[Histonet] Grossing Personnel Requirements
Meilus, Sheri D.
Sheri.Meilus <@t> va.gov
Fri Jun 25 12:48:51 CDT 2010
Hi All,
I hope this will help to clarify the new ruling passed down from CAP regarding personnel requirements for grossing specimens. Historically, CAP differentiated between "grossing" and "processing". Grossing required orientation and/or dissection of the specimen and was considered high complexity testing. In contrast, "processing" did not require specific orientation and minimal cutting and was not considered high complexity. However, CAP now considers grossing and processing to be in one category and is all high complexity. I will excerpt the CAP alert and other pertinent information below:
March 31, 2010
Attention Anatomic Pathology Laboratories:
In preparation for the release of the 2010 CAP Checklist Edition in June of this year, CAP is notifying all accredited anatomic pathology laboratories of a revised checklist requirement that may have an impact on your laboratory's staffing.
The revisions will require that all non-pathologist individuals who perform macroscopic tissue examinations meet the personnel requirements for high complexity testing in accordance with CLIA. This interpretation of the CLIA requirement was recently provided to CAP from CMS. As a service to CAP Accredited laboratories, the CAP offers compliance alerts to help your laboratory maintain continuous compliance.
Previously, the Anatomic Pathology checklist differentiated two levels of macroscopic examination, "processing" and "grossing." In this context, "processing" means macroscopic examination of small specimens not requiring knowledge of anatomy, which are entirely submitted for microscopic examination, while "grossing" means macroscopic examination of more complex specimens. Unlike individuals who performed grossing, individuals who performed "processing" were not required to be qualified as high complexity testing personnel. In the 2010 checklist edition, the concept of macroscopic tissue "processing" will no longer be recognized. All macroscopic tissue examinations will be considered to be "grossing."
Therefore, any individual who performs macroscopic tissue examinations must be a pathologist, pathology resident, or an individual qualified to perform high complexity testing under the supervision of a pathologist (refer to ANP.11610, below).
Please contact the Laboratory Accreditation Program at (800) 323-4040, option 1, then 4, or 1-847-832-7000, or by email if you have any questions.
________________________________________
ANP.11610 Phase II
If individuals other than a pathologist or pathology resident assist in gross examinations, do such individuals qualify as high complexity testing personnel under CLIA regulations?
NOTE: The laboratory director may delegate the dissection of specimens to non-pathologist individuals; these individuals must be qualified as high complexity testing personnel under CLIA regulations. The minimum training/experience required of such personnel is:
1. An earned associate degree in a laboratory science or medical laboratory technology, obtained from an accredited institution, OR
2. Education/training equivalent to the above that includes at least 60 semester hours or equivalent from an accredited institution. This education must include 24 semester hours of medical laboratory technology courses, OR 24 semester hours of science courses that includes 6 semester hours of chemistry, 6 semester hours of biology, and 12 semester hours of chemistry, biology or medical laboratory technology in any combination. In addition, the individual must have laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLA, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above), OR at least 3 months documented laboratory training in each specialty in which the individual performs high complexity testing.
The CLIA regulations on high complexity testing personnel may be found at HC Testing Personnel.
In addition, the CLIA regulations include exceptions for grandfathered individuals; these regulations (42CFR493.1489 and 1491) may be found at the above Web address and at Grandfathered Exceptions.
It is the responsibility of the laboratory director to determine whether an individual's education, training and experience satisfies the requirements of this checklist question.
Sorry it is rather lengthy, but it should put to rest most of your questions regarding the new regulation and how it impacts labs that utilize non-Pathologists for grossing surgical specimens.
Best regards,
Sheri
S
Sheri Meilus
Anatomic Pathology Supervisor
Bay Pines VAHC
Building 100
Room 2B-126
727-398-6661 ext 4596
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of histonet-request <@t> lists.utsouthwestern.edu
Sent: Friday, June 25, 2010 1:22 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 79, Issue 32
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Today's Topics:
1. (no subject) (Steven Coakley)
2. AB-PAS for Barrett's Esophagus (Diana McCaig)
3. TP1050 processing protocol (Lucy Teves)
4. HOT JOB! Histotech needed for day shift in Eastern Texas- New
Grads apply now! (Betsy Hoffman)
5. parasites in stool (Katelin Lester)
6. Re: AB-PAS for Barrett's Esophagus (Katelin Lester)
7. HER2 - Automated Slide Reade (Hartz, Rhonda SktnHR)
8. RE: AB-PAS for Barrett's Esophagus (Jason McGough)
9. PREFILLED FORMALIN W/ SEAL (Sara Baldwin/mhhcc.org)
10. RE: Prefilled Formalin Jars (Canyon Bowie)
11. Maintenence HELP! (Schaundra Walton)
12. Histology techs grossing in specimens??? (jcarpenter764 <@t> aol.com)
13. Histology techs grossing in specimens??? (jcarpenter764 <@t> aol.com)
14. RE: (no subject) (Josie Britton)
15. ARTICLE (Sara Baldwin/mhhcc.org)
16. Re: Histology techs grossing in specimens??? (Katelin Lester)
17. Re: Histology techs grossing in specimens??? (Katelin Lester)
18. Re: ARTICLE (Jackie M O'Connor)
19. RE: ARTICLE (Bonner, Janet)
20. Prepared Solutions (Brandi Higgins)
----------------------------------------------------------------------
Message: 1
Date: Thu, 24 Jun 2010 10:22:23 -0700 (PDT)
From: Steven Coakley <sjchtascp <@t> yahoo.com>
Subject: [Histonet] (no subject)
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <640970.28465.qm <@t> web38207.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Looking for work in Histology Lab. Madison, Milwaukee, So. WI. No.Ill
------------------------------
Message: 2
Date: Thu, 24 Jun 2010 13:47:44 -0400
From: "Diana McCaig" <dmccaig <@t> ckha.on.ca>
Subject: [Histonet] AB-PAS for Barrett's Esophagus
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<DCFD9E6A390E294AAF3A2561CD32E5C4139D88B4 <@t> ckhamail1.ckha.on.ca>
Content-Type: text/plain; charset="us-ascii"
Can anyone share with me their procedure for AB-PAS for Barrett's
Esophagus.
With thanks
Diana
------------------------------
Message: 3
Date: Thu, 24 Jun 2010 13:49:37 -0400
From: Lucy Teves <lteves <@t> uhnresearch.ca>
Subject: [Histonet] TP1050 processing protocol
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <4C239AB1.4020108 <@t> uhnresearch.ca>
Content-Type: text/plain; charset=ISO-8859-1; format=flowed
I work in a small research lab in Toronto. Just purchased a used TP1050
tissue processor. The processing schedule is very different from my old
one histomatic tissue processor that recently died. I have been trying
for weeks to adapt my old processing schedule to the "new" processor. I
was hoping to get some help with this.
I would love established protocols for
* 10 % NBF fixed non human primate coronal 3mm thick brain sections
* 10% NBF fixed rat coronal 2mm thick brain sections
* 10% NBF fixed mouse coronal 2mm thick brain sections
* 10% NBF fixed mouse whole heart
Suggestions would be very much appreciated as well.
Thanks in advance
L.
--
------------------------------
Message: 4
Date: Thu, 24 Jun 2010 18:11:25 +0000
From: Betsy Hoffman <Betsy.Hoffman <@t> comphealth.com>
Subject: [Histonet] HOT JOB! Histotech needed for day shift in Eastern
Texas- New Grads apply now!
To: "histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<585C6608F313C34D8979DD7A9CD38DFA056EDEB2 <@t> vslcexmbp02.mychg.com>
Content-Type: text/plain; charset="us-ascii"
Thought you'd be interested in seeing this HOT job opportunity currently available through CompHealth. If you're interested in finding out more...call me!!
Histotech needed for day shift in Eastern Texas- New Grads apply now!
ASCP/HTL or HT needed to work day shift at this top rated facility. Our friendly people, rich history, and comfortable lifestyle make this a great place to live and work. This is a great opportunity for New Grads. Relo allowance offered.
Processes all cytology and pathology specimens under the supervision of the Pathologist.
High School Graduate plus must have graduated from an accredited school of Histotechnology-
Must have specific technical knowledge of laboratory testing methods & of appropriate theory
**If this doesn't appeal to you...maybe you know someone else who's looking....refer them to me and we'll pay you a referral fee
Sincerely,
Betsy Hoffman
Search Consultant, Lab Sciences
CompHealth Permanent Placement
6451 North Federal Highway, Suite 702
Ft. Lauderdale, FL 33308
Direct: 1-954-837-2622| Office: 1-866-782-9029, X2622| Fax: 1-800-420-2329
betsy.hoffman <@t> comphealth.com<mailto:betsy.hoffman <@t> comphealth.com>
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------------------------------
Message: 5
Date: Thu, 24 Jun 2010 11:30:39 -0700
From: "Katelin Lester" <histology <@t> medsurgpath.com>
Subject: [Histonet] parasites in stool
To: "histonet" <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<466be11eada0e1004684dd22d5b87d11.squirrel <@t> webmail.integra.net>
Content-Type: text/plain;charset=iso-8859-1
Hi all,
I have received some parasitic stool samples, one fixed in formalin, the
other in PVU. My tasks are:
1) to try to remove as much debris from the stool sample as possible while
keeping the parasites intact (I need to try to filter it without harming
the very fragile organisms)
2) once I am able to separate the organisms, I need to stain them. We have
tried using a Gram stain and it does not work, we are thinking we should
try a Giemsa and an H&E.
If anyone has ever worked with anything similar, I would really appreciate
some feedback, suggestions, advice with how to filter these samples and
stain them.
Regards,
Katelin Lester, HTL(ASCP)
MedSurg Pathology Associates, Inc.
(503)443-2157
------------------------------
Message: 6
Date: Thu, 24 Jun 2010 11:34:53 -0700
From: "Katelin Lester" <histology <@t> medsurgpath.com>
Subject: Re: [Histonet] AB-PAS for Barrett's Esophagus
To: "Diana McCaig" <dmccaig <@t> ckha.on.ca>
Cc: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<7bf6eb0a40a7e2b24bdae795073d0d93.squirrel <@t> webmail.integra.net>
Content-Type: text/plain;charset=iso-8859-1
We use the AmericanMasterTech Alcian Blue pH 2.5 and use this procedure:
Place slides in 3% Acetic Acid for 3 minutes.
Place slides in Alcian Blue for 30 minutes.
Rinse slides in water
Place slides in 0.5% Periodic Acid for 10 minutes.
Rinse slides in water
Place slides in Schiff Reagent for 15 minutes
Rinse slides in HOT water for 5 minutes.
Counter stain in Hematoxylin for 2 minutes.
Rinse slides in water, Dehydrate slides through Absolute Alcohol, Clear
through Xylene
Katelin Lester, HTL(ASCP)
MedSurg Pathology Associates, Inc.
(503)443-2157
> Can anyone share with me their procedure for AB-PAS for Barrett's
> Esophagus.
> With thanks
>
> Diana
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
------------------------------
Message: 7
Date: Thu, 24 Jun 2010 12:35:53 -0600
From: "Hartz, Rhonda SktnHR" <Rhonda.Hartz <@t> saskatoonhealthregion.ca>
Subject: [Histonet] HER2 - Automated Slide Reade
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <B7F15445A710BA4FA7B48F2C55134AD404928FBF <@t> lou.sktnhr.ca>
Content-Type: text/plain; charset="us-ascii"
Does anyone use an automated slide reader for HER2 slides? Possibly in
the market and would really appreciate some feedback on what system and
associated comments?
Thanks!
Rhonda Hartz
Technologist Supervisor
Anatomic Pathology Division
Saskatoon Health Region
(306) 655-8197
rhonda.hartz <@t> saskatoonhealthregion.ca
------------------------------
Message: 8
Date: Thu, 24 Jun 2010 13:29:37 -0600
From: "Jason McGough" <jmcgough <@t> clinlab.com>
Subject: RE: [Histonet] AB-PAS for Barrett's Esophagus
To: "Diana McCaig" <dmccaig <@t> ckha.on.ca>,
<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <BDEKKAEJKLLOFEDGDEBEOEFECFAA.jmcgough <@t> clinlab.com>
Content-Type: text/plain; charset="us-ascii"
1% Periodic Acid Solution 0.5% Sodium
Metabisulfite
Periodic Acid....1 gm Sodium
metabisulfite.0.5 gm
Distilled water..100 ml Distilled
water....100 ml
.1N HCL 3%
Glacial Acetic Acid
Conc. (10N) HCL.1 ml Conc. Glacial
Acetic Acid..3 ml
Distilled Water.100 ml Distilled
water......100 ml
Alcian Blue Solution pH 1.0 Alcian Blue
Solution pH 2.5
Alcian Blue 8GX...1.0 gm Alcian Blue
8GX....1.0 gm
0.1N HCL....100 ml 3% Glacial Acetic
Acid.100 ml
Adjust pH to 2.5. Add a few
Schiff's Reagent
Thymol crystals for preservative.
Purchased Commercially (ready to use)
PROCEDURAL NOTES
1. pH 2.5 is routinely used in our laboratory. Use pH 1.0 only if the
pathologist specifically requests you to do so.
2. Filter Alcian Blue solutions before use.
3. Use an aliquot from the stock bottle of Schiff's reagent. This may be
reused but do not return to stock bottle. Change frequently and discard if
solution is pink.
PROCEDURE
1. Deparaffinize and hydrate to distilled water.
2. Place slides in freshly filtered Alcian Blue solution for 30 minutes.
3. If using Alcian Blue solution 2.5 - Wash in running water for 5 minutes.
If using Alcian Blue solution 1.0 - Blot section dry with fine filter
paper.
4. Oxidize in Periodic Acid solution for 10 minutes.
5. Wash in running water for 5 minutes.
6. Place slides in Schiff's reagent for 10 minutes.
7. Rinse in Sodium Metabisulfite solution, 3 changes; 2 minutes each.
8. Wash in running water for 10 minutes.
9. Dehydrate in 95% alcohol, 100% alcohol, clear in xylene, two changes
each.
10. Coverslip.
RESULTS
1. pH 2.5 (acid group)
-Exclusively acid substances (various connective tissue mucins) - blue
-Neutral polysaccharides (glycogen) - magenta
-Both Alcian blue and PAS, yielding varying shades of purple to deep blue,
color most epithelial mucins and cartilage ground substance.
-Cell bodies of fungi - red to purple
-Mucoid capsules - blue
-Other features resemble PAS stain
2. pH 1.0 (sulphate group)
Sulfated mucosubstances - blue
REFERENCE
1. Lev, R., Spicer, S.S.;J. Histochem. Cystochem. 12:309,1964. Copyright by
Williams and Wilkins Co.
2. C.F.A. Culling; Handbook of Histopathological and Histochemical
Techniques, 3rh e. 1974. Butterworth.
3. Preece, Ann: Manual for Histologic Technicians 2nd ed. 1965.
4. AFIP Manual For Histologic Stain Methods, 3rd ed.
5. Schenk, E.A., M.D. and Mowry, R.W., MD>D, Journal of Histotechnology Vol.
6#2, June 1983.
Jason McGough HT(ASCP)
Account Representative - Anatomic Pathology
Clinical Laboratory of the Black Hills
2805 5th Street Suite 210
Rapid City, SD 57701
605-343-2267 Ext 127
605-718-3779 (Fax)
jmcgough <@t> clinlab.com
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Diana
McCaig
Sent: Thursday, June 24, 2010 11:48 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] AB-PAS for Barrett's Esophagus
Can anyone share with me their procedure for AB-PAS for Barrett's
Esophagus.
With thanks
Diana
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 9
Date: Thu, 24 Jun 2010 16:11:13 -0400
From: "Sara Baldwin/mhhcc.org" <sbaldwin <@t> mhhcc.org>
Subject: [Histonet] PREFILLED FORMALIN W/ SEAL
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<OF39B050BD.9C2CB6B8-ON8525774C.006EE3EC-8525774C.006EE3EE <@t> LocalDomain>
Content-Type: text/plain; charset=ISO-8859-1
THANKS EVERYBODY
I have found someone to help!!
Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbaldwin <@t> mhhcc.org
Ph 812-482-0210, 482-0216, Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.
------------------------------
Message: 10
Date: Thu, 24 Jun 2010 16:23:26 -0400
From: "Canyon Bowie" <canyon <@t> path-tec.com>
Subject: RE: [Histonet] Prefilled Formalin Jars
To: "'Sara Baldwin/mhhcc.org'" <sbaldwin <@t> mhhcc.org>,
<histonet <@t> lists.utsouthwestern.edu>
Message-ID: <034801cb13db$1a759470$4f60bd50$@com>
Content-Type: text/plain; charset="us-ascii"
Hi Kathy,
We provide prefills and can customize them with your private labeling,
security seals, color coded lids and accessioning and/or bar-coding. Feel
free to contact me for more information.
Canyon Bowie
Check out our new website!! www.path-tec.com
Path-Tec
w. 706.507.1575
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Sara
Baldwin/mhhcc.org
Sent: Wednesday, June 23, 2010 9:35 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Prefilled Formalin Jars
Hi histonetters:
Was wondering if anybody knew of a vendor that had prefilled formalin jars
that have a seal on them?
Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbaldwin <@t> mhhcc.org
Ph 812-482-0210, 482-0216, Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 11
Date: Thu, 24 Jun 2010 16:05:22 -0700 (PDT)
From: Schaundra Walton <schaundrawalton <@t> yahoo.com>
Subject: [Histonet] Maintenence HELP!
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <922827.90102.qm <@t> web120615.mail.ne1.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Hey Histonetters!
I have some equipment I need looked at. Can anyone recommend a service company/tech in the Orlando area??
-Schaundra K. Walton BS HTL(ASCP)
Histotechnology Program Director
Keiser University
Orlando, FL
------------------------------
Message: 12
Date: Fri, 25 Jun 2010 10:33:58 -0400
From: jcarpenter764 <@t> aol.com
Subject: [Histonet] Histology techs grossing in specimens???
To: histonet <@t> lists.utsouthwestern.edu, histonet <@t> pathology.swmed.edu
Message-ID: <8CCE28A94BC057C-924-9314 <@t> webmail-m091.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
Trying to get some feed back on histology techs grossing in for the doctors......My main question would be the training involved? Can anyone just start to gross in biopsies and small specimens. What does it include and what sort of education is involved if any???? Thanks!
------------------------------
Message: 13
Date: Fri, 25 Jun 2010 10:33:58 -0400
From: jcarpenter764 <@t> aol.com
Subject: [Histonet] Histology techs grossing in specimens???
To: histonet <@t> lists.utsouthwestern.edu, histonet <@t> pathology.swmed.edu
Message-ID: <8CCE28A94BC057C-924-9314 <@t> webmail-m091.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
Trying to get some feed back on histology techs grossing in for the doctors......My main question would be the training involved? Can anyone just start to gross in biopsies and small specimens. What does it include and what sort of education is involved if any???? Thanks!
------------------------------
Message: 14
Date: Fri, 25 Jun 2010 10:46:15 -0400
From: "Josie Britton" <JCBRITTON <@t> Cheshire-Med.COM>
Subject: RE: [Histonet] (no subject)
To: "Feher, Stephen" <sfeher <@t> CMC-NH.ORG>, "Hartz, Rhonda SktnHR"
<Rhonda.Hartz <@t> saskatoonhealthregion.ca>,
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<F644CD64B2313F43BB3D2496B454CDAC038C234A <@t> CMC-EX01.cheshire-med.com>
Content-Type: text/plain; charset="us-ascii"
We retain our containers and specimens for 3 weeks.
Josie
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Feher,
Stephen
Sent: Wednesday, June 23, 2010 5:51 PM
To: Hartz, Rhonda SktnHR; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] (no subject)
We retain them until the specimen is signed out, usually no more than 3
days. This has been helpful if the specimen container labeling is
called into question either by the pathologist (because the cellular
profile does not match what the specimen source indicates) or the
clinician.
Steve
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Hartz,
Rhonda SktnHR
Sent: Tuesday, June 22, 2010 5:55 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] (no subject)
Hi. This is my first time, so I apologize if I am not clear enough. We
have had a request from one of our pathologists to retain empty specimen
containers after grossing is complete. Is anyone aware of any
recommendations, or does anyone out there retain their empty specimen
containers?
Rhonda Hartz
Technologist Supervisor
Anatomic Pathology Division
Saskatoon Health Region
(306) 655-8197
rhonda.hartz <@t> saskatoonhealthregion.ca
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
CONFIDENTIALITY NOTICE: This electronic message, including any attachments, is for the sole use of the intended recipients and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by electronic mail and destroy all copies of the original message.
------------------------------
Message: 15
Date: Fri, 25 Jun 2010 11:38:34 -0400
From: "Sara Baldwin/mhhcc.org" <sbaldwin <@t> mhhcc.org>
Subject: [Histonet] ARTICLE
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<OFD0DD1CF6.8016B90F-ON8525774D.0055EDEB-8525774D.0055EDEE <@t> LocalDomain>
Content-Type: text/plain; charset=ISO-8859-1
Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago (about 10 years) that was called "Workplace Violence in the Laboratory"
Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbaldwin <@t> mhhcc.org
Ph 812-482-0210, 482-0216, Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.
------------------------------
Message: 16
Date: Fri, 25 Jun 2010 08:52:58 -0700
From: "Katelin Lester" <histology <@t> medsurgpath.com>
Subject: Re: [Histonet] Histology techs grossing in specimens???
To: jcarpenter764 <@t> aol.com
Cc: histonet <@t> lists.utsouthwestern.edu, histonet <@t> pathology.swmed.edu
Message-ID:
<b97e2e3ec3b490d9936a15945b9fa685.squirrel <@t> webmail.integra.net>
Content-Type: text/plain;charset=iso-8859-1
We do all of our grossing and use the CLIA regulations:
TESTING PERSONNEL (42 CFR 493 1489)
1. Licensed MD, DO or DPM.
2. Doctorate, master's, or bachelor's in laboratory science.
3. Education and training equivalent to an associate degree in a
laboratory science or medical laboratory technology that includes at least
60 semester hours including 24 semester hrs of medical lab technology and
at least 3 months training in each specialty in which high complexity
testing is performed; or, 60 semester hrs including 24 hrs of
science that includes 6 hrs chemistry, 6 hrs biology, and 12 hrs
chemistry, biology or, medical lab tech in any combination and laboratory
training that includes either: completion of a clinical lab
training program and at least 3 months training in each specialty in which
high complexity testing is performed.
It is my understanding that if there is no cutting involved (i.e. counting
and measuring GI biopsies) it is not considered a "high complexity" task
and anyone in the lab would be able to "gross" in that regard.
Katelin Lester, HTL(ASCP)
MedSurg Pathology Associates, Inc.
(503)443-2157
>
>
>
> Trying to get some feed back on histology techs grossing in for the
> doctors......My main question would be the training involved? Can anyone
> just start to gross in biopsies and small specimens. What does it include
> and what sort of education is involved if any???? Thanks!
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
------------------------------
Message: 17
Date: Fri, 25 Jun 2010 08:52:58 -0700
From: "Katelin Lester" <histology <@t> medsurgpath.com>
Subject: Re: [Histonet] Histology techs grossing in specimens???
To: jcarpenter764 <@t> aol.com
Cc: histonet <@t> lists.utsouthwestern.edu, histonet <@t> pathology.swmed.edu
Message-ID:
<b97e2e3ec3b490d9936a15945b9fa685.squirrel <@t> webmail.integra.net>
Content-Type: text/plain;charset=iso-8859-1
We do all of our grossing and use the CLIA regulations:
TESTING PERSONNEL (42 CFR 493 1489)
1. Licensed MD, DO or DPM.
2. Doctorate, master's, or bachelor's in laboratory science.
3. Education and training equivalent to an associate degree in a
laboratory science or medical laboratory technology that includes at least
60 semester hours including 24 semester hrs of medical lab technology and
at least 3 months training in each specialty in which high complexity
testing is performed; or, 60 semester hrs including 24 hrs of
science that includes 6 hrs chemistry, 6 hrs biology, and 12 hrs
chemistry, biology or, medical lab tech in any combination and laboratory
training that includes either: completion of a clinical lab
training program and at least 3 months training in each specialty in which
high complexity testing is performed.
It is my understanding that if there is no cutting involved (i.e. counting
and measuring GI biopsies) it is not considered a "high complexity" task
and anyone in the lab would be able to "gross" in that regard.
Katelin Lester, HTL(ASCP)
MedSurg Pathology Associates, Inc.
(503)443-2157
>
>
>
> Trying to get some feed back on histology techs grossing in for the
> doctors......My main question would be the training involved? Can anyone
> just start to gross in biopsies and small specimens. What does it include
> and what sort of education is involved if any???? Thanks!
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
------------------------------
Message: 18
Date: Fri, 25 Jun 2010 10:59:06 -0500
From: Jackie M O'Connor <Jackie.O'Connor <@t> abbott.com>
Subject: Re: [Histonet] ARTICLE
To: "Sara Baldwin/mhhcc.org" <sbaldwin <@t> mhhcc.org>
Cc: histonet <@t> lists.utsouthwestern.edu,
histonet-bounces <@t> lists.utsouthwestern.edu
Message-ID:
<OF1EC1506E.ED1D1CB7-ON8625774D.0057CC03-8625774D.0057DF8B <@t> abbott.com>
Content-Type: text/plain; charset="US-ASCII"
No - but I could write one.
From:
"Sara Baldwin/mhhcc.org" <sbaldwin <@t> mhhcc.org>
To:
<histonet <@t> lists.utsouthwestern.edu>
Date:
06/25/2010 10:53 AM
Subject:
[Histonet] ARTICLE
Sent by:
histonet-bounces <@t> lists.utsouthwestern.edu
Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago
(about 10 years) that was called "Workplace Violence in the Laboratory"
Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbaldwin <@t> mhhcc.org
Ph 812-482-0210, 482-0216, Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 19
Date: Fri, 25 Jun 2010 12:31:38 -0400
From: "Bonner, Janet" <Janet.Bonner <@t> FLHOSP.ORG>
Subject: RE: [Histonet] ARTICLE
To: "Sara Baldwin/mhhcc.org" <sbaldwin <@t> mhhcc.org>,
"histonet <@t> lists.utsouthwestern.edu"
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<85F2E7DD5D91744D831A66E44D718B9A138BDC62 <@t> fhovxchmb7001.ADVENTISTCORP.NET>
Content-Type: text/plain; charset=us-ascii
http://laboratorian.advanceweb.com/Editorial/Search/Searchresult.aspx?KW=violence+in+the+workplace
________________________________________
From: histonet-bounces <@t> lists.utsouthwestern.edu [histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Sara Baldwin/mhhcc.org [sbaldwin <@t> mhhcc.org]
Sent: Friday, June 25, 2010 11:38 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] ARTICLE
Hi Histonetters
My boss was wondering if anyone has come across an article a long time ago (about 10 years) that was called "Workplace Violence in the Laboratory"
Thanks
Pathology Supervisor
Kathy Baldwin, SCT (ASCP)
Memorial Hospital and Health Care Center
sbaldwin <@t> mhhcc.org
Ph 812-482-0210, 482-0216, Fax 812-482-0232,
Pager 812-481-0897
Confidential information, Authorized use only.
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
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------------------------------
Message: 20
Date: Fri, 25 Jun 2010 12:33:37 -0400
From: Brandi Higgins <brandihiggins <@t> gmail.com>
Subject: [Histonet] Prepared Solutions
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<AANLkTimubqZcXgAbodf2bHJrOSnkpC_-cAXTwdqslhA1 <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
Hello All,
I work in a small lab where we purchase most of our chemicals already
prepared. The only solutions we routinely prepare ourselves are our acid
alcohol and acid water for our staining procedures, Carnoy's Fixative (since
it needs to be fresh) and our 50%, 70% etc alcohol solutions for our Pap
stain and for our processing machine. I would also like to start preparing
our 1% and 3% acetic acid solutions instead of purchasing them since I have
glacial acetic acid on hand anyway for our Carnoy's Fixative (not that the
acetic acid acid solutions are expensive but every dollar counts, plus the
shipping charges always shock me).
My questions are
1 - in your labs, do you have a policy with instructions on how to prepare
each solution? (eg 1 ml acetic acid diluted with water to 100 ml to prepate
1% Acetic Acid Aq and is it neccessary to say 500 ml water and 500 ml
reagent alcohol to form 50% alcohol)
2 - when you label the solutions you prepare, do you transfer the lot
numbers and expiration dates of the chemicals that were used to make the
solutions onto the new chemical bottles and use the expiration date of the
concentrated chemical as the expiration date of the prepared chemical?
Thanks in advance for all input. Im always amazed at how fast, how many,
and how thorough/helpful the responses are!
Brandi Higgins, BS, HT(ASCP)
------------------------------
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End of Histonet Digest, Vol 79, Issue 32
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