[Histonet] Disposal of blocks and slides
Hello all, What are the guidelines for disposal of blocks and slides? This was never discussed in my program and I am now in charge of the department. No one who currently works here has been through the process. Any help will greatly be appreciated. -- Charles Riley HT(ASCP)CM Histopathology Coordinator/ Mohs Doctors Pathology Services, Dover DE ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Disposal of blocks and slides
Hello, in the Netherlands (Europe), the Dutch Society of Pathologists, has made a document called "code for good use of body materials". This advice is established after an juridical consultation in connection with the excisting legal provisions. The standard for now (since 2011) is: blocks 115 years frozen material 30 years slides (glass or digital) 30 years reports 30 years Bert klein Brink Head of Department Histopathology Gelre Hospital Apeldoorn (Netherlands) Op 12 jan. 2016 14:34 schreef "Charles Riley via Histonet" < histonet@lists.utsouthwestern.edu>: > Hello all, > > What are the guidelines for disposal of blocks and slides? This was never > discussed in my program and I am now in charge of the department. No one > who currently works here has been through the process. Any help will > greatly be appreciated. > > -- > > Charles Riley HT(ASCP)CM > > Histopathology Coordinator/ Mohs > > Doctors Pathology Services, Dover DE > ___ > 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] Disposal of blocks and slides
Charles, Not sure if you are CAP accredited or will be, but this is from our checklist for the last inspection period. ANP.12500 Record Retention Phase II Surgical pathology records and materials are retained for an appropriate period. NOTE 1: Minimum requirements for surgical pathology, providing these are not less stringent than local, state and national regulations, are: 1. Accession log records - 2 years 2. Wet tissue (stock bottle) - 2 weeks after final report 3. Paraffin blocks - 10 years (subject to Notes 2 and 3, below) 4. Glass slides (including control slides) and reports - 10 years (slides must remain readable for this period) 5. Surgical pathology reports - 10 years (see Notes 4 and 5, below) 6. Fluorochrome-stained slides - at the discretion of the laboratory director 7. Fine needle aspiration slides - 10 years 8. Images of FISH studies - 10 years (see Note 6, below) There must be a documented policy for protecting and preserving the integrity and retrieval of surgical pathology materials and records. The retention period should be extended, when appropriate, to provide documentation for adequate quality control and medical care. NOTE 2: Regarding extra-institutional release of blocks for research purposes: Federal regulations require that a laboratory retain paraffin blocks for two years unless the tissue is blocked specifically for research and not used for patient diagnostic purposes.* The CAP Commission on Laboratory Accreditation (CLA) requires, however, that paraffin blocks used for patient diagnostic purposes must be kept for at least 10 years. Nevertheless, such blocks may be released for research purposes after the two-year regulatory requirement if all of the following criteria are met: 1. For laboratories subject to US regulations, formal written authorization is obtained in accordance with the requirements of HIPAA if identifiable patient information is released. 2. The laboratory retains sufficient blocks to support the diagnosis for the full 10-year period. 3. Provision is made for retrieval by the laboratory of any blocks or material that remain after use in research, if the blocks or material are needed for diagnostic, legal, or other legitimate purposes. 4. The laboratory meets other relevant requirements including but not limited to the requirements of the institution, the directives of any applicable institutional review board (IRB) or similar entity; and state and local laws and regulations. NOTE 3: Given that patient survival rates are increasing and the continued emergence of treatment based on biomarker testing, which at times may be required on the original tissue, it is recommended that, whenever feasible, tissue block retention from patients with diagnosed malignancies be retained beyond the 10 year requirement. NOTE 4: Pathology reports may be retained in either paper or electronic format. If retained in electronic format alone, however, the electronic reports must include a secure pathologist electronic signature. Images of paper reports--such as microfiche or PDF files--are acceptable. NOTE 5: Reports of outside consultations performed on cases from the laboratory (whether or not such consultation was requested by the laboratory) must be retained for 10 years after the date on which the original report was issued. NOTE 6: There is no retention requirement for images when the source slides remain readable for the required 10-year retention period. The 10-year retention requirement applies to images of slide preparations that are not readable for the 10-year period (e.g. FISH studies). *The restriction on release of blocks does not prohibit release of blocks for purposes of treatment, diagnosis, prognosis, etc., for patients on research protocols as long as release is consistent with patient privacy regulations (e.g. HIPAA) and applicable state and local Walter Benton HT(ASCP)QIHC Lab Operations Manager Chesapeake Urology Associates 806 Landmark Drive, Suite 127 Glen Burnie, MD 21061 443-471-5850 (Direct) 410-768-5961 (Lab) 410-768-5965 (Fax) Chesapeakeurology.com Voted a Best Place to Work by Baltimore and Modern Healthcare Magazines. -Original Message- From: Charles Riley via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Tuesday, January 12, 2016 8:29 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Disposal of blocks and slides Hello all, What are the guidelines for disposal of blocks and slides? This was never discussed in my program and I am now in charge of the department. No one who currently works here has been through the process. Any help will greatly be appreciated. -- Charles Riley HT(ASCP)CM Histopathology Coordinator/ Mohs Doctors Pathology Services, Dover DE ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: The information contained
Re: [Histonet] Disposal of blocks and slides
The New York state Law it is 20 for blocks and 20 year for slide also includes frozen sections slide Sent from AOL Mobile Mail Get the new AOL app: mail.mobile.aol.com On Tuesday, January 12, 2016, B kB via Histonetwrote: Hello, in the Netherlands (Europe), the Dutch Society of Pathologists, has made a document called "code for good use of body materials". This advice is established after an juridical consultation in connection with the excisting legal provisions. The standard for now (since 2011) is: blocks 115 years frozen material 30 years slides (glass or digital) 30 years reports 30 years Bert klein Brink Head of Department Histopathology Gelre Hospital Apeldoorn (Netherlands) Op 12 jan. 2016 14:34 schreef "Charles Riley via Histonet" < histonet@lists.utsouthwestern.edu>: > Hello all, > > What are the guidelines for disposal of blocks and slides? This was never > discussed in my program and I am now in charge of the department. No one > who currently works here has been through the process. Any help will > greatly be appreciated. > > -- > > Charles Riley HT(ASCP)CM > > Histopathology Coordinator/ Mohs > > Doctors Pathology Services, Dover DE > ___ > His tonet 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] Disposal of Blocks and Slides
Our lab will be passing its 10th anniversary shortly, and for space considerations, will begin disposal of blocks and slides. None of blocks or slides from early years have patient ID, so no HIPAA concerns, but what other issues are there with disposal? What kind of waste do slides and blocks constitute? Are they considered medical waste? Any information, particularly from Illinois, appreciated. Lester J. Raff, MD MBA UroPartners Medical Director Of Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel: 708-486-0076 Fax: 708-492-0203 A celebratory post: http://www.chicagonow.com/downsize-maybe/2016/01/turning-60-along-with-some-of-my-friends/ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Disposal of Blocks and Slides (Lester Raff MD)
Lester, For safety's sake, as well as laymen peace of mind, I would place them in the normal tissue disposal biohazard boxes. Notify the proper areas as to what they are so that they can be aware. Most other areas in the hospital will feel better, but the number crunchers may be upset because of the number of containers being used. You cannot fill them to the top, but usually about 1/2 to 3/4 full. Sincerely, Toysha N. Mayer, D.H.Sc., MBA, HT (ASCP) Instructor/Education Coordinator Program in Histotechnology School of Health Professions UT M.D. Anderson Cancer Center 713.563-3481 The information contained in the e-mail message may be privileged, confidential, and/or protected from disclosure. This e-mail message may contain protected health information (PHI); dissemination of PHI should comply with applicable federal and state laws. If you are not the intended recipient, or an authorized representative of the intended recipient, any further review, disclosure, use, dissemination, distribution, or copying of this message or any attachment (or the information contained therein) is strictly prohibited. If you think that you have received this e-mail in error, please notify the sender by return e-mail and delete all references to it and its contents from your systems. Message: 10 Date: Tue, 5 Jan 2016 17:35:05 + From: Lester Raff MD <lr...@uropartners.com> To: "'histonet@lists.utsouthwestern.edu'" <histonet@lists.utsouthwestern.edu> Subject: [Histonet] Disposal of Blocks and Slides Message-ID: <6347C6D2B080534F9B5C2B08436DCFAF0B5EA84B@COLOEXCH01.uropartners.local> Content-Type: text/plain; charset="us-ascii" Our lab will be passing its 10th anniversary shortly, and for space considerations, will begin disposal of blocks and slides. None of blocks or slides from early years have patient ID, so no HIPAA concerns, but what other issues are there with disposal? What kind of waste do slides and blocks constitute? Are they considered medical waste? Any information, particularly from Illinois, appreciated. Lester J. Raff, MD MBA UroPartners Medical Director Of Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel: 708-486-0076 Fax: 708-492-0203 A celebratory post: http://www.chicagonow.com/downsize-maybe/2016/01/turning-60-along-with-some-of-my-friends/ -- Subject: Digest Footer ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- End of Histonet Digest, Vol 146, Issue 3 The information contained in this e-mail message may be privileged, confidential, and/or protected from disclosure. This e-mail message may contain protected health information (PHI); dissemination of PHI should comply with applicable federal and state laws. If you are not the intended recipient, or an authorized representative of the intended recipient, any further review, disclosure, use, dissemination, distribution, or copying of this message or any attachment (or the information contained therein) is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender by return e-mail and delete all references to it and its contents from your systems. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet