[Histonet] Pathology Transcription
I have a couple of questions... One, what do you all use for resources for finding a good pathology transcriptionist? We've done the typical things but have been unable to fill our open position with a strong candidate. Second, I would like to cut down on the amount of paper shuffling our transcription department does. It's unbelievable! The transcriptionist handles the paperwork about 4-5 times before it is stacked and prepared by another area for scanning. Any suggestions? We cannot go completely paperless at this time due to the upfront expense but I am interested in trimming down the handling that is done in transcription so the transcriptionist can focus more on typing rather than hunting requisitions. Part of the issue is the pathologists desire to hold each requisition in their hands so I am fighting that battle as well. Thank you in advance for your input! I'd appreciate any suggestions. Sheila Haas MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Sekura Tissue Tek Block Storage
As we reuse block file drawers, we run a piece of bold colored tape (as wide as the front of the drawer) across the front. We use a different color for each year which helps quickly distinguish one year from the next when pulling or filing blocks. Works very well here and is inexpensive. Good luck. Sheila Haas MicroPath Laboratories, Inc. From: ning...@kaleidahealth.org To: histonet@lists.utsouthwestern.edu Date: Tue, 8 Jul 2014 17:23:19 + Subject: [Histonet] Sekura Tissue Tek Block Storage Hello Histonet, First time poster. My institution has a 25 year retention on paraffin blocks. The 1989 batch was just destroyed and the storage containers were returned to me. They appear to be the same size as the current sekura tissue block storage units we use. Does anyone know of a commercially available label overlay for the drawers? I could cut down adhesive labels, but wanted to see what was out there on the market. Thanks, Nick Nick Ingrao, MBA, MT(ASCP) Manager, Anatomic Pathology Kaleida Health: Buffalo General Medical Center 100 High St Buffalo, NY 14203 Office:(716) 859-2028 Pager: (716) 642-0232 Fax: (716) 859-2393 The Keeping You Informed section of Kaleida Health`s website features a wealth of information, stories and pictures about our valued workforce and the tremendous momentum our organization is experiencing. Check us out at: www.kaleidahealth.org/kyi CONFIDENTIALITY NOTICE: This email transmission and any documents, files, or previous e-mail messages attached to it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are hereby notified that any further review, disclosure, copying, dissemination, distribution, or use of any of the information contained in or attached to this e-mail transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately by e-mail, discard any paper copies, and delete all electronic files of the message. If you are unable to contact the sender or you are not sure as to whether you are the intended recipient, please call Kaleida HealthÂ’s Technology Assistance Center at (716) 859-. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Sakura Cryostat
Hi all! Is anyone using the Sakura Cryo 3 Plus cryostat for routine frozen sections? A nearby facility is inquiring but I have no experience with it myself. Any opinions would be appreciated. Thank you, Sheila Haas MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Pathologist ordering special stains/IHC's
Our pathologists dictate their requests and once transcribed, they are printed on the histology printer by transcription. This allows us to track through the LIS who transcribed and sent the request to the printer and also which printer the request was sent to. Discrepancies usually require retraining and are easily resolved. Hope this helps. Sheila Haas MicroPath Laboratories, Inc. Lakeland, FL From: dennis.h...@cookchildrens.org To: Histonet@lists.utsouthwestern.edu Date: Tue, 6 May 2014 17:18:08 + CC: Subject: [Histonet] Pathologist ordering special stains/IHC's Currently, our histology lab is located on the opposite side of the laboratory from the pathologists. They each have an excel sheet, with scanned physician signature, on their desktop for use when they order special stains, IHC's, referral testing such as cytogenetics or EM. They fill out the case number, block, stains or testing required and print the request to the Histology printer. This form is used for cutting at the microtomes and completed and initialed by the tech completing the stains and entering the charges into MT. It is then given to the pathologist to sign as an acceptable or unacceptable stain (for our Histo QA records). Then, I review the sheet, give any feedback to the performing techs if needed, and document when the final stain was acceptable to the pathologists. The issues we are having are: 1) The pathologists may or may not print the sheet to the correct printer, since they use multiple printers throughout the day. 2) Did the pathologist actually print the order? 3) Orders may be mixed up with other items printed in Histology. 4) There is no way to track who ordered what if a sheet is missing. Did the order get put in and printed? Did it go to the wrong printer? Did histo staff misplace it? 5) There is an abundance of paper printed and shuffled back and forth daily that must be reviewed and followed up on. How are other labs accomplishing pathologists ordering these tests, tracking pending requests and QA documentation? We currently have Meditech and although we have looked extensively at it in the past, we have not found a Meditech solution for this to date. Are you using other applications such as Excel, Access, etc., or other tracking programs separately? We currently do not have any barcoding in our laboratory. Thanks for any help in advance, Dennis Dennis Hahn, HT (ASCP) Histology Lab Supervisor Cook Children's Medical Center 801 7th Avenue Ft. Worth, TX 76104 (682) 885-6133 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form- Inspector Perspective.
Well said Ian and I couldn't agree more. I certainly understand the need for consistency and regulations. We are appealing a couple of our deficiencies because we have the documentation although it was not documented the way the inspectors wanted to see it (as part of a particular form); instead we have a couple of forms which captures the information in a number of ways. We'll see what CAP says...stay tuned. Thanks to everyone for their input and information. It is greatly appreciated. Sheila Haas MicroPath Laboratories, Inc. From: ibern...@uab.edu To: trathbo...@somerset-healthcare.com; sm...@msn.com; joellewea...@hotmail.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form- Inspector Perspective. Date: Thu, 10 Apr 2014 01:57:10 + I recently had the great honor to serve as a CAP inspector in Arizona. The lab we inspected will be accredited. Lest we forget as inspectors or future inspectors, I hope the below perspective illuminates the purpose of the CAP inspection and helps preserve the integrity of the program if adhered to. As inspectors, we are trained to be thorough but to simultaneously use objective judgment i.e. there may be several ways to meet the intent of the question and that we must review all pertinent documentation and then determine if the process meets the intent of the requirement. Keeping in mind that the purpose of CAP inspection is not punitive but quality laboratory improvement to fulfill the regulatory purpose of the inspection (CLIA). Our focus should be, in the interest of time and thoroughness major compliance issue rather than nitpick. This helps us maintain professionalism and preserve the peer-review nature of the program. So what is it that constitutes compliance? Per CAP: - One, that the laboratory has defined a policy, a procedure, or a plan of the three P's for how they are going to do things in the lab. - Secondly, actual practices that matches those three P's. - Finally, documentation to support the fact that practice has indeed matched policies and procedures. So what is a deficiency? Per CAP: A deficiency means that the lab did not meet the intent of the checklist item. It's not the wording; it's not the specifics. It is the intent. If any of the three above criteria are not yet met, we should cite a deficiency We are admonished to remember that there may be many ways to accomplish an objective. The lab may not do things exactly the way that your lab does, but may still be meeting the intent of the requirement(s). Citing a laboratory for not doing it the way we do it is a common inspector error. Per CAP, partial compliance is the following: If there is partial compliance (e.g., some records are inconsistent, one bottle of reagent was not labeled completely, a few temperatures were not recorded, etc.), you must judge whether the degree of non-compliance is likely to have adverse effects on test accuracy, patient care, or worker safety. Also, determine if the lab staff was aware of the inconsistency and if corrective actions were performed. If adverse effects are likely or if there are definite patterns (e.g., missing temperatures only on weekends) without corrective actions only then we must cite a deficiency. Bottom-line, If you feel you were incorrectly cited since you met the intent of the question, you should appeal to CAP. It is an inspected lab's right. If a phase 11 deficiency, submit your evidence of compliance and the Lab Accreditation Committee will either overrule or sustain. I suspect they will overrule. Just saying, but based upon just what you described, it sounds like you all met the intent of the question. MSgt Ian R Bernard, HT(ASCP), MSHA-UAB Anatomic Pathology Lab Manager USAF- Active Duty ibern...@uab.edu ian.bern...@comcast.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni Sent: Wednesday, April 09, 2014 7:04 AM To: 'Sheila Haas'; joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form CAP inspectors may have opinions which differ from our own, and their interpretation of standards may also be different. Have you challenged this deficiency with CAP? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 09, 2014 8:52 AM To: joelle weaver; Amber McKenzie; Houston, Ronald; Histonet Subject: RE: [Histonet] RE: competency form What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task
RE: [Histonet] RE: competency form
We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto:ronald.hous...@nationwidechildrens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
Thanks for the reference Patrick! Date: Wed, 9 Apr 2014 08:22:34 -0400 From: foreig...@gmail.com To: sad...@wisc.edu Subject: Re: [Histonet] RE: competency form CC: histonet@lists.utsouthwestern.edu; ronald.hous...@nationwidechildrens.org We based ours off the Michigan Society of Histotechnologist's Competency Assessment Handbook (available on their website for a nominal fee). We took some of their forms/ideas and modified them for our use. Patrick Laurie(HT)ASCP QIHC Histology Manager Celligent Diagnostics, LLC 101 East W.T. Harris Blvd | Suite 1212 | Charlotte, NC 28262 Work: 704-970-3300 Cell: 704-266-0869 On Wed, Apr 9, 2014 at 8:19 AM, Sally Ann Drew sad...@wisc.edu wrote: I don't know if it's reasonable to share with all of us, but I bet there are a lot of us that would be interested in how others are approaching these topics. I doubt there are that many workshops on the issue-or have there been teleconferences maybe that cover the subject? _Sally Sally Ann Drew,MT(ASCP) UW SMPH-Dept. of Pathology TRIP/TSB-TRIP Lab Manager CSC, K4/435 608.265.4378 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Tuesday, April 08, 2014 4:18 PM To: Houston, Ronald; Histonet Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614-722-2899 ronald.hous...@nationwidechildrens.orgmailto: ronald.houston@nationwidechild rens.org www.NationwideChildrens.orghttp://www.nationwidechildrens.org/ One person with passion is better than forty people merely interested. ~ E.M. Forster ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: competency form
What we had here, which did not meet the CAP inspectors requirements apparently, were the procedure (of course); a form with each observation of each task documented along with any corrective action necessary; the correlation of proficiency tests, educational assessments and performance reviews for technical staff; daily evaluations from the pathologists concerning staining, microtomy and grossing; and educational training documentation. We had no idea with all pieces of this documentation that we were anticipated to have more. The form for DO of each task was not detailed enough (despite listing each task and proficiency or corrective action of each task) according to the inspectors. I was hoping someone could share a form so as to assist us in seeing what holes there are in our form. While this DO form is definitely not our only form, the inspectors specifically commented on this one. If anyone can assist, it would be helpful. Thank you, Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: joellewea...@hotmail.com To: sm...@msn.com; amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: competency form Date: Wed, 9 Apr 2014 12:26:47 + Is the question that Ronnie posed yesterday requesting justification of the need and extent of competency documentation for histology, or is it just a form needed? The general checklist pretty much sums up the necessity for doing, and required elements to me- GEN. 55500 and CLIA. Maybe I am not understanding? As for a form, I would expect that the specific items on any forms will vary by your personnel and by the testing and processes you perform. What I did to document initial training and competency was a make a summary checklist for each bench with tasks and direct observations DO for initial training documentation of satisfactory performance before patient testing. I just put all those checklists together in a summary table for each person. High complexity; such as grossing, IHC, FISH scoring get more attention and documentation, the waived tests, you have more discretion,- but I thought it easier to do everything about the same. I have not been inspected on this document yet ( so can't say if CAP will have issues with it- but will know soon...) but here is basically what I did to meet GEN.55500 or the main parts; Defined how competency is monitored- method and frequency ( just included as part of the competency SOP) Orientation and initial training documentation in a checklist for general lab, safety Training checklist on each technical bench, instrument, major procedure PT records and performance/results DO- a practical assessment ( block, slides, stains), for the assessment of previously analyzed specimens, and a PI feedback checklist for the technical from this audit of issues- how/what to improve Check off in performing QC, calibration, patient ID procedures ( acceptable error rates), examples for file DO of grossing, other performance such as instrument programming/maintenance Written quiz, policies procedures, troubleshooting( problem solving documentation) Continuing education participation records Joelle Weaver MAOM, HTL (ASCP) QIHC From: sm...@msn.com To: amber.mcken...@gastrodocs.net; ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 11:10:18 + Subject: RE: [Histonet] RE: competency form CC: We were recently dinged by CAP for our competency assessments in all areas. While that's no longer my immediate responsibility, I would love to be able to assist the lab manager with some information so we can tweek our assessments if you all wouldn't mind sharing with me as well. Thanks a bunch. Sheila Haas MicroPath Laboratories, Inc. Quality Assurance Coordinator From: amber.mcken...@gastrodocs.net To: ronald.hous...@nationwidechildrens.org; histonet@lists.utsouthwestern.edu Date: Tue, 8 Apr 2014 21:17:44 + CC: Subject: [Histonet] RE: competency form Can you pass it on to me as well? I'd love to compare what I've got to what someone else is doing. Thanks, Amber -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Houston, Ronald Sent: Tuesday, April 08, 2014 2:37 PM To: Histonet Subject: [Histonet] competency form Can someone please share the competency form(s) they are using to satisfy CAP? I am having problems convincing our QA/Compliance folks of the differences between testing in AP compared to the other lab disciplines, who do read our test results Thanks Ronnie Houston, MS HT(ASCP)QIHC Anatomic Pathology Manager ChildLab, a Division of Nationwide Children's Hospital www.childlab.com 700 Children's Drive Columbus, OH 43205 (P) 614-722-5450 (F) 614
RE: [Histonet] Telepathology
We are looking into Sakura's slide scanner for frozen sections. We looked at several a few months back and liked the Sakura model best but put it on the backburner. Now we're ready to purchase. Hope this helps. Sheila Haas MicroPath Laboratories, Inc. Lakeland, FL From: ll...@aipathology.com To: histonet@lists.utsouthwestern.edu Date: Wed, 9 Apr 2014 19:07:13 + Subject: [Histonet] Telepathology This question may have already been asked, so sorry for redundancy. Are any of your labs using telepathology for frozen sections? If so, what company are you working with? ** LeAnn Lang Associates in Pathology Practice Administrator Phone: 715-847-0075 (ext 50259) ll...@aipathology.commailto:ll...@aipathology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: competency form
Well, it would be nice if that was the case but we ended up with a deficiency. It was rather disappointing given our overall documentation. Sent from my iPhone On Apr 9, 2014, at 4:37 PM, Sue suetp...@comcast.net wrote: So I went to one of the CAP webinars regarding competency And when I asked what about histology there were complete silence on the other end of the line and than they said there was nothing for histology. At our site they want something for very division so I put together a basic form and use it for the multitude of major tasks in histology. We are not getting inspeted until next year but from what I hear CAP is planning on making major changes for the pathology protion of CAP's checklist, what that means I do not know. Since CAP canot give us concrete rules for histology I think that anything a lab does is better than nothing, and shows initiative on their part to meet CAP's requirements. Since this is a peer review the inspector can suggest alternatives but cannot say you are in violation because the do not like your form. Just my thoughts S. Paturzo TJUH ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Quality Assurance
Hi All.I have recently been given a new position and am now in charge of quality assurance for our entire organization. While I have been involved in many QA projects and have carried out QA throughout histology, I haven't had much experience is looking at QA in its entirety. If anyone has suggestions or training information/guidance, I'd appreciate the help! Thank you, Sheila Haas Micro Path Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] GI biopsy slides
We cut 3 levels on one slide. Each level typically has two sections across the slide. If there are multiple pieces of tissue that need to be embedded in a little larger mold, we put 3 levels on 1 slide by breaking away the excess paraffin around the sections while they're on the waterbath. Then we can then fit 3 levels on 1 slide but each level will only have 1 section. Hope this makes sense. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Elizabeth Chatfield epchatfi...@ihis.org To: histonet@lists.utsouthwestern.edu Sent: Tuesday, September 10, 2013 11:31 AM Subject: [Histonet] GI biopsy slides Hi folks, We are re-thinking how we cut our GI biopsy slides. Currently we are cutting 3 levels with 3 sections on each slide. Is anyone out there putting all 3 levels on the same slide? We are receiving cases with a large number of samples and some our pathologists would like to see fewer slides. Thanks, Elizabeth Charlottetown, PE - Statement of Confidentiality This message (including attachments) may contain confidential or privileged information intended for a specific individual or organization. If you have received this communication in error, please notify the sender immediately. If you are not the intended recipient, you are not authorized to use, disclose, distribute, copy, print or rely on this email, and should promptly delete this email from your entire computer system. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] phobic slides
I've used Ventana for years and have never had that problem. We use Superfrost Plus slides from Cardinal. I can certainly see that their resolution would be too time consuming and I too would be concerned that the staining would be false if any reagent in the detection kit did not spread properly over the entire slide. I suggest you press it a little further with Ventana. I think there could be other instrumentation issues that would cause your problem. Hope this helps. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Bruce Gapinski bgapin...@pathgroup.com To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Friday, July 5, 2013 12:57 PM Subject: [Histonet] phobic slides Histonians! Has anyone else had incorrect IHC staining due to overly charged slides that are hydrophobic? My Ventana service department was out because I kept complaining about incomplete staining. For instance, the control at the top of the slide stained with both DAB and hematoxylin. But on the very same slide the hematoxylin was missing from the patient tissue. I told them how this unnerved me. If the same thing happens but the hematoxylin stains and the DAB does not...I could be looking at a false negative. This may have happened already as far as I know. The solution according to Ventana is to take 4 slides from each new box of slides (1/2 gross) and do a vortex mix on each of them one at a time. Then you know you have valid slides to stain patient tissues! I have no time for this. And I'm trying to believe it but it's just not scientific. How is it that my results have been free of this phobia for over a year? Why didn't I get this (EVER) with Dako instrumentation? The answer, I was told, was that the humidity was a problem. If I were to take this to it's ridiculous conclusion, I would need to inform oncologists not to operate during these incorrectly humidified days. It IS summer so I'm not sure how much humidity is required. 1. What brand of slides do you use? 2. Have you had the slide phobia so that it compromised the results? (Slide-phobia is for retired Histologists, no?) 3. (I think I know the answer but I just have to ask) Do you validate slides? Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF Important Notice: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this e-mail in error, please destroy this message and contact the Security Officer at PathGroup, Inc immediately at 615-562-9255. Thank you ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Basis for Quality Work in a Histotech
Tim, I'd be interested in more information in your labeling at the microtome that has all but eliminated errors. Would you share? Thank you, Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Morken, Timothy timothy.mor...@ucsfmedctr.org To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, December 17, 2012 11:30 AM Subject: RE: [Histonet] Basis for Quality Work in a Histotech Travis, Histology has a very complex workflow AND requires artisan level workmanship to deliver a product. Those two together nearly guarantee mistakes, mostly minor, but sometimes literally life-threatening to patients. The goal is to instill a sense of Best Quality in the techs. A large part of achieving that attitude is to ensure the pathologists and administrators are behind the techs 100% and ALLOW the techs to do Best Quality - ie, accept that Best Quality will sometimes mean slower turnaround time. Does that aspect mean more people are needed? That's your call, but can be determined by workload accounting. The attitude should be that the SYSTEM makes the mistake, not the individual. It is not likely a person makes a mistake on purpose, but instead is it some aspect of the system that allows them to make a mistake (though shortcuts can be thought of as intentionally risking making mistakes on purpose, the purpose being to save time or effort). Workflows can be engineered to ensure some mistakes don't happen. Protocols must be followed to the letter by EVERYONE. No workarounds allowed (a workaround is an indication that there is something wrong in the system - the employee feels the need to take shortcuts. Why? BTW, Bill Gates said the most important word in his vocabulary is why. Why is something done the way it is? Why does a mistake happen at a certain point? ). In failure analysis a problem is approached by asking 5 levels of WHY? After asking WHY 5 times back down the workflow chain you usually find the root cause of a problem. If not, you keep asking why until the root cause is found. For instance, we worked out a slide labeling protocol at the microtome that, if followed, will ensure the tech does not make labeling errors. All participated in working this out and so have bought into the system. All new employees are trained in that system. That will eventually be followed by barcoding, but that is a year away at least. But our protocol has nearly eliminated labeling errors (we still get a few sneaking in here and there but as we catch them we try to figure out how to engineer them away). We also finally instituted the printing of cassettes directly from our LIS rather than using a stand-alone printer or hand-writing. That has almost totally eliminated cassette labeling errors - we used to have hundreds per month, mainly by residents putting in cassettes that they did not enter in our LIS, or making simple typo errors on a stand-alone cassette labeler, or hand-written cassettes. All these methods need to be investigated. Rewards are also very helpful. We give out Bear hugs that are $5 gift certificates to the campus store, cafeteria, various food vendors in the institution, etc. it's a small reward, but people actually appreciate it. We also have Star Awards of $50 gift cards for those times when someone does something more beyond the usual. The receiver chooses the card they want from about 2 dozen available (coffee shops, VISA, various stores, etc). Good luck with it! Tim Morken Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Saturday, December 15, 2012 8:38 AM To: Travis Troyer; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Basis for Quality Work in a Histotech First I want you to excuse me, but I do not think that you are really qualified to supervise 2 histotechs if you need to ask for such quality guidance. You end by bemoaning about budget crunch and because of that it seems to me that your 2 histotechs are not receiving a decent salary and, as everybody knows, you are getting what you are paying for. With 10 years of experience you should know that the first step for quality of sections is quality of fixation and quality of processing. You have first to manage that aspect. Quality of sections comes after wards and there is no standard for mistakes and for what you are describing it seems that mistakes are frequent. By the way, if the pathologists are not pleased, they will not it take on the histotechs, but on you as a supervisor unable to provide them the quality they require. There is no such thing as instant reward for a good quality job; the histotech should not be treated as dogs receiving a cookie after a trick
[Histonet] Slide Scanner/Imaging System
I am looking for information on whole slide imaging systems that are relatively small. A desktop version that would scan 1-4 slides at a time would be sufficient and the images would need to be viewed via a secure web location. I know there are several systems out there but am looking for recommendations from those already in use. Any information you could provide would be helpful. Thank you, Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] folds in tissue
Try floating your sections on room temperature (in a shallow dish) water then carefully, on a slide, transfer to the waterbath. Sections will spread better when they hit the warm water. Good luck! Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Jennifer Sipes jengirl1...@yahoo.com To: Histonet histonet@lists.utsouthwestern.edu Sent: Friday, August 24, 2012 8:50 AM Subject: [Histonet] folds in tissue Good morning/afternoon/evening Histonetters! I'm having a problem with my tissue folding. It's tiny folds in mouse tissue that are too little to see without the use of a microscope. I was wondering if anyone has any tricks that might eliminate this so I can ensure that I'm turning out the best quality slides without having to review every slide I turn out under the microscope. I'm using distilled water in my water bath and it's set to about 40 degrees Celcius. All help is appreciated! Thank you all so much for your time! Regards, Jen Jennifer K. Sipes, ALAT Sr. Laboratory Technician Johns Hopkins University Ross 933 720 Rutland Avenue Baltimore, MD 21205 phone: 410-614-0131 fax: 410-955-9677 cell: 443-631-6361 e-mail: jsip...@jhmi.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Cytology Staining
Hello all. During an inspection yesterday, the inspector made a brief, vague reference to cytology staining now being deemed high complexity. Does anyone have information and/or a reference for this? I'd appreciate any information anyone could provide. Thanks a bunch. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cytology Staining
This inspector specifically referred to the pap stain (sorry I didn't make this clear initially). We briefly chatted about what the difference would be between the HE and the pap stains as well as automation of both stains. The inspector didn't seem to have more insight so I thought I'd ask the real experts...you all. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Sheila Haas micropathl...@yahoo.com To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Thursday, May 17, 2012 7:22 AM Subject: [Histonet] Cytology Staining Hello all. During an inspection yesterday, the inspector made a brief, vague reference to cytology staining now being deemed high complexity. Does anyone have information and/or a reference for this? I'd appreciate any information anyone could provide. Thanks a bunch. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: CAP vs. CLIA
I received the same alert and interpreted it the same as Hazel did. Also, the state inspector in my facility yesterday had the same interpretation. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Horn, Hazel V hor...@archildrens.org To: 'Willis, Donna G.' donna.wil...@baylorhealth.edu; 'Courtney Pierce' courtney.pie...@quintiles.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Thursday, May 17, 2012 10:05 AM Subject: [Histonet] RE: CAP vs. CLIA It was a CAP e alert dated April 2, 2012 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 100 YEARS YOUNG! JOIN THE PARTY AT ach100.org -Original Message- From: Willis, Donna G. [mailto:donna.wil...@baylorhealth.edu] Sent: Thursday, May 17, 2012 8:42 AM To: Horn, Hazel V; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: RE: CAP vs. CLIA I have to say I disagree with this interpretation. The commentary in the 7/11/2011 checklists indicates that regulations apply to A laboratory must evaluate and document the competency of all testing personnel for each test system. A TEST SYSTEM is the process that includes pre-analytic, analytic, and post-analytic steps used to produce a test result or set of results. To me this includes both histology and pathology office staff. This is the opinion on myself and our compliance person. Hazel can you tell us where to find the CAP quote. Thanks, Donna Willis, HT/HTL (ASCP) Histology Lab Manager Baylor University Medical Center-Dallas ph. 214-820-2465 office ph. 214-725-6184 mobile donna.wil...@baylorhealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Thursday, May 17, 2012 7:26 AM To: 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA CAP does not consider us testing personnel. How they come by this is a mystery to me. In a recent memo from CAP it describes this: Why does CAP require the completion of the Laboratory Personnel Evaluation Roster form and when was this process implemented? As part of CAP's deemed status with CMS as an accrediting organization, CMS required CAP to implement a more stringent process to document that accredited laboratories have appropriately qualified personnel and adequate documentation of personnel qualifications. The Laboratory Personnel Evaluation Roster form requires laboratories to confirm that personnel files contain the information necessary for laboratories to be in compliance with the CLIA personnel qualification regulations and CAP Checklist requirements prior to the inspection. It is also used by the inspection team to assist in the auditing of the records during the inspection to confirm compliance with the Checklist requirements. The process of completing the personnel form took effect in August 2009. And goes on to say: Do I need to list histologists on the Laboratory Personnel Evaluation Roster? Typical histologist duties (e.g., fixation, embedding, microtomy, staining and cover slipping) are not considered testing. Therefore, it is not necessary to list these personnel on the roster. However, if the histologist is performing any part of the macroscopic tissue examination which is considered high complexity testing, it is necessary to list those personnel on the roster. Such personnel must provide documentation at minimum of an associate's degree/transcripts or high school diploma or equivalent for individuals performing grossing at the same laboratory prior to September 1, 1997. 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 100 YEARS YOUNG! JOIN THE PARTY AT ach100.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Courtney Pierce Sent: Wednesday, May 16, 2012 2:27 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] CAP vs. CLIA Can someone help me with the High Complexity Test with CAP vs. CLIA. Thanks Courtney Pierce IHC Specialist Quintiles Translational RD - Oncology Innovation Navigating the new health 610 Oakmont Lane Westmont, IL 60559 Office: + 630-203-6234 courtney.pie...@quintiles.com clinical | commercial | consulting | capital ** IMPORTANT--PLEASE READ This electronic message, including its attachments, is COMPANY CONFIDENTIAL and may contain PROPRIETARY or LEGALLY PRIVILEGED information. If you
Re: [Histonet] H E Staining
Not only is it easier, it's more consistent. We use Richard-Allen Hematoxylin II and Eosin. They stain beautifully. There are many different vendors, you'll have to find one your pathologists like. Hope this helps. Sheila Haas Laboratory Manager MicroPath Laboratories, Inc. From: Bea DeBrosse-Serra bdebrosse-se...@isisph.com To: 'Sheila Fonner' fourfonn...@yahoo.com; Histonet histonet@lists.utsouthwestern.edu Sent: Tuesday, April 3, 2012 10:05 AM Subject: RE: [Histonet] H E Staining Sheila, We are using the reagents from Leica, formerly Surgipath, Gill's II Hematoxylin (01520) and Eosin (01520) on our Leica Autostainer. But there are many other vendors that are very good too. Way back when, we used to make our own hematoxylin and eosin. But it really is so much easier to buy it ready made. Bea Beatrice DeBrosse-Serra HT(ASCP)QIHC Isis Pharmaceuticals Antisense Drug Discovery 2588 Gazelle Ct. Carlsbad, CA 92010 760-603-2371 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, April 03, 2012 6:51 AM To: Histonet Subject: [Histonet] H E Staining Good morning Histonetters, Can anyone tell me if you are using a particular company's reagents for your HE staining that are pre-made and meant to work together? Also, is the cost significantly more than buying separate reagents and making up your own? Thanks, Sheila, HT (ASCP) Knoxville, TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Fungus Control Tissue
Hi all. Does anyone have a resource for control blocks? We are in need of fungus controls and are trying to save the cost of buying slides. Thanks all. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Fungus Control Tissue
Guess I should have included that we're an AP lab without access to a micro department. Sorry for the lack of info. Thanks all. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Sheila Haas micropathl...@yahoo.com To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Thursday, September 29, 2011 1:25 PM Subject: [Histonet] Fungus Control Tissue Hi all. Does anyone have a resource for control blocks? We are in need of fungus controls and are trying to save the cost of buying slides. Thanks all. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Thanks
Thanks everyone. We'll start growing our own shortly. Thanks for the great ideas! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Slides
Hi all! We are having issues with the tissue falling off of our slides during routine staining. The tissue primarily lifts from the bottom sections on the slides. We have had our stainer checked and have checked ourselves, the oven appears to be working properly and the water pressure is fine. I tried two different slide manufacturers, both silane coated, and are getting the same result. Not sure where to go at this point except to try anon-coated slide. Any suggestions on a manufacturer or vendor?? Thanks in advance. Your help is always appreciated! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Small Slide Scanner
Hi all. Is anyone out there using one of the small, low volume slide scanners for use in frozen sections? We have looked at a couple of the larger scanners for other purposes but wanted to know how the smaller ones would work for our pathologists to review frozen slides from off-site facilities. Of course, a PA would gross the specimen at the facility, cut the slides and then load them into the scanner. Any thoughts? Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Temperature monitoring system
We are looking for a system to monitor a couple of our lab refrigerators containing expensive antibodies and probes. Can anyone recommend a small, basic system? Thank you in advance. Sheila Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Thank you
Thank you to everyone for their assistance with the temperature monitoring. I've already made a couple of calls and am finding exactly what we need. Thanks again. Sheila Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] question on H pylori
IHC here. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Setlak, Lisa lset...@childrensmemorial.org To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; histonet-requ...@lists.utsouthwestern.edu histonet-requ...@lists.utsouthwestern.edu Sent: Tue, June 7, 2011 2:12:26 PM 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Histology Waste in Florida
We have our xylene, alcohol and formalin all hauled away. Where you and the quantity are may dictate how to handle the alcohol and formalin, every city/county are different. Be sure you get the information in writing if you get someone of authority to tell you it's okay to pour down the drain. Hope this helps. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: histot...@imagesbyhopper.com histot...@imagesbyhopper.com To: histonet@lists.utsouthwestern.edu Sent: Fri, April 29, 2011 6:04:25 PM Subject: [Histonet] Histology Waste in Florida Hi Histonetters, This is a question specific to Florida. Can you share with me what your facilities do with regards to the disposal of formalin and alcohol? With regards to formalin, do you recycle, haul it away, neutralize etc? With regards to alcohol, do you haul away, pour down the drain, recycle etc? Does anyone have any specific regs that could help answer these questions? Thanks! ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] IMEB
Thanks to everyone for the feedback on IMEB. It appears there have only been a couple of successful recent transactions with them. Most of the feedback I received was not favorable so it appears the company is in a good bit of disarray for reasons unknown. At this point, I've not gotten a response from the owner regarding the return of our entire deposit but if he actually comes through, I will let you all know. In the mean time, be leary of future transactions with them. Thanks again for the feedback. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] IMEB
Kaye, I was telling of my situation and asked if others had recent problems. I received many responses with two being positive and most of the others negative (a couple were offering suggestions on how to handle). I have heard this company was very reputable which is why I chose to do business with them in the first place but have since heard that recently things have been quite rocky. I do feel, at this point, that others should be leary before ordering from this company. I'd hate for someone else to be in the same situation as we are, particularly during these difficult economic times (we are out a large sum of money at this point). I also stated that if the issue is resolved, I would let everyone know but up until now it has not been. You are right, we did not have an account with IMEB but what was promised in the beginning is not what played out. I have been in this field for a very long time and realize how the accounting works but I also realize that a full refund is not unreasonable given I jumped through every hoop they requested I jump through. Keep in mind, restocking fees typically occur when items are already shipped or delivered to the customer and they return them. This is not the case here, they have both the item and our money. Again, if this issue is resolved to my satisfaction, I will gladly let everyone know. Sheila Haas From: Kaye Ryan kr...@nfderm.com To: Sheila Haas micropathl...@yahoo.com; histonet@lists.utsouthwestern.edu Sent: Thu, April 28, 2011 10:32:22 AM Subject: RE: [Histonet] IMEB I usually do not respond to postings because I have seen people that may not agree with a posting get roasted by others but I felt like I had to chance it with this posting. I have had many excellent transactions with IMEB and would recommend them to anyone. Their products are trustworthy and their prices are excellent compared to other companies that sell the same products. I have known the owner and several of the reps for many years and have never heard of an incident like this. I too, had to put a deposit down when I made my first order because we did not have an established account with them. I am assuming that you did not have an account already established since they were checking your credit status? It does take time to fill out the paper work and for them to check your credit references. It is that way with almost any new company that you place a large order with. In this day and time trust is a hard thing to come by on a new account. It is terrible that people that may not have used them now have a negative thought in their minds about the company. We all have at some time something that we can find not quite to our liking about any company and I think we need to be careful when we are saying statements like It appears there have only been a couple of successful recent transactions with them. This can be interpreted by some to mean that there have been many negative interactions so stay clear of them. Maybe a lot of their customers do not reply to posting or do not even subscribe to the histonet. Kaye Ryan Histology Manager -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Thursday, April 28, 2011 7:17 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IMEB Thanks to everyone for the feedback on IMEB. It appears there have only been a couple of successful recent transactions with them. Most of the feedback I received was not favorable so it appears the company is in a good bit of disarray for reasons unknown. At this point, I've not gotten a response from the owner regarding the return of our entire deposit but if he actually comes through, I will let you all know. In the mean time, be leary of future transactions with them. Thanks again for the feedback. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Problem with IMEB
Hi all. Has anyone had difficulties in purchasing refurbished equipment from IMEB? I have been trying to purchase a T2000 ThinPrep processor and sent 50% payment with net due in 30 days. This transaction started about a month ago and they've had our partial payment for more than 3 weeks but had not shipped the instrument. I've repeatedly called to get the status of shipment but have gotten the run around with checking our credit references. This transaction has left a very bad taste in our mouths so I proceeded to request our payment back and cancel the order yesterday. Now, IMEB says they'll return our deposit minus a 20% restocking fee for an item that never even left their facility. I was surprised to hear of this from IMEB given I'd heard they were a reputable company. My opinion has definetly changed! Just wondered if anyone else has had a similar experience with them??? Thanks for lending an ear (or many). Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Problem with IMEB
John, Thanks for the information. I actually asked for the owner today, he'd previously been out of the country, but was still unavailable. I've repeatedly told them we'd done everything they'd requested but they were still sitting on our money and the instrument. It wasn't until I threatened to cancel that they offered to send the instrument to us immediately. Poor business practice as far as I'm concerned and I'm now very leary of the remainder of their business practices (service, etc...). I hope they come through with a complete refund of our money. I'll be sure to let everyone know how it turns out. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: John Shelley jshel...@sanfordburnham.org To: Sheila Haas micropathl...@yahoo.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Wed, April 27, 2011 2:01:46 PM Subject: RE: [Histonet] Problem with IMEB Oops!! Forgot the URL http://www.imebinc.com/aboutimeb.php Here you go! Kind Regards! John J Shelley Senior Research Associate, Histology Core Facility Sanford-Burnham Medical Research Institute at Lake Nona 6400 Sanger Road Orlando, FL 32827 Tel: (407) 745-2000 Ext.2517 Fax: (407) 745-2001 email: jshel...@sanfordburnham.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of John Shelley Sent: Wednesday, April 27, 2011 1:55 PM To: Sheila Haas; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Problem with IMEB Hi Sheila, I have not worked with this company in the past but have know about them for many years. I was wondering if you tried talking with John O'Brien the owner of the company. He attends many of the histology meetings and I am sure he would not appreciate his company getting any bad publicity through Histonet. Here is a URL about him and maybe you can use his tag line to your benefit since it reads, We offer you, the customer, 100% product satisfaction. Would love to know what the outcome is. Kind Regards! John J Shelley Senior Research Associate, Histology Core Facility Sanford-Burnham Medical Research Institute at Lake Nona 6400 Sanger Road Orlando, FL 32827 Tel: (407) 745-2000 Ext.2517 Fax: (407) 745-2001 email: jshel...@sanfordburnham.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Wednesday, April 27, 2011 1:32 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Problem with IMEB Hi all. Has anyone had difficulties in purchasing refurbished equipment from IMEB? I have been trying to purchase a T2000 ThinPrep processor and sent 50% payment with net due in 30 days. This transaction started about a month ago and they've had our partial payment for more than 3 weeks but had not shipped the instrument. I've repeatedly called to get the status of shipment but have gotten the run around with checking our credit references. This transaction has left a very bad taste in our mouths so I proceeded to request our payment back and cancel the order yesterday. Now, IMEB says they'll return our deposit minus a 20% restocking fee for an item that never even left their facility. I was surprised to hear of this from IMEB given I'd heard they were a reputable company. My opinion has definetly changed! Just wondered if anyone else has had a similar experience with them??? Thanks for lending an ear (or many). Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] cyto prep
We have lab assistants running thin preps. Our cytotechs screen and do HPV. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Cynthia Pyse cp...@x-celllab.com To: Histonet histonet@lists.utsouthwestern.edu Sent: Thu, April 21, 2011 9:51:35 AM Subject: [Histonet] cyto prep Good Morning Histonetters For those of you who have pap smears in their facility's, who do you have preparing the pap smears. Lab assistants, lab tech, or lab technologists? I am having a discussion with my general manager on who can prep pap smears. I decided to take a quick poll to see what everyone else is doing. The lab is in NYS so we fall under their guidelines, which I have checked. Just want as much info as possible from as many sources as I can. Thanks in advance for the responses. Cindy Pyse, CLT, HT (ASCP) Laboratory/Histology Supervisor X-Cell Laboratories 716-250-9235 ext. 232 e-mail cp...@x-celllab.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Extended processing for breasts
Would someone who has extended their processing times to accomodate the CAP regs for breast tissue be willing to share their processing schedules with me? Up until now, we've had someone in over the weekend to add breast tissue to processor but are having staffing issues so I'm looking for alternatives. Thanks a bunch! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] microtome safety
Every tech in my facility uses something different. Some use fingers, some use forceps (usually curved), one uses a teasing needle and one uses a paint brush. It's up to the individual's technique but we do try to discourage using one's fingers too close to the blade. Hope this helps. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Bartlett, Jeanine (CDC/OID/NCEZID) j...@cdc.gov To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tue, March 8, 2011 8:20:16 AM Subject: [Histonet] microtome safety Morning all! I need some quick responses to this question: do you use your fingers or an instrument of some sort to pull your paraffin ribbons off the block when sectioning? For those that do not use their fingers, what do you use? If forceps, are these the typical lab forceps or a special type? Thanks so much! Jeanine Bartlett, BS, HT(ASCP)QIHC Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 1600 Clifton Road, MS/G-32 18/SB-114 Atlanta, GA 30333 (404) 639-3590 jeanine.bartl...@cdc.hhs.gov ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Hematology Stainer
Hi all. Does anyone use a small, desktop hematology stainer to perform Wright-Giemsa stains on bone marrow and blood smears? (We currently stain a dozen or fewer slides per day.) If so, any information you could provide would be helpful. We are currently handstaining and have variations in staining. I'm looking to streamlining the staining and stains used. Thank you, Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Lab chairs
I have to agree with Jay. A couple of years ago, we purchased new, expensive lab chairs (from an office supply store that customized) and they look great even now. I think it's worth the money from an ergonomic standpoint and also because they hold up much better. Just my 2 cents! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Jay Lundgren jaylundg...@gmail.com To: Liz Chlipala l...@premierlab.com Cc: histonet@lists.utsouthwestern.edu; Sharon.Davis-Devine sharon.davis-dev...@carle.com Sent: Wed, January 5, 2011 12:17:26 PM Subject: Re: [Histonet] Lab chairs Good luck finding good task chairs that don't cost a fortune. The good ones are all very expensive now days. I think that buying cheap ones is a false savings, however, as they will fall apart in short order. I have personally seen a busy histo lab destroy new (cheap) chairs in a year. Sincerely, Jay A. Lundgren M.S., HTL (ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] VIP 6 Users
Hi all. For those of you using the VIP 6, how and when do you change or rotate reagents? I'm particularly interested in those who count cassettes as a means of initiating reagent changes. We have mostly small biopsy specimens but do use sponges frequently. I'm looking into reducing our reagent costs but, of course, will not sacrifice processing. Thank you. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Manual Coverslipping Safety Issues
Sorry, no help here. We have lab assistants that manually coverslip and excellent ventilation in our newer facility. It is the position of the director that a lab assistant is cheaper than an automated instrument! Go figure! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Gagnon, Eric gagn...@kgh.kari.net To: histonet@lists.utsouthwestern.edu Sent: Tue, January 4, 2011 12:24:21 PM Subject: [Histonet] Manual Coverslipping Safety Issues Has anyone successfully lobbied their institution for an automated coverslipper for safety reasons? Still coverslipping manually-stained IHC, neuro autopsy and special stains, sometimes hundreds per day. There has to be a better way. Under budget constraints. That's why I'm wondering if anyone has used concerns about histology staff safety, specifically techs under direct exposure to toluene/xylene, to enable purchase of an automated/robot coverslipper. I'd be interested in anyone's experience with this approach, successfully or unsuccessfully. Eric Gagnon MLT Histology Laboratory Kingston General Hospital Kingston, Ontario, Canada ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Modified GMS
Hi all. Years ago, I used a modified GMS procedure that used periodic acid in place of chromic acid. Would anyone be willing to share their procedure for this or at least a vendor you might be purchasing a kit from? Thanks in advance! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Nails
We've had recent trouble with our sections on Superfrost Plus slides from Cardinal. Not sure what brand you're using, but might try a different company. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: godsgal...@aol.com godsgal...@aol.com To: histonet@lists.utsouthwestern.edu Sent: Fri, November 19, 2010 11:27:49 AM Subject: [Histonet] Nails We are having a very difficault time with the naisl falling off the slides when we do the PASF stain. We are using charged slides already and we have tried increasing the baking time during drying to no avail. Any suggestions? Roxanne ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Tissue loss and FISH
We recently had problems with our Superfrost Plus slides that we purchase from Cardinal. We had sections washing off and uneven staining. We switched to VWR VistaVision Histobond Slides and have had no further issues. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. From: Kuhnla, Melissa melissa.kuh...@chsli.org To: histonet@lists.utsouthwestern.edu Sent: Wed, November 17, 2010 7:28:53 AM Subject: [Histonet] Tissue loss and FISH Hello, We are a lab that has been running Pathvysion Her2 FISH for years without any major problems. Recently we have been experiencing more and more tissue section loss. I have noticed that some of the loss is starting during pretreatment. My temperatures for all steps are what they should be. During each temp. dependent step, we have two thermometers giving similar readings. Nothing has changes regarding our slide baking. I have a call into the vendor of the plus slides to verify the integrity of the lot. I have recently noticed the labeling on the pathvysion bottles is slightly different; I also have a call into them as well. Does anyone have any thoughts? Does anyone know of processing variables that may have lead to this Thank you, Melissa The information in this e-mail, and any attachments therein, is confidential and for use by the intended addressee only. If this message is received by you in error please do not disseminate or read further. Please reply to the sender that you have received the message in error, then delete the message. Although Catholic Health Services of Long Island attempts to sweep e-mail and attachments for viruses, it does not guarantee that either are virus-free and accepts no liability for any damage sustained as a result of viruses. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Precipitating Silver
Has anyone heard of precipitating silver out of a solution by adding table salt? I read this somewhere as a means of disposing of silver easily. Any info would be appreciated. Thanks, Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Thanks
Thanks to everyone for the information on xylene substitutes. This should help me get the ball rolling. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Xylene Substitute
Hi all! I'm looking for recommendations for a xylene substitute for our processing and staining. We have two VIP's and a Leica stainer. We use Permount for coverslipping (manually with glass). Does anyone use a xylene substitute that you would recommend for this combination? Thank you! Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] (no subject)
I agree with Tom and Michael. Those who have been fortunate enough to pass deserve the kudos and pay increase. As for the title, he simply isn't eligible at this point. He is a non-registered tech. Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Fredrickson, Mona mfredrick...@nrh-ok.com To: Histonet@lists.utsouthwestern.edu Histonet@lists.utsouthwestern.edu Sent: Wed, July 7, 2010 1:03:55 PM Subject: [Histonet] (no subject) Hello All in Histoland, I have a tech who is employed as Histotech eligible, but he was not able to pass the HT exam and now is no longer eligible to thake the test because he has to get his associates degree in science. The lab management wants to change his title from histotech eligible to histotech non-registered without pay increase. But I feel the pay should be increased. So I would appreciate comments on the following: 1.) should title be changed from eligible to non-registered? 2.) After having done this for 8 years should his pay stay the same? 3. Should job responsibilities remain the same Thank you in advance for feedback! Histotech in Oklahoma FONT face=Tahoma size=2 FONT color=#ffUFONT size=2 PCONFIDENTIALITY NOTICE:/U/P PThis e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender immediately and destroy all copies of this communication and any attachments./FONT/FONT/FONT/P ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] VIP6
Hi all. Anyone out there with a VIP 6 using the cassette count as a way of tracking to determine reagent changes? Just curious as to what number of cassettes are recommended before changes. We're used to changing by number of runs vs number of cassettes. Thanks in advance! Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Cytotech Position
Hi everyone! If anyone knows a cytotechnologist interested in a position, we have one here in Lakeland, Florida. It is a full-time position, M-F and candidate must have FL state license or be eligible to obtain one. Please contact me for further information. Thank you in advance. Sheila Haas Laboratory Supervisor MicroPath Laboratories, Inc. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: Eosin evaporation.
Cheri, How close on your stain line is your eosin in relation to the oven? It's possible if it nearby, the oven is evaporating your eosin more rapidly than expected. Just a thought. Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Cheri Miller cmil...@physlab.com To: Sherwood, Margaret msherw...@partners.org; Breeden, Sara sbree...@nmda.nmsu.edu; Mahoney, Janice A janice.maho...@alegent.org; histonet histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu histonet-boun...@lists.utsouthwestern.edu Sent: Fri, January 15, 2010 11:14:30 AM Subject: RE: [Histonet] RE: Eosin evaporation. We do this as well, that is why I am stumped. Cheryl Miller HT ASCP CM Histology Supervisor Physicians Laboratory Services Omaha, NE. 402 731 4148 -Original Message- From: Sherwood, Margaret [mailto:msherw...@partners.org] Sent: Friday, January 15, 2010 9:53 AM To: Breeden, Sara; Mahoney,Janice A; Cheri Miller; histonet; histonet-boun...@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Eosin evaporation. I agree Sally; we cover as soon as the run is over and had to adjust the level of our H E since the frosted end of the slides were getting stained as well. We also try to limit the sections to the bottom half or third of the sldie. PRIVILEGED / CONFIDENTIAL INFORMATION may be contained in this message. If you are not the addressee intended / indicated or agent responsible for delivering it to the addressee, you are hereby notified that you are in possession of confidential and privileged information. Any dissemination, distribution, or copying of this e-mail is strictly prohibited. If you have received this message in error, please notify the sender immediately and delete this email from your system. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] tech schedules
We do not rotate schedules here nor have we at any facility I've worked at over the years in this area. Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Martha Ward mw...@wfubmc.edu To: histonet@lists.utsouthwestern.edu Sent: Tue, December 1, 2009 1:15:29 PM Subject: [Histonet] tech schedules I am posting this for my department manager. He is wondering how other labs schedule their techs. In other words, do the techs work fixed times (ie, come in always at 5 am) or do they rotate schedules (ie, come in at 5 am for one month, then 6 am the next month, etc). I will pass along your responses to him. Thanks in advance for any help you can give. Martha Ward Wake Forest University Baptist Medical Center ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Digital Pathology Systems
Can anyone recommend a digital pathology system? Our pathologists are interested in viewing slides from off-site locations. Thank you! Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Xylene Substitute
Hi all. Could someone recommend a xylene substitute and mounting media to use for staining and coverslipping (no vendors please)? I am considering processing without xylene and would like to discontinue everywhere if possible. My previous experience was a lifetime ago and I'm sure things have advanced since then. Thank you. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Company email
I just ran into an interesting issue that I thought I'd share. I was trying to place a credit card order with Beckman Coulter but was denied due to them not liking my email address. Mind you, I was willing to pay with a credit card. I placed the order on 9/2 and have been fighting with them ever since. Ridiculous! Today they were standing by their policy of not accepting my email address as a business address so I'm taking my business elsewhere. Just thought I'd share this with those of you looking for a company to do business with. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Company email
I've jumped through hoops already and made a dozen calls to the company (they are refusing) to no evail so I suppose hurt is accurate but not for long. There are many other companies out their to order from so I'll just move down the list. Thanks, Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Galbraith, Joe joseph-galbra...@uiowa.edu To: Sheila Haas micropathl...@yahoo.com Cc: histonet@lists.utsouthwestern.edu Sent: Monday, September 14, 2009 1:05:49 PM Subject: RE: [Histonet] Company email Sheila: Often on-line vendors do not 'like' and sometimes do not accept 'free-mailer' email addresses like yahoo, g-mail, hotmail, etc. because they are frequently faked or spoofed. This is often an issue with the payment processor (the company the supplier hires to process credit cards) not the supplier directly. These processors frequently get burned by scam artists and it can sometimes cost the processor lots of money, hence their reluctance to process free email addresses. They are looking for pay for service addresses from internet access providers like Quest, Mediacom, or your company, etc. For those (and there are many of us these days) who save money by using a free-mailer, this issue can be a problem. You can complain to the supplier and they may be able to pressure the processor to some degree but it is almost certainly not directly their issue. Look to see whose secure site you are transferred to when you go to pay for your purchase on-line. That may tell you the company who is actually setting this rule. If Beckman is actually processing their payments and making the rule directly, then try using a different email address (the best ones that are set up via your own company, ie yourn...@yourcompany.com). In the absence of a 'real' email addy, I presume you have tried the telephone ordering approach. If they won't take an order over the phone without a 'real' email addy, then you are in a world of hurt. Be sure that you are using a physical address for your location and ship to address that is trusted and can be independently confirmed. That may help them be less concerned. Best of luck. Joe joseph-galbra...@uiowa.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas Sent: Monday, September 14, 2009 11:34 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Company email I just ran into an interesting issue that I thought I'd share. I was trying to place a credit card order with Beckman Coulter but was denied due to them not liking my email address. Mind you, I was willing to pay with a credit card. I placed the order on 9/2 and have been fighting with them ever since. Ridiculous! Today they were standing by their policy of not accepting my email address as a business address so I'm taking my business elsewhere. Just thought I'd share this with those of you looking for a company to do business with. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Company email
Thanks to all for listening and the input. I knew it wasn't just me! Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Podawiltz, Thomas tpodawi...@lrgh.org To: Sheila Haas micropathl...@yahoo.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, September 14, 2009 2:04:57 PM Subject: RE: [Histonet] Company email Talk about being ridiculous. Almost sounds like Navy logic Tom Podawiltz, HT (ASCP) Histology Section Head/Laboratory Safety Officer LRGHealthcare 603-524-3211 ext: 3220 From: Sheila Haas [micropathl...@yahoo.com] Sent: Monday, September 14, 2009 1:49 PM To: Podawiltz, Thomas; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Company email Yes, it was a company card. They indicated payment wasn't the issue they needed the email address for their records. Go figure! Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Podawiltz, Thomas tpodawi...@lrgh.org To: Sheila Haas micropathl...@yahoo.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, September 14, 2009 1:41:06 PM Subject: RE: [Histonet] Company email Just curious, were you trying to use a company credit card? If not try setting up a paypal account that is link to your credit card. Tom Podawiltz, HT (ASCP) Histology Section Head/Laboratory Safety Officer LRGHealthcare 603-524-3211 ext: 3220 From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas [micropathl...@yahoo.com] Sent: Monday, September 14, 2009 12:34 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Company email I just ran into an interesting issue that I thought I'd share. I was trying to place a credit card order with Beckman Coulter but was denied due to them not liking my email address. Mind you, I was willing to pay with a credit card. I placed the order on 9/2 and have been fighting with them ever since. Ridiculous! Today they were standing by their policy of not accepting my email address as a business address so I'm taking my business elsewhere. Just thought I'd share this with those of you looking for a company to do business with. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet THIS MESSAGE IS CONFIDENTIAL. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not the intended recipient, you may not print,distribute, or copy this message or any attachments. If you have received this communication in error, please notify the sender by return e-mail and delete this message and any attachments from your computer. Any views or opinions expressed are solely those of the author and do not necessarily represent those of LRGHealthcare. THIS MESSAGE IS CONFIDENTIAL. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not the intended recipient, you may not print,distribute, or copy this message or any attachments. If you have received this communication in error, please notify the sender by return e-mail and delete this message and any attachments from your computer. Any views or opinions expressed are solely those of the author and do not necessarily represent those of LRGHealthcare. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Disinfectant
Could anyone please assist me in locating specific references for disinfecting work surfaces in the laboratory? I'm looking for something from the CDC or OSHA regarding this issue. Thank you in advance! Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Negative IHC controls
I have a question concerning ANP.22570 on the CAP checklist. Could you all tell me how you are handling negative controls for IHC staining? The question actually states (and I've confirmed with CAP) that we should be running two types of negative controls. One for reagents and one for each antibody in a run. I'd like to know what the practice is. This seems very costly and time consuming. Thanks in advance! Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cyto prep question
We had the same problem here and after much QC to follow trends, found that it was the same two clinicians. They had 2 of 8 exam rooms with the wrong lubricant and also needed more information on collection. Since then, no further problems. Sheila Haas Laboratory Supervisor Micro Path Laboratories From: Mike Pence mpe...@grhs.net To: histonet@lists.utsouthwestern.edu Sent: Monday, March 30, 2009 10:27:18 AM Subject: [Histonet] Cyto prep question I know this many not be the forum to ask this question, but I know many of us have cyto depts. within our labs. We have been seeing an increase in the number of unsatisfactory urine specimens from our Urology group lately and it is due to lubricant on the ThinPrep filter. We have worked with the Urology group and they are using the recommended lubricant from the manufactory. We see the problem even when the urine is diluted in CytoLyt for several hours. Has anyone else experienced this problem? Thanks in advance, Mike ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Intellipath Instrument
A colleague of mine is looking into purchasing an immuno stainer. Biocare has offered a good price on the Intellipath instrument, antibodies and reagents. While we know the antibodies are reagents are excellent, we know nothing about their instrumentation. Does anyone have any first hand experience with the Intellipath instrument, service from Biocare, etc...? Any information would be helpful. Thank you in advance. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Bone Marrow Smears
Hi all. I have a pathologist complaining about naked nuclei in his bone marrow smears. It's fairly random, some are great and some are naked. Anyone heard of this and have any idea what may be causing this nakedness? Any input would be helpful.Thank you. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Seeking Flow Cytometry Tech
We are currently seeking a flow cytometry technologist for our pathology laboratory in Lakeland, Florida. Experience and appropriate state licensure is required. If interested, send resume via e-mail or web site, www.micropathlabs.com. No recruiters please. Thank you, Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Basic Flow Cytometry
Hi all. I am looking for a basic course in flow cytometry. Does anyone know of one? We're looking to set up testing in our existing lab and I'm looking to get a head start on training. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Marketing Position
We are currently recruiting for a marketing position in our organization. We are an Anatomic Pathology reference lab located in Lakeland, Florida and are looking for someone with both lab and marketing experience. If you are interested or know someone who is, please contact me toll-free at 866-961-2785. Thank you. Sheila Haas Laboratory Supervisor Micro Path Laboratories ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
