SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea

Fri Nov 27 13:30:55 CST 2009

Cap uses a term called "conventional processing" which is not well defined
and at the interruption of the inspector, but I have been told that tissue
processing that is not "conventional" (taking the tissues out of the wax and
letting them harden after process and wait a few days to embed, or leaving
the tissue in 70% alcohol on the processor for 48 hours may be interpreted
by some inspectors as "not conventional" processing) and in that case you
would need to do validation studies showing that the results are as good as
"conventional" 48 hour processing when these deviations are not used.

Regards,

Patsy  

Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
email pruegg <@t> ihctech.net
website www.ihctech.net
IHC Resource Group www.ihcrg.org 

-----Original Message-----
From: Rathborne, Toni [mailto:trathborne <@t> somerset-healthcare.com] 
Sent: Friday, November 27, 2009 10:12 AM
To: Rene J Buesa; Patsy Ruegg; Cheryl; Robin.Taylor <@t> prexushealth.com;
hymclab
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea

Do you know if the lab that was cited, appealed?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Rene J
Buesa
Sent: Friday, November 27, 2009 12:09 PM
To: 'Patsy Ruegg'; 'Cheryl'; Robin.Taylor <@t> prexushealth.com; hymclab
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea

Usually is the inspector's (also usually unqualified ) opinion. Just the
"adrenaline rush" of citing somebody.
René J.

--- On Fri, 11/27/09, hymclab <hymclab.hymclab <@t> ministryhealth.org> wrote:

From: hymclab <hymclab.hymclab <@t> ministryhealth.org>
Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea
To: "'Patsy Ruegg'" <pruegg <@t> ihctech.net>, "'Cheryl'" <tkngflght <@t> yahoo.com>,
"Robin.Taylor <@t> prexushealth.com" <Robin.Taylor <@t> prexushealth.com>
Cc: "histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu>
Date: Friday, November 27, 2009, 11:18 AM

I know of a lab that was dinged by CAP for doing this.  The inspector said
that was not a suitable solution to the problem.  The lab had to change
their scheduling patterns and have someone come in and embed the tissues on
Saturday am.
This was just one instance that I heard of and was probably the inspector's
personal opinion.

Dawn

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Patsy Ruegg
Sent: Wednesday, November 25, 2009 4:21 PM
To: 'Cheryl'; Robin.Taylor <@t> prexushealth.com
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea

This would work but make sure your tissue is very well fixed 24-48hrs before
letting them sit in 70% or they will get alcohol fixed and that can be a
problem.

Patsy Ruegg, HT(ASCP)QIHC
IHCtech
12635 Montview Blvd. Ste.215
Aurora, CO 80045
720-859-4060
fax 720-859-4110
www.ihctech.net
www.ihcrg.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Cheryl
Sent: Wednesday, November 25, 2009 12:34 PM
To: Robin.Taylor <@t> prexushealth.com
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: SPAM-LOW: [Histonet] weekend proc. fix -- a simple idea

hi Robin-

IThere are a dozen ways to address this but a very simple one without extra
resources might be this:

Set your processor with the extra 24-48 hours held in the first alcohol. You
probably don't want to spread the time across the whole machine or your end
product will be VERY different than your weekly processing.  70% doesn't
harden the biopsies and meets the fixation requirements currently under
regulations. This works if you don't add to the processors after they're
first loaded--set your end time for Monday morning and go! Once they change
the reg to 6-72 hours, then rethink the distribution of time.

All the other solutions are valid, but his way you don't have to obligate
the pathologists to extra handling or have to deal with more than one
processor and it's still inside current regs.

Happy Thanksgiving!

Cheryl Kerry, HT(ASCP)
Full Staff Inc.
800.756.3309
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