RE: Who does IHC?

From:"Hinton, Sandy"

Through the years I have found that people's talents differ. Years ago when
we initially started doing IHC's, I also tried to include the procedures in
the regular rotation. It just didn't work for us, and I've heard other
supervisors and managers say the same thing.

I think the IHC vocabulary, which varies significantly from that of routine
histology, is intimidating to some technicians. The fact that you don't see
results until the end of the procedure can also be intimidating because it's
so different from the routine special staining procedures that Histology
technicians are used to. You also have to be good at laboratory mathematical
calculations and that can be an intimidator.

We do a large number of diagnostic IHC's and those duties along with the
Kidney and Muscle biopsy procedures are performed in our Special Procedures
laboratory. The three technicians in that lab are all well experienced
senior technicians, who from the beginning expressed a desire to work with
the procedures.

Since I'm located in Texas, I can't address the New York requirements. I
have one Medical Technician III, and two Histology Technician III's, one of
which is a HTL and the other a HT performing the procedures. Personally I
think that it's the desire to learn and perform at the highest level
technically, that produces the best technicians, not the MT, HT or HTL
behind someone's name.

Sandy Hinton
Chief Tech Divisions of Surgical Pathology and Autopsy
Office CLS 5.541A
Phone (409) 747-2488
FAX (409) 772-9305

-----Original Message-----
From: Tom McNemar []
Sent: Friday, May 31, 2002 7:04 AM
To: ''
Subject: Who does IHC?

I need a little help and would like to take a little survey.  My lab manager
tells me that she wants everyone in my department to be able to do
everything.  I have no problem with that in general and it has always been
my philosophy.  A problem has developed with IHC however.  A couple of folks
just have not gotten the hang of it causing a lot of repeats and
unhappy/mistrusting pathologists.  I want to limit the number of people
performing IHC but I cannot convince my manager.  She says to re-train them
(again).  And so to my questions.....

1. How many techs do you have and how many of those are performing IHC?

2. Is it true that the state of New York requires an HTL to perform IHC?

I would greatly appreciate any and all feedback.  Thank you in advance.

Tom Mc Nemar HT(ASCP)
Histology Supervisor
Licking Memorial Hospital
Newark, Ohio

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