From:"Tebo, Andrea"

I also agree with the prelabling.  The Gross Room Tech actually labels all of our slides the night before so when the techs arrive at 5:00am, they can begin embedding and cutting.  We separate them by the number of slides per block and they are in numerical order.  Our cassettes are color coded, green = 3 slides, white = 1 slide, Lilac = 6 slides.  If the tech is cutting the green cassettes, they have the box marked X 3 on the side.  The blocks are cut in numerical order, so their slides should go along with their blocks.  Once in a while, a group of slides is missed, it is the person's responsibility to make sure that the blocks match the slides before they cut the block.  It works very well for us.  We have 3 people cutting 200 blocks, we do not have time to write as we go.  If we did, the doctors would not receive the bulk of their slides until late afternoon.  
-----Original Message-----
From: [] On Behalf Of Renko, Heather D.
Sent: Friday, March 16, 2007 3:27 PM
Subject: [Histonet] SLIDE PRE-LABELING

Additionally, I agree with René and we too pre label our slides/20 at a time and it works very well for our facility.

Which is the key statement here!  You must set up many road blocks to prevent error, whether its before you cut the slide or after and there are many that can share how they do this.  We as a department pay very close attention to the number on the block when we put it on the microtome as one of many checks.  Then as you are putting your twenty slides into the staining rack we then cross reference them to the block order, we then lay them out and check blocks after they are stained.   For us this works very well with little error.  For other labs this might create error!  I prefer this method of slide preparation to labeling them one by one.  If there are too many errors with one individual then maybe it is an attention problem and maybe that might be addressed.  There is no one way to do anything in a histology lab, we just simply need to develop the system/flow that works best for the department and for the techs doing the slide preparation.  When I look at flow and procedure; accurate, timely patient care is my only concern.  Happy Friday!!

Heather Renko, Histology Coordinator
OSF Saint Anthony Medical Center
5666 East State Street
Rockford, Illinois 61108

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