[Histonet] RE: CAP checklist question

[Susan.Walzer <@t> HCAHealthcare.com]

We put in a procedure stating that should we change the schedule we will test a variety of tissue (10 different types) and have the pathologist assess the run. We have not changed a schedule in years but we seek to comply...

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Hannen, Valerie
Sent: Monday, February 25, 2013 1:21 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] CAP checklist question

Hi gang..

I am working on a self-inspection CAP checklist and came across the following:

ANP.23120   Tissue Processor

                Tissue processing schedules are validated.   Note: New tissue processing schedules must be validated against the standard laboratory processing schedule.

  Evidence of compliance:   Written procedure for validation of new tissue processing schedules AND
                                         WC records documenting validation

What do you all make of this??  We have not had any new processing schedules introduced into our lab in years. So, I really don't know how to proceed on this one.
Any insite will be greatly appreciated.

Valerie A. Hannen, MLT(ASCP),HTL,SU(FL)
Histology Section Chief
Parrish Medical Center
951 N. Washington Ave.
Titusville, Florida 32976
Phone:(321) 268-6333 ext. 7506
Fax: (321) 268-6149
valerie.hannen <@t> parrishmed.com


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