[Histonet] RE: Histonet Digest, Vol 135, Issue 12

Patti McDavid Pmcdavid <@t> mhg.com
Wed Feb 11 13:18:55 CST 2015


RE: Microtomes

We have used Microm automated microtomes for at least 15 years.  Cut great and are reliable.

-----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: Wednesday, February 11, 2015 12:02 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 135, Issue 12

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Today's Topics:

   1. RE: Receipt of specimens (Michael Mihalik)
   2. RE: Receipt of specimens (Blazek, Linda)
   3. MICROTOMES (Breal, Kari)
   4. RE: MICROTOMES (Marcum, Pamela A)
   5. Kawamoto Method (Prentice, Linda)
   6. Contiued Ed HTL (Roy, Ryan)
   7. RE: CBG Recycler users (Bitting, Angela K.)
   8. Sterile slides for FNA (Rathborne, Toni)
   9. RE: Sterile slides for FNA (Mike Pence)
  10. RE: Sterile slides for FNA (Rathborne, Toni)
  11. RE: Sterile slides for FNA (Weems, Joyce K.)
  12. RE: Sterile slides for FNA (Weems, Joyce K.)
  13. IHC technician needed in Modesto, CA.  (Taylor Rinaldi)


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

Message: 1
Date: Tue, 10 Feb 2015 11:25:21 -0800
From: "Michael Mihalik" <mike <@t> pathview.com>
Subject: RE: [Histonet] Receipt of specimens
To: "'Abbott, Tanya'" <TanyaAbbott <@t> catholichealth.net>,
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <01a501d04567$50ce26a0$f26a73e0$@pathview.com>
Content-Type: text/plain;       charset="iso-8859-1"

Tanya, you can probably put either date/time into the receive date/time prompt of your LIS.  It just depends on how you want to use that information.  For instance, perhaps you want to look at turn around times.
>From the lab's perspective, the 'clock' starts when the sample is
>received
in the lab.  On the other  hand, from the physician's perspective, it starts at sample collection and from the organization's perspective the clock might start when the sample was put in the fridge.

If it was 'me', I'd probably put the date/time the sample was received in the lab and I'd make sure the other information was either scanned into the
case via paper or somehow noted somewhere else.   The reason for my thinking
is that those cases received off shift are going to skew your turnaround times if that's something you measure.

Bottom line, it just depends on what you're using that information for.

Michael Mihalik
PathView Systems |?cell: 214.733.7688?| 800.798.3540 | fax: 952.241.7369

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Monday, February 09, 2015 9:50 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Receipt of specimens

I am curious as to how everyone handles the receipt of their surgical, and Cytology specimens in to the lab? Especially on the off shift hours? Other clinical lab specimens are received directly in the computer in Specimen Processing when they come in the door from remote locations or via the tube system, then delivered to departments. During the day, specimens get dropped off directly to Pathology by the various departments collecting (ie. OR, Radiology, etc). On our off shifts, specimens get received by Specimen Processing(date/time stamped and initialed)  and put in the fridge for Histo/Cyto the next day. When Histo and Cyto put the specimens in the computer, for the "receive date", they go by the date the specimens are "received" (or unpacked) in Histo/Cyto. I am thinking we should go by the date/time Specimen Processing received them in to the actually laboratory where the specimens are then "controlled".
Any input is appreciated! Thanks!
Tanya

Tanya G. Abbott
Manager Technologist
Histology/Cytology
St Joseph Medical Center
(phone) 610-378-2635

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.
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------------------------------

Message: 2
Date: Tue, 10 Feb 2015 14:32:54 -0500
From: "Blazek, Linda" <lblazek <@t> digestivespecialists.com>
Subject: RE: [Histonet] Receipt of specimens
To: Michael Mihalik <mike <@t> pathview.com>, "'Abbott, Tanya'"
        <TanyaAbbott <@t> catholichealth.net>, "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <5A2BD13465E061429D6455C8D6B40E3917319E767E <@t> IBMB7Exchange.digestivespecialists.com>

Content-Type: text/plain; charset="iso-8859-1"

I actually use three different times for tracking since it means different things to different people.  I track collection to sign out, received in the lab to sign out, and report ready to sign out.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Michael Mihalik
Sent: Tuesday, February 10, 2015 2:25 PM
To: 'Abbott, Tanya'; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Receipt of specimens

Tanya, you can probably put either date/time into the receive date/time prompt of your LIS.  It just depends on how you want to use that information.  For instance, perhaps you want to look at turn around times.
>From the lab's perspective, the 'clock' starts when the sample is
>received
in the lab.  On the other  hand, from the physician's perspective, it starts at sample collection and from the organization's perspective the clock might start when the sample was put in the fridge.

If it was 'me', I'd probably put the date/time the sample was received in the lab and I'd make sure the other information was either scanned into the
case via paper or somehow noted somewhere else.   The reason for my thinking
is that those cases received off shift are going to skew your turnaround times if that's something you measure.

Bottom line, it just depends on what you're using that information for.

Michael Mihalik
PathView Systems |?cell: 214.733.7688?| 800.798.3540 | fax: 952.241.7369

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Monday, February 09, 2015 9:50 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Receipt of specimens

I am curious as to how everyone handles the receipt of their surgical, and Cytology specimens in to the lab? Especially on the off shift hours? Other clinical lab specimens are received directly in the computer in Specimen Processing when they come in the door from remote locations or via the tube system, then delivered to departments. During the day, specimens get dropped off directly to Pathology by the various departments collecting (ie. OR, Radiology, etc). On our off shifts, specimens get received by Specimen Processing(date/time stamped and initialed)  and put in the fridge for Histo/Cyto the next day. When Histo and Cyto put the specimens in the computer, for the "receive date", they go by the date the specimens are "received" (or unpacked) in Histo/Cyto. I am thinking we should go by the date/time Specimen Processing received them in to the actually laboratory where the specimens are then "controlled".
Any input is appreciated! Thanks!
Tanya

Tanya G. Abbott
Manager Technologist
Histology/Cytology
St Joseph Medical Center
(phone) 610-378-2635

This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.
_______________________________________________
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------------------------------

Message: 3
Date: Tue, 10 Feb 2015 20:01:30 +0000
From: "Breal, Kari" <Kari.Breal <@t> alexian.net>
Subject: [Histonet] MICROTOMES
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <F8F690C6A74B1040A48535F527973982B5106E1E <@t> TX1P03DAG0101.apptixhealth.net>

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

I am interested in which automated microtome is the best for reducing ergonomic issues.  All opinions are welcome :)

Kari H. Breal, HT (ASCP)
Histology Manager
ABMC- 847-437-5500 x 5155
SAMC- 847-843-2000 x 6818
Kari.Breal <@t> alexian.net<mailto:Kari.Breal <@t> alexian.net>





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

Message: 4
Date: Tue, 10 Feb 2015 20:10:19 +0000
From: "Marcum, Pamela A" <PAMarcum <@t> uams.edu>
Subject: [Histonet] RE: MICROTOMES
To: "'Breal, Kari'" <Kari.Breal <@t> alexian.net>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <320f41b4524345daa162419fca464c32 <@t> MAIL13M2N2.ad.uams.edu>
Content-Type: text/plain; charset="us-ascii"

We have six Leica RM2255 and they are great workhorses.  The automated controls are flexible as they can be on either side or on top of the microtome as needed or is most comfortable.  I personally like using the foot pedal for facing the blocks and I do get old fashion and cut my sections manually.  I can do it automatically just like to be hands on for the final steps.

Pam Marcum
UAMS

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Breal, Kari
Sent: Tuesday, February 10, 2015 2:02 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] MICROTOMES

I am interested in which automated microtome is the best for reducing ergonomic issues.  All opinions are welcome :)

Kari H. Breal, HT (ASCP)
Histology Manager
ABMC- 847-437-5500 x 5155
SAMC- 847-843-2000 x 6818
Kari.Breal <@t> alexian.net<mailto:Kari.Breal <@t> alexian.net>





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

Message: 5
Date: Tue, 10 Feb 2015 20:20:54 +0000
From: "Prentice, Linda" <Linda.Prentice <@t> ucsf.edu>
Subject: [Histonet] Kawamoto Method
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <A7687F6AD4D73A44BE45197D4242E2A1368DA246 <@t> ex07.net.ucsf.edu>
Content-Type: text/plain; charset="iso-8859-1"

I am interested in using the Kawamoto tape method but we have not found a source for the supplies. Can anyone direct me to one?
Thanks in advance

Linda Prentice
UCSF Preventive and Restorative Dental Sciences


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

Message: 6
Date: Tue, 10 Feb 2015 15:59:58 -0500
From: "Roy, Ryan" <Ryan.Roy <@t> va.gov>
Subject: [Histonet] Contiued Ed HTL
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <15F883394EAB744E99E1C7E1B9873049017772418A9A <@t> R04BYNMSGB1.r04.med.va.gov>

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

Hello,

Anyone have any suggestions  CE courses?

This is my first time working on these as I am a new HTL.

Thanks in advance,


Ryan Roy HTL (ASCP)
Manchester Veterans Affairs Medical Center Manchester New Hampshire

Disclosure: The content of this email does not represent the views or opinons of the VA






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

Message: 7
Date: Wed, 11 Feb 2015 12:04:29 +0000
From: "Bitting, Angela K." <akbitting <@t> geisinger.edu>
Subject: RE: [Histonet] CBG Recycler users
To: "histotech <@t> imagesbyhopper.com" <histotech <@t> imagesbyhopper.com>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <77F52EFAB8B1694B885E277C48FCD0F69C7F667E <@t> GHSEXMBX1W8K1V.geisinger.edu>

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

Thank you everyone for your replies and advice regarding my recycler.
As always, the best information comes from my esteemed peers on Histonet :) Have a great day !!

-----Original Message-----
From: histotech <@t> imagesbyhopper.com [mailto:histotech <@t> imagesbyhopper.com]
Sent: Tuesday, February 10, 2015 5:20 PM
To: Bitting, Angela K.
Subject: Re: [Histonet] CBG Recycler users

Hi Angie, I used it for quite a while, what's up?

Michelle

Sent from my iPhone

On Feb 10, 2015, at 10:40 AM, Bitting, Angela K. <akbitting <@t> geisinger.edu> wrote:



Would someone who is a CGB alcohol recycler user contact me? I can't get through to CBG.

Thanks,
Angie



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

Message: 8
Date: Wed, 11 Feb 2015 14:36:52 +0000
From: "Rathborne, Toni" <Toni.Rathborne <@t> rwjuh.edu>
Subject: [Histonet] Sterile slides for FNA
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <59E09A4EFBD3F349BD75FDAE8AFB0F24F4595A <@t> vap1014.win.rwjuh.edu>
Content-Type: text/plain; charset="us-ascii"

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile slides for FNAs, if you do them. While most of the radiologists transfer the core from the end of the needle onto the slide by using a scalpel to assist, we have one radiologist who prefers to place the core directly onto the slide by using the needle. This is fine, unless he needs to go back in and make another pass. If the needle has touched a slide which is not sterile, then the needle would have to be changed to prevent contamination of the site. Does anyone use sterile slides, and are these available in a small quantity so that there is no waste?
Vendors are welcome to reply to me directly, unless others would like the information as well.

Toni

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

Message: 9
Date: Wed, 11 Feb 2015 14:42:05 +0000
From: Mike Pence <mpence <@t> grhs.net>
Subject: [Histonet] RE: Sterile slides for FNA
To: "'Rathborne, Toni'" <Toni.Rathborne <@t> rwjuh.edu>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <D6DF96C438FB8D42B04B2345A9452CF5019B4E439A <@t> MAIL-MB01.grhs.net>
Content-Type: text/plain; charset="us-ascii"

We make our own sterile slides. We package 2 slides per package and send to sterile processing where then sterilize them for us. We then let the radiologist smear/touch/do their thing on the slide and the needle remains sterile. You can make up 200 packets in just a few minutes and save a lot of $$.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 8:38 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile slides for FNAs, if you do them. While most of the radiologists transfer the core from the end of the needle onto the slide by using a scalpel to assist, we have one radiologist who prefers to place the core directly onto the slide by using the needle. This is fine, unless he needs to go back in and make another pass. If the needle has touched a slide which is not sterile, then the needle would have to be changed to prevent contamination of the site. Does anyone use sterile slides, and are these available in a small quantity so that there is no waste?
Vendors are welcome to reply to me directly, unless others would like the information as well.

Toni



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

Message: 10
Date: Wed, 11 Feb 2015 14:45:13 +0000
From: "Rathborne, Toni" <Toni.Rathborne <@t> rwjuh.edu>
Subject: [Histonet] RE: Sterile slides for FNA
To: 'Mike Pence' <mpence <@t> grhs.net>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <59E09A4EFBD3F349BD75FDAE8AFB0F24F45995 <@t> vap1014.win.rwjuh.edu>
Content-Type: text/plain; charset="us-ascii"

What a great resource. How does Sterile Processing package them for you?

-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net]
Sent: Wednesday, February 11, 2015 9:42 AM
To: Rathborne, Toni; histonet <@t> lists.utsouthwestern.edu
Subject: RE: Sterile slides for FNA

We make our own sterile slides. We package 2 slides per package and send to sterile processing where then sterilize them for us. We then let the radiologist smear/touch/do their thing on the slide and the needle remains sterile. You can make up 200 packets in just a few minutes and save a lot of $$.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 8:38 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile slides for FNAs, if you do them. While most of the radiologists transfer the core from the end of the needle onto the slide by using a scalpel to assist, we have one radiologist who prefers to place the core directly onto the slide by using the needle. This is fine, unless he needs to go back in and make another pass. If the needle has touched a slide which is not sterile, then the needle would have to be changed to prevent contamination of the site. Does anyone use sterile slides, and are these available in a small quantity so that there is no waste?
Vendors are welcome to reply to me directly, unless others would like the information as well.

Toni




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

Message: 11
Date: Wed, 11 Feb 2015 14:50:14 +0000
From: "Weems, Joyce K." <Joyce.Weems <@t> emoryhealthcare.org>
Subject: [Histonet] RE: Sterile slides for FNA
To: "Rathborne, Toni" <Toni.Rathborne <@t> rwjuh.edu>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <E3A4EBD57A691646BCCED4AA5911A030011C46A269 <@t> e14mbx11n.Enterprise.emory.net>

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

We do...

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.weems <@t> emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's Hospital 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.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 9:37 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile slides for FNAs, if you do them. While most of the radiologists transfer the core from the end of the needle onto the slide by using a scalpel to assist, we have one radiologist who prefers to place the core directly onto the slide by using the needle. This is fine, unless he needs to go back in and make another pass. If the needle has touched a slide which is not sterile, then the needle would have to be changed to prevent contamination of the site. Does anyone use sterile slides, and are these available in a small quantity so that there is no waste?
Vendors are welcome to reply to me directly, unless others would like the information as well.

Toni

________________________________

This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited.

If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments).



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

Message: 12
Date: Wed, 11 Feb 2015 14:51:22 +0000
From: "Weems, Joyce K." <Joyce.Weems <@t> emoryhealthcare.org>
Subject: [Histonet] RE: Sterile slides for FNA
To: "'Mike Pence'" <mpence <@t> grhs.net>, "'Rathborne, Toni'"
        <Toni.Rathborne <@t> rwjuh.edu>, "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <E3A4EBD57A691646BCCED4AA5911A030011C46A284 <@t> e14mbx11n.Enterprise.emory.net>

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

Ours are placed in the sterile pack for the procedure.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.weems <@t> emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's Hospital 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.


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Mike Pence
Sent: Wednesday, February 11, 2015 9:42 AM
To: 'Rathborne, Toni'; histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: Sterile slides for FNA

We make our own sterile slides. We package 2 slides per package and send to sterile processing where then sterilize them for us. We then let the radiologist smear/touch/do their thing on the slide and the needle remains sterile. You can make up 200 packets in just a few minutes and save a lot of $$.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 8:38 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile slides for FNAs, if you do them. While most of the radiologists transfer the core from the end of the needle onto the slide by using a scalpel to assist, we have one radiologist who prefers to place the core directly onto the slide by using the needle. This is fine, unless he needs to go back in and make another pass. If the needle has touched a slide which is not sterile, then the needle would have to be changed to prevent contamination of the site. Does anyone use sterile slides, and are these available in a small quantity so that there is no waste?
Vendors are welcome to reply to me directly, unless others would like the information as well.

Toni

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

________________________________

This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited.

If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments).



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

Message: 13
Date: Wed, 11 Feb 2015 11:18:40 -0500
From: "Taylor Rinaldi" <taylor <@t> prometheushealthcare.com>
Subject: [Histonet] IHC technician needed in Modesto, CA.
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <149001d04616$6600d5e0$320281a0$@prometheushealthcare.com>
Content-Type: text/plain;       charset="us-ascii"

A growing anatomic pathology laboratory in Modesto, CA is looking to hire a IHC technician for their Histology department. ASCP certification preferred.
This is a permanent, full time opportunity offering relocation assistance.



Please reach out to me for immediate consideration.

Thanks so much!

Taylor Rinaldi

Nationwide Laboratory Recruiter

Prometheus Healthcare

Office (301) 693-9057

Taylor <@t> prometheushealthcare.com





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End of Histonet Digest, Vol 135, Issue 12
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