Good on you Sandy.

			I couldn't agree more with your assessment at the
end. All the letters after a name don't guarantee results.
________

			Best wishes
			Ronnie

			Ronnie Houston
			Regional Histology Operations Manager
			Bon Secours Health Partners Laboratories
			5801 Bremo Road
			Richmond, VA 23226        ______________________
Reply Separator
_________________________________
Subject: RE: Who does IHC?
Author:  "Hinton, Sandy"  at SMTP
Date:    5/31/02 8:55 AM




		Tom,
		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.
		sh

		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 [mailto:TMcNemar@lmhealth.org]
		Sent: Friday, May 31, 2002 7:04 AM
		To: 'histonet@pathology.swmed.edu'
		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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