[Histonet] CAP inspection

[Joe Nocito]

Ron,
we were cited for the same thing. Cytology had pictures and graphs, but histo didn't. I just made up something. we perform our on logging in, so I take a sampling of the number of patients logged in to the number of misspelled patients, threw it in an Excel spreadsheet and created a graph (color of course so these inspectors {and I use the term loosely}). Maybe you can track the turn around time of cases, how many special stains or immunos are ordered against how many total cases.
	I don't like it either, but there is no regulation stating that a histology tech has to inspect a histology lab. One of the many issues I have with CAP.

As usual, the opinions of the author in no way reflects the opinions of his employers, their lawyers, grandmothers, distant cousins, etc., etc., etc.,

Joe Nocito, BS, HT(ASCP) QIHC
Histology Manager
Pathology Reference Lab
San Antonio, TX

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
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Sent: Tuesday, May 17, 2005 2:09 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] CAP inspection


Fellow Techs,
We recently had a CAP inspection (and passed!) but were cited for GEN 20380 " no graphical tools to communicate quality findings". We thought this was N/A for a histology lab, but apparently not. Does anyone have any ideas on what graphs are
needed?
Also, we had an MT assist the MD during the inspection. The MT was the one who cited us.Wouldn't it be more appropriate to have an HTor HTL assist with the inspection of a histology lab?
Any input is greatly appreciated.
Ron Martin


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