See my responses below, after each question. Hope it helps!
Lab Operations Manager
Loma Linda University Pathology
From: Paula Wilder [mailto:firstname.lastname@example.org]
Sent: Wednesday, January 15, 2003 04:36
Good Morning Histonet!
We are having our CAP inspection in two weeks. Of course, going over the
checklist I "noticed" a lot of questions. I would very much appreciate any
and all comments about the following:
Do you take all the paraffin pot temperatures on the tissue
No, I have gone through many inspections and have only kept records of the oven on the processor
Do you label all the containers on the automatic stainer and with
No, what we do is post a chart with all the containers listed, their contents and the appropriate chemical warning info listed.
Do you have chemical education and/or protocols and policies
written for each chemical?
Most of these are covered by the hospital safety inservices, although we have department specific procedures for handling chemical spills for acids, bases, caustics, formalin, B5 etc. and have chemical warnings inserted into all of our chemical-containing procedures.
For QC - We process 19,500 cases a year. Do you match all the
slides with the blocks. If not, approximately what percentage do you match
I've never worked in a lab that did this unless there was an initial problem. Then they were matched for a period of time. If no further errors were discovered, it was discontinued.
Thank you so very much. This will be my very first inspection as supervisor
and I am getting so nervous! Thanks for all of your help!
St. Joseph Medical Center
Towson, MD. 21204
MSN 8 with e-mail virus protection service: 2 months FREE*
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