[Histonet] Re: Histonet Digest, Vol 64, Issue 4
Marilyn.A.Weiss <@t> kp.org
Marilyn.A.Weiss <@t> kp.org
Tue Mar 3 14:08:52 CST 2009
In regard to tracking OR specimens, we use a "handling transmittal " form.
On it is the patient information, PF number, doctor, courier, who it was
rc'd by and the specimen .
The OR fills it out and whoever receives the specimens will check the
paperwork against the name on the container .
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Today's Topics:
1. Re: Re: Mohs technique (Kim Tournear)
2. Re: Section thickness (Vanessa J. Phelan)
3. Hologic Thin Prep 2000 Imaging Sytem
(Julie_Schoenborn <@t> bradycorp.com)
4. Biocare intelliPATH (Jackie M O'Connor)
5. RE: Biocare intelliPATH (Blazek, Linda)
6. Re: specimen tracking from the OR (Matthew Lunetta)
7. Temp Position In San Diego Ca. (James Watson)
8. Manager's question (Terri Braud)
----------------------------------------------------------------------
Message: 1
Date: Tue, 3 Mar 2009 07:48:28 -0800 (PST)
From: Kim Tournear <kimtournear <@t> yahoo.com>
Subject: Re: [Histonet] Re: Mohs technique
To: Histonet <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <10226.53099.qm <@t> web54203.mail.re2.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
The derm office I workd in found a neat little gadget called a
"cryo-embedder". It is sold by Belaire Instruments and works great. Better
than trying to use cryomolds, slides, etc...
~Kim Tournear ~ HT (ASCP), QIHC (ASCP)
Histology Supervisor
Tucson Medical Center
Tucson, AZ
~Don't let your life end before it begins~
OU Rocks!!!!
--- On Wed, 2/25/09, whitmorel <whitmorel <@t> mindspring.com> wrote:
From: whitmorel <whitmorel <@t> mindspring.com>
Subject: [Histonet] Re: Mohs technique
To: histonet <@t> lists.utsouthwestern.edu
Date: Wednesday, February 25, 2009, 12:21 PM
First of all, there is no apostrophe in Mohs. Sorry, being picky is a
necessity
for a Mohs tech. How are you mounting your tissue? Are you using a glass
slide
to mount the tissue? There are several different method out there for
mounting
tissue so you can be sure the entire epidermis is completely down and air
bubbles are out of the tissue. You might have your surgeon contact the
Mohs
College and see about getting a trainer to come and work with you. With
your
background, the 2 days the College suggests would work great. The other
alternative is to go and visit a trainer. If you go onto the website
www.mohscollege.org you can find a list of Mohs histotech trainers.
Lynn Whitmore HT(ASCP)
Mohs Histotechnology Trainer
-
>------------------------------
>
>Message: 17
>Date: Wed, 25 Feb 2009 06:56:12 -0800 (PST)
>From: Steven Coakley <sjchtascp <@t> yahoo.com>
>Subject: [Histonet] Moh's techniques
>To: Histonet <@t> lists.utsouthwestern.edu
>Message-ID: <164204.1533.qm <@t> web38206.mail.mud.yahoo.com>
>Content-Type: text/plain; charset=iso-8859-1
>
>Good morning all,
>
>I'm learning a new way to do Moh's. Much more relaxed compared to
how I did them years ago with a Pathologist looking over my shoulder while
I
attempted to cryosection 12, 3,9,12 o'clock boarders, stain them by hand
and
the Dermatologist wanting the results "yesterday". I'd
like to get some ideas as to techniques Moh's Techs are using out there
that work well in assuring that one gets the entire skin edge. I'd also
Like to shadow in any fairly local Moh's labs in the So.WI or No. Ill.
area.
>
>Thanks everyone,
>
>Steve
>
>
>
>
>
>------------------------------
>
>M
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------------------------------
Message: 2
Date: Tue, 3 Mar 2009 10:53:51 -0500
From: "Vanessa J. Phelan" <vjp2105 <@t> columbia.edu>
Subject: Re: [Histonet] Section thickness
To: <rjbuesa <@t> yahoo.com>, <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <C5D2BCBF.15E%vjp2105 <@t> columbia.edu>
Content-Type: text/plain; charset="ISO-8859-1"
Ammunition...no, was more just inquiring what the what the average would
be
and if there was any specific reason for thinner sections other that just
preference.
Thanks
Vanessa
On 3/3/09 9:37 AM, "Rene J Buesa" <rjbuesa <@t> yahoo.com> wrote:
> Vanessa:
> Lymph nodes for cellular details (special request) = 3 µm
> H&E and all other special procedures = 5 µm
> Sections for bone marrow and liver reticulum stain = 7 µm
> Brain and central nervous system = 10 µm
>
> Now a question, why do you want to know this? To have "ammunition" to
> challenge what is done in your new lab? Not a wise move. I don't think
that
> they would mind if you cut thinner, but they will mind if you start
bringing
> this issue about. Let your thinner sections "speak for themselves". It
will
> get the moment that "by example" your way will prevail.
> René J.
>
> --- On Tue, 3/3/09, Vanessa J. Phelan <vjp2105 <@t> columbia.edu> wrote:
>> From: Vanessa J. Phelan <vjp2105 <@t> columbia.edu>
>> Subject: [Histonet] Section thickness
>> To: histonet <@t> lists.utsouthwestern.edu
>> Date: Tuesday, March 3, 2009, 9:14 AM
>>
>> Hi Guys,
>>
>> Just wondering what thickness you cut sections at? I was always used to
>> cutting at 2-3 microns in my last lab, however in my new place they are
>> cutting at 6 microns (for both H & Es and IHC), which seems to me as
really
>> quite thick! What would be the average cutting thickness?
>>
>> Thanks a mill,
>>
>> Vanessa
>>
>>
>> _______________________________________________
>> Histonet mailing list
>> Histonet <@t> lists.utsouthwestern.edu
>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>
>
------------------------------
Message: 3
Date: Tue, 3 Mar 2009 09:57:15 -0600
From: Julie_Schoenborn <@t> bradycorp.com
Subject: [Histonet] Hologic Thin Prep 2000 Imaging Sytem
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<OF5EF8CC3F.E9AED6F6-ON8625756E.005756E1-8625756E.0057A6FB <@t> bradycorp.com>
Content-Type: text/plain; charset="US-ASCII"
Does anyone have a copy of the ocr-a font so lab can print slide labels
with appropriate readable text for this this system?
------------------------------
Message: 4
Date: Tue, 3 Mar 2009 09:57:48 -0600
From: Jackie M O'Connor <Jackie.O'Connor <@t> abbott.com>
Subject: [Histonet] Biocare intelliPATH
To: histonet <@t> lists.utsouthwestern.edu,
histonet-bounces <@t> lists.utsouthwestern.edu
Message-ID:
<OF4C00B2AA.B441D6DA-ON8625756E.0057A273-8625756E.0057B741 <@t> abbott.com>
Content-Type: text/plain; charset="US-ASCII"
Soliciting opinions on this IHC stainer. Good or bad.
------------------------------
Message: 5
Date: Tue, 3 Mar 2009 11:13:11 -0500
From: "Blazek, Linda" <lblazek <@t> digestivespecialists.com>
Subject: RE: [Histonet] Biocare intelliPATH
To: 'Jackie M O'Connor' <Jackie.O'Connor <@t> abbott.com>,
"histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>,
"histonet-bounces <@t> lists.utsouthwestern.edu"
<histonet-bounces <@t> lists.utsouthwestern.edu>
Message-ID:
<5A2BD13465E061429D6455C8D6B40E390870C5D696 <@t> IBMB7Exchange.digestivespecialists.com>
Content-Type: text/plain; charset="us-ascii"
Jackie,
I have Biocare's intelliPath and like it very much. It is an open system
so I have the option to use any reagents I choose. You can continuously
add stains through out the day even if you have a protocol running.
Instillation, support and service has been great.
You can contact me any time if you would like any additional information.
Linda
Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
7415 Brandt Pike
Huber Heights, OH 45424
Phone: (937) 293-4424 ext 7118
Email: lblazek <@t> digestivespecialists.com
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Jackie M
O'Connor
Sent: Tuesday, March 03, 2009 10:58 AM
To: histonet <@t> lists.utsouthwestern.edu;
histonet-bounces <@t> lists.utsouthwestern.edu
Subject: [Histonet] Biocare intelliPATH
Soliciting opinions on this IHC stainer. Good or bad.
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 6
Date: Tue, 03 Mar 2009 09:41:52 -0700
From: "Matthew Lunetta" <MLunetta <@t> luhcares.org>
Subject: [Histonet] Re: specimen tracking from the OR
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <49ACFB60020000A80002CAE8 <@t> mail.luhcares.org>
Content-Type: text/plain; charset=US-ASCII
We too are a small hospital. And like Terri there is a book in the OP area
that the specimens are logged into when dropped off and picked up. It is a
standard Chain-of-Custody (COC) protocol. We have recently added a new
process as we too had a sample missplaced when the Histology Lab was
closed. Now after hours tissue is brought to the General lab and a COC log
is filled out with the RN dripping off the specimen and the Lab Assistant
accepting the specimen. To copy Terri, Crude and time consuming,
yes....accurate, too.
Regards,
Matt Lunetta HT, (ASCP)
Longmont United Hospital
Message: 2
Date: Mon, 2 Mar 2009 13:28:22 -0500
From: "Terri Braud" <tbraud <@t> holyredeemer.com>
Subject: [Histonet] RE: specimen tracking from the OR
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<F3D3B1CE184AA34ABB007C3E0FDCC38403848D1D <@t> hrex-svr.holyredeemer.local>
Content-Type: text/plain; charset="iso-8859-1"
We are a small hospital lab, too. There is a log book in the OR, where
specimens are placed for Histo pick up. The circulating nurse puts a
Patient sticker and handwrites all specimens removed from the patient,
regardless of what they are, and whether or not they have been walked
down, tubed, or waiting pickup. We make sure that all specimens we remove
are listed in the book, then sign/date/time for them. Any specimen left
for us and not in the book, or vice versa, we bring to the attention of
the OR control desk. If we make a run and there are no specimens to pick
up, then we still sign and date/time the log book as "no specimens". Any
specimens brought to the department are checked before accepting. Crude
and time consuming, yes....accurate, too.
Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax
6. log book (Kathy Gorham)
Message: 6
Date: Sun, 01 Mar 2009 17:15:47 -0800
From: "Kathy Gorham" <gorhamk <@t> verizon.net>
Subject: [Histonet] log book
Good Monday Morning, We had a serious incident Friday with O.R. My aide
went down to get the specimens from O.R. about 9am. (which were left overs
from the night before). She did not stamp in the specimens before she
left. When I had time to stamp them in and record them in the log book I
discovered that the colon was not there. Two other specimens from that
patient where in the bag but no colon. So I went down to O.R. to see
where it was. Of course no one knows what happened to the colon. The
doctors are furious by all means. Now the O.R. thinks the path lab
screwed up. So my questions is how do others log in the specimens as they
come into the lab. We have 2 couriers that brings specimens when we are
not in the lab from other hospitals. How do you make sure that whom ever
brings the specimens actually brings the ones they say they do? Do you
have a log book that every specimen that is brought into the lab is
written down by the person who brings it in? Right n
ow we have a log book but it is written in as we are accessing the
specimens. So the specimens may have been there overnight. We are a very
small lab and we do almost everything by hand including writing in the log
book. Someday we want to be able to scan by bar codes but right now we
can not do that. Thanks for any help you can give me.
Kathy Gorham, H.T.
------------------------------
Message: 7
Date: Tue, 3 Mar 2009 08:59:59 -0800
From: "James Watson" <jwatson <@t> gnf.org>
Subject: [Histonet] Temp Position In San Diego Ca.
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<F5A26DAD36F60843830631774C95CAE20552CAD7 <@t> EXCH2.rec.gnf.org>
Content-Type: text/plain; charset="us-ascii"
Would you like to spend the summer in Sunny San Diego Ca.?
Job Description
GNF is currently seeking a temporary Scientific Associate to join the
Histology group (End of June 2009 through beginning of October 2009).
Job Summary
Performs routine, special staining and complex procedures necessary in
preparing specimens of animal tissue in a research environment.
Qualifications
Associate's degree in a biological science or completion of a NAACLS
accredited School of Histotechnology is required.
Having the American Society of Clinical Pathologist (ASCP) certification
as a Histology Technician is required.
Applicants must demonstrate the ability to perform the essential
functions of the job as outlined in the position description.
Experience
Applicant should have at least 2 years of experience in animal
techniques, a wide variety of manual histochemical and enzymatic
staining, automated and manual immunohistochemistry.
Essential Functions
1. Identifies significant tissue elements microscopically to
determine quality of staining.
2. Necropsy, fix, trim, process, and embed animal tissue for
paraffin and frozen sections.
3. Performs microtomy on rotary microtome, cryostat.
4. Prepares dyes and solutions in order to perform special
or
complex procedures.
5. Have the background to do basic histochemical stains and
enzymatic histochemical stains. Have the background in
Immunohistochemical staining and other advanced histological procedures.
6. Maintains lab work area by performing preventative
maintenance
on instruments and equipment and keeping the work area clean and
orderly.
7. Operate Slide scanning instrumentation.
The Genomics Institute of the Novartis Research Foundation (GNF),
located in the Torrey Pines area of San Diego, CA, is funded by the
Novartis Research Foundation and dedicated to the development and
application of new methods and techniques for genome-wide biological
discovery and biomedical research. GNF provides a unique and
challenging opportunity to combine exploratory biomedical research with
pharmaceutical drug development in a highly interactive,
multidisciplinary environment and state-of-the-art facilities. GNF
offers excellent compensation and a great benefits package. Visit our
website at www.gnf.org <http://www.gnf.org/> EOE
Please submit your CV and any supporting documents to:
Genomics Institute of the Novartis Research Foundation
Job Code: JW03-003
10675 John Jay Hopkins Drive
San Diego, CA 92121
Fax: 858/812-1670, or submit online to jobs <@t> gnf.org
(subject line must include JW03-003)
------------------------------
Message: 8
Date: Tue, 3 Mar 2009 12:15:15 -0500
From: "Terri Braud" <tbraud <@t> holyredeemer.com>
Subject: [Histonet] Manager's question
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<F3D3B1CE184AA34ABB007C3E0FDCC38403848D20 <@t> hrex-svr.holyredeemer.local>
Content-Type: text/plain; charset="iso-8859-1"
I need some histonet help, please.
If you are a manager and if you are being asked to manage to "units per
productive manhour" where a unit is one billed test, would you mind
sharing your budgeted target?
Also, if you have this information, please let me know what services your
lab offers...Histology, IHC, Cytology?
I've been asked to manage to this figure before, but we always had
benchmarked figures to go by.
Thanks in advance, Terri
Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax
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