[Histonet] looking for two speakers from NSH Vancouver

2012-11-13 Thread Heath, Nancy L.
I was wondering if anyone new the names of and how to get in touch with
the two speakers that gave the 8:00 am lecture Saturday September 29th
titled Getting Good Sections of Anything? If anybody knows out there
in histo land and can help I would greatly appreciate it :)

 

Nancy Heath, HT (ASCP)

Neuropathology Tech Specialist

Dept. of Pathology., Div. of Neuropathology

Rhode Island Hospital

APC Blding, Flr 12, Rm 211

593 Eddy Street 

Providence, RI 02903

lab: 401-444-3246

fax: 401-444-9889

nhe...@lifespan.org

 

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[Histonet] anybody out there working with EKI Safe-Clear??

2012-11-12 Thread Heath, Nancy L.
Anybody using EKI Safe-Clear (xlene substitute)? I just would like to
know what mounting media you are using with it. I like the stuff but,
just need to find a mounting media that goes with it :)

 

Nancy Heath, HT (ASCP)

Neuropathology Tech Specialist

Dept. of Pathology., Div. of Neuropathology

Rhode Island Hospital

APC Blding, Flr 12, Rm 211

593 Eddy Street 

Providence, RI 02903

lab: 401-444-3246

fax: 401-444-9889

nhe...@lifespan.org

 

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RE: [Histonet] know error system - prostate biopsies

2012-04-13 Thread Heath, Nancy L.
When I worked per-diem for Plus Diagnostics here in Warwick RI we used
it. It was a pain in the butt!!

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology
Rhode Island Hospital
APC Blding, Flr 12, Rm 211
593 Eddy Street 
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard
Cartun
Sent: Friday, April 13, 2012 9:21 AM
To: Histonet
Subject: [Histonet] know error system - prostate biopsies

I am curious how many of you working in hospital or non-hospital
Anatomic Pathology labs are using the know error system for prostate
biopsy/patient DNA confirmation?  Thank you.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax



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RE: [Histonet] Cassette labeling problem

2012-04-09 Thread Heath, Nancy L.
@Linda...How did you figure out it was your cassettes? Sometimes I have
a problem with my cassette marker coming off my cassettes too no matter
what brand of cassette marker I use. Please let me know your secret :)
What are the best brand of cassettes to use?

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology
Rhode Island Hospital
APC Blding, Flr 12, Rm 211
593 Eddy Street 
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek,
Linda
Sent: Monday, April 09, 2012 11:20 AM
To: 'Tim Wheelock'; Histonet
Subject: RE: [Histonet] Cassette labeling problem

It may be your cassette and not your marker.  That was the problem we
encountered awhile ago.  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tim
Wheelock
Sent: Monday, April 09, 2012 11:17 AM
To: Histonet
Subject: [Histonet] Cassette labeling problem

Hi All:


Lately I have been having problems with the ink fading-and/or simply
coming off in pieces-from our processing cassettes.
I use Securline Marker 2/Superfrost pens.
The writing seems to hold fine even if the cassettes sit in formalin for
several weeks.

So I am assuming that the problem comes either in the processing or
embedding stage.
I think the ink was still fine when I removed the cassette basket from
the processor's retort, but I can't remember for sure.

Then, I let the cassettes sit in Surgipath Embedding Media for two hours
before embedding the tissue, since my Shandon XP processor has only 2
wax reservoirs.
I have noticed lately that pieces of ink are coming off of the cassettes
into the embedding media, making some-but not all-of the cassettes
impossible to read..
I have turned down the temperature of the cassette holding tank, in case
the temperature of the embedding media is pulling the ink off.

Has anyone experienced this before, and if so, how did you overcome it?
Are the Securline Marker 2/Superfrost pens appropriate for cassettes?

Thank you for any advice you can provide,

Tim Wheelock
Harvard Brain Tissue Resource Center
McLean Hospital
Belmont, MA.
617-855-3592

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RE: [Histonet] muscle biopsy stains ATPase

2012-03-08 Thread Heath, Nancy L.
hope this helps :)

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology
Rhode Island Hospital
APC Blding, Flr 12, Rm 211
593 Eddy Street 
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn,
Hazel V
Sent: Wednesday, March 07, 2012 10:46 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] muscle biopsy stains ATPase

We are having a problem with our ATPase muscle stain.  Does someone out
there have a good procedure for this?  And any tips or suggestions??
Thanks.

Hazel Horn
Supervisor of Histology/Autopsy/Transcription
Anatomic Pathology
Arkansas Children's Hospital
1 Children's Way | Slot 820| Little Rock, AR 72202
501.364.4240 direct | 501.364.1302 office | 501.364.1241 fax
hor...@archildrens.org
archildrens.org



















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RE: [Histonet] ATPase reaction

2012-03-08 Thread Heath, Nancy L.
@ Hazel Horn...sorry about not attaching the procedure :/

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology
Rhode Island Hospital
APC Blding, Flr 12, Rm 211
593 Eddy Street 
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
mtitf...@aol.com
Sent: Thursday, March 08, 2012 7:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] ATPase reaction


Hazel Horn asks about the ATPase reaction:

Years ago we had problem with our ATPase reaction on F/S of muscle
biopsies. We discovered that in keeping the substrate at minus 20oC in a
freezer, and getting it out and letting it warm up to room temperature
before weighing a small amount out for the procedure, and then putting
it back in the freezer,  in doing that all the time, we had
inadvertantly inactivated the ATPase substrate. Its best to aliquot it
out when you first receive it from Sigma, or whoever, and keep those
vials frozen, getting one out to use every time you do the reaction.

Other than that, I would think the solutions are suspect, too old or
wrong pH or something like that.

Regards
Michael Titford
Pathology  - USA
Mobile AL 
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RE: [Histonet] ATPase reaction

2012-03-08 Thread Heath, Nancy L.
well...looks like I don't know how to attach things so they will post on
histonet...Hazel Horn I sent my procedure to your email too :)

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology
Rhode Island Hospital
APC Blding, Flr 12, Rm 211
593 Eddy Street 
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heath,
Nancy L.
Sent: Thursday, March 08, 2012 2:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] ATPase reaction

@ Hazel Horn...sorry about not attaching the procedure :/

Nancy Heath, HT (ASCP)
Neuropathology Technician
Pathology Tech Specialist
Dept. of Pathology., Div. of Neuropathology Rhode Island Hospital APC
Blding, Flr 12, Rm 211
593 Eddy Street
Providence, RI 02903
lab: 401-444-3246
fax: 401-444-8514
nhe...@lifespan.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
mtitf...@aol.com
Sent: Thursday, March 08, 2012 7:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] ATPase reaction


Hazel Horn asks about the ATPase reaction:

Years ago we had problem with our ATPase reaction on F/S of muscle
biopsies. We discovered that in keeping the substrate at minus 20oC in a
freezer, and getting it out and letting it warm up to room temperature
before weighing a small amount out for the procedure, and then putting
it back in the freezer,  in doing that all the time, we had
inadvertantly inactivated the ATPase substrate. Its best to aliquot it
out when you first receive it from Sigma, or whoever, and keep those
vials frozen, getting one out to use every time you do the reaction.

Other than that, I would think the solutions are suspect, too old or
wrong pH or something like that.

Regards
Michael Titford
Pathology  - USA
Mobile AL 
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[Histonet] RISH's Carnival Mardi Gras Conference 3-24-2012

2012-01-25 Thread Heath, Nancy L.
Hi Everyone,

 

The Rhode Island Society for Histotechnology will be hosting their
Carnival Mardi Gras Conference on Saturday March 24 2012 at Dave 
Buster's in the Providence Place Mall, Providence, RI. This is a one day
conference providing 7 CEU's. Freida Carson is our guest speaker! To
register and for more details please visit RISH's Mardi Gras 2012 page
on our website at  www.rihisto.org  FREE RISH membership is included
with conference registration! 

 

Laissez les bons temps rouler

 

Nancy Heath, HT (ASCP)

President - Rhode Island Society for Histotechnology

presid...@rihisto.org

phone: 401-444-3246

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RE: [Histonet] Exam Prep Info/Guidance/Suggestions

2011-11-11 Thread Heath, Nancy L.
Hi Lyn,

Go to our website www.rihisto.org and go to our links page where you
will find the histology-world website and they have loads of histo info!
Good luck on your HTL!!
Nancy Heath, HT (ASCP)
President - Rhode Island Society for Histotechnology :)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle
weaver
Sent: Friday, November 11, 2011 11:47 AM
To: lstad...@cbiolabs.com; histonet-boun...@lists.utsouthwestern.edu;
Histonet
Subject: RE: [Histonet] Exam Prep Info/Guidance/Suggestions


LynI am happy if I can help. It is a difficult exam, with one of the
lowest pass rates and you got really close on your first try so don't be
hard on yourself. I wish you the best of luck,  and I am confident you
will be successful on your next attempt! 

Joelle Weaver MAOM, BA, (HTL) ASCP
 
http://www.linkedin.com/in/joelleweaver

 From: lstad...@cbiolabs.com
To: joellewea...@hotmail.com
Subject: RE: [Histonet] Exam Prep Info/Guidance/Suggestions
Date: Fri, 11 Nov 2011 16:28:44 +










Joelle ~
 
Thank you so much for your detailed and thoughtful response!  
This is most greatly appreciated and I am so grateful for histonet for
this kind 
of professional interaction and support. I will take your info into
account and 
be sure to let you know how it goes!
 
Lyn



From: joelle weaver [mailto:joellewea...@hotmail.com] 

Sent: Friday, November 11, 2011 10:25 AM
To: Lyn Stadler; 
Histonet
Subject: RE: [Histonet] Exam Prep 
Info/Guidance/Suggestions



Lyn
I compliment you on your organized approach. I did not 
take the exam recently, I am old now! But as part of my previous job I

spent a lot of time analyzing the content and exam topics for the HT
exam. If 
you look at both outlines (HT and HTL) you will see that they cover a
broad 
scope of histotechnology. Many people assume that it is mostly routine

histology, but in fact they throw some obscure things in there and some 
histology speciality practices, and my understanding from a
teleconference 
on the topic from the exam preparers and working with ASCP and NAACLS,
is 
that they want to encompass the full spectrum of possible environments
where 
histologists may work.There are key differences between clinical and
research 
environments, but the basic histology theory is the same, just practices
and 
emphasis differences. This makes sense if you think about their 
purpose(s). So if you understand the fundamentals you should be able to
move 
easily between the environments and I believe that is what they are
going 
for.
Anyhow, I think that the newest Carson 
edition is good, but my personal feeling is that it is quite heavy on
the 
very routine and most common special stains only, and though it is much
better 
than the previous ones ( which I felt were very superficial), it is
still mostly 
routine since it is meant to be an introductory text. I recommend the
Sheehan 
and Hrapchak text for studying the less common special stains, if you
can 
utilize this for the underlying chemistry and theory. Though bear in
mind 
that this text is quite old now and some techniques presented are pretty

outdated, but you can get the theory from it. It is not as reader
friendly, 
and less pictures, mostly diagrams if any, but the chemistry is laid out

pretty well in my opinion, though you have to dig around a bit.  My
advice 
to people has always been to make some attempt to understand the 
underlying chemistry so that you are not trying to memorize stains. They

can be grouped according to chemical interaction and target 
tissue element for study purposes. Then you will not be thrown off by 
modifications and variations so much for histochemical stains.  I 
organized it this way when I taught chemistry of stains and this seems
to help 
people digest the information without getting overwhelmed by all the
stains out 
there. The web is good these days for providing practice images and 
gets you used to seeming them on a monitor- though there is 
no replacement for spending time at the microscope.  I think being 
strong in tissue identification also helps immensly for both HC and IHC 
staining, so any time you spend with that at the scope is great in my 
opinion.  The BOR study guide is good to get you used to the wording 
and presentation of the questions that are used ( being retired or not
used exam 
questions), and gives you some idea of the scope of the content. The
more 
difficult questions are marked with an * in the guide, and they
represent the 
type and level of questioning on the HTL. Also that exam is more heavy
on the 
application, troubleshooting and synthesis. There are some operations
questions 
on there as well that do not appear on the HT exam. I like the CAP
website for 
information for background on compliance and higher level functions. 
The NSH study materials I also feel are very helpful for content review,
and 
available from their website.
Here are some other 

RE: [Histonet] SALARY

2011-10-31 Thread Heath, Nancy L.
Histotechnologists are the most valuable employees in the laboratory
today!

THANK YOU DR. CARTUN!! 

Nancy Heath, HT (ASCP)
Neuropathology Technician
Neuropathology Department
Rhode Island Hospital
President - Rhode Island Society for Histotechnology


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard
Cartun
Sent: Friday, October 28, 2011 12:52 PM
To: kcasti...@frii.com; Histonet@lists.utsouthwestern.edu; Caroline
Pratt
Subject: RE: [Histonet] SALARY

I think that's low.  If you find a good candidate with years of
experience I would pay them whatever it takes to get them in the door.
It's like Free Agency in baseball; if you want a good player, you need
to put the money on table.  Histotechnologists are the most valuable
employees in the laboratory today! 

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax


 Pratt, Caroline caroline.pr...@uphs.upenn.edu 10/28/2011 9:21 AM

I would say $28 to $32 dollars an hour depending on experience and
education.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
kcasti...@frii.com 
Sent: Friday, October 28, 2011 7:54 AM
To: Histonet@lists.utsouthwestern.edu 
Subject: [Histonet] SALARY

HI EVERYONE,

WOULD LIKE TO KNOW WHAT LEAD TECHS AND SUPERVISORS ARE GETTING PAID 
THESE DAYS.  HAVE A FELLOW HISTO PERSON THAT IS RUNNING THEIR OWN DERM 
LAB AND DOING MOHS ALSO.  THANKS FOR YOUR HELP.  KRISTY

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RE: [Histonet] SALARY

2011-10-31 Thread Heath, Nancy L.
Just got offered a lead tech position, salary of $85600.00 in a private lab 
opened by a group of docs. Didn't take it because the health insurance plan 
they offered was lousey. 75% health covered with a 250.00 deductable, dental 
covered at 60% and no coverage for family or husbandwould of had to pay 
that out of pocket.
I'm in New England.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of John Shelley
Sent: Friday, October 28, 2011 2:25 PM
To: Pratt, Caroline; Richard Cartun; kcasti...@frii.com; 
Histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] SALARY

With all that said what are your going rates in this area that you are speaking.

Kind Regards!
 
John J Shelley




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt, Caroline
Sent: Friday, October 28, 2011 2:19 PM
To: Richard Cartun; kcasti...@frii.com; Histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] SALARY

If that is an option, I would agree, but non-profit teaching hospitals
have compensation ranges and grids according to education and
experience.  We keep every employee with the same education and skill
set at the same compensation for an equitable pay system.  If we feel
our employees are being under paid we will conduct a market analysis and
the rates will be increased for all applicable employees if the market
analysis justifies it.

Car :)

-Original Message-
From: Richard Cartun [mailto:rcar...@harthosp.org] 
Sent: Friday, October 28, 2011 12:52 PM
To: kcasti...@frii.com; Histonet@lists.utsouthwestern.edu; Pratt,
Caroline
Subject: RE: [Histonet] SALARY

I think that's low.  If you find a good candidate with years of
experience I would pay them whatever it takes to get them in the door.
It's like Free Agency in baseball; if you want a good player, you need
to put the money on table.  Histotechnologists are the most valuable
employees in the laboratory today! 

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax


 Pratt, Caroline caroline.pr...@uphs.upenn.edu 10/28/2011 9:21 AM

I would say $28 to $32 dollars an hour depending on experience and
education.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
kcasti...@frii.com 
Sent: Friday, October 28, 2011 7:54 AM
To: Histonet@lists.utsouthwestern.edu 
Subject: [Histonet] SALARY

HI EVERYONE,

WOULD LIKE TO KNOW WHAT LEAD TECHS AND SUPERVISORS ARE GETTING PAID 
THESE DAYS.  HAVE A FELLOW HISTO PERSON THAT IS RUNNING THEIR OWN DERM 
LAB AND DOING MOHS ALSO.  THANKS FOR YOUR HELP.  KRISTY

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RE: [Histonet] SALARY

2011-10-31 Thread Heath, Nancy L.
I agree :)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Breeden,
Sara
Sent: Friday, October 28, 2011 3:22 PM
To: Podawiltz, Thomas; Richard Cartun; kcasti...@frii.com;
Histonet@lists.utsouthwestern.edu; Caroline Pratt
Subject: RE: [Histonet] SALARY

I nominate Dr. Cartun as the Patron Saint for Histopathology.  We should
work on a statue and a Mission Statement for him...

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RE: [Histonet] SALARY

2011-10-31 Thread Heath, Nancy L.
Not so good when you fall into a higher tax bracket and uncle sam takes
25% of your salary and the insurance with dental weekly would have cost
me around $232.55 a week...no thanks

 

From: joelle weaver [mailto:joellewea...@hotmail.com] 
Sent: Monday, October 31, 2011 10:35 AM
To: Heath, Nancy L.; jshel...@sanfordburnham.org;
caroline.pr...@uphs.upenn.edu; rcar...@harthosp.org; kcasti...@frii.com;
Histonet
Subject: RE: [Histonet] SALARY

 

I know the cost of living is greater on the east coast, but that sounds
good to me. The insurance is not better, and as an HTL I make less than
1/2 of that! Things are determined by the market I realize, but all
these postings are sure making me feel bad and also realize that I am
not marketing myself well


Joelle Weaver MAOM, BA, (HTL) ASCP
 

 Date: Mon, 31 Oct 2011 06:29:12 -0400
 From: nhe...@lifespan.org
 To: jshel...@sanfordburnham.org; caroline.pr...@uphs.upenn.edu;
rcar...@harthosp.org; kcasti...@frii.com;
Histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] SALARY
 CC: 
 
 Just got offered a lead tech position, salary of $85600.00 in a
private lab opened by a group of docs. Didn't take it because the health
insurance plan they offered was lousey. 75% health covered with a 250.00
deductable, dental covered at 60% and no coverage for family or
husbandwould of had to pay that out of pocket.
 I'm in New England.
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of John
Shelley
 Sent: Friday, October 28, 2011 2:25 PM
 To: Pratt, Caroline; Richard Cartun; kcasti...@frii.com;
Histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] SALARY
 
 With all that said what are your going rates in this area that you are
speaking.
 
 Kind Regards!
  
 John J Shelley
 
 
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt,
Caroline
 Sent: Friday, October 28, 2011 2:19 PM
 To: Richard Cartun; kcasti...@frii.com;
Histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] SALARY
 
 If that is an option, I would agree, but non-profit teaching hospitals
 have compensation ranges and grids according to education and
 experience. We keep every employee with the same education and skill
 set at the same compensation for an equitable pay system. If we feel
 our employees are being under paid we will conduct a market analysis
and
 the rates will be increased for all applicable employees if the market
 analysis justifies it.
 
 Car :)
 
 -Original Message-
 From: Richard Cartun [mailto:rcar...@harthosp.org] 
 Sent: Friday, October 28, 2011 12:52 PM
 To: kcasti...@frii.com; Histonet@lists.utsouthwestern.edu; Pratt,
 Caroline
 Subject: RE: [Histonet] SALARY
 
 I think that's low. If you find a good candidate with years of
 experience I would pay them whatever it takes to get them in the door.
 It's like Free Agency in baseball; if you want a good player, you
need
 to put the money on table. Histotechnologists are the most valuable
 employees in the laboratory today! 
 
 Richard
 
 Richard W. Cartun, MS, PhD
 Director, Histology  Immunopathology
 Director, Biospecimen Collection Programs
 Assistant Director, Anatomic Pathology
 Hartford Hospital
 80 Seymour Street
 Hartford, CT 06102
 (860) 545-1596 Office
 (860) 545-2204 Fax
 
 
  Pratt, Caroline caroline.pr...@uphs.upenn.edu 10/28/2011 9:21
AM
 
 I would say $28 to $32 dollars an hour depending on experience and
 education.
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
 kcasti...@frii.com 
 Sent: Friday, October 28, 2011 7:54 AM
 To: Histonet@lists.utsouthwestern.edu 
 Subject: [Histonet] SALARY
 
 HI EVERYONE,
 
 WOULD LIKE TO KNOW WHAT LEAD TECHS AND SUPERVISORS ARE GETTING PAID 
 THESE DAYS. HAVE A FELLOW HISTO PERSON THAT IS RUNNING THEIR OWN DERM 
 LAB AND DOING MOHS ALSO. THANKS FOR YOUR HELP. KRISTY
 
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[Histonet] different routes to obtain HT / HTL ASCP certification

2011-10-13 Thread Heath, Nancy L.
Hi,

 

I know this has been posted a bunch of times on here but can someone
once again answer the question...What are the different routes to
obtaining an HT and an HTL.

 

Thanks,

Nancy Heath, HT (ASCP)

___
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Histonet@lists.utsouthwestern.edu
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RE: [Histonet] peggy wenk comments on HT/HTL practical

2011-08-30 Thread Heath, Nancy L.
I totally agree Sarah :) 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
sdys...@mirnarx.com
Sent: Tuesday, August 30, 2011 10:30 AM
To: histot...@imagesbyhopper.com; joellewea...@hotmail.com
Cc: histonet@lists.utsouthwestern.edu; mad...@verizon.net
Subject: RE: [Histonet] peggy wenk comments on HT/HTL practical

I have been required to cut slides at every job interview I have ever
been to.  I think this is good practice to follow because if you know
what you are doing you should be fine and have no worries.  If you are a
book tech and have no practical experience then you should not be hired
over someone who does.  I think the practical should come back as part
of the exam!!  I had to do it...when you cut 900 slides to get 9 that
are perfect, you learn a thing or two on how to modify yourself to be
better!!
Just my two cents =)

Sarah Goebel-Dysart, BA, HT(ASCP)
Histotechnologist
Mirna Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
histot...@imagesbyhopper.com
Sent: Monday, August 29, 2011 6:48 PM
To: joelle weaver
Cc: Histonet; mad...@verizon.net
Subject: Re: [Histonet] peggy wenk comments on HT/HTL practical

Interestingly, I have never been required to section tissue in a job
interview. I have worked at four hospitals, three private labs and one
research facility (hubby moved us around a bit!)

I just recently hired two techs, directly out of school with no real
world experience. I did ask them to cut some slides for me!  ;o)

Michelle

Sent from my iPhone

On Aug 29, 2011, at 9:05 AM, joelle weaver joellewea...@hotmail.com
wrote:

 
 
 I was required to know and understand all this as well. I often have
had to perform various aspects on an interview, and had no problems with
this.
 Joelle
 
 Joelle Weaver MAOM, BA, (HTL) ASCP
 
 
 From: b-freder...@northwestern.edu
 To: lpw...@sbcglobal.net; mad...@verizon.net;
histonet@lists.utsouthwestern.edu
 Date: Mon, 29 Aug 2011 12:35:50 +
 Subject: RE: [Histonet] peggy wenk comments on HT/HTL practical
 CC: 
 
 I remember having to know, regarding Peggy's comment on why a reagent
was on a piece of tissue, for my HTL what was going in every step of the
retic (oxidation,reduction,toning etc) and believe me it was on the
exam. We were taught to know the why from the techs that trained us and
had taken the exam. If you chose to ignore what they said, it was on
your head.
 
 As to the microtomy during an interview, I'm all for it as I have done
it in the past (as an interviewer and interviewee)  and most recently,
as we had a tech come in from Romania and how were we to know what she
knew? Their program is a CLS degree and she chose histo from that. Great
tech by the way- histo is not much different the world over, from what I
can see.
 
 Bernice
 
 Bernice Frederick HTL (ASCP)
 Senior Research Tech
 Pathology Core Facility
 ECOGPCO-RL
 Robert. H. Lurie Cancer Center
 Northwestern University
 710 N Fairbanks Court
 Olson 8-421
 Chicago,IL 60611
 312-503-3723
 b-freder...@northwestern.edu
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee 
Peggy Wenk
 Sent: Sunday, August 28, 2011 6:41 PM
 To: mad...@verizon.net; histonet@lists.utsouthwestern.edu
 Subject: Re: [Histonet] peggy wenk comments on HT/HTL practical
 
 Now add in a few other things, that I didn't directly mention in the
original 2006 HistoNet reply.
 
 How many people are now using:
 - automated HE stainers
 - automated special stainers, including IHC stainer
 - automated coverslippers
 - automated microtomes
 - disposable blades
 
 Can you see why nearly everyone passed the practical? If they could
cut a half-way decent section (with better microtomes and blades, easier
to do), just put the slide on a machine and let the machine stain it. To
fail, they basically had to NOT follow a LOT of directions, such as
submitting colon for small intestine, submitting autolyzed gall bladder,
doing the wrong stain (like doing a Prussian blue for iron, instead of
the requested colloidal iron), grossing the tissue too small,
microtoming too thick, putting the institution's name on the label, etc.
Automation makes it easier to produce better sections and better stains,
particularly if someone is a mediocre tech to begin with.
 
 As to whether the person understands the theory when using automated
stainers - well, the fact that many of the people submitting the
practical could pass the practical but would fail the written - that has
been going on since ancient times, when staining was done by hand.
They could follow the directions, but didn't know the reasons. Pour on
solution A for 5 minutes, pour it off, pour on solution B for 10
minutes, rinse it 

RE: [Histonet] RE: Embedding process improvementandcompetencyassessment

2011-08-26 Thread Heath, Nancy L.
If people cheated. Then people cheated. There will always be that
element. To discard that requirement (the practical) because of the
cheat factor was a silly (remember, this is my rantnot yours) excuse
that I have heard from some people who were part of the decision.  What
was lost was the incredable effort that was needed to do that practical
and the experience of being able to produce registry quality slides.
That is not cheating themselves, but robbing every pathologist and
patient that followed until that person started to produce quality
work.

I could not agree more with what Bill O'Donnell wrote!! Thank you Bill.
I have students in the clinical portion of there histo training and
though I am not former military my students sure do think I am!! I
strive for perfection from the time they section in their first piece of
tissue till their last stained slide. 

Nancy Heath, HT(ASCP)

-Original Message-
From: O'Donnell, Bill [mailto:billodonn...@catholichealth.net] 
Sent: Thursday, August 25, 2011 4:48 PM
To: Podawiltz, Thomas; Heath, Nancy L.; Jennifer MacDonald
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: RE: [Histonet] RE: Embedding process
improvementandcompetencyassessment

Tom, (and all those following this thread)

And we got that ;) perfection. 

(Warning, long rant ahead... Rene's might have been longer, but he
spread it out over a number of posts)

(Hi Rene, I enjoyed your rant.)

My biggest barrier in assimilating into the civilian workforce was
that perfection wasn't required or even at times expected. I still can't
get my head around that. Because of what was expected of me by my unit,
30 years later, my embedding is tight w nice, neat rows, cutting is neat
and aligned and staining is crisp. (However, I will not win any speed
contest) My point in this is not to blow my horn. Most of you out there
turn out the same or better quality. My point is this, when supervisors
and peers stop striving for perfection then there will always be a need
for skills assessments and re-training. There will be little or no
perfection.


Over the last thirty years of training and supervising, I have always
tried to instill the idea that we are dealing with a person's tissue.
Wrapped up in that is a lot of anxiety and stress that the patient is
having. The first thing a new trainee or tech had to do when they came
to me (in the civilian world)was spend a week shadowing phlebotomy so
that they got the chance to see some of the faces behind the samples. 

But in the last ten years or so, there has been too much emphasis on
speed as a standard of performance, and in general, there has been a
growing attitude that perfection isn't possible. (many factors to blame,
I suppose)

I once worked for a very demanding pathologist and because of his
expectations, the whole crew put out near perfection. Pathologists that
are OK with what they get, so long as they can make a diagnosis, are a
huge part of that problem.

But as supervisors, we only get what we expect of people and strive for
and example ourselves. 

(The rest of the rant is anecdotal and not very interesting, but since I
took the time to write it, here it is...)

This was also the period (Navy)when I had to do that monster practical
for the HT. Back then, it was not 7 or 8 slides, but many more with a
large number of special stains as well. I knew if it passed the guys in
our lab, it should be no problem passing the practical. The guy who took
the test at the same time I did, picked his tissues on Wednesday,
embedded them on Thursday cut cut and stained them on Saturday and
mailed them on Monday. He had no concern at all that his work wouldn't
be good enough. He passed the practical with a very respectable
percentile. I think that helps to bolster the idea that an expectation
that is demanded and fostered is one that can be confidently met. 

If people cheated. Then people cheated. There will always be that
element. To discard that requirement (the practical) because of the
cheat factor was a silly (remember, this is my rantnot yours) excuse
that I have heard from some people who were part of the decision.  What
was lost was the incredable effort that was needed to do that practical
and the experience of being able to produce registry quality slides.
That is not cheating themselves, but robbing every pathologist and
patient that followed until that person started to produce quality work.

(Rany over, thanks to those who hung out til the end I hope it was
worth it)

I hope every one has a great weekend, as I am off on Friday and will be
having a great weekend myself. Shalom - Bill

-Original Message-
From: Podawiltz, Thomas [mailto:tpodawi...@lrgh.org]
Sent: Thursday, August 25, 2011 1:21 PM
To: O'Donnell, Bill; Heath, Nancy L.; Jennifer MacDonald
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: RE: [Histonet] RE

RE: [Histonet] RE: Embedding process improvement andcompetencyassessment

2011-08-25 Thread Heath, Nancy L.
Thank you Joe!! 
Nancy Heath, HT(ASCP) 

-Original Message-
From: Galbraith, Joe [mailto:joseph-galbra...@uiowa.edu] 
Sent: Thursday, August 25, 2011 2:07 PM
To: Bea DeBrosse-Serra; 'Jennifer MacDonald'; Heath, Nancy L.
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: RE: [Histonet] RE: Embedding process improvement
andcompetencyassessment

How disgusting to hear about cheating.  I recall that someone was
supposed to sign off as a witness that the applicant had done the work
themselves.  I spent months acquiring tissue, processing, embedding,
cutting and staining a set of blocks and slides and was rewarded with a
high score for the effort.  It was something I could be proud of.  As I
recall we had to submit 25 or so slides back then only some of which
were graded and the grading was really strict (but did vary with the
grader).

Joe Galbraith HTL (and also MT by the way) University of Iowa

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bea
DeBrosse-Serra
Sent: Thursday, August 25, 2011 12:14 PM
To: 'Jennifer MacDonald'; Heath, Nancy L.
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: RE: [Histonet] RE: Embedding process improvement and
competencyassessment

I heard of a lot of cheating as well. People paid others to do the
blocks and staining. How good does it do? In the end, these people are
cheating themselves. Very sad!

Beatrice DeBrosse-Serra HT(ASCP)QIHC
Isis Pharmaceuticals
Antisense Drug Discovery
1896 Rutherford Road
Carlsbad, CA 92008
760-603-2371



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer
MacDonald
Sent: Thursday, August 25, 2011 7:58 AM
To: Heath, Nancy L.
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: RE: [Histonet] RE: Embedding process improvement and
competencyassessment

I fail to see the correlation of a non HT person supervising the
Histology lab and the lack of a practical exam for HT/HTL staff.  One of
the issues that Shelley brought up was the staff lost or did not develop
their embedding skills.  Submission of a practical exam is not proof of
highly developed embedding skills.  For the HT exam there were 8 blocks
that were submitted (9 slides).  I know of cases where the blocks were
not even embedded or cut by the applicant.




Heath, Nancy L. nhe...@lifespan.org
Sent by: histonet-boun...@lists.utsouthwestern.edu
08/25/2011 07:11 AM

To
D'Attilio, Shelley sdatt...@stormontvail.org, Podawiltz, Thomas
tpodawi...@lrgh.org, Histonet Listserv (E-mail)
histonet@lists.utsouthwestern.edu
cc

Subject
RE: [Histonet] RE: Embedding process improvement and
competencyassessment






This is exactly why the powers that be should have NEVER gotten rid of
the practical portion of the HT/HTL board certification!

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
D'Attilio, Shelley
Sent: Thursday, August 25, 2011 9:45 AM
To: Podawiltz, Thomas; Histonet Listserv (E-mail)
Subject: [Histonet] RE: Embedding process improvement and
competencyassessment

Hi Tom,
Thank you for your kind words.  I am off the bench almost completely.  I
can work in the gross room in a pinch and my counting skills are
excellent, so I can always file slides and block if an emergency
arises:)  I occasionally cover a bench in Chemistry as well, but my
staff is all pretty glad that I mostly stay in my office.

Thanks so much for the embedding information.  The main problem we are
tackling at the moment is tissue orientation.  I have written a pretty
detailed embedding procedure that is being reviewed by the new histology
supervisor.  Our plan is to refresh the training of everyone on staff in
conjunction with this procedure, then add specific embedding
competencies to our checklist.  I will make sure that the procedure
incorporates the first 6 elements that you listed below.

Currently we have a QA sheet that is given to the pathologist with each
batch of slides.  Pathologists provide us with feedback on the slide
quality by filling out the form.  Slides with sub-standard
quality--whether in orientation, cutting, staining, whatever--our
reviewed by every histotech in the lab with an aim to education and
improvement of performance.  We have a form called the Slide Quality
Review Form that details the quality issue.  Techs are directed to
review the slides and comment.  Difficult cases or those where people
disagree are discussed in our department meetings.

One of our difficulties over the years has been how the work was divided
between the histotechs.  One histotech loved to embed and was very good
at it, so he did most of the embedding.  He eventually moved to an
overnight

RE: [Histonet] Embedding process improvement and competency assessment

2011-08-25 Thread Heath, Nancy L.
This is exactly why the powers that be should have NEVER gotten rid of the 
practical portion of the HT/HTL board certification!  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Thursday, August 25, 2011 9:31 AM
To: histonet@lists.utsouthwestern.edu; ShelleyD'Attilio
Subject: [Histonet] Embedding process improvement and competency assessment

Shelley:
I fully understand your position and I am sure that you sometimes may have felt 
as a stranger in histology. I also understand that you have been able to do 
things that had benefit the histology work flow..
My general point is that I think that promotions, in all fields of the medical 
laboratory, should come from within as a reward for a good job. It is the 
same thing as if somebody from outside the ranks of the Chemical Laboratory is 
promoted to run it. The same thing has happen in your case when you became the 
manager for histology coming from outside histology.
You have pointed out to a key component of this whole equation: the salary 
differences and, more deep than that even, is the fact that histotechs are 
looked down from many members of the medical lab. There is still the 
perception, encouraged by many a pathologist, that even a monkey can make a 
tissue section.
The fact that histology is 80% still manual compared with the chemical lab that 
is almost 90% automated, projects an image that histology is a less than 
technical activity, when it is not.
This missperception and some disdain the histotechs are perceived, is the core 
cause why the promotions in histology usualy do not come from its ranks. And it 
is also why when that happens, like in your case, you find yourself at a miss 
about how those tasks wordy of a monkey are done.
I hope that now you understand why my first rant. This is my second rant.
Under separate cover I am sending you the competencies you need.
René J. 
 
 
 

--- On Wed, 8/24/11, D'Attilio, Shelley sdatt...@stormontvail.org wrote:


From: D'Attilio, Shelley sdatt...@stormontvail.org
Subject: RE: [Histonet] Embedding process improvement and competency assessment
To: Rene J Buesa rjbu...@yahoo.com, histonet@lists.utsouthwestern.edu
Date: Wednesday, August 24, 2011, 5:14 PM



Rene',
I agree with many of the points you make about a non-histotech managing a 
histology laboratory, especially since the decision could be seen to devalue 
the special training and knowledge of a histotech.  Every bit of knowledge I 
have gained along the way has been hard-fought, to say the least, and I'm quite 
sure that I have made mistakes.  
 
My experience in the clinical lab did give me an outside perspective on our 
procedures and processes in our Histology lab.  In my tenure, I have introduced 
slide and cassette labelers that are interfaced with our AP information system 
and rapid tissue processing technology.  In addition, I am a great proponent of 
specimen tracking systems, particularly as a way to improve patient safety.  I 
hope to implement a tracking system in the next 2-3 years.   So while I 
struggle with the many things that I do not know, I am proud of the changes I 
championed in our laboratory.
 
I think the original idea for my position (and I'm not the first to have this 
position) was as an administrative manager--budget, new equipment, personnel 
matters, etc. with the histotechs themselves functioning as a self-directed 
team for technical matters.  Because our volumes have grown and the technology 
become more complex, I was able to justify the addition of a bench-level 
supervisor.
 
And I agree with you that medical technologists/clinical laboratory scientists 
could make excellent histotechs.  It is a shame that in many labs the rate of 
pay for the two positions is not equivalent.
 
It is very generous to offer your embedding competencies, and I humbly accept.  
 
Regards,

-Original Message-
From: Rene J Buesa [mailto:rjbu...@yahoo.com]
Sent: Wednesday, August 24, 2011 2:18 PM
To: histonet@lists.utsouthwestern.edu; D'Attilio, Shelley
Subject: [Histonet] Embedding process improvement and competency assessment






Shelley: 
Please do not miss-understand what I am going to write you but I still find 
extremely difficult to wrap my mind around the fact that somebody without 
practical knowledge of histology can become a manager of a histology 
laboratory. 
You will have a very hard time going about your tasks and you will probably 
make some judgment mistakes.
I have proposed many times that medical technologists are the answer to the 
shortage of histotechs, but because I think MT can be trained and add to their 
theoretical knowledge of the lab the skills to become good histotecha.
Your question is an example of the difficulties you are encountering because 
one of the responsibilities of the histology manager is to develop and write 
the competencies for each task based on his/her 

RE: [Histonet] RE: Embedding process improvement and competencyassessment

2011-08-25 Thread Heath, Nancy L.
This is exactly why the powers that be should have NEVER gotten rid of
the practical portion of the HT/HTL board certification! 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
D'Attilio, Shelley
Sent: Thursday, August 25, 2011 9:45 AM
To: Podawiltz, Thomas; Histonet Listserv (E-mail)
Subject: [Histonet] RE: Embedding process improvement and
competencyassessment

Hi Tom,
Thank you for your kind words.  I am off the bench almost completely.  I
can work in the gross room in a pinch and my counting skills are
excellent, so I can always file slides and block if an emergency
arises:)  I occasionally cover a bench in Chemistry as well, but my
staff is all pretty glad that I mostly stay in my office.  

Thanks so much for the embedding information.  The main problem we are
tackling at the moment is tissue orientation.  I have written a pretty
detailed embedding procedure that is being reviewed by the new histology
supervisor.  Our plan is to refresh the training of everyone on staff in
conjunction with this procedure, then add specific embedding
competencies to our checklist.  I will make sure that the procedure
incorporates the first 6 elements that you listed below.

Currently we have a QA sheet that is given to the pathologist with each
batch of slides.  Pathologists provide us with feedback on the slide
quality by filling out the form.  Slides with sub-standard
quality--whether in orientation, cutting, staining, whatever--our
reviewed by every histotech in the lab with an aim to education and
improvement of performance.  We have a form called the Slide Quality
Review Form that details the quality issue.  Techs are directed to
review the slides and comment.  Difficult cases or those where people
disagree are discussed in our department meetings.  

One of our difficulties over the years has been how the work was divided
between the histotechs.  One histotech loved to embed and was very good
at it, so he did most of the embedding.  He eventually moved to an
overnight shift, which resulted in him embedding even more than he was.
Consequently, other staff people either lost their skills or never fully
developed them.  It was introduction of rapid processing that really
brought this issue to the forefront, since different people were
embedding at different times of the day.

Unfortunately, I let my NSH membership lapse this year for budgetary
reasons.  I have purchased quite a few resources over the years from
NSH, and even attended the NSH annual meeting a few years ago when it
was in Phoenix.  I will reconsider my decision to drop my membership.  

For those on the list, here is Tom's response to my question:

Hi Shelley, 

I would suggest you join NSH, they have all kinds of reference material
for this type of work. 

Please tell me you are off the bench, you have a lot to monitor and if
you are working the bench on top of your management duties my prayers go
out to you. 

Embedding: 

1. Proper size of mold in relation to specimen size. 
2. Proper orientation of tissue, example 5 skin biopsies, dermis must
face the same direction, and be at an angle to the blade so when you cut
the section cuts smoothly and doesn't roll up. 
3. Multiple pieces all on the same plane. If one piece is deeper than
the others you must re-embed, or you will cut through the other pieces
before you reach it. 
4. Make sure that the embedding unit is wipe down between each case as
are the forceps, this will avoid tissue floaters. 
5. Never open more than one cassette at a time. 
6. Verify that the piece count on the work sheet matches what is in the
cassette when it is opened.
7. Never hound the staff about speed, accuracy is more important, speed
comes with experience. If its embedded wrong, it will be cut wrong and
this will effect diagnosis. 
8. What do you do for QA on the slides?I have a work sheet that the
Pathologist fills out each day about the slides, which is the end
product of embedding. 

I hope my tips help you and feel free to contact me if you need
anything.  

Tom Podawiltz, HT (ASCP)
Histology Section Head/Laboratory Safety Officer LRGHealthcare
603-524-3211 ext: 3220




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Thank 

RE: [Histonet] RE: Embedding process improvement and competencyassessment

2011-08-25 Thread Heath, Nancy L.
Regardless of wether there were 8 blocks or eighteen blocks taking the
practical taught me to be precise with all of the hands on aspects of
Histology. Shame on the older techs from the practical days of not
keeping on top of their game with embedding. My comment was geared more
towards the newbies coming out of histo schools who can pass the exam
with flying colors but sit them in front of an embedding center or
microtome and they are all thumbs! As far as a manager, I myself would
rather have someone who has experience with histology over seeing my
work. Just once again the lack of respect of having the HT/HTL behind
your name.



From: Jennifer MacDonald [mailto:jmacdon...@mtsac.edu] 
Sent: Thursday, August 25, 2011 10:58 AM
To: Heath, Nancy L.
Cc: Histonet Listserv (E-mail);
histonet-boun...@lists.utsouthwestern.edu; D'Attilio, Shelley;
Podawiltz, Thomas
Subject: RE: [Histonet] RE: Embedding process improvement and
competencyassessment



I fail to see the correlation of a non HT person supervising the
Histology lab and the lack of a practical exam for HT/HTL staff.  One of
the issues that Shelley brought up was the staff lost or did not develop
their embedding skills.  Submission of a practical exam is not proof of
highly developed embedding skills.  For the HT exam there were 8 blocks
that were submitted (9 slides).  I know of cases where the blocks were
not even embedded or cut by the applicant. 




Heath, Nancy L. nhe...@lifespan.org 
Sent by: histonet-boun...@lists.utsouthwestern.edu 

08/25/2011 07:11 AM 

To
D'Attilio, Shelley sdatt...@stormontvail.org, Podawiltz, Thomas
tpodawi...@lrgh.org, Histonet Listserv (E-mail)
histonet@lists.utsouthwestern.edu 
cc
Subject
RE: [Histonet] RE: Embedding process improvement and
competencyassessment






This is exactly why the powers that be should have NEVER gotten rid of
the practical portion of the HT/HTL board certification! 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
D'Attilio, Shelley
Sent: Thursday, August 25, 2011 9:45 AM
To: Podawiltz, Thomas; Histonet Listserv (E-mail)
Subject: [Histonet] RE: Embedding process improvement and
competencyassessment

Hi Tom,
Thank you for your kind words.  I am off the bench almost completely.  I
can work in the gross room in a pinch and my counting skills are
excellent, so I can always file slides and block if an emergency
arises:)  I occasionally cover a bench in Chemistry as well, but my
staff is all pretty glad that I mostly stay in my office.  

Thanks so much for the embedding information.  The main problem we are
tackling at the moment is tissue orientation.  I have written a pretty
detailed embedding procedure that is being reviewed by the new histology
supervisor.  Our plan is to refresh the training of everyone on staff in
conjunction with this procedure, then add specific embedding
competencies to our checklist.  I will make sure that the procedure
incorporates the first 6 elements that you listed below.

Currently we have a QA sheet that is given to the pathologist with each
batch of slides.  Pathologists provide us with feedback on the slide
quality by filling out the form.  Slides with sub-standard
quality--whether in orientation, cutting, staining, whatever--our
reviewed by every histotech in the lab with an aim to education and
improvement of performance.  We have a form called the Slide Quality
Review Form that details the quality issue.  Techs are directed to
review the slides and comment.  Difficult cases or those where people
disagree are discussed in our department meetings.  

One of our difficulties over the years has been how the work was divided
between the histotechs.  One histotech loved to embed and was very good
at it, so he did most of the embedding.  He eventually moved to an
overnight shift, which resulted in him embedding even more than he was.
Consequently, other staff people either lost their skills or never fully
developed them.  It was introduction of rapid processing that really
brought this issue to the forefront, since different people were
embedding at different times of the day.

Unfortunately, I let my NSH membership lapse this year for budgetary
reasons.  I have purchased quite a few resources over the years from
NSH, and even attended the NSH annual meeting a few years ago when it
was in Phoenix.  I will reconsider my decision to drop my membership.  

For those on the list, here is Tom's response to my question:

Hi Shelley, 

I would suggest you join NSH, they have all kinds of reference material
for this type of work. 

Please tell me you are off the bench, you have a lot to monitor and if
you are working the bench on top of your management duties my prayers go
out to you. 

Embedding: 

1. Proper size of mold in relation to specimen size. 
2. Proper orientation of tissue, example 5 skin biopsies, dermis must
face the same direction

[Histonet] ArrayMold System

2011-01-07 Thread Heath, Nancy L.
Wondering if anyone has used/purchased the ArrayMold tissue micro array
system?? Positive and negative feedback would be greatly appreciated :)
 
Nancy Heath, HT(ASCP)
 
March 10, 2011 is Histotechnology Professionals Day
 
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RE: [Histonet] RAGE and AGE

2010-11-12 Thread Heath, Nancy L.
RAGE and AGE - yes rage gets worse with age...it's called menopausei
just had too it's FRIDAY!! 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Annette
Featherstone
Sent: Friday, November 12, 2010 12:19 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RAGE and AGE

Is anyone using RAGE or AGE antibody successfully? If so would you be
willing to share vendor and data?
 
I am also looking for a Tunel Assay kit, what would any of you
recommend?
 
Thanks,
 
Annette Featherstone
 
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[Histonet] autopsy

2009-10-20 Thread Heath, Nancy L.
what would be the contributing factors to cause autopsy tissue to be
fried or dry and brittle when sectioning??
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[Histonet] standards for sectioning embedding

2009-01-28 Thread Heath, Nancy L.
Hi,
 
What standards do you Histo folks out there require of new student hires
and seasoned techs for the amount of slides sectioned and blocks
embedded.
 
Thanks,
 
Nacy
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[Histonet] Type I and TYpe II Immunos for fiber typing

2009-01-15 Thread Heath, Nancy L.
Hi Everyone :)
 
Does anyone do or know of antibodies for immuno staining of muscle for
fiber typing?? If you do catalog numbers and company that you get the
antibodies from would be greatly appreciated and also your procedure
would also be nice :)
 
Neuropath Nancy @ RIH
 
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[Histonet] can anyone tell me

2008-11-11 Thread Heath, Nancy L.
Hi,
 
Can anyone tell me why you would put bone fragments in PennFix before
decal??
 
Thanks :)
 
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