A couple scenarios:
1. FNA with immediate interpretation ( adequacy) and you make 4
cytospins from the remaining material?
2. Three more passes at the same site. What codes are you using?
3. What professional CPT codes are you generating.
Thanks.
Debbie M. Boyd l Chief
I just feel if you didn't care for the subject/blog (doesn't pertain to you,
you don't have any exposure to it etc. ) you could have deleted it without
being so mean spirited. I have in the past ignored the mean spirited sparring,
but this was a bit much.
Whatever happened to kindness?
Just my
We use the syringe used for the smears and the syringe used for the aspirate.
We do not put it in an anti-coagulate. We simply let the syringe specimen clot
and place it in lens paper in a cassette and place in 10% formalin for
processing. If you are doing Flow Cytometry/Cytogenetic studies y
There is a non-slip epoxy paint that is very durable. There is also a textured
flooring that is used in both histology labs and OR suites. Neither is cheap
but a lot less than legal repercussions.
We have the textured flooring in our lab. Works great. A little harder to
scrub, EVS uses a buf
Definitely the paths/PA's responsibility. Putting it in the histotech's court
is like saying the car is responsible for hitting the pedestrian (not the
driver). Crazy. We sometimes can see them when embedding but by then the tissue
is not as pliable for easy removal without disturbing the tissu
We use KP Marker Plus from Mercedes Medical, www.mercedesmedical.com or
1-800-331-2716.
Alcohol and Americlear resistant. We do not use Xylene.
Debbie M. Boyd HT (ASCP) | Chief Histologist | Southside Regional Medical
Center | 200 Medical Park Blvd. | Petersburg, Va. 23805 | PH 804-765-5025
Our pathologist are evaluated using the OPPE ( Ongoing Physician Performance
Evaluation) method. In that method we monitor TAT for Surg. Path, Cyto, Autop.
Frozen Sections, Bone Marrows. Cyto to Histo correlations, frozen to permanent
correlations, Post OP to Final correlations. Peer Review c
There is a plethora of Joint Commission regulations concerning the below
mentioned points of entry for microbacterial spores. If you are Joint
Commissioned inspected, plants are not allowed in the lab. We are JC inspected
and are not even allow to keep an exterior shipping package. If the box
Hi Laura,
The problem with pouring formalin in the OR is exposure to the fumes unless
they have proper ventilation or a hood. Formalin spills are also a large risk
especially for untrained staff. Air quality and personnel are checked
annually for exposure, which is a Joint Commission and CAP
#1. 88173 and 88305
#2. 88172 and 88173
Debbie M. Boyd HT (ASCP) | Chief Histologist | Southside Regional Medical
Center | 200 Medical Park Blvd. | Petersburg, Va. 23805 | PH 804-765-5025 |
FAX 804-765-6058
From: Terri Braud [tbr...@holyredeemer.
Specimens that are irretrievable are not allowed in the pneumatic tube. Not
only would it be painful and expensive if lost or broken in the tube, but the
biohazard of a formalin leak, spill or breakage is too great. Smears can be
broken as well exposing the staff to possible cuts with bloody s
I send them without hesitation. Ours is to assist the patient not get tangled
up in regulatory bureaucracy. Just as you wouldn't hesitate to send a
subpoenaed block. The point here is to KNOW where your blocks are when not on
site. Yes we are custodians of blocks and slides, but you mustn't i
We use a painter's spatula for sheet rock mud, taped to a broom handle.
Debbie M. Boyd HT (ASCP) | Chief Histologist | Southside Regional Medical
Center | 200 Medical Park Blvd. | Petersburg, Va. 23805 | PH 804-765-5025 |
FAX 804-765-6058
From: histo
We use a urine specimen container under the right lower corner of the para
trimmer and toss it each day.
Debbie M. Boyd HT (ASCP) | Chief Histologist | Southside Regional Medical
Center | 200 Medical Park Blvd. | Petersburg, Va. 23805 | PH 804-765-5025 |
FAX 804-765-6058
_
A humidifier and a cool room temp does the job for us.
Debbie M. Boyd HT (ASCP) | Chief Histologist | Southside Regional Medical
Center | 200 Medical Park Blvd. | Petersburg, Va. 23805 | PH 804-765-5025 |
FAX 804-765-6058
From: histonet-boun...@lists
We use frozen water in Rubbermaid containers. We use the medium size that will
last through the cutting of at least 50-60 blocks. As we move blocks off the
ice we add uncut blocks. Yes, the ice melts as the morning progresses, but we
but gauze on top of the ice to keep the blocks for setting
We have just discontinued this practice after Jane Pine Wood (renowned
Healthcare Attorney and Medical Director for Palmetto Medicare Part B coving
NC, SC, VA, and WV) stated "ordering special stains prior to review of the H&E
stain is not reasonable and necessary". According to the pathologis
We use Richard Allen Type 6 paraffin for both infiltration and embedding (16
years) with no adverse effects. To validate you can get the pathologist to
give you samples for the same specimens you are running. IE; gallbladder 1
for patient dx and 1 for testing, uterus, appendix, any large spec
logic evaluation you
need to fix them immediately in 95% EtOH . For IHC stains air dry them.
-Original Message-
From: Joe W. Walker, Jr. [mailto:joewal...@rrmc.org]
Sent: Thursday, November 21, 2013 4:38 PM
To: Boyd, Debbie M; Amber McKenzie
Cc: histonet@lists.utsouthwestern.edu
Subjec
We make 2 cytospins and stain them with the Pap stain.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie
Sent: Thursday, November 21, 2013 12:24 PM
Cc: histonet@lists.utsouthwestern.edu
Subject
Per recut slide $50.00.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Margiotta-Watz,
Michele
Sent: Tuesday, September 03, 2013 11:36 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] cost o
Your manager is correct. You must have two patient identifiers through the
whole process. We write the full name, accession number and designation ( a, b
L1 ) on each slide. I have had both CAP and Joint Commission inspectors pull
the labels back looking for 2 identifiers.
-Original Me
It all depends on your definition of "levels" . Levels is going deeper into
the block between each pick up. Serial sections are just cutting a ribbon and
taking that ribbon. I don't feel you are deeper in the block when you take
"sections" at 12 and 13. Sections 19 and 20 may be deep enough
Body fluids are stained separately as they have a high potential for floating.
FNA's , bronchs, thyroids, urine ect. Can all be stained together. After a
malignant case is reported all stains are filtered and the first alcohol before
each stain is discarded. The first alcohol after each stai
The price of a few blades is nothing compared to a law suit for intentional
neglect and endangerment to patient care. Not to mention some blades are "bad"
when they come out of the box. This is a very good example of "pound foolish
and penny wise". Only the tech cutting knows when they need t
We have two Excelsiors (had Three). We use Americlear in the cleaning cycle.
We have never had issues with our cleaning cycle or the operation of our
processors. Our oldest processor was 12 years old before the oven cracked and
started leaking. The repair was too expensive for an older proce
We use Histogel. The cell block material is spun down and the supernate is
poured off. The Histogel tube is liquefied using the microwave. Equal
portions (cell concentration and Histogel) are then resuspended. Let this
solidify, then slice (if needed) and place in a cassette for processing.
Yes. We have the OR send us there Operating Room Log, daily. Of course we get
it the next day. It is what is logged into the computer system. Not just a
label on a log sheet (we do that also). I reconcile the OR Log daily. We have
actually caught specimens that were being tossed in the tra
Mercedes Medical
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert
Sent: Wednesday, January 09, 2013 10:56 AM
To: Histonet Post (histonet@lists.utsouthwestern.edu)
Subject: [Histonet] Microtome
Excelsior> Great workhorse. Very little to no down time. Less tech time
needed as reagents dump and rotate automatically. User friendly.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tim Wheelock
S
Thank you Bill, well stated!
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of O'Donnell, Bill
Sent: Tuesday, November 20, 2012 3:25 PM
To: Bruce Gapinski; histonet@lists.utsouthwestern.edu
Subject: RE: [Hist
Our unit of measure is billable test. But, my director adds in extra (not sure
how) for manual vs. automation in the clinical lab.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Heckford, Karen
- SMMC-S
We are using a Canon G12 for macros. This is actually our second one. We are
very pleased with it. Images are really good. Our Pathology software is
PowerPath. Good luck!
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwester
We make a buckle smear and stain it. Quick and easy. The QC is for the pap
stain quality.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
pathr...@comcast.net
Sent: Monday, June 11, 2012 8:49 AM
To: his
Ian,
For our endoscopic biopsies a 12 hour run is too long. We load ours in the
afternoon but they stay in formalin until about 2 am. They end at 5:30 in the
morning. The dehydration is 20 minutes x5 stations, with 30 in the 6th.
Clearant is 20 minutes x2 stations, with 30 in the 3rd. Para
We have had the same problems as everyone else, i.e. pencil or markers on
cassettes. What I am seeing is that the cassettes have changed. They are not
textured on the writing edge as before. The edge is smooth and the pencil
smudges. Some markers wash off. The problem here is alcohol, not
The problem here seems to be that there are those who are upset that
independent labs "seem" to take work away from hospitals. This in fact is
probably true, but I for one have more than enough work for the 4 of us. All
independent labs are inspected and have regulations to follow. We are all
Fisher/Shandon sells it. It is called the ParaTrimmer.
Debbie M. Boyd HT (ASCP) l Chief Histologist l Southside Regional Medical
Center l 200 Medical Park Blvd. l Petersburg, Va. 23805 l PH 804-765-5050
l FAX 804-765-8852
From: histonet-boun...
Can I get the synoptic version of the IHC charge, changes? IE; each antibody
or each block?
Debbie M. Boyd HT (ASCP) l Chief Histologist l Southside Regional Medical
Center l 200 Medical Park Blvd. l Petersburg, Va. 23805 l PH 804-765-5050
l FAX 804-765-8852
---
From: Davide Costanzo [pathloc...@gmail.com]
Sent: Tuesday, March 27, 2012 11:22 AM
To: Boyd, Debbie M
Cc: JOSEPH FRAZEE; Histonet Server; Taylors Cars; LINDA FRAZEE; mike & tony
siltman
Subject: Re: [Histonet] FW: Redneck Lent
I, personally, found the joke very funny. I find a lo
For goodness sakes! It is a joke. First of all it was accidently sent to
HistoNet per Joseph's second email. But most of all can't we just loosen up a
bit and laugh at/with each other? Every religion, race, gender, etc. has had
jokes made about it. Give the guy a break.
Debbie M. Boyd HT
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