See my responses below, after each question. Hope it helps!
    
Sandra Cheasty
Lab Operations Manager              
Loma Linda University Pathology



-----Original Message-----
From: Paula Wilder [mailto:histo20@hotmail.com]
Sent: Wednesday, January 15, 2003 04:36
To: histonet@pathology.swmed.edu
Subject: CAP


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 
processor?
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 
what information?
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 
up?
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!
Paula Wilder
St. Joseph Medical Center
Towson, MD. 21204
410-337-1741





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