[Histonet] RE: Slide Quality

From:"Susan Owens"

There should be a QC chart sent to the Pathologist daily  with someone 
selecting a random H & E case..The Pathologist can check  off such things as
stain quality, wrinkles/folds etc....Poor sections should be addressed 
whether it interferes with the diagnosis or not.....

There can be a problem within a certain section that makes it's early 
impossible for a wrinkle/fold fee selection...BUT, that would not be a daily 
issue...I would say any good Histo tech can and should have at least 99.% 
wrinkle/fold fee sections.
If wrinkles/folds are routine, then that's a big problem that needs to be 
addressed and addressed now.
>>> others input.  I believe any time there is a wrinkle or fold it should 
>>> be
>>> documented.

I agree Sandy, BUT don't start a "witch hunt"...If you fine the poor quality 
sections coming from the same person(s) then a sit down talk with a walk 
down memory lane( as in back to basics) would be in order....Not a burning 
on the cross(at least not yet)...

If wrinkles/folds are a big daily issue, then yes document, investigate and 
correct the problems..But if your talking about one wrinkle on one slide out 
of many slides.....then you can document, but don't go to war over it.....


> Message: 17
> Date: Fri, 30 Nov 2007 15:15:20 -0800 (PST)
> From: Sandy Smith 
> Subject: RE: [Histonet] Slide quality
> To: histonet@lists.utsouthwestern.edu
> Message-ID: <648380.1758.qm@web57412.mail.re1.yahoo.com>
> Content-Type: text/plain; charset=us-ascii
> When should the pathologist document wrinkles/folds?  Only when it
> interferes with the diagnosis?  Or any time there is a wrinkle or fold?
>  Also how many histo techs out there get 100% wrinkle free sections?  I 
> have
> had discussions with my pathologists about these issues and would like
> others input.  I believe any time there is a wrinkle or fold it should be
> documented. 

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