[Histonet] Block patient IDs

Fri Mar 12 10:47:24 CST 2010

I believe you are correct Bonnie. My understanding is that the 2 patient
identifier regulation came originally from JCAHO and only refers to the
specimen identification as it comes to the lab, and during accessioning,
but not during subsequent processing, staining etc.

Mind you, I'm willing to put money on it that it is just a matter of
time before that changes. I would imagine once a few more companies
perfect their specimen tracking systems that CAP will mandate two
patient identifiers throughout the process of specimen reception to
filing.

Ronnie Houston
Anatomic Pathology Manager
Nationwide Children's Hospital
Columbus OH 43205
(614) 722 5450

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
Whitaker, Bonnie
Sent: Friday, March 12, 2010 11:35 AM
To: Terri Brown; Nails, Felton; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Block patient IDs

Hi Everyone,

Maybe there is something new, but we had our inspection last week, and
the
customized checklist used for our inspection does not require 2
identifiers.
It states:

NOTE: An unambiguous system of specimen identification coupled with a
legible, sequential cassette
and slide labeling system that withstands reagents and stains are
essential
to fulfill this requirement. The
number of blocks processed and the number of slides prepared for each
case
must be recorded.

ANP.21100 Phase II N/A YES NO
Are blocks identified adequately?

NOTE: Each block of tissue must be identified by the entire accession
number
assigned to the case and
by any descriptive letter(s)/number(s) added by the prosector during the
dissection. If additional blocks
are prepared later, all lists and logs must reflect these additions.
Identification number and
letter(s)/numbers(s) must be affixed to all blocks in a manner that
remains
legible.

ANP.21150 Phase II N/A YES NO
Are slides identified permanently with adequate, legible information?

NOTE: Each slide must be identified by the entire accession number and
descriptive letters unique to the
block from which it is cut. Other appropriate identifiers should be
included
as applicable (e.g., levels of
sectioning). Automated prelabeling systems are acceptable. Regardless of
whether the identifying
information is on the slide or on a label, the information must be
indelible,
legible and able to withstand
all stages of processing and conditions of storage.

The laboratory director is responsible for ensuring that slides are
adequately, permanently identified. 

I don't know if that helps, but these were copied and pasted directly
from
the checklist.  

Bonnie Whitaker
Clinical Histology Manager
Ohio State University Medical Center
614.293.5048

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Terri
Brown
Sent: Friday, March 12, 2010 11:00 AM
To: Nails, Felton; Anne van Binsbergen;
histonet-request <@t> lists.utsouthwestern.edu;
histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Block patient IDs

I think  you will find that CAP is asking if 2 patient identifiers are
used
throughout the entire process.  We engrave the blocks, slides and a
computer
generated block count log that uses 2 patient identifiers.

Terri H. Brown,, HT (ASCP)
Pathology Laboratory Manager
Northside Hospital  Atlanta
terri.brown <@t> northside.com

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Nails,
Felton
Sent: Friday, March 12, 2010 10:55 AM
To: 'Anne van Binsbergen'; histonet-request <@t> lists.utsouthwestern.edu;
histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Block patient IDs

It is my understand that the two patient identifier applies to the
completed
slide not the block.
You can verify this by looking at the CAP Checklist for anatomical
pathology 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Anne van
Binsbergen
Sent: Friday, March 12, 2010 9:42 AM
To: histonet-request <@t> lists.utsouthwestern.edu;
histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Block patient IDs

A question for all you CAP fundis: how many patient Identifiers are
needed on
each paraffin block

We currently just write the unique, LIS generated number on the block
face,
but have recently been advised that CAP and JCIA require not one, but
TWO
patient IDS on the block

Comments please

--
Anne van Binsbergen (Hope)
Abu Dhabi
UAE
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