RE: [Histonet] RE: undersink storage

From:Gary Gill

The vagueness to which Tim alludes is widespread.  Many years ago, the
American Society of Cytopathology offered a voluntary lab accreditation
program that included guidelines that neither the inspectors nor inspectees
understood in concrete terms.  I proposed abstracting pertinent portions of
documents from authoritative organizations (e.g., UL, NFPA, National Safety
Council, American Conference of Governmental Hygienists, etc.) and
incorporating them into guidelines that were specific and understandable by
all.  The proposal was shot down.  One then-prominent pathologist is
reported to have said something to the effect: "I don't want to be held
accountable to anything Gary Gill says."  Talk about missing the point!

Gary Gill

-----Original Message-----
From: Morken, Tim - Labvision []
Sent: Tuesday, November 25, 2003 11:35 AM
Subject: RE: [Histonet] RE: undersink storage

Bill, great synopsis of the inspection process, but you forgot the primary
method CAP uses to determine how things should be done: include inspection
questions that are so vague that no one knows what they mean and then see
how many ways people deal with it. Then pick one solution out of a hat and
insist everyone use that solution. 

Tim Morken

-----Original Message-----
From: Bill Blank [] 
Sent: Tuesday, November 25, 2003 7:18 AM
Cc: louise renton
Subject: [Histonet] RE: undersink storage

At 7:43 AM +0000 11/25/03, louise renton wrote:
>Could someone please expand on this?  Obviously I am an ignorant 
>South African, but by "contamination" do you mean leakage of waste 
>water? And if your controls are as strict as I am led to believe (no 
>oozing blood and guts or toxic chemicals  going down the drain) why 
>does this constitute a problem?.  I am afraid that I am missing 
>something simple here.
>Unless, could it be that  there are more crawling infants in 
>histolabs in the USA than I know of :>)!!!!!?


Hi Louise. In the US, the inspection process of hospitals and labs 
has become all about power and control and not about lab reliability 
or safety.

The people in charge of 'inspecting' must find problems to justify 
their existence. There is much conflict of interest in this process. 
It is in a large part designed by lawyers to feed lawyers and by 
people who think we all have no common sense and must be treated like 

This year its about sinks; one year it's about using outdated 
expensive reagents that still work; one year it was about carpets in 
offices in labs, another about wearing non-dextrous rubber to prevent 
needle or scalpel sticks.

One learns to grin and bear it and to pick one's nose when being 
condescended to.

One learns to create appearances and to laugh at the inanities in life.

One sometimes gets po'd and yells at inspectors.



Bill Blank, MD (Celtic studies and numismatics)

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