[Histonet] I need more ammunition

[Rene J Buesa]

Did I miss the word "patient" or wasn't it in there?
René J.

"Rittman, Barry R" <Barry.R.Rittman <@t> uth.tmc.edu> wrote:   Wayne
I am not in your situation but I understand the problems when you are in
a new job in histology.
In many jobs the way in which things are done is because no one has
guided the individuals in the job or have not adequately trained them.
Once a practice has been in operation for some time it becomes the
standard for that lab.
I am assuming that you are in charge of this lab?
Might I humbly suggest that you get individuals concerned together and
ask them in a non confrontational manner why jobs are carried out in a
certain manner. Perhaps this could be done in a casual setting over
coffee.
The suggest that there are better ways and show them these.
Sometimes people will resist such changes and then you may have to
insist or get your pathologist's backing.
I have always found that it helps to put things down on paper with pros
and cons of each method or practice. If there is, as Joe suggests a
danger of poor or false negatives then you have a powerful argument both
from point of view of costs (especially of immunological agents), of
delays in having slides ready for the pathologist and (often the most
convincing) the possibility legal consequences.
One problem in all labs is that people need to feel that they have some
say in the way their jobs are done. However while input is critical, it
is important that when it comes down to it that the person in charge
makes a decision and that the work is then done that way.
Hope things work out for you.
Barry


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Joe
Nocito
Sent: Sunday, May 11, 2008 9:06 AM
To: WAYNE HOLLAND; Histonet <@t> lists.utsouthwestern.edu
Subject: Re: RE: [Histonet] I need more ammunition

Wayne,
we perform almost 80 derm cases per day. We use blue sponges and not
lens 
paper. The blue sponges make embedding so much faster. Often, the lens
paper 
sticks together and makes it a nightmare to embed. Leaving any type of 
tissue on the counter is borderline malpractice. Not only does the
tissue 
dry out, making processing and cutting difficult, it reeks havoc with 
immunohistochemistry. You make get no staining, weak staining or so much

background staining you won't be able to read the slides.
Where are you working? Nothing against you, but I want to make sure none
of 
my family and friends are close by and pathology

Joe Nocito BS, PA, HT(ASCP)QIHC
San Antonio, TX


----- Original Message ----- 
From: "WAYNE HOLLAND" 
To: 
Sent: Saturday, May 10, 2008 7:31 PM
Subject: FW: RE: [Histonet] I need more ammunition


>I need more ammunition, please!!
>
>>From: WAYNE HOLLAND
>>Sent: Fri 5/9/2008 1:47 AM
>>To: Histonet <@t> lists.utsouthwestern.edu
>>Subject: [Histonet] I need your help
>>
>>
>>Everyone, I have started a new job. I have many things that need
fixed. I 
>>have a gross room that are using regular cassettes metal tops and they
are 
>>wrapping all of the derm work in yes wet lens paper and leaving them
on 
>>the countertop by the hoods for periods of up to 45 minutes. I know
this 
>>is not good for obvious reasons. I need your comments asap to help
make 
>>them understand, again for obvious reasons. I have been doing this for
28 
>>years and I need other field associates to back me up. Most of these 
>>specimen are very small. HELP!
>>
>>
>>
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