[Histonet] Hematoxylin too dark

2013-08-06 Thread Shea's
Our new lot of Hematoxylin is too dark and especially overstains the mucins in colon bxs and even membranes/umbilical cord. Reducing the time from 3 minutes to 1 min helps some, but it the inappropriate dark staining of the mucins is a real problem. We are also getting a film of hematoxylin

[Histonet] QA forms

2013-07-18 Thread Shea's
Our state requires us to keep them for 4 years.. Before we write retention policies, we are required to look at CMS, State and CAP requirements. I have these attachment charts in my retention policy (as references). The policy states that we will retain for a minimum of __(most ast

[Histonet] phobic slides

2013-07-06 Thread Shea's
We too have experienced problems (uneven H&E staining) from such slides. We were using Super-frost Plus without a problem, however, thought we could save a few dollars with another vendor. We noticed their charged slides worked too well in that they trapped water under the slide after picking up

[Histonet] bone marrow aspirations

2013-06-01 Thread Shea's
I am also interested in how others are processing bone marrow aspirates. Currently, we let the aspirate clot on a watch glass for about 20 minutes, gentle slide it onto filter paper, roll it around to get rid of the excess fluid, place the clot between sponges, and process as usual. However, I a

[Histonet] Re:Breast IHC testing

2012-02-03 Thread Shea's
We have the same "weekend dilemma" with greater than 48 hour fixation for breast tissue for Her-2. We send them to a huge reference lab that stated exactly as Richard. They have found that 72 hours has little impact on ER/PR/HER2 , however, we do request HER2 - FISH (instead of IHC) in these ca

[Histonet] stain shelf life

2011-12-14 Thread Shea's
Ditto, to the previous messages my best stain powders are from the early 1900's. For those CAP accredited lab, this is what CAP has to say about stains w/o expiration dates (below) What I have done to comply is, I have a policy that states that I evaluate reagents at least annually a

[Histonet] Green counterstain problems

2011-10-09 Thread Shea's
This happens to us after extended use. Add about 5 drops/100ml of glacial acetic acid to the light green working solution. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet

RE: [Histonet] What is a great manual mirotome

2011-07-12 Thread Shea's
Our 23 year old Reichert Jung 2030s, with high profile blades. They are work horses Only one repair (the spring). Maintenance contract on a microtome? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman

[Histonet] IHC pos. & neg. control question

2011-05-19 Thread Shea's
Curt is right, according to CAP ... ANP.22570 QC - Antibodies Phase II Appropriate negative controls are used. NOTE: Negative controls must assess the presence of nonspecific staining in patient tissue as well as the specificity of each antibody. Results of controls must be documented, either

[Histonet] eosin in processor

2010-10-22 Thread Shea's
This is the best kept secretFor those who have never tried this, you don't know what you are missing in the ease of embedding and cutting. We have been adding alcoholic eosin (about 10cc each) to the 1st & 2nd 100% alcohols, leaving the last 100% pure (of course there is carry over during th

[Histonet] New CAP question GEN.20425

2010-05-27 Thread Shea's
How has your laboratory adressed the new CAP question GEN.20425 Has your laboratory or your institution developed a solution to the new CAP requirement below? GEN.20425 Does the laboratory have a policy to ensure that all records, s

[Histonet] RE: weekend fixation

2010-05-20 Thread Shea's
We discussed this problem of weekend fixation of breast tissue (about 54 hrs in 10% NBF) with our Reference Lab and they reassured us that ER/PR IHC wouldn't be a problem. However, when ordering Her2, select FISH method instead of IHC. (Otherwise, if it is fixed for less than 48 hrs we would ord

[Histonet] Bone Marrow Section falling off slide

2010-04-27 Thread Shea's
I have to agree with Lynette. Good solution as well ...change only one thing at a time. We occasionally have the same problem and the BM clots are the only tissues in the entire batch to fall off (It is usually the blood in the center of the section, the rim stays attached, which is the clue th

[Histonet] eProtocols

2010-04-08 Thread Shea's
Our Pathologist found it more time consuming to delete lines that were non-applicable than to dictate what they do want from the CAP Cancer Protocols: 1. I copied and pasted the commonly used protocols into the canned text dictionary (in meditech, magic) then each pathologist will edit it to mee

[Histonet] number of slides

2010-04-05 Thread Shea's
1. Most bxs we cut 2 levels (one level/slide, no more than 2 sections/slide). 2. Prostate bx are unique. Our Urologists love us and send color coded bxs in 2 containers (Left & Right, yellow = apex, green = midgland, red= transition, blue = base). We then are able to place all bxs in a total of

[Histonet] HTL

2009-07-14 Thread Shea's
Michael, Ditto, very well stated. I too believe that our industry is under appreciated. Many new grads of today find a two year degree demeaning and wouldn't consider HT because of it. I don't understand how some professions like pharmacy & physical therapy gain respect and grow to create 5 yr,

[Histonet] Bridge for Meditech Client Server/Magic Pathology Modules

2009-03-21 Thread Shea's
Tiffany, I was searching Histonet to find the answer to a similar question, but you look like the only one out there with this interest. I know it was back in 07, but may I ask how did your interface finally work out? We also have Meditech Magic, and I am looking for a way to have our current re

[Histonet] CPT Coding question 88342 PIN 4 cocktail

2009-03-10 Thread Shea's
We started staining prostate needle bxs w/ PIN 4 (triple stain). 1. My understanding is that we can bill for 88342 x 3 (per specimen) if a comment is made on the results of the nuclear staining and cytoplasmic staining of the DAB and the staining of the Vulcan red. The key is documentation in th