[Histonet] Histonet Digest, Vol 153, Issue 8
Natalia Zinchenko
Natalia_Zinchenko at hotmail.com
Wed Aug 10 11:56:55 CDT 2016
Hi,
My name is Natalia. I have a question about tissue processor. If hypothetically (just hypothetically) I will not use charcoal filters and will change paraffin just sometimes, what is going to happen? I work in the research center and we don't have very many specimens.
Thank you,
Natalia
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Subject: Histonet Digest, Vol 153, Issue 8
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Today's Topics:
1. Intraoperative tissue requisition or form (Vickroy, James)
2. Pan Cytokeratin (Paula Keene Pierce)
3. Decon Processor (Fawn Bomar)
4. Pathology Ladder System (Stephen.Clark1 at hcahealthcare.com)
5. Re: Pathology Ladder System (Duddey, Aimee)
6. **Histology Job Opportunities** (Taylor Rinaldi)
7. JOH journal collection (Connolly, Brett M)
8. Re: Pathology Ladder System (Anne Murvosh)
9. Re: Pathology Ladder System (Morken, Timothy)
----------------------------------------------------------------------
Message: 1
Date: Mon, 8 Aug 2016 20:23:21 +0000
From: "Vickroy, James" <jvickroy at SpringfieldClinic.com>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Intraoperative tissue requisition or form
Message-ID:
<9B1A1501A800064397369BD8072E6BCA06594B45 at E2K10DB.springfieldclinic.com>
Content-Type: text/plain; charset="us-ascii"
We are a physician owned clinic and the number of frozen sections we do is small. Occasionally we have a few skin biopsies that are done in the ASC surgery department.
I got a call from them today and they have a problem that they encounter every time they do a frozen section. When the surgeon takes the biopsy a nurse has to hold the specimen in surgery until the tissue order (requisition) is put into the computer. With staffing in ASC this may take fifteen minutes after the biopsy is removed and given to the nurse, especially if the surgeon is asking the nurse to do other things in the meantime.
Of course when the specimen then is received by Histology it may take another 15-20 minutes before the surgeon gets a frozen section diagnosis. This morning the surgeon said this needs to get fixed. Of course it's easy for me to say to the ASC department that someone needs to put in the information immediately and not take fifteen minutes. I even asked why can't the order be put into the computer before the frozen is done. My other response to ASC was that we can do the frozen section but we can't assign a number not print barcoded slides and blocks until the order has been entered into the computer.
I do recall that organizations with less robust IT systems than CoPath sometimes use a written Frozen section order form and report. Can anyone share with me a form they use currently that I could modify for our purposes?
I know the basics but don't want to have to reinvent the wheel if someone already has a form that they use for this purpose.
Of course once the nurses have had time to put the order into the computer histology would have to enter the case into the pathology system, assigning a surgical number. The pathologist would have to in turn take the diagnosis etc. off of the written sheet and enter the diagnosis and gross into the computer system. The written form would in turn have to be kept for documentation which can include scanning into the electronic health record and would include things like time surgeon is called, site, patient sticker with patient identifiers, clinical history, etc.
I realize that this might seem like a step backward however given staffing issues I understand where the ASC nurse manager is coming from and if it helps the patient and surgeon I think we can live with the inconvenience.
Your thoughts and examples of forms or frozen section requisitions?
Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois 62703
Office: 217-528-7541, Ext. 15121
Email: jvickroy at SpringfieldClinic.com<mailto:jvickroy at SpringfieldClinic.com>
This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you.
------------------------------
Message: 2
Date: Mon, 8 Aug 2016 22:52:43 +0000 (UTC)
From: Paula Keene Pierce <paula at excaliburpathology.com>
To: Histonet <histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Pan Cytokeratin
Message-ID:
<433712304.1847321.1470696763351.JavaMail.yahoo at mail.yahoo.com>
Content-Type: text/plain; charset=UTF-8
Hello,
would anyone be willing to donate a recently expired, about to be tossed, vial of pan cytokeratin for a research project?
I will pay shipping.
Thank you,?Paula Keene Pierce, BS, HTL(ASCP)HTPresidentExcalibur Pathology, Inc.5830 N Blue Lake DriveNorman, OK 73069PH 405-759-3953FAX 405-759-7513www.excaliburpathology.com
------------------------------
Message: 3
Date: Tue, 9 Aug 2016 10:06:13 +0000
From: Fawn Bomar <Fawn.Bomar at HalifaxRegional.com>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Decon Processor
Message-ID:
<35B63A2E2FC1C8429D3ACF1CDDA5FFCA1FEF79 at EXCH-2K10.hrhs.com>
Content-Type: text/plain; charset="iso-8859-1"
Hi everyone,
Our lab is getting ready to install a new processor. My question is, how do we go about decontaminating our old processor to dispose of it. The old processor is a Ventana Rennaissance.
Thank you
Fawn Bomar
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Message: 4
Date: Tue, 9 Aug 2016 11:19:34 +0000
From: <Stephen.Clark1 at hcahealthcare.com>
To: <histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Pathology Ladder System
Message-ID:
<E7D2495FF536DC43A960D899ED790D6B3A8CAB16 at FWDCWPMSGHCMD4A.hca.corpad.net>
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Good morning everyone. I had a meeting recently with hospital administration where I was asked what leadership could do to retain and keep quality staff. Besides the obvious, pay increase's, I suggested a ladder type progression system for all lab staff, similar to what some hospitals offer nursing staff. My question to this group is, if any of you are using such a system would you mind sharing it with me?
Thanks,
Stephen Clark HT, BS, DESSO
Pathology Dept. Supervisor
Laboratory Safety Officer
Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29579
Desk: 843-692-1459
Lab: 843-692-1486
Fax: 843-449-6213
------------------------------
Message: 5
Date: Tue, 9 Aug 2016 12:21:14 +0000
From: "Duddey, Aimee" <ADuddey at firsthealth.org>
To: "'Stephen.Clark1 at hcahealthcare.com'"
<Stephen.Clark1 at hcahealthcare.com>,
"histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] Pathology Ladder System
Message-ID:
<09FBA01CA9B6374A83C5C76E09E46188823EB11D at EXMAIL1-FHC.firsthealth.org>
Content-Type: text/plain; charset="us-ascii"
I have had the same discussion with lab administration recently. I would be interested in the same information.
Aimee
-----Original Message-----
From: Steve via Histonet [mailto:histonet at lists.utsouthwestern.edu]
Sent: Tuesday, August 09, 2016 7:20 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Pathology Ladder System
Good morning everyone. I had a meeting recently with hospital administration where I was asked what leadership could do to retain and keep quality staff. Besides the obvious, pay increase's, I suggested a ladder type progression system for all lab staff, similar to what some hospitals offer nursing staff. My question to this group is, if any of you are using such a system would you mind sharing it with me?
Thanks,
Stephen Clark HT, BS, DESSO
Pathology Dept. Supervisor
Laboratory Safety Officer
Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29579
Desk: 843-692-1459
Lab: 843-692-1486
Fax: 843-449-6213
_______________________________________________
Histonet mailing list
Histonet at lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 6
Date: Tue, 9 Aug 2016 08:39:52 -0400
From: "Taylor Rinaldi" <taylor at prometheushealthcare.com>
To: <histonet at lists.utsouthwestern.edu>
Subject: [Histonet] **Histology Job Opportunities**
Message-ID: <18bd01d1f23b$212ffb80$638ff280$@prometheushealthcare.com>
Content-Type: text/plain; charset="us-ascii"
Hi there!
My name is Taylor Rinaldi, Recruiting Manager at Prometheus healthcare. My
team and I specialize specifically in laboratory recruiting nationwide,
working directly with lab managers from different hospitals and reference
laboratories across the US . We are currently recruiting for multiple
Histotechnologist and Histotechnician opportunities. All the opportunities
are fulltime, and permanent. ASCP certification is preferred but not
required for all.
If you or any of your colleagues have been considering a new position in the
Histology field, please don't hesitate to reach out to me directly for
immediate referral and submittal to some of the top hospitals and labs
nationwide.
Current states:
Chattanooga, Tennessee
Sacramento, California
New York, New York
Atlanta, Georgia
Dallas, Texas
Thank you all in advance,
Taylor Rinaldi
Recruiting Manager
Prometheus Healthcare
Office 866-857-1434
<mailto:Taylor at prometheushealthcare.com> Taylor at prometheushealthcare.com
------------------------------
Message: 7
Date: Tue, 9 Aug 2016 09:57:41 -0400
From: "Connolly, Brett M" <brett_connolly at merck.com>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: [Histonet] JOH journal collection
Message-ID:
<C01C35B84DCDCE49BC60867E87F1C8FE014022CAD14F at USCTMXP51015.merck.com>
Content-Type: text/plain; charset="us-ascii"
HI all,
Is anyone interested in old issues of JOH? My collection spans 1997 - 2016. I am missing a few (~ 7).
Let me know and I'll send you a list of what I have.
Brett
Brett M. Connolly, Ph.D.
Prin. Scientist,
Translational Biomarkers - Imaging
Merck & Co., Inc.
PO Box 4, WP-44K
West Point, PA 19486
brett_connolly at merck.com<mailto:brett_connolly at merck.com>
T- 215-652-2501
F- 215-993-6803
Notice: This e-mail message, together with any attachments, contains
information of Merck & Co., Inc. (2000 Galloping Hill Road, Kenilworth,
New Jersey, USA 07033), and/or its affiliates Direct contact information
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Message: 8
Date: Tue, 9 Aug 2016 13:56:31 +0000
From: Anne Murvosh <amurvosh at advancederm.net>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] Pathology Ladder System
Message-ID:
<22BDD9AABC13E24E95D1CF064B75C4B7B34236 at Exchange.Advancederm.net>
Content-Type: text/plain; charset="us-ascii"
If you don't already have it you may want to offer a shift differential for very early or late shifts and weekends.
This makes it a little easier to hire for and keep people on the harder shifts. Anne
-----Original Message-----
From: Steve via Histonet [mailto:histonet at lists.utsouthwestern.edu]
Sent: Tuesday, August 09, 2016 4:20 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Pathology Ladder System
Good morning everyone. I had a meeting recently with hospital administration where I was asked what leadership could do to retain and keep quality staff. Besides the obvious, pay increase's, I suggested a ladder type progression system for all lab staff, similar to what some hospitals offer nursing staff. My question to this group is, if any of you are using such a system would you mind sharing it with me?
Thanks,
Stephen Clark HT, BS, DESSO
Pathology Dept. Supervisor
Laboratory Safety Officer
Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29579
Desk: 843-692-1459
Lab: 843-692-1486
Fax: 843-449-6213
_______________________________________________
Histonet mailing list
Histonet at lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 9
Date: Tue, 9 Aug 2016 16:10:27 +0000
From: "Morken, Timothy" <Timothy.Morken at ucsf.edu>
To: Histonet <histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] Pathology Ladder System
Message-ID:
<761E2B5697F795489C8710BCC72141FF6FD7B06C at ex07.net.ucsf.edu>
Content-Type: text/plain; charset="us-ascii"
Our career ladder at UCSF
HLT 1 thru 4 (Hospital Laboratory Technician) for non-histology positions. HLT-1 is entry level, could be out of high school. To move up requires more education. HLT-2 AA to BA/BA, HLT-3, -4, BA/BS used as accessioners, basic lab techs in grossing and cytology, running stainers, changing tissue processors in histology, etc. HLT-1,-2 are bench techs. HLT-3 is a Senior tech, HLT-4 is a Lead tech. HLT-3 and -4 can be trained for grossing. They can actually work their way thru to minor grossing with the right qualifications. If trained for histotechnology or more advanced grossing ie, PA-level) we promote them to the Histotechnologist series.
HT 1 thru 4 (Histotechnologist). Traditional histology lab techs as well as on-the-job trained Pathologist's Assistants (HT-3,-4 only). HT-1,2 are the basic bench techs, HT-3, is Senior tech, HT-4 is Lead tech. Only HT-4 and Supervisor requires ASCP certification for histology work (not grossing work), but is "preferred" at the other levels. So far all our histotechs are ASCP certified HT or HTL. None of the OJT PA's are certified (though they could work for it if they desired). We do have an advantage of a large research population to draw techs from so all come to us with good educational background and have learned some histology in a research lab.
These are all union positions and each classification (i.e HT-1 or HT-2) has 12 annual steps (controlled by the union, not administration) before maxing out in pay. At that point they reach a ceiling and can only move up by going to the next up classification. We usually require 5 years in one step before reclassifying unless the person is exceptional. As a manager I can only reclassify; I cannot move someone up a step as a reward for good work.
This works out pretty well for advancement but we have a fairly large organization - 12 histotechs and 2 HLT in the histo lab; 4 HLT in cyto lab; 4 certifed PA's; 4 OJT PA's plus 5 HLT accessioners - moving up or to other positions within the department is possible. Several of our accessioners have moved up to Histotech positions, and one OJT PA went to PA school and came back to work for us. Another HLT accessioner is applying to PA school.
We also now hire only certified PA's, and try to hire program-trained PA's. the competition for that is tough and for recent positions we have essentially opened it to any certified PA.
Cyto uses the HLT series for lab work and has another Cytotechnologist series for cytotechs, same idea of level 1-4.
At the top of each lab is the supervisor in each discipline, one for cytology, histology, grossing and administration.
The usual problem in Histo labs is that people stay a long time and so block others from moving up, so even if a career ladder is in place advancement is difficult. Unless the department expands the opportunities to advance are limited in many labs.
I histology we have had quite a lot of turnover the last 5 years because we had a 4 histotechs retire within a couple years so some advanced and some new techs came in. We also opened a couple new jobs. So we now have a fairly young lab with a lot of very good techs.
Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center
-----Original Message-----
From: Steve via Histonet [mailto:histonet at lists.utsouthwestern.edu]
Sent: Tuesday, August 09, 2016 4:20 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] Pathology Ladder System
Good morning everyone. I had a meeting recently with hospital administration where I was asked what leadership could do to retain and keep quality staff. Besides the obvious, pay increase's, I suggested a ladder type progression system for all lab staff, similar to what some hospitals offer nursing staff. My question to this group is, if any of you are using such a system would you mind sharing it with me?
Thanks,
Stephen Clark HT, BS, DESSO
Pathology Dept. Supervisor
Laboratory Safety Officer
Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29579
Desk: 843-692-1459
Lab: 843-692-1486
Fax: 843-449-6213
_______________________________________________
Histonet mailing list
Histonet at lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
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