Re: [Histonet] cold ischemic time
We average within 1 minute for needle core and small biopsies, within 15 for lumpectomy or mastectomy. Terri L. Braud, HT(ASCP) HNL Laboratories for Holy Redeemer Hospital 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3689 Fax: 215-938-3874 Honesty AccouNtability AgiLity CoLlaboration CoMpassion -Original Message- From: histonet-requ...@lists.utsouthwestern.edu Sent: Tuesday, February 15, 2022 1:00 PM To: histonet@lists.utsouthwestern.edu Subject: [EXTERNAL] Histonet Digest, Vol 219, Issue 11 Today's Topics: 1. Cold ischemic times (Greg Dobbin) 2. Re: Cold ischemic times (E. Wayne Johnson) -- Message: 1 Date: Tue, 15 Feb 2022 12:10:01 -0400 From: Greg Dobbin To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Cold ischemic times This is more of a survey than a question: For those of you tracking and documenting your cold ischemic times for breast tissue (ie time out of body to time sliced [as needed] and immersed in formalin), and I assume most of you are...*what is your average time?* *Background:* *I ask because my director was looking for suggestions for quality indicators to report and while I feel like our cold ischemic average time is impressive at ~17 mins, she says that is pretty standard for everyone.* Thanks, Greg *Greg Dobbin* Chief Technologist - Anatomic Pathology Queen Elizabeth Hospital Charlottetown, PE Canada C1A 8T5 Ph: 902-894-2337 *Everything in moderation...even moderation itself**!* ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cold Ischemic time
We had a rubber stamp made that we use on the heading of the breast when we get the specimen. It looks like this : Time Tissue Obtained:_ Time Tissue Placed in Formalin Total Time Tissue in Formalin__ Cold Ischemia: Met/ NOT met (we circle the appropriate one) All of this information is included on the bottom of the Pathology report. Valerie Hannen,MLT(ASCP),HTL,SU (FL) Section Chief, Histology Parrish Medical Center 951 N. Washington Ave. Titusville,Florida 32796 T: (321)268-6333 ext. 7506 F: (321) 268-6149 valerie.han...@parrishmed.com www.parrishmed.com -Original Message- From: Cristi Rigazio via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Tuesday, November 01, 2016 8:48 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Cold Ischemic time Hi histo land! Referencing CAP requirement ANP.22983, how do you all document cold ischemic time? Do you have a "macro" that the pathologists input or a disclaimer? We were recently inspected and we include a "disclaimer" in the reports that the time is less than one hour, but the inspector said that it was not "Accurately documented in the report"...I want to fix this this, of course but wondered if you all had any guidance such that I don't try and recreate the wheel. Thank you for your time! Cristi ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet == "This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you" == ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] cold ischemic time
Hi Cristi - We have a large breast practice and we worked with the surgeons and surgical staff to include on the requisition: "Collect time" "Time in formalin" Then at gross, the PA or pathologist grossing calculates "Cold Ischemic Time" and "Duration of Fixation" All breast specimens are handled as STAT so that larger specimens can be dissected for a block of any residual tumor to be placed in Fixative. If this is done, we calculate "Cold Ischemic Time" and "Time in Formalin" from that moment. This is all reported through a Macro. If there is any deviation from the fixation guidelines (which are also printed on the report through the same macro) then we record the deviation and disclaimer through the "Notes" section on the report. This is all laid out in our policy/procedure for breast reporting. I hope this helps, Terri Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Laboratory Holy Redeemer Hospital 1648 Huntingdon Pike Meadowbrook, PA 19046 ph: 215-938-3689 fax: 215-938-3874 Today's Topics: 2. Cold Ischemic time (Cristi Rigazio) Message: 2 Date: Tue, 1 Nov 2016 08:47:43 -0400 From: Cristi Rigazio Subject: [Histonet] Cold Ischemic time Hi histo land! Referencing CAP requirement ANP.22983, how do you all document cold ischemic time? Do you have a "macro" that the pathologists input or a disclaimer? We were recently inspected and we include a "disclaimer" in the reports that the time is less than one hour, but the inspector said that it was not "Accurately documented in the report"...I want to fix this this, of course but wondered if you all had any guidance such that I don't try and recreate the wheel. Thank you for your time! Cristi ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cold Ischemic time
Hi Cristi, We have the PA/Pathologist dictate the Ischemic time and total fixation time at the end of the gross. It reads something like, "The specimen has an ischemic time of 1 hour and is allowed to fix for 48 hours". As long as it documents both times you should be fine. Thanks, Julia Cates, HT(ASCP)cm Pathology Coordinator, Pathology Park Ridge Health (828)650-8243| Fax: (828)209-5315 Confidentiality Statement: This email message, including any attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply to this email and delete the original and all copies of this email. This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Cold Ischemic time
Hi histo land! Referencing CAP requirement ANP.22983, how do you all document cold ischemic time? Do you have a "macro" that the pathologists input or a disclaimer? We were recently inspected and we include a "disclaimer" in the reports that the time is less than one hour, but the inspector said that it was not "Accurately documented in the report"...I want to fix this this, of course but wondered if you all had any guidance such that I don't try and recreate the wheel. Thank you for your time! Cristi ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
