[Histonet] CAP guidelines

Thu Feb 21 16:10:16 CST 2008

I understand the two patient identifiers to be a JCAHO initiative.  

We are required to use two patient identifiers in the phlebotomy area when collecting blood.  The patient is asked their name and birth date.  In the Anatomic Pathology area, we are asking that accessioners look not only at the patient name, but also confirm a second identifier, such as their birth date before they accession the case into the LIS.  In the case of similar names - it can and has made a difference.

Reading the CAP question - I would have to agree with Hector's interpretation.  The CAP question is only asking if the block is clearly identified with the accession number and any sub identifiers that tie the block to a specific specimen, in a legible manner that is capable of withstanding the chemicals it will be subjected to.  I have worked at labs that would submit 12 blocks of colon with only the accession number on the block, and nothing to identify the individual cassettes.  When the doc wanted deepers on a block - he would submit the slide, and the tech would match the slide to the block - very inefficient.  That has changed immensely over time - I am showing my age - but I am sure there are still labs that operate that way. 

Sheila Tapper HT(ASCP)
Anatomic Pathology Supervisor

SMDC Clinical Laboratory
407 East First Street
Duluth, MN  55804

Telephone:  218-786-5472
Fax:  218-786-2369

 -----Original Message-----
From: 	histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu]  On Behalf Of Horn, Hazel V
Sent:	Thursday, February 21, 2008 3:31 PM
To:	Douglas D Deltour; Hector Hernandez; Sharon.Davis-Devine; histonet <@t> lists.utsouthwestern.edu
Subject:	RE: SPAM-LOW:  RE: [Histonet] CAP guidelines

I disagree as well.   I don't see it in the guidelines published
September 07.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
800 Marshall    Slot 820
Little Rock, AR   72202

phone   501.364.4240
fax        501.364.3912

visit us on the web at:    www.archildrens.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Douglas
D Deltour
Sent: Thursday, February 21, 2008 3:21 PM
To: 'Hector Hernandez'; 'Sharon.Davis-Devine';
histonet <@t> lists.utsouthwestern.edu
Subject: RE: SPAM-LOW: RE: [Histonet] CAP guidelines

I disagree with that interpretation Hector. I do not consider the block
number a patient identifier. Still I consider Sharon's original question
hearsay until I see it on a CAP checklist. 

Douglas D. Deltour HT(ASCP)
Histology Manager
Professional Pathology Services, PC
One Science Court
Suite 200
Columbia, SC 29203
Office (803)252-1913
Fax (803)254-3262
Doug <@t> ppspath.com 
*****************************************************
PROFESSIONAL PATHOLOGY SERVICES, PC
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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Hector
Hernandez
Sent: Thursday, February 21, 2008 4:01 PM
To: 'Douglas D Deltour'; 'Sharon.Davis-Devine';
histonet <@t> lists.utsouthwestern.edu
Subject: SPAM-LOW: RE: [Histonet] CAP guidelines

I think everyone in the Histo world already does this. Example S1000-07
A1,
A2, etc.  No need to get excited about this question.  The two
identifiers
are the surgical# and any sub letter or number.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Douglas
D
Deltour
Sent: Thursday, February 21, 2008 2:48 PM
To: 'Sharon.Davis-Devine'; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] CAP guidelines

This is from the Sep 2007 checklist. 

ANP.21100             Phase II	N/A   YES   NO

Are blocks identified adequately?

NOTE:  Each block of tissue must be identified by the entire accession
number assigned to the case and by any descriptive letter(s)/number(s)
added
by the prosector during the dissection.  If additional blocks are
prepared
later, all lists and logs must reflect these additions.  Identification
number and letter(s)/numbers(s) must be affixed to all blocks in a
manner
that remains legible.

Douglas D. Deltour HT(ASCP)
Histology Manager
Professional Pathology Services, PC
One Science Court
Suite 200
Columbia, SC 29203
Office (803)252-1913
Fax (803)254-3262
Doug <@t> ppspath.com 
*****************************************************
PROFESSIONAL PATHOLOGY SERVICES, PC
NOTICE OF CONFIDENTIALITY
This message is intended only for the use of the individual or entity to
which it is addressed and may contain information that is privileged,
confidential and exempt from disclosure under applicable law. If the
reader
of this message is not the intended recipient, you are hereby notified
that
any dissemination, distribution, or copying of this communication is
strictly prohibited by law. If you have received this communication in
error, please notify me immediately.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
Sharon.Davis-Devine
Sent: Thursday, February 21, 2008 3:15 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] CAP guidelines

Ok, Histonetters, got another burning question for you.  I have heard
that there is a new CAP guideline that states that there needs to be two
patient identifiers on the tissue block.  We have a block printer and we
all know that there is very limited space on the block for much info, so
if we need to have two patient identifiers things will get very tight.
For those of you who have block printers, how are you handling this?
All info and suggestions are greatly appreciated.

Sharon Davis-Devine, CT (ASCP)

Cytology Supervisor

Carle Clinic

602 West University

Urbana, Illinois 61801

Phone:  217-383-3572

Email:  sharon.davis-devine <@t> carle.com

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