Re: Efficiency with Time

From:Dave Low

Hi Fran,
Just a thought from my days at a reference laboratory.
Would it be feasible to set-up a biopsy run for the
same day? Just an idea to spread or reduce bottleneck
workflow in the mornings?

Dave Low HT(ASCP)QIHC
Elmendorf Med Ctr,AK
 
--- Fran Adams  wrote:
> 
> Hi Histonetters,
> 
> Again, I would like to get information from anyone
> regarding work 
> scheduling.
> 
> We have any where from 190-280 blocks per day to
> embedd/cut.  This usually 
> includes cell blocks, Bone Marrow's(2-3 per day
> w/Iron & PAS), Giemsa stain. 
> Both are routine everyday.
> 
> The first tech arrives at 5:30 AM and begins
> embedding.  The second tech 
> arrives at 6:00 AM and begins cutting liver and lung
> biopsies, routine 
> biopsies.
> 
> The third tech arrives at 6:30 and begins cutting. 
> We have the first slides 
> out at 8:00 AM.  The Bone Marrow's are usually out
> by 10:30-11:00.
> 
> The fourth tech takes over embedding at 7:30.  The
> third tech is putting 
> slides in oven, loading auto stainer, coverslipping
> and handing out slides 
> until the fourth tech has completed the embedding. 
> Up until this time, we 
> have two tech's cutting all the time with the third
> cutting when time 
> allows.  After the embedding is completed we have
> three tech's cutting.  We 
> do take a morning break.
> 
> What I'm thinking is that we may need to come in
> earlier so that the 
> Doctor's are not put behind with reading the slides
> and getting special 
> stains read.
> 
> How do other Histology Labs with this volume of
> work, plan their scheduling. 
>   I have worked in one lab that had a tech to come
> in from 11-7 AM and cut 
> all the biopsies and do any special stains required
> routinely. They had 
> about 70-80 biopsies per night.  Other Labs I'm
> familiar with have tech's 
> come in at 3 or 4 AM. We as humans, would like to
> avoid this if at all 
> possible, but we do have to think about the patients
> and the Pathologist.
> 
> Thanks for any input you guys can give me.
> 
> Fran Adams, HT(ASCP)
> The Medical Center of Central GA
> Macon, GA
> 
>
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