[Histonet] PROTOCOL FOR COLOR CODING BIOPSY CASSETTES

[Victoria Baker]

No I understand fully what you are saying.  Have a great weekend.



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

> 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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