[Histonet] Patient ID on cassettes

Tue Apr 27 15:29:45 CDT 2010

A statement was made in a previous posting indicating CAP requirements for 2 unique identifiers throughout the entire analytic process: "To conform to CAP and state regulations that require two unique patient identifiers on a specimen at all analytical steps."
The CAP standards GEN 40491, ANP 11460, and ANP12092 specifically indicate two unique identifiers on the PRIMARY specimen container, not on every container throughout the process, and there are notes explaining the requirements.  There may be variations in State laws, but these are the most up to date CAP standards.  There is no need to go through a lot of contortions adding additional information to cassettes. (however, at least the ones we use also have a side panel which can be written on)

Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
Bill.Tench <@t> pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

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Subject: [BULK] Histonet Digest, Vol 77, Issue 31

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Today's Topics:

   1. Patient ID on cassettes (Jeffrey Silverman)
   2. Re: Gram stain (Maxim Peshkov)
   3. Best books for the HTL? (Paula Sicurello)

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Message: 1
Date: Sat, 24 Apr 2010 10:28:55 -0700 (PDT)
From: Jeffrey Silverman <pathmaster <@t> yahoo.com>
Subject: [Histonet] Patient ID on cassettes
To: Joyce.Cline <@t> wchsys.org
Cc: histonet <@t> lists.utsouthwestern.edu
Message-ID: <690158.71961.qm <@t> web111108.mail.gq1.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

To conform to CAP and state regulations that require two unique patient identifiers on a specimen at all analytical steps, and to cope with a persnickety cassette labeller that is down more than up, we have taken to writing the patient's first and last initials in the upper left corner of the writing surface of the cassette, above the S10- xxxx. Our pencil sharpeners are running non -stop  but it works. Only problem is when a block is sent out for IHC the returned slides are labelled with the initials as part of the reference slides accession numbers and my boss doesn't care for that. Originally we dropped the S in S10- and replaced with the initials to get a little more room, now  we added back the S and placed initials above S10-.

Patient safety dictates that a prossector verify a match among  the labelled cassette and the labelled specimen containers and against the requisition and the number dictated into the gross computer/transcriber. Case by case, on every case. There is no substitute. As for placing the wrong cassettes on the wrong specimen containers, that seems to me to be pure carelessness and a disciplinary issue if it continues. 

When labelling, matching the initials that the microtomist writes on the slide with the patient's name printed on the slide labels provides a final  ID double check if the numbers on the slide get transcribed incorrectly. The initials thing takes minimal effort, but you need to be able to write small LOL.

Jeff Silverman. 

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Message: 2
Date: Sat, 24 Apr 2010 23:08:48 +0400
From: Maxim Peshkov <Maxim_71 <@t> mail.ru>
Subject: Re: [Histonet] Gram stain
To: "Perry, Margaret" <Margaret.Perry <@t> sdstate.edu>
Cc: histonet <@t> lists.utsouthwestern.edu
Message-ID: <573298402.20100424230848 <@t> mail.ru>
Content-Type: text/plain; charset=windows-1251

Margaret:
We uses 1% aqueous neutral red as red counterstain
with very good results.
Do not forget rinse slides at 10-15 secs in DW
with 1-2 drop of glacial acetic acid before neutral
red and after this, because this dye have red color
at pH < 6.
Sincerely,
Maxim Peshkov,
Russia,
Taganrog.

---Original message---
> Date: Fri, 23 Apr 2010 16:25:30 -0500
> From: "Perry, Margaret" <Margaret.Perry <@t> sdstate.edu>
> Subject: [Histonet] Gram stain
> To: "histonet <@t> lists.utsouthwestern.edu"
>         <histonet <@t> lists.utsouthwestern.edu>
> Message-ID:
>        
> <FCA5EF47F9BC694CBB4C58FEA04219634CCFB69B74 <@t> SDSU-MBX.jacks.local>
> Content-Type: text/plain; charset="us-ascii"
>
> Now that I'm done with my rant I have a real
> question.  We are trying to do a gram stain on fish
> and the safranine O is staining everything red.  What
> other stain would you use?  I usually have time to
> look at the books but unfortunately it's almost
> quiting time and the slides need to be done by noon Monday.  Thanks
> Margaret Perry

           mailto:Maxim_71 <@t> mail.ru

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Message: 3
Date: Sun, 25 Apr 2010 10:18:13 -0400
From: Paula Sicurello <patpxs <@t> gmail.com>
Subject: [Histonet] Best books for the HTL?
To: HistoNet <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
	<w2ha4ff07d91004250718rfe7fd3b5t1a7195a86a64f3fa <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1

Hello Listers,

I am going to study for the HTL exam after being in histology for over 20
years.  It seems like more and more labs want the certification
and less and less schools are offering the training that's required for the
HT/HTL.

Anyway,  which books are the best to use for the HTL exam?  ASCP mentions
Bancroft an Gamble "Theory and Practice of Histological Technique"
and Garcia  "Clinical Laboratory Management".

What do you recently certified HTLs think about those suggestions?  I'm not
getting down on the older certified HTLs but want the opinion of folks who
went through the grinder recently.

Thanks,

-- 
Paula Sicurello
6 of 6
Duke University EM Lab

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End of Histonet Digest, Vol 77, Issue 31
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