[Histonet] PROTOCOL FOR COLOR CODING BIOPSY CASSETTES

[Lester Raff MD]

Thanks for the explanation! I didn't mean to jump on anyone, after all,
it's Friday!

Lester J. Raff, MD
Medical Director
UroPartners Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel 708.486.0076
Fax 708.492.0203

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Victoria
Baker
Sent: Friday, March 23, 2012 9:07 AM
To: Lester Raff MD
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] PROTOCOL FOR COLOR CODING BIOPSY CASSETTES

My Bad for not explaining fully - not all prostate biopsies do get PIN4,
additional sections are cut and saved for possible future requests on
prostate biopsies.  This cannot be done automatically for the very
reason
you describe.  My intention was to point out that we separated these out
so
that the cutters would know to cut the additional sections.

My apologies for not fully explaining this.

Vikki

On Fri, Mar 23, 2012 at 10:01 AM, Lester Raff MD
<LRaff <@t> uropartners.com>wrote:

> "Lavender - Prostate biopsies (short run also PIN4 built into
protocol)"
>
> No! No! NO!  This is why we are running into trouble on
> reimbursements!!!  PIN4 should NOT be done routinely. If you mean
> cutting a slide for potential PIN4, that's fine, but no pathologist
> should automatically be doing a PIN4 on every prostate biopsy
>
> Lester J. Raff, MD
> Medical Director
> UroPartners Laboratory
> 2225 Enterprise Dr. Suite 2511
> Westchester, Il 60154
> Tel 708.486.0076
> Fax 708.492.0203
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
Victoria
> Baker
> Sent: Friday, March 23, 2012 8:53 AM
> To: Bernadette del Rosario
> Cc: histonet <@t> lists.utsouthwestern.edu
> Subject: Re: [Histonet] PROTOCOL FOR COLOR CODING BIOPSY CASSETTES
>
> Hi Bernadette,
>
> I know of several different color code set  ups.
> Pink - breast tissue (usually has separate processing cycle for
> ER/PR....)
> Lt. Green - biopsy tissue (has separate processing cycle - short run)
> Tan -      bone marrow (has special stains and IHC built into the
> protocol)
> Lavender - Prostate biopsies (short run also PIN4 built into protocol)
> Aqua - skin/derm specimens
> Red - "stat" or "rush" specimens"
> Grey - urate crystal (special processing)
> White - all other surgical material including breast tissue that does
> not
> require special protocols
> Blue - autopsy material
>
> In some labs they correspond the cassettes and the slides (green
> cassette =
> green slide).  In this context you will look at having both regular
> (superfrost) and plus slides available as well.
>
> There really isn't a set protocol it is more a way of easy
> identification
> for processing and also which case/specimen take priority.  Faster
> identification for loading of processors (breast tissue, biopsy,
> priority
> cases) ,embedding (priority and embedding orientation), cutting
(special
> stains, add'l sections etc).
>
> I'm not fond of the red cassettes because they are difficult to read
if
> not
> imprinted properly, but that color stood out best and most techs
> associated
> it with 'move it out fast'.  I did get a chuckle when a tech once
asked
> me
> why we had lavender for prostate biopsies and I had to tell him that
the
> blue had already been taken ;-).  One other thing that I had
> consternation
> about was putting fatty breast tissue from a reduction in white
because
> of
> grossing/processing issues.  I could not get assistance through the
> Doc's
> for this so there were re-pro's until I was able to get ALL breast
> tissue
> put on the longer processing cycle.  It didn't make me a lot of
friends
> in
> the grossing area though.
>
> For the biopsies you may want to be sure you have matching mesh
> cassettes.
> The lavender ones I usually always used mesh.
>
> Look at what your specimen types will be and associate them with
> something
> that is easily recognized by staff.  There isn't a set protocol for it
> though.  Sorry and I hope this helps.
>
> Vikki
>
>
>
>
>
>
>
>
> On Fri, Mar 23, 2012 at 8:42 AM, Bernadette del Rosario <
> badzrosari <@t> yahoo.com> wrote:
>
> > Good day histonetters.We are a  new university hospital and setting
up
> > histopatholology lab.I used to work with white biopsy cassettes only
> but
> > not technicolors.Got this boss who ask me protocols on colored
> cassettes
> > etc...No idea about this.Is there any standard pattern  which i can
> just
> > base and copy (example skin-yellow;breast-pink etc..)Im trying to
surf
> in
> > the net but cant find..Please someone help me???
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> >
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