I realize this is a question that may be impossible to answer given all of the
variables in pathology labs, specimens, physicians, etc. However here goes:
For those that work in a lab that primarily does biopsies ( mainly gi biopsies)
what is the average number of slides that a pathologist rea
We have outgrown our two small specimen grossing stations and our looking into
finding a small system for a counter that will have a formaldehyde filter.
Trying to make sure it is safe but not wanting to spend a lot of money.
Station will be for small gi biopsies. Just need something to keep th
Currently we are training new staff members that each have a Bachelor of
Science in Biology. According to the ASCP they can enroll to take the HT
certification examination after a one-year period of on-the-job training. Like
in the past we have purchased Freida Carson's text, Histotechnology:
Our latest CAP survey was returned today and although there are no major issues
one possible improvement area is evident. On all of the biopsies the area of
"fixation/processing" was not rated as excellent. The suggested possible
reasons were: fixation incomplete, nuclear bubbling artifact,
Question came up this morning. We don't use this stain often but do we charge
twice since there are two different stains (with and without)?
Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois 62703
Office: 217-528-7541, Ext
Traditionally we regard nuclear bubbling as incomplete fixation however I'm not
so sure that nuclear bubbling can't be caused by additional processing
problems. This morning I have some GI biopsies that fixed for nearly 18 hrs
that have a large amount of nuclear bubbling. We run the biopsies
Anybody have an idea where we can get a used cassette basket that will fit in
the VIP 6? The cost of a new one is pretty high?
Jim
Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois 62703
Office: 217-528-7541, Ext. 15121
E
Struggling to find an answer. We do a lot of GI biopsies in our lab.
Sometimes they look wonderful without any nuclear bubbling, other times the
bubbling is pretty intense. Since nuclear bubbling is often attributed to
incomplete fixation we of course have investigated the fixation times.
t;.I think this has been previously stated so I really do not understand
posting this same question again.I do not think that posting again the question
a different answer is going to be received.rené
On Tuesday, February 16, 2016 12:32 PM, "Vickroy, James via Histonet"
mailto
We are once again reviewing the microscopic slides we use. We have found the
sldies we have used on a regular basis take too long to dry properly which
gives us some undesireable artifacts. I have longed for a "one size fits all"
microscopic slide.One of the slides I used in the past is n
There was a question today that I felt pretty comfortable answering but still
thought I would see what others have found out on this subject.
Dermatologists are always asking if there is a lesser pathology charge for a
skin lesion removed for cosmetic purposes. My understanding is that whil
Someone told me that you could not use eosin on the new Peloris II. Many of
us use eosin to color small biopsies during the process run. We have it in one
of the 95% ETOHs. Can someone explain why this can't be used in the Peoris?
Jim
Jim Vickroy
Histology Manager
Springfield Clinic, Main C
a. We are experiencing trouble finding another tech that will meet CLIA
high complexity testing standards as well as has histotechnician training.
Also the qualifications for who can gross is a little vague so I wanted to see
if anyone has any information that would help me. A summary
Currently our non-pathologists do not gross oriented skin excisions or small
lymph nodes. I do understand that CAP requires a list of tissues that can be
handled by non-pathologists but am wondering how others are handling these
specimens.
I know there are labs, for example some large derma
I seem to recall that we once had to document that we went over the hazards of
formaldehyde to the staff annually. Does anyone still do this? I know the
rules on monitoring but as I was going over a past procedure I saw that we used
to reeducate the staff each year.
Jim
Jim Vickroy
Histolo
I just got through meeting with HR regarding a salary incentive for employees
that successfully pass their HT certification. All of us are aware that many
histology labs have employees that are not certified. We are a small clinic
lab that was set up about a year and a half ago. When we fir
This is one of the things that comes up every couple of years. Leaky
prefilled formalin containers. I know we have all dealt with nurses or
physicians that can't put the lid on correctly or put the label on the threads
of the containers. Some of the new designs have a "clicking lid" when th
We are getting ready for our first CAP inspection in the new laboratory.I
was checking over the H&E controls that we do daily and made a discovery.
Several of the first slides we stained, over a year ago, are now washed out.
The eosin staining is probably worse than the hematoxylin howeve
We have a Mohs lab that is in the process of moving and will end up with a new
CLIA number. The Mohs physician is more familiar with CLIA certification and
would like for us to choose CLIA inspections instead of CAP inspections. I am
very familiar with CAP inspections although not very famili
We are a physician owned clinic and the number of frozen sections we do is
small. Occasionally we have a few skin biopsies that are done in the ASC
surgery department.
I got a call from them today and they have a problem that they encounter every
time they do a frozen section. When the surge
Our organization is looking into the workflow necessary to handle breast
lumpectomies with radioactive seed localization. Right now we have more
questions than answers. I have looked at several articles and am aware of the
drastic changes that will need to be in place to handle the radioactive
Our department does not perform IHC stains nor ISH Kappa and Lambda stains.
Therefore we do not perform the CAP proficiency testing. The pathologists
participate in PIP testing and do not read ER, PR, or Her2 (predictive markers).
The pathologists do however interpret IHC stains and an occasio
We are starting to perform a PAS with diastase for fungus to be used by our
dermatopathologist. At first we weren't sure he was going to need a method
that used diastase but he now prefers it. Problem is our PAS counter kit did
not come with diastase. Please don't tell me to use saliva altho
One of my techs has asked about a practice that we have been doing for some
time. Occasionally we find that we are doing something just because it has
been done in the past and as we all know sometimes we get bogged down with
things that are just not necessary.
When we order chemicals such as
It seems to me that we are replacing filters much too often on our Grosslab
senior grossing station. I do realize that there are so many variables but
would be interested in:
By the way we only gross small biopsies, gyn, gi, derm)
a.How often others replace Grosslab filters?
b.
I have probably asked this before but when performing the PAS stain with and
without diastase I have been told you can charge two 88313's. When performing
the colloidal iron stain the place we send it to also charges us for two
stains, one with omitting the colloidal iron solution. I underst
We are reviewing the requirements in a job description for Histology Manager of
a multi-specialty clinic. I am retiring next year and we are wanting to make
sure that we have a good succession plan. With the dwindling number of
certified HT's and HTL's and lack of CAP requirements to perform
We use two very basic electronic balances in the histology lab at the clinic.
There is very limited use of these instruments. One is we weigh an amount of
diastase when performing a PAS stain with diastase and we weigh the bladder and
prostate TUR specimens. Is it necessary to have some sor
We have been told by our chemical waste company that we no longer can discard
small biopsy containers with formalin in them. In our workflow process we
gross small specimens. We generally use forceps to take the small biopsies
from the container of formalin and reseal the container with the re
Wondered if something has changed on the question pertaining to retention. We
only do biopsies and keep the containers they come in for two days. We have
done this forever. Going through the new checklist I notice under wet tissue
it has (stock bottle). Before I interpret this incorrectl
We have used the older version Slidemate slide labelers from Thermofisher for
the last three years. I think putting the patient information directly on the
slide is preferred however the wear and tear on slide printers means higher
maintenance costs and more down time. Thermofisher has a newe
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