[Histonet] RE: Histonet Digest, Vol 88, Issue 16

Muskett David (ELHT) Pathology David.Muskett <@t> elht.nhs.uk
Mon Mar 14 05:01:08 CDT 2011


Here is the latest document from the UK on productivity.

http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Diagnostics%2fNational%2fWebsite%2fHistology%20Guide%202.pdf
  _____

David Muskett
Chief Biomedical Scientist, Histology
East Lancashire Hospitals NHS Trust | Royal Blackburn Hospital | Haslingden Road, Blackburn |  BB2 3HH
david.muskett <@t> elht.nhs.uk | www.pathologyineastlancs.org.uk
Telephone x 82438 |  01254 732438 | Fax 01254 736081 |Histology results 01254 732621 or internal x82621

-----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: 13 March 2011 17:02
To: histonet <@t> lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 88, Issue 16

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Today's Topics:

   1. bone decal (Thomas Huynh)
   2. slides to pathologist - one response. (Cheryl)
   3. Competency Checklist (Damaris Beil)


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Message: 1
Date: Sat, 12 Mar 2011 10:51:30 -0800 (PST)
From: Thomas Huynh <thomas6093 <@t> yahoo.com>
Subject: [Histonet] bone decal
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <327910.66086.qm <@t> web80405.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

Hi Mary
We use 10% Formic Acid for our bone marrow bx and larger surgical bones (Ex:
femur, pel-vis, mandibular bones)

Thomas Huynh

?

________________________________
From: "histonet-request <@t> lists.utsouthwestern.edu"
<histonet-request <@t> lists.utsouthwestern.edu>
To: histonet <@t> lists.utsouthwestern.edu
Sent: Sat, March 12, 2011 12:01:57 PM
Subject: Histonet Digest, Vol 88, Issue 15

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??? histonet <@t> lists.utsouthwestern.edu

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or, via email, send a message with subject or body 'help' to
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When replying, please edit your Subject line so it is more specific
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Today's Topics:

? 1. equine bone decal (Mary Lou Norman)
? 2. FW: Slides to Pathologist (Weems, Joyce)
? 3. Leica TP1020 (Lucy Zong)
? 4. RE: Slides to Pathologist (Nails, Felton)
? 5. (no subject) (Katrena Fraka)
? 6. temp needed asap (Cheryl)


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Message: 1
Date: Fri, 11 Mar 2011 15:19:10 -0500
From: Mary Lou Norman <mlm11 <@t> cornell.edu>
Subject: [Histonet] equine bone decal
To: "histonet <@t> lists.utsouthwestern.edu"
??? <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
??? <4010584DE26D90419367C0A5F620E9633027F1C424 <@t> MBXB.exchange.cornell.edu>
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Hi,
We've been using EDTA to decal and of course it takes forever. I would love to
hear what others are using for large bones, joints, etc. We do not work on rats
or mice, just horses.

Thanks. Many prayers to Japan and beyond.
Mary Lou


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Message: 2
Date: Fri, 11 Mar 2011 16:39:04 -0500
From: "Weems, Joyce" <JWeems <@t> sjha.org>
Subject: [Histonet] FW: Slides to Pathologist
To: Histonet <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
??? <92AD9B20A6C38C4587A9FEBE3A30E164081E21A08E <@t> CHEXCMS10.one.ads.che.org>
Content-Type: text/plain; charset="us-ascii"

I received this question from my Quality Manager today.

Hi Joyce,
What do you consider good performance regarding this?? I need some sort of goal
for our lab key control points chart.
I could only find one reference on the internet from Presbyterian Hospital in
Charlotte, NC from 1993 (yuck).? Their goal was 90% of the slides on time which
they correlated to 2 days or less late slides per month. Their goal was also to
have all the slides out by 11am......

Could I get feedback from you guys about what you expect for this PI goal? I'd
like 100%, but sometimes staffing just doesn't stretch far enough!!

Thanks,

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax
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Message: 3
Date: Fri, 11 Mar 2011 17:26:50 -0500
From: Lucy Zong <lucy.zong <@t> gmail.com>
Subject: [Histonet] Leica TP1020
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
??? <AANLkTin7+=RFd6atd_8WsQgJe_293=kLaeXi6fKfBh2T <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1

loking for this processor


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Message: 4
Date: Fri, 11 Mar 2011 16:37:43 -0600
From: "Nails, Felton" <flnails <@t> texaschildrens.org>
Subject: [Histonet] RE: Slides to Pathologist
To: "'Weems, Joyce'" <JWeems <@t> sjha.org>,??? "Histonet"
??? <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
???
<C1FE5960057C084CA389CE977790629094144664 <@t> TCDMSG01.ad.TexasChildrensHospital.org>

???
Content-Type: text/plain; charset=us-ascii

100% is unrealistic unless your staff never calls in sick, take vacations, your
lab never gets research projects that are needed today and you are always fully
staffed. Realistic reside between 90 and 95% which is obtainable but not overly
easily obtainable


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Friday, March 11, 2011 3:39 PM
To: Histonet
Subject: [Histonet] FW: Slides to Pathologist

I received this question from my Quality Manager today.

Hi Joyce,
What do you consider good performance regarding this?? I need some sort of goal
for our lab key control points chart.
I could only find one reference on the internet from Presbyterian Hospital in
Charlotte, NC from 1993 (yuck).? Their goal was 90% of the slides on time which
they correlated to 2 days or less late slides per month. Their goal was also to
have all the slides out by 11am......

Could I get feedback from you guys about what you expect for this PI goal? I'd
like 100%, but sometimes staffing just doesn't stretch far enough!!

Thanks,

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax
Confidentiality Notice:
This e-mail, including any attachments is the property of Catholic Health East
and is intended for the sole use of the intended recipient(s).?

It may contain information that is privileged and confidential.? Any
unauthorized review, use, disclosure, or distribution is prohibited. If you are
not the intended recipient, please delete this message, and reply to the sender
regarding the error in a separate email.
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Message: 5
Date: Fri, 11 Mar 2011 14:54:54 -0800
From: Katrena Fraka <kfraka <@t> hotmail.com>
Subject: [Histonet] (no subject)
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <SNT101-W35554FD9FC43D11B42B48ADBCB0 <@t> phx.gbl>
Content-Type: text/plain; charset="iso-8859-1"


Are there any Histo Techs in the Stockton, CA area looking for a full time
position?
? ??? ??? ??? ? ??? ??? ?

------------------------------

Message: 6
Date: Fri, 11 Mar 2011 20:02:14 -0800 (PST)
From: Cheryl <tkngflght <@t> yahoo.com>
Subject: [Histonet] temp needed asap
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <502922.20753.qm <@t> web39420.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

Looking for an experienced temp ASAP.? Warm weather, daytime hours, NICE city,
4-6 weeks.

?
If you have several assignments under your belt and are ready for a new
location, respond with a FULL RESUME attached to your email.? We cannot?call
on?anything less than your resume for this one.
?
We do not submit resumes without your consent.? (I didn't like it when it was
done?to me!)
?
Cheryl
?
admin <@t> fullstaff.org


? ? ?

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End of Histonet Digest, Vol 88, Issue 15
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Message: 2
Date: Sat, 12 Mar 2011 13:56:12 -0800 (PST)
From: Cheryl <tkngflght <@t> yahoo.com>
Subject: [Histonet] slides to pathologist - one response.
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <698061.5378.qm <@t> web39405.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

Joyce-
?
Every lab is different and it doesn't just depend on the histotechs.? Are there reprocessing issues, do you have decals, held for fixation, specials, IHCs, other delays inherent with the process.? Are you counting 'slides on the desk' or 'cases signed out and released to physicians'?? If the latter, then you have another dimension for metrics.? Add in?cases delayed?for internal? or external consults and other special testing,(unless they're signed out with later?addendums--yuck!) and other reasonable delays.??And yes, there are staffing issues, equipment issues, and all the other 'issues'.? In reality--there is no universal standard other than a few gross similarities.
?
Most labs?use the afore-mentioned 90-95% by 2nd day post receipt (not post procurement unless you're working in a hospital with controlled distrubution).? For your lab--start with something loose with measurables?(metrics) that are concrete.? Don't make it too detailed or you'll spend your day chasing numbers!?
?
Once you start a program, keep track.over a?short period of time to tighten things?your metrics?and make sure what your measuring is real and has meaning.? Measure and develop categories for reasonable delays that you won't count against turn-around-time (TAT)?(ex: we pull out decals).??We don't want to set up systems that cause more 'aw shucks' moments artifically because we didn't set the measured components in line with reality.? I've?worked in this kind of situation--amazingly demoralizing because the staff can't win their 'game of Slides On The Desk'? and TAT can even get worse if your metrics aren't attainable!? ?Fortunately, the inverse is also true!!
?
my three cents--
?
Cheryl K?




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Message: 3
Date: Sun, 13 Mar 2011 11:04:48 -0400
From: Damaris Beil <dbeil1 <@t> hotmail.com>
Subject: [Histonet] Competency Checklist
To: histonet <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <SNT141-w39173AACA8E4D04B3D881798CD0 <@t> phx.gbl>
Content-Type: text/plain; charset="iso-8859-1"



Does anyone have a competency checklist they would not mind sharing?  If you would like to share yours, please e-mail to
dbeil1 <@t> hotmail.com.   This would be for Technicians/Technologists.

Thanks In Advance,











Damaris E. Beil, HT,ASCPcm, HTL

Associates in Dermatology

Histology Laboratory

(407) 846-7546 ext. 3307




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