[Histonet] Two Patient Identifiers on slides

[Jay Lundgren]

Birth date is not a unique patient identifier.

                               Sincerely,

                                    Jay A. Lundgren, M.S., HTL (ASCP)


On Tue, Jul 30, 2013 at 3:30 PM, Joe W. Walker, Jr. <joewalker <@t> rrmc.org>wrote:

> I don't think this is technically correct according to the CAP.  The
> question in the most recent checklist states:
>
> **REVISED** 07/11/2011
>
> ANP.52000 Specimen ID                           Phase II
> The identity of every specimen and image, including blocks, slides, and
> electron micrographs,
> is maintained through each step in processing.
>
> NOTE: Each block of tissue must be individually labeled with unique
> patient identifier(s), e.g.
> accession number etched onto the block or embedded into it. Storage of
> unlabeled blocks in separate
> containers that are labeled with patient number or name does not meet this
> requirement.
> Evidence of Compliance:
>
> ✓ Written procedure describing system for maintaining specimen identity
>
> This question does not state that 2 identifiers must be on the slides and
> blocks, etc.  It states it must be a unique identifier throughout the
> process.  A specimen accession number would technically suffice.  You can
> add additional identifiers if that helps in your process but they are not
> required.
>
> I believe that this is often confused with the General lab question
> GEN.40491 which requires that any specimen that is collected and submitted
> to the lab must have 2 unique identifiers on it.  Once the specimen is in
> the lab, the unique accession number would suffice.
>
> Now, if you are utilizing the 2 identifiers to help prevent mislabeling,
> then I think it is a good idea as an extra precaution step.  We are
> fortunate to have a xylene resistant label and printer that allows us to
> label the slides prior to processing.
>
> My two cents as a manager,
>
> Joe W. Walker, Jr. MS, SCT(ASCP)CM
> Anatomical Pathology Manager
> Rutland Regional Medical Center
> 160 Allen Street, Rutland, VT 05701
> P: 802.747.1790  F: 802.747.6525
> Email joewalker <@t> rrmc.org    www.rrmc.org
>
> Our Vision:
> To be the Best Community Healthcare System in New England
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>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:
> histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Michelle Moore
> Sent: Tuesday, July 30, 2013 3:46 PM
> To: Jean Wood; histonet <@t> lists.utsouthwestern.edu
> Subject: Re: [Histonet] Two Patient Identifiers on slides
>
> We are writing path #, date of birth & patient initials as identifiers.
> Michelle
>
>
> ________________________________
> From: Jean Wood <jwood <@t> fairchildmed.org>
> To: "histonet <@t> lists.utsouthwestern.edu" <histonet <@t> lists.utsouthwestern.edu
> >
> Sent: Tuesday, July 30, 2013 2:37 PM
> Subject: [Histonet] Two Patient Identifiers on slides
>
>
> Hello Histonetters,
>
>       Recently we started utilizing a slide labeling component that is
> built into our AP Easy LIS system and has accession number, levels and
> patients first and last name when labels are printed out. Dymo does not
> have a chemically resistant label (we have a Dymo 450 printer) and we have
> been putting the labels on AFTER the slides are stained and cover slipped.
>
> In the meantime, the HT is writing in pencil the accession # and levels on
> the slide which is then covered up with the permanent label after cover
> slipping. Our Lab Manager is worried that we are not compliant as we do not
> have two patient identifiers on throughout the whole process (she wants us
> to write patient names on slides in pencil (before staining) and then cover
> that up with the pre-printed label after staining.
>
> 1. What is everyone else doing?
> 2. Have any of you found a chemically resistant label compatible with the
> Dymo labeler?
>
>
> Jean Wood BS, HT
> Fairchild Medical Center Pathology Dept.
> Ph:530.841.6243 Fax:530.841.6232
> jwood <@t> fairchildmed.org<mailto:jwood <@t> fairchildmed.org>
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