Thank to everyone who responded to my request for information concerning peripheral smear review. It seems that most respondents are doing this the way we presently do. I have to say that I agree totally with Dr. Richmond's method. I will be presenting the idea that these slides are "consults" not just a tehc issue. Many thanks Gary (in California)
-----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of histonet-requ...@lists.utsouthwestern.edu Sent: Wednesday, March 30, 2011 10:01 AM To: histonet@lists.utsouthwestern.edu Subject: Histonet Digest, Vol 88, Issue 39 Send Histonet mailing list submissions to histonet@lists.utsouthwestern.edu To subscribe or unsubscribe via the World Wide Web, visit http://lists.utsouthwestern.edu/mailman/listinfo/histonet or, via email, send a message with subject or body 'help' to histonet-requ...@lists.utsouthwestern.edu You can reach the person managing the list at histonet-ow...@lists.utsouthwestern.edu When replying, please edit your Subject line so it is more specific than "Re: Contents of Histonet digest..." Today's Topics: 1. RE: Peripheral smear (wanda.sm...@hcahealthcare.com) 2. Laura Miller is Out of the Office. (laura.mil...@leica-microsystems.com) 3. Breast Processing (daystar0...@aol.com) 4. Whiteplains, NY: Histology Tech, IHC Techs, Leads & Manager Positions (Alyssa Peterson) 5. RE: Ventana's Basal Cell Cocktail (Sebree Linda A) 6. Re: Peripheral smear (Robert Richmond) ---------------------------------------------------------------------- Message: 1 Date: Wed, 30 Mar 2011 09:45:29 -0500 From: <wanda.sm...@hcahealthcare.com> Subject: [Histonet] RE: Peripheral smear To: <gmar...@marshallmedical.org>, <histonet@lists.utsouthwestern.edu> Message-ID: <9e2d36ce2d7cba4a94d9b22e8328a3ba13a275f...@nadcwpmsgcms03.hca.corpad.ne t> Content-Type: text/plain; charset="us-ascii" We also transport smears from the clinical lab to our Pathologist and transport them back. The Hematology techs put the Pathologist's comments into our computer system for review by the clinicians. Wanda WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martin, Gary Sent: Tuesday, March 29, 2011 4:36 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Peripheral smear Our pathologist review peripheral smears for the clinical lab, and I'm wondering how other facilities handle the reporting. We presently receive the smear from a tech, the pathologist provides a comment and returns it to the lab. _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ------------------------------ Message: 2 Date: Wed, 30 Mar 2011 10:00:49 -0500 From: laura.mil...@leica-microsystems.com Subject: [Histonet] Laura Miller is Out of the Office. To: histonet@lists.utsouthwestern.edu Message-ID: <OF69753508.1B5BFDDC-ON86257863.00527906-86257863.00527906@leica-microsy stems.com> Content-Type: text/plain; charset=US-ASCII I will be out of the office starting 03/25/2011 and will not return until 04/04/2011. I am on vacation until Monday, April 4th. Please contact David Archambault if you need immediate assistance. Thanks!!! ______________________________________________________________________ This email has been scanned by the MessageLabs Email Security System. For more information please visit http://www.messagelabs.com/email ______________________________________________________________________ ------------------------------ Message: 3 Date: Wed, 30 Mar 2011 11:56:07 -0400 (EDT) From: daystar0...@aol.com Subject: [Histonet] Breast Processing To: histonet@lists.utsouthwestern.edu Message-ID: <8cdbd0a1d7f79fe-dd4-5...@webmail-m104.sysops.aol.com> Content-Type: text/plain; charset="us-ascii" Breast Processing: Looking to set up a breast protocol on our Sakura VIP processor. Looking for times/duration of specific solutions and types of solutions used (ie. PEN-FIX). ------------------------------ Message: 4 Date: Wed, 30 Mar 2011 12:06:21 -0400 From: Alyssa Peterson <aly...@alliedsearchpartners.com> Subject: [Histonet] Whiteplains, NY: Histology Tech, IHC Techs, Leads & Manager Positions To: histonet@lists.utsouthwestern.edu Message-ID: <AANLkTi=WLZC4wJ7bX2vE2x=alh6atmaz2_dcysv-h...@mail.gmail.com> Content-Type: text/plain; charset=windows-1252 Allied Search Partners has been retained for the following searches. We have openings in *Histology/IHC, for techs, leads, and managers. * - Please email a copy of updated resume to<meli...@alliedsearchpartners.com> aly...@alliedsearchpartners.com for a full job description. - Please send availability for a phone screen with one of our recruiters. - Please indicate your salary expectations. - Referral bonuses are available for all positions so please pass this along to anyone you deem fit. We have the following positions available: *HISTOLOGY/IHC:* ** *IHC Manager* Whiteplains, NY area Monday-Friday, Day Shift, Full Time *NY license required *IHC Tech III (Lead)* Whiteplains, NY area Schedule, TBD *NY License Required *IHC Tech II * White Plains, NY area 7am-3:30pm Tuesday-Saturday 10am-6:30pm Monday-Friday *NY License Required *Histotech I* Whiteplains, NY area M-F 5am-1:30pm *NY license required **Ask us about our other histotech & managerial positions in WI, NC, CA, LA, FL. -- * * **If you wish to no longer receive emails from Allied Search Partners please reply with "Remove." * Alyssa Peterson, Director of Candidate Recruitment LinkedIN:http://www.linkedin.com/in/alyssapetersonasp Allied Search Partners T: 888.388.7571 F: 888.388.7572 www.alliedsearchpartners.com This email including its attachments is intended only for the confidential use of the individual to whom it is addressed. If you are not the intended recipient, any use, dissemination, distribution or copying of this message or its attachments is prohibited. If you have received this message in error, please notify us immediately, and delete this message and its attachments permanently from your system. ------------------------------ Message: 5 Date: Wed, 30 Mar 2011 11:09:33 -0500 From: "Sebree Linda A" <lseb...@uwhealth.org> Subject: RE: [Histonet] Ventana's Basal Cell Cocktail To: "Sharon.Davis-Devine" <sharon.davis-dev...@carle.com>, <histonet@lists.utsouthwestern.edu> Message-ID: <8c023b4ab999614ba4791baeb26e273801002...@uwhc-mail01.uwhis.hosp.wisc.ed u> Content-Type: text/plain; charset="us-ascii" Sharon, We're actually doing a triple stain of HMWCK + p63 + p504S but charging as a single stain. I am advocating charging for at least 2 of the 3 stains (done in 2 separate runs) since one can easily differentiate between 2 different chromogen colors. The jury's still out. Linda A. Sebree University of Wisconsin Hospital & Clinics IHC/ISH Laboratory DB1-223 VAH 600 Highland Ave. Madison, WI 53792 (608)265-6596 -----Original Message----- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sharon.Davis-Devine Sent: Wednesday, March 30, 2011 9:42 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Ventana's Basal Cell Cocktail To all of you Histonetter's out there I need to know for those of you that are using the new Ventana antibody, CK34BE12 + p63, Basal Cell Cocktail, are you charging these as as one charge or two? Any information will be greatly appreciated. Thanks. Sharon Davis-Devine, CT (ASCP) Cytology-Histology Supervisor Carle Foundation Hospital Laboratory and Pathology Services 611 West Park Street Urbana, Illinois 61801 217-383-3572 sharon.davis-dev...@carle.com _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ------------------------------ Message: 6 Date: Wed, 30 Mar 2011 12:22:15 -0400 From: Robert Richmond <rsrichm...@gmail.com> Subject: [Histonet] Re: Peripheral smear To: histonet@lists.utsouthwestern.edu Message-ID: <AANLkTinD=0Z04CuGVPONRo3+u602N6L4_LFx1sa5Z=l...@mail.gmail.com> Content-Type: text/plain; charset=ISO-8859-1 Gary Martin (where?) asks: >>Our pathologist[s] review peripheral smears for the clinical lab, and I'm wondering how other facilities handle the reporting. We presently receive the smear from a tech, the pathologist provides a comment and returns it to the lab.<< I take these VERY seriously. First, how NOT to do it: 1. Pathologist scribbles a tiny note in a space the size of a postage stamp, which then gets posted to the chart, or maybe doesn't. 2. Pathologist scribbles a note, which a technologist then types into the system (pathologist doesn't have access to the system). 3. Pathologist dictates a note, which is typed by a transcriptionist unfamiliar with the vocabulary, then put in the chart where the attending physician will never find it. Peripheral smear reviews are requests for consultation and should be treated as such. This consultation is billable (CPT 85060). There is a higher CPT code for more extensive consultation (80502) but I've never talked to anyone who'd heard of it. The pathologist should review the history to the extent necessary, and record this review in the note. (The patient doesn't live whose relevant history I can't summarize in one sprawling, badly written sentence.) The consult should include the basic data from the blood count that comes with the smear, since this information probably won't be simultaneously available to the physician reading the consult. The blood smear review should be focused in view of the information available. The pathologist should recommend such basic tests (reticulocyte count, vitamin B12, ferritin, direct antiglobulin test) as haven't been done. I prefer to type these consults myself, but most pathologists dictate them. A template would be worthwhile. The point here is - the pathologist is a consultant, not a technician, and should not regard themself as a technician nor allow themself to be treated as a technician. These reviews can be the best bargain in laboratory medicine, given that the pathologist would make better money flippin' burgers at McDonald's. I get enough feedback about them to know they're worthwhile. The opinions expressed are my own, and have not been vetted by anybody with an MBA. Bob Richmond Samurai Pathologist Knoxville TN ------------------------------ _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet End of Histonet Digest, Vol 88, Issue 39 **************************************** _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet