[Histonet] delivery time of last tray of H&E

Sat Mar 31 05:26:47 CDT 2007

Hello Laura,
  Thanks for the info on the RHS. What do you mean by "limitless system"?
  Where is your lab located? I would like to see another lab running this microwave.
  Thanks,
  Dawn

"Galiotto, Laura" <LGaliotto <@t> nch.org> wrote:
      Hello Dawn,
    We have the RHS-1 and are getting a second one. I like the limitless system. We are processing tissue as thick as 3mm starting the run at 10:30 and handing in the slides at 16:00. It also does not restrict you to a different reagent or vendor for reagents. I continue to use 10%NBF for fixation and ethanol & Isopropanol for dehydration, then immediately into paraffin. 
  If you are ever in town stop by to see it.
  Thanks 
  Laura 
    -----Original Message-----
From: Dawn Cowie [mailto:dlcowie <@t> prodigy.net]
Sent: Friday, March 23, 2007 10:11 AM
To: Galiotto, Laura
Subject: RE: [Histonet] delivery time of last tray of H&E

  Laura,
  It is definitely hard to find certified techs willing to do those hours. I'm lucky at the moment - the techs that work these hours want to. I'm not sure what we'll do when 1 of them retires probably in the next couple of years.
  What kind of microwave processor do you run? We are going to look at this again. We tried the RHS-1 a few years ago- docs didn't like results - too labour intensive for the techs.
  thanks for your response,

  Dawn

"Galiotto, Laura" <LGaliotto <@t> nch.org> wrote:
        Hello Dawn,
  Yeah, however you do bring up a very valid point. I do get the specialist, ie.. oncologist,pulmonaryologist, that come in very early to check slides before the pathologist gets in. My biggest problem is finding certified technicians that will work the night shift, practically non-existant. 
  Thank goodness for our microwave processor. We now are processing most biopsies sameday.
  Laura Galiotto, HT(ASCP)
  Histology Manager 

---------------------------------
  From: Dawn Cowie [mailto:dlcowie <@t> prodigy.net]
Sent: Fri 3/23/2007 3:03 AM
To: Douglas D Deltour; 'Marshall Terry Dr, Consultant Histopathologist'; 'Akemi Allison-Tacha'; 'Rene J Buesa'; Galiotto, Laura; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] delivery time of last tray of H&E

    We do what we are required to do by the pathologists. I don't know why they think they need all H&E's so early - they can't look at them all at the same time and sign them out -  except that they have them just in case a clinician calls. The trend these days is certainly toward faster and faster turnaround time.

  Dawn L. Cowie, HT (ASCP)
  Histology Supervisor
  Pensacola Pathologists, PA
  Pensacola, Florida 32503
  850-416-7251

Douglas D Deltour <doug <@t> ppspath.com> wrote:
  I don't get it either. We have a little histo pixies that comes in while we
sleep and the slides magically appear on the pathologist desk in the
morning. :)

Douglas D. Deltour HT(ASCP)
Histology Supervisor
Professional Pathology Services, PC
One Science Court
Suite 200
Columbia, SC 29203
(803)252-1913
Fax (803)254-3262

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Marshall
Terry Dr,Consultant Histopathologist
Sent: Thursday, March 22, 2007 12:28 PM
To: Akemi Allison-Tacha; Rene J Buesa; Galiotto, Laura;
histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] delivery time of last tray of H&E

This is all bloody unbelievable. Don't any of you sleep?
What is the point of working at night?

Terry 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Akemi
Allison-Tacha
Sent: 22 March 2007 17:25
To: Rene J Buesa; Galiotto, Laura; histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] delivery time of last tray of H&E

René--That was similar to the protocol I followed in the old days before
24/6 . We provided rush's 1st, followed by bx's by 8AM, we did however,
provide special stains and recuts and IHC's by 2-3 PM, depending if it
wasn't a lengthy procedure. 

If you have off site facilities to provide for, that is a different
situation. You have to work around courier sheduals for delivering to off
site facilities. Everyone needs their slides and time is money!!

With the new microwave processing technology that is now in use, there has
been a shift to having the majority of staff starting at 10 PM at night.
MUCH TO THE DISLIKING OF HISTOTECH"S. 

The day shift is minimum. IHC is done during the day shift, after the
pathologist has determined to do so. 
In most situations, a battery of IHC's tests are pre-set, as well as with
special stains.

Akemi Allison-Tacha BS, HT (ASCP) HTL
President
Phoenix Lab Consulting & Staffing
Specializing in Histology, SS, IHC, & Microarray Madison, WI
Tele: (925) 788-0900
E-Mail: akemiat3377 <@t> yahoo.com

--- Rene J Buesa wrote:

> Laura:
> For a laboratory I used to manage with quite similar annual workload 
> we had the following
> schedule:
> 1- last tissue accepted at 7:00 PM;
> 2- two VIPs atarting with delay to be finished at 4:00 AM next day;
> 3- Rushes ready for the pathologists at 8:00 AM next day;
> 4-All slides ready, the latest, at 1:00 PM.
> 5- All IHC ready by 2 PM
> 6- all HC ready by noon.
> René J.
> 
> "Galiotto, Laura" wrote:
> Hello Fellow Histo Tech's,
> Will anyone be willing to share the delivery time of the last tray of 
> H&E for the days workload to the pathologist reading them?
> What is your cutoff time for specimen acceptance?
> What is your annual case workload?
> I am trying to improve the TAT from specimen gross to the H&E 
> delivered to the pathologist. Unless we change the cutoff time I can 
> not see how I can do this? Any suggestions?
> We process 22,000 cases a year an average of 280 blks a day consisting 
> of types of tissue.
> Please Help
> Laura
> 
> 
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