We call it "Performance Improvement". Joyce-----Original Message-----From: histonet-bounces@lists.utsouthwestern.edu[mailto:histonet-bounces@lists.utsouthwestern.edu]On Behalf Of Gary GillSent: Friday, August 13, 2004 9:36 AMTo: 'Marsha R Price'; pathrm35@adelphia.netCc: histonet@lists.utsouthwestern.eduSubject: RE: [Histonet] a question on ethicsCurrent CLIA has replaced quality assurance with quality assessment as thepreferred term.Gary Gill-----Original Message-----From: Marsha R Price [mailto:mprice26@juno.com] Sent: Friday, August 13, 2004 8:28 AMTo: pathrm35@adelphia.netCc: histonet@lists.utsouthwestern.eduSubject: Re: [Histonet] a question on ethicsRon,You need to have an Quality Assurance Plan in place. That is an CAPchecklist question. I have a manual with logs etc. that you can have a copyof. It can be customized for your lab. You can turn this lab around with awell defined QA Program. QA is not an option it is a must/requirement if youare a CLIA or CAP certified  lab.Let me know if you would like a copy of the manual. It was done on Word. SoI can send to you electronically and you can make changes to it.Marsha PriceOn Fri, 13 Aug 2004 04:27:14 -0500 "Ron Martin" writes:> Fellow techs,> I am in a difficult situation and need some serious advice. I> recently (4 months ago) accepted a technical supervisor position in > a dermatology lab. I went from a bench tech at my old job to this > position. I also walked away from a raise at my old position so I > could step into a supervision position. I took the new position > because I was told by my manager that she would teach me some > supervision, management and financial skills that I currently do not > have as well as the growth potential of the company.This position is > not what I was told it would be. Part of my "duties" include > emptying the trash, clean the bathroom  (not happening) and taking > her personal and professional calls. The question on ethics is the > high volume of mistakes made by our technician, our offices and also > by my manager herself.> I caught a mistake made by our tech a few weeks ago.She put the > wrong tissue on the wrong slides as she inverted the two cases. I > caught her mistake before it went out. One time she assigned the > same number to two different cases. She then sent the correct case > out for a consult (which wasn't needed) and put the wrong patient > name on the slide. Every other day there is something different.My > manager will not terminate her as she knows I am seeking employment > elsewhere and she cannot afford to lose a tech.> One day my manager gave three cases the same accession number.She > caught her mistake on one of the cases but I still ended up with two > cases with the same number. When I first started there my manager > had a case in which there " was no tissue in the container". She > said that she notified the office about the situation however up to > six weeks later the office was still calling looking for results.At > that point she wrote up an incident report and dated it six weeks > prior to coincide with the surgery date.> Our offices are not any better. One case came in with the wrong > patient information. It took about 7 weeks for the office to realize > that they sent the wrong patient information with the biopsy as the > names were close in spelling.  The offices continually send mistakes > with incorrect spelling of patients names and incorrect anatomical > locations.>  I have tired to document everything but there are too many mistakes > and I don't have enough time or energy to keep up with them.My > manager wants us to do our own "internal quality control". My > interpretation of this is that she doesn't want our physician and > risk manager to know of these mistakes. Are these becoming common > problems or is it just my situation?> I want to emphasize that I hope I am not being unethical myself for > revealing this information but I really need some advice and > support.I have very high standards and they are not being met in > this current situation. I am currently seeking a new position but I > need employment and cannot resign until another position becomes > available. I would like to stay in Florida and if anyone knows of > any positions please inform me as I am at my wits end. Thanks in > advance.> > Ron> _______________________________________________> Histonet mailing list> Histonet@lists.utsouthwestern.edu> http://lists.utsouthwestern.edu/mailman/listinfo/histonet> > ________________________________________________________________The best thing to hit the Internet in years - Juno SpeedBand! Surf the Webup to FIVE TIMES FASTER! 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