice ribbon.

Sandy Harrison
Histology Supervisor
Minneapolis VA

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Sherwood, Margaret 
Sent: Wednesday, September 01, 2010 1:27 PM
To: Laurie Colbert; Brandi Higgins; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] accu-edge low profile microtome blades

We use the low-profile microtome blades and love them.  We actually
found
Thermo-Fisher's brand of the low-profile to work just as well and they
are less
expensive.  We had problems with other manufacturers' low -profile
blades that
had the oil on them.  However we have several sample boxes and I will
have the
techs wipe the oil off and see if they work better.  Thanks, Laurie.



From: histonet-boun...@lists.utsouthwestern.edu on behalf of Laurie
Colbert
Sent: Mon 8/30/2010 4:25 PM
To: Brandi Higgins; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] accu-edge low profile microtome blades



We also use those blades and love them.  We've tried others but always
come back to the Accu-edge.  I have always noticed a film of oil on the
blades.  I usually wipe the edge of the blade with a kimwipe before
using it.
Laurie Colbert

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Brandi
Higgins
Sent: Monday, August 30, 2010 1:12 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] accu-edge low profile microtome blades

Hello all,

We use the accu-edge low profile microtome blades (exclusively, as they
work
best for us).  We noticed an oil/lubricant of some sort on the blades in
the
last box that we opened (we checked one other box and it has the same,
although none previously did, or at least we didn't notice it).  The oil
is
giving us problems with our sectioning.  Has anyone else noticed this,
either now or in the past?

Also, does anyone have a suggestions of other blades we should use?

Thanks for your input,
Brandi Higgins, BS, HT(ASCP)
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RE: [Histonet] QC on stained slides

2010-08-16 Thread Harrison, Sandra C.
You have included all the criteria; fixation, processing, embedding,
microtomy, staining, coverslipping and labeling.  If you were able to
submit slides to CAP under their HQIP program, you would get graded
evaluations.  Short of that, could you perhaps send out duplicate slides
to another local lab, or sister hospital, for peer review? You could
offer to exchange slides on a twice yearly basis, since they, too, may
be looking for additional quality control.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of louise
renton
Sent: Monday, August 02, 2010 2:25 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] QC on stained slides

Hi all

As part of a self assessment programme conducted by my employer, and
related
to my performance review and salary adjustment,  I need to determine the
criteria of what makes a stained slide acceptable or unacceptable. I was
wondering if anyone out there had a checklist that they would be
willing
to share,  that i could perhaps adapt. I realise that the easiest would
be
to send slides out for external control, but in this case it is not
feasible.

What I put together is  this:

   - Quality of decalcification, processing, infiltration
   - Quality of sections (no wrinkles, missing bits, scores etc)
   - Entire representation of tissue area
   - staining  pattern as expected according to protocol
   - coverslipped without bubbles or other inclusions
   - labelled neatly and correctly

but, the question inmy mind is what would be the criteria that would
make a
slide merely adequate or truely outstanding?

PLease help

thank you

-- 
Louise Renton
Bone Research Unit
University of the Witwatersrand
Johannesburg
South Africa
+27 11 717 2298 (tel  fax)
073 5574456 (emergencies only)
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[Histonet] labeling of recycled chemicals

2010-07-29 Thread Harrison, Sandra C.
Dear Histonetters,

If you use a recycler for xylene and/or alcohol, how are you labeling
the recycled containers?  Do you assign a lot # to each carboy?  

Do you keep a log or just label any container filled from a carboy with
the lot # and the %, in the case of alcohols? 

 

Thanks, 

 

Sandy C. Harrison, HTL (ASCP)

Histology Supervisor

Minneapolis VA

612-467-2449

 

 

 

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RE: [Histonet] Chemical outdates

2010-01-25 Thread Harrison, Sandra C.
If there are no expiration dates on the chemical:
For chemicals distributed by Fisher, look at the Lot #.  The first 2
numbers are the year it was manufactured.  In general, chemicals are
considered expired 3-5 years after the year they were manufactured.

You can also check the certificate that comes when the chemical is
delivered.  It should have an expiration date or at least a year of
manufacture.

Sandy Harrison

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amy
Johnson
Sent: Thursday, January 21, 2010 1:47 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Chemical outdates

Hello Histonetters,

We just got inspected by CAP and it was recommended that we put
expiration dates on our chemicals once we open them.  What kind of time
frame do any of you other labs do in regards to this?

Thanks for your input,

Amylin Johnson

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[Histonet] Histotech opening at Minneapolis VA

2009-10-30 Thread Harrison, Sandra C.
DEPT. OF VETERAN AFFAIRS MEDICAL CENTER, MINNEPOLIS, MN.

Full time Histotech. opportunity at Minneapolis VA.

BS or BA in Biology. HT cert. required, HTL preferred. Prefer 5 yr. exp.


IHC experience a plus. Effective interpersonal skills required.

Holiday, evenings and weekends off.  Excellent bene's.

Detail oriented.  Responsible for technical and procedural operations of
the dept., performing quality control, quality improvement and
regulatory compliance tasks.

Job will be posted on www.usajobs.gov within the next month.

 

Please contact me if you have any questions:

 Sandra Harrison, Histology Supervisor, at sandra.harris...@va.gov. 

 

Principals only.  No recruiters please.

 

 

 

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[Histonet] job opening, Minneapolis VA

2009-08-19 Thread Harrison, Sandra C.
DEPT. OF VETERAN AFFAIRS MEDICAL CENTER, MINNEPOLIS, MN.

Full time Histotech. opportunity at Minneapolis VA.

BS or BA in Biology. HT cert. required, HTL preferred. Prefer 5 yr. exp.


IHC experience a plus. Effective interpersonal skills required.

Holiday, evenings and weekends off.  Excellent bene's.

Detail oriented.  Responsible for technical and procedural operations of
the dept., performing quality control, quality improvement and
regulatory compliance tasks.

Please e-mail resume to Sandra Harrison, Histology Supervisor, at
sandra.harris...@va.gov. 

Principals only.  No recruiters please.

 

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RE: [Histonet] nuclear bubbling

2009-07-17 Thread Harrison, Sandra C.
How about microwaving to dry slides?  Can that cause nuclear bubbling?  

When you say completely drained off, does that mean your slides have to be 
completely dry prior to placing them in the oven?

Thanks,
Sandy

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Wednesday, July 15, 2009 2:59 PM
To: Histonet; Joyce Cline
Subject: Re: [Histonet] nuclear bubbling

Anybody can experience nuclear bubbling in any type tissue as long as the 
sections as set to dry at high temperature BEFORE they are completely drained 
off!
René J.

--- On Wed, 7/15/09, Joyce Cline jcl...@wchsys.org wrote:


From: Joyce Cline jcl...@wchsys.org
Subject: [Histonet] nuclear bubbling
To: Histonet histonet@lists.utsouthwestern.edu
Date: Wednesday, July 15, 2009, 3:45 PM


Has anyone experienced nuclear bubbling on prostate biopsies? 



Joyce 





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RE: [Histonet] Eosin in Alcohol

2009-07-14 Thread Harrison, Sandra C.
polycyclic aromatic flourescent compounds that in high concentrations
  I wouldn't think the 3 mls of eosin dropped in the last 95%
alcohol could be considered high concentration but that's what keeps
Histonet entertaining; I learn something new every day.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer
Johnson
Sent: Tuesday, July 14, 2009 10:00 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Eosin in Alcohol


A couple of weeks ago I posted the message below on the histonet and all
of you responded that it shouldn't matter so I have finally gotten a
reply from the company we send our prostate biopsies off to and below is
their response.  So now you know the rest of the story!

 

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) 


Their reply:  The problem is that eosin belongs to a family of
polycyclic aromatic flourescent compounds that in high concentrations
binds to and saturates all tissue  components.  When immunoflourescence
is performed on such tissue- as in the prostate px+ test- the diffuse
background autoflourescence signal from prior treatment with these
compounds can interfere with, and even totally overwhelm, the signal of
the flourescent-labeled antibodies used to localize biomarkers in the
tissue.

 

 

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