[Histonet] RE: Slide Quality

[Cheri Miller]

I agree with everything you have said. If it is a trend with a particular
tech then obviously you address that. We also have a Daily QC that the path
grades on total slide quality, processing, embedding, sectioning, staining,
cover slipping and labeling. Isn't that the purpose of the daily QC sheet?
The question was who gets 100% wrinkle and folds free. I was saying to get
that one perfect slide , one might cut away tissue if it was a difficult
block....sometimes its better to get "the best" section you can. If it's not
a trend with a tech why document it??  The path has already done so in the
daily QC haven't they??  

Cheri Miller HT ASCP
Histology Supervisor
Physicians Laboratory Services, Inc.
Omaha, NE 68117
402 738 5052

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Susan Owens
Sent: Sunday, December 02, 2007 1:18 PM
To: Histonet
Subject: [Histonet] RE: Slide Quality

There should be a QC chart sent to the Pathologist daily  with someone 
selecting a random H & E case..The Pathologist can check  off such things as
stain quality, wrinkles/folds etc....Poor sections should be addressed 
whether it interferes with the diagnosis or not.....

There can be a problem within a certain section that makes it's early 
impossible for a wrinkle/fold fee selection...BUT, that would not be a daily

issue...I would say any good Histo tech can and should have at least 99.% 
wrinkle/fold fee sections.
If wrinkles/folds are routine, then that's a big problem that needs to be 
addressed and addressed now.
>>> others input.  I believe any time there is a wrinkle or fold it should 
>>> be
>>> documented.

I agree Sandy, BUT don't start a "witch hunt"...If you fine the poor quality

sections coming from the same person(s) then a sit down talk with a walk 
down memory lane( as in back to basics) would be in order....Not a burning 
on the cross(at least not yet)...

If wrinkles/folds are a big daily issue, then yes document, investigate and 
correct the problems..But if your talking about one wrinkle on one slide out

of many slides.....then you can document, but don't go to war over it.....

Susan


> Message: 17
> Date: Fri, 30 Nov 2007 15:15:20 -0800 (PST)
> From: Sandy Smith <histotech40 <@t> yahoo.com>
> Subject: RE: [Histonet] Slide quality
> To: histonet <@t> lists.utsouthwestern.edu
> Message-ID: <648380.1758.qm <@t> web57412.mail.re1.yahoo.com>
> Content-Type: text/plain; charset=us-ascii
>
> When should the pathologist document wrinkles/folds?  Only when it
> interferes with the diagnosis?  Or any time there is a wrinkle or fold?
>  Also how many histo techs out there get 100% wrinkle free sections?  I 
> have
> had discussions with my pathologists about these issues and would like
> others input.  I believe any time there is a wrinkle or fold it should be
> documented. 



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