Histotech reading slidesRE: CURIOUS - no reaction!

From:"Morken, Tim"

Please remember all, that a pathologist/Lab director is responsible for ALL
results put out by the lab. If the pathologist deems it proper to have techs
report results, that is the pathologists perogotive. Any "malpractice" would
fall on the pathologist, at least concerning the histostaff. Of course, that
is not going to happen unless the pathologist has faith in the tech staff.

Tim Morken

-----Original Message-----
From: Vinnie Della Speranza [mailto:dellav@musc.edu]
Sent: Friday, December 14, 2001 10:06 AM
Cc: histonet@pathology.swmed.edu
Subject: RE: CURIOUS - no reaction!

EXACTLY.  A VERY BIG electronic HUG to Joyce for hitting the nail on the
head !!!

For Glen and the others who are "shocked", the results would always be
confirmed by the pathologist. I was not suggesting that this would not be
the case. Indded I am shocked at how many of you either do not "want" the
responsibility or believe that they shouldn't have it. I am shocked by how
many of you are willing to accept that other lab disciplines are more
capable or more qualified than we.  Perhaps these reactions can explain in
part why our discipline has been held back. if our own practitioners do not
believe that they can or should perform certain duties, they in effect hold
themselves back.
Everywhere I have worked, ER, PR and Her2 have been screened by technical
staff, either med techs or cytotechs. yes, their results were verified by
the doc.
The greatest limitation is EDUCATION. These tests would be considered high
complexity, requiring the CLIA mandated education level of those doing this
screening and this in effect would eliminate many histotechs.

Vinnie Della Speranza
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue  Suite 309
Charleston, SC 29425
Ph: 843-792-6353
fax: 843-792-8974

>>> "Weems, Joyce"  12/14/01 05:21AM >>>
I believe the issue would be - why is a cytotech more qualified than an HTL?
It is just accepted that histotechs read nothing, but it is time to start
changing that perception with all the quantitive testing coming into common
use. As with a cytotech, a pathologist would have the final say. Perhaps
that could be one of the things that separates a HT from an HTL. 

My 2 cents....

Everyone have a great weekend! j 

-----Original Message-----
From: Dawson, Glen
To: Vinnie Della Speranza; histonet@pathology.swmed.edu 
Sent: 12/13/2001 4:46 PM
Subject: RE: CURIOUS - no reaction!


I was unaware that a histotech would EVER read out results.  Having a
histotech who makes $28,000 per year carrying no malpractice insurance
reading out FISH is NOT NOT NOT advisable.  Any institution having
histotechnicians reading out cases is asking for big trouble.  In my
histotechs perform all the technical duties required to produce the
product, but it is read out by a well-trained, well-paid pathologist
carries malpractice insurance).


Glen Dawson  BS, HT & IHC (ASCP)
Lead IHC Technologist
Milwaukee, WI

-----Original Message-----
From: Vinnie Della Speranza [mailto:dellav@musc.edu] 
Sent: Thursday, December 13, 2001 1:12 PM
To: histonet@pathology.swmed.edu 
Subject: CURIOUS - no reaction!

I have been watching this thread (Her 2neu/ FISH) over thepast week with
some interest, wondering if anyone else would react to this but no one
I hope that it is because everyone is distracted with other things and

No one commented that at this one facility (quoted below) the histotechs
perform that method but are NOT asked to read the result.

in an earlier post (source deleted to protect the innocent!) someone
>>> 12/11/01 11:39AM
Our histotechs perform the staining procedure for FISH, but we have a
cytotech that is trained to read them along with a pathologist.>>>

it is not typically a cytotech's scope of practice to read out tissues.
 Why aren't histotechs reading out these cases????


Vinnie Della Speranza
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue  Suite 309
Charleston, SC 29425
Ph: 843-792-6353
fax: 843-792-8974

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