[Histonet] Staples and Sutures

[Angela Hall]

Ken, 


I'm, currently, checking our SOPs with updates from CAP.  The one that stuck out to me under "Quality Management", see below:

	**NEW** 07/28/2015
	ANP.10038  Anatomic Pathology Checklist 07.28.2015
	Tissue Sample Quality
	Phase II
	There is a procedure that describes the process by which histotechnologists 	provide feedback to submitting pathologists and pathology assistants on the 	quality of the gross tissue sections received for tissue processing.
		NOTE: Inadequate fixation, overly thick tissue sections, non-	decalcified bone, the presence of staples, etc., can lead to poor quality 	histologic sections and/or poor quality special stains/special studies.
	This requirement applies to both laboratories that gross tissue and perform 	all processing onsite, as well as laboratories that gross tissue and send it 	to another laboratory for processing, embedding, and sectioning (regardless 	of the outside laboratory's accrediting organization).
	Records of such feedback and corrective action taken when problems are 	identified may be incorporated into the laboratory's quality management 	program.



Angela D. Hall, BA, HT(ASCP)CM
Histology Department
American Esoteric Laboratories
www.ael-east.com
________________________________
Tel +423 586 3240 ext 1019 or 1041 Fax +423 714 2001
 

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-----Original Message-----
From: Metzger, Kenneth [mailto:kenneth.metzger at aruplab.com] 
Sent: Tuesday, September 29, 2015 12:11 PM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Staples and Sutures

Hello All,

Recently we have had a marked increase in staples and sutures in our tissue that arrives for processing. I have tried to relay to our pathologists and PA's the difficulty in cutting sections and the tissue destruction in getting staples and sutures out once the tissue is processed to paraffin. I was told by some of them that in their experience histology should dealing with this issue. Though my own opinion is this is position is not valid, I've been asked to collect opinions from other histology departments if there are protocols that the grossing individual should be removing the foreign object. Please give me any feedback...Thanks

Ken

Kenneth G Metzger HTL(ASCP)
Histology Supervisor
ARUP Labs
Salt Lake City, Utah
Phone: (801)583-2787 ext. 3101
Fax: (801) 584-5244
Email: kenneth.metzger at aruplab.com<mailto:kenneth.metzger at aruplab.com>


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