Local Coverage Determinations (LCD) from the website for the Centers for
Medicare & Medicaid Services (CMS). Please use the link below to access this
policy.
you may find this information useful. Look at the GI section. It specifically
calls out the use of special stains for H.pylori.
Good morning everyone,
Along with an accession number, is a patients intitials an adequate identifier
on a block/slide?
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
Hi everyone,
What constitutes a slide? For volume purposes/tech productivity.
1 section on a slide= 1 slide
3 sections (levels) on a slide=1 slide or does it equal 3 slides?
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR
I have had this annoying experience a few times over the last 20+ years. It
seems to me the breakdown is with quality control at the manufacturer. Most
recently, 1 out of 5 containers came back to the lab leaking. I put pressure
on my vendor, who put pressure on his vendor. Unfortunatly,
incomplete deparafinization has my voteincrease times in xylene and I bet
it goes away. This happened to me when the paraffin that I had bought for
years was slightly changed without notifying anyone. If I remember right the
polymer was increase resulting in xylene being less effective.
The State is responsible for inspecting/upholding a TC lab to CLIA regulations,
every two years.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
CONFIDENTIALITY WARNING: This e-mail
Epic Scientific Super Moist Markers by Creative Waste Solutions
503-657-5711
They will not let you down :)
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
CONFIDENTIALITY WARNING:
It's always kind of a stab in the dark to diagnose HE problems without a
little more information. One thing I would try if you don't feel its an actual
Eosin problem is your alcohol prior to the eosin. Slide volume and humidity
can dilute your alcohol and cause lighter cytoplasmic staining.
most likely a fungus ball, confirm with a PAS
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
CONFIDENTIALITY WARNING: This e-mail and any attachments are for the exclusive
and
whoa! 7% of specimens? Working in a high volume colonoscopy laboratory for 4
years, I've only had two specimens that were so minute there was nothing at
embedding. Bio-wraps or lens paper is a must.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE
I have experience the over-cooked, dried out look a few times myself through
the years and it can be baffeling especially when pathologists tell you things
look dried out. The first thing we think of it too much exposure to
heat/chemical when its almost always not enough exposure to xylene at
Hi Julie,
Try increasing your deparaffinization times, sometimes there is just not enough
time in xylene so subsequent staining can be very inconsistent like described.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
My GI Pathologists require no more than 5 pieces of tissue per block; three
levels on one slide; one section per level.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Portland Gastroenterology
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
this message and its attachments from
your computer system. Thank you
From: jeff lowen [lowenj...@hotmail.com]
Sent: Tuesday, September 10, 2013 10:57 AM
To: Kienitz, Kari; Laurie Colbert; Sheila Haas; Elizabeth Chatfield;
histonet@lists.utsouthwestern.edu
If your acetic acid solution is made in-houseI would suggest remaking it,
just in case it was accidently made stronger.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Portland Gastroenterology
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
Hi Gale,
In my career I have had the pleasure of hiring many OJT histotechs. With
varying degrees of education and a whole range of personalities. The things
that tend to really stand out in the candidates who excelled are the ones who
could follow direction, pay close attention to detail,
Actually, the global payment for this code is being reduced by 33% according to
the announcement. Regardless of the establishment, small lab; large volume lab;
POL lab everyone will be taking a hit on this. Even if the POL labs all dried
up and went away, the remaining labs may get the work
Hooray Nicole! Very well stated.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Portland Gastroenterology
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
kkien...@orclinic.com
From: histonet-boun...@lists.utsouthwestern.edu
After cutting, try putting the slide into a coplin jar of formalin. Introduce
to heat for about 30 minutes or so, remove and let air dry before staining.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Portland Gastroenterology
The Oregon Clinic
NE 99th Ave
Portland, OR 97220
503.935.8311
Be careful assuming costs. The cost of all consumables through Ventana is
dependent of your instituitions volume and contractual agreement. The only way
to have an accurate accounting is for Ventana to do a quote or go by list
pricing.
Kari Kienitz HT, (ASCP)
Histology Laboratory
Portland
Do you have a maximum number of pieces of tissue per block? I work for a GI lab
also. My slides go out to a hospital path group who insist only 5 pieces of
tissue per block. Of course this adds a lot of extra work on many
cases...just wondering?
Kari Kienitz, HT(ASCP)
The Oregon Clinic -
21 matches
Mail list logo
