RE: [Histonet] delivery time of last tray of H&E

From:"Weems, Joyce"

Also, throw in the billing factor. We have 3 days to get the charges in before they are considered late...sometimes we're late before we begin....
	The beat goes on some more...

Joyce Weems
Pathology Manager
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax

-----Original Message-----
[]On Behalf Of Dawn
Sent: Friday, March 23, 2007 3:59 PM
To: Marshall Terry Dr,Consultant Histopathologist;;
Subject: RE: [Histonet] delivery time of last tray of H&E

You're right. And don't forget, it's business. Clients (clinicians) are promised faster and faster turnaround time and you'd better deliver, or they'll send their specimens to another lab. I don't mean to sound so cynical, but its true. The thing is though, I don't think the clinician necessarily gets back to the patient in such short time with the findings, so what is the point? Gudrun is also right in saying that the specimens aren't properly fixed, you have to go back and reprocess, etc. Now it's taken longer from start to finish than it would have done had it been allowed to fix adequately in the first place.
  The beat goes on.......

"Marshall Terry Dr, Consultant Histopathologist"  wrote:
This comes about when the lab is looking after the interests of the Doctors, not the patients.


-----Original Message-----
From: [] On Behalf Of Gudrun Lang
Sent: 23 March 2007 15:44
Subject: AW: [Histonet] delivery time of last tray of H&E

And then ... the patient has to get an appointment for the talk about the report with his/her doctor or has to get a date for the necessary surgery.
In most cases there is no reason for such short TATs. 
Why all this hurry? The specimen aren't properly fixed, people have to work in nightshifts; There is no tumor, that grows in such a speed ...

My point of view.

Gudrun Lang

Biomed. Analytikerin
Akh Linz
Krankenhausstr. 9
4020 Linz
-----Ursprüngliche Nachricht-----

[] Im Auftrag von Cheri Miller
Gesendet: Freitag, 23. März 2007 14:44
An: 'Marshall Terry Dr,Consultant Histopathologist'; 'Akemi Allison-Tacha'; 'Rene J Buesa'; 'Galiotto, Laura';
Betreff: RE: [Histonet] delivery time of last tray of H&E

Turn around time Terry. For us it's about getting the slides to the Pathologist early so they may order whatever additional testing needed and still get a hard copy report to the Clinician by the end of the day. We have
24 hour turnaround for most cases. Cheri

Cheri MIller HT ASCP Histology Supervisor, Phys Laboratory. Omaha Ne

-----Original Message-----
[] On Behalf Of Marshall Terry Dr,Consultant Histopathologist
Sent: Thursday, March 22, 2007 12:28 PM
To: Akemi Allison-Tacha; Rene J Buesa; Galiotto, Laura;
Subject: RE: [Histonet] delivery time of last tray of H&E

This is all bloody unbelievable. Don't any of you sleep?
What is the point of working at night?


-----Original Message-----
[] On Behalf Of Akemi Allison-Tacha
Sent: 22 March 2007 17:25
To: Rene J Buesa; Galiotto, Laura;
Subject: Re: [Histonet] delivery time of last tray of H&E

René--That was similar to the protocol I followed in the old days before
24/6 . We provided rush's 1st, followed by bx's by 8AM, we did however, provide special stains and recuts and IHC's by 2-3 PM, depending if it wasn't a lengthy procedure. 

If you have off site facilities to provide for, that is a different situation. You have to work around courier sheduals for delivering to off site facilities. Everyone needs their slides and time is money!!

With the new microwave processing technology that is now in use, there has been a shift to having the majority of staff starting at 10 PM at night.

The day shift is minimum. IHC is done during the day shift, after the pathologist has determined to do so. 
In most situations, a battery of IHC's tests are pre-set, as well as with special stains.

Akemi Allison-Tacha BS, HT (ASCP) HTL
Phoenix Lab Consulting & Staffing
Specializing in Histology, SS, IHC, & Microarray Madison, WI
Tele: (925) 788-0900

--- Rene J Buesa wrote:

> Laura:
> For a laboratory I used to manage with quite similar annual workload 
> we had the following
> schedule:
> 1- last tissue accepted at 7:00 PM;
> 2- two VIPs atarting with delay to be finished at 4:00 AM next day;
> 3- Rushes ready for the pathologists at 8:00 AM next day;
> 4-All slides ready, the latest, at 1:00 PM.
> 5- All IHC ready by 2 PM
> 6- all HC ready by noon.
> René J.
> "Galiotto, Laura" wrote:
> Hello Fellow Histo Tech's,
> Will anyone be willing to share the delivery time of the last tray of 
> H&E for the days workload to the pathologist reading them?
> What is your cutoff time for specimen acceptance?
> What is your annual case workload?
> I am trying to improve the TAT from specimen gross to the H&E 
> delivered to the pathologist. Unless we change the cutoff time I can 
> not see how I can do this? Any suggestions?
> We process 22,000 cases a year an average of 280 blks a day consisting 
> of types of tissue.
> Please Help
> Laura
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