Re: [Histonet] Running a histo lab without a histotech?

2015-10-24 Thread Garreyf via Histonet
What I find really weird and hard to understand is: That person who is unable (CLIA-wise) to gross the small biopsy because of inadequate science training etc, is able to embed, cut and stain that same biopsy. The histology part is so much harder and requires much more training and expertise. I

Re: [Histonet] Breast Fixation

2015-07-29 Thread Garreyf via Histonet
I agree. That's the easiest solution. My colleague at a sister institution does not allow breast excisions on Friday. We need more people to do studies on fixation beyond 72 hours. My hunch is that another 24 hours won't affect ER , Pgr, and Her2 results. Garrey Sent from my iPhone > On Jul

Re: [Histonet] Specimen Accessioning .....

2015-06-03 Thread Garreyf
Same here . Here is a summary of CAPs /NSH recommendations. http://www.cap.org/ShowProperty?nodePath=/UCMCon/Contribution%20Folders/WebContent/pdf/uniform-labeling-summary-of-recommendations.pdf If the link doesn't work, just google if you want. I guess you can do it either way. But, specimens d

Re: [Histonet] All Common Question 30550

2015-05-05 Thread Garreyf
Check anp.23120 tissue processing programs are validated. It's in the Ap checklist. It spells out what is required. Garrey Sent from my iPhone > On May 5, 2015, at 2:18 PM, Piche, Jessica wrote: > > Hi Everyone, > > I was just wondering if everyone has a written procedure for performance > v

Re: [Histonet] IHC billing question

2015-04-30 Thread Garreyf
Your Lis should not have done that. If you are using Copath/Cerner, I think they have automated it now according to their most recent newsletter. Currently, I have to manually change the 88342's to 1's It's somewhat of a pain. But, your Lis should have consulted someone before deleting all codes

Re: [Histonet] Re: H. Pylori Testing

2015-04-29 Thread Garreyf
In the past when using giemsa stain, I came across two human cases of very long helicobacter organisms.. I was stumped the first time since I had never seen one previously. I reflexed both to immuno and both were positive with the h pylori antibody. I assume they were both heilmani. I think it

Re: [Histonet] H. Pylori Testing

2015-04-27 Thread Garreyf
Is it a pain in the neck to do it by hand? I'd like to bring my h pyloris in house as well. I'm trying to create more revenue to support a 2nd histotech. Garrey Sent from my iPhone > On Apr 27, 2015, at 4:11 PM, Michael Ann Jones wrote: > > We recently switched to IHC stain for HP, however,

Re: [Histonet] BS in Histotechnology

2015-04-23 Thread Garreyf
I am trying to find (hire) a histotech and will make sure I don't use the words "trained monkey" in my interviews. . Ha ha. I truly value and appreciate a skilled and motivated histotech. I've had to train myself to cut my own sections in order to understand the process better. It is a great fie

Re: [Histonet] NY State regulations

2015-04-22 Thread Garreyf
I believe grossing of small biopsies and performing ihc are both considered high complex testing. You must fulfill the clia personnel requirements of high complex testing. I also believe a histotech who only cuts and performs routine stains is not considered highly complex. I'm not sure why? A

Re: [Histonet] Orange peel for GMS

2015-04-19 Thread Garreyf
We did the slim Jim thing for the gram control and it grew fungus. It works great as a fungus control . I haven't tested it yet for bacteria. I may have a dual control! Garrey Sent from my iPhone > On Apr 19, 2015, at 7:57 PM, Linda Prasad (SCHN) > wrote: > > What about plain boiled rice. Le

Re: [Histonet] Controls

2015-03-05 Thread Garreyf
I am in need of both a gram and fungal control and will have to try the slim Jim, hamburger and hotdog tricks. Thanks. If they work I will post A link to pictures. Sent from my iPhone > On Mar 5, 2015, at 11:58 AM, Ronda Mire wrote: > > Slim Jim will work as a control for gram stain. Can you

Re: [Histonet] CLIA Inspection Question

2015-02-07 Thread Garreyf
I believe you apply for a clia certificate regardless. Then, every two years you need to be inspected. You can choose cap or joint commission to survey you. Cap meets or exceeds clia regulations. I'm more familiar with CAP. If you choose cap your lab will be required to inspect another lab. Hope