RE: [Histonet] CAP Question anp.23075

From:"Barnhart, Tammy"
Message
Hazel,
           We struggled with this one too.  In fact my last inspector didn't know what to make of this question, either.  I gave examples of: when we brake down the cryostat for cleaning (or maintenance) we always use a chuck of OTC to realign the roll plate and make sure the instrument is cutting OK, or when our stainer has maintenance work done we run a test batch of slides to make sure everything is working properly.  He seemed to like those for examples of this standard.  Make sure you have written procedures and documented evidence that you did these checks. 
 
Tammy Barnhart, BS, HTL(ASCP)
Anatomic Pathology Supervisor
St. Alexius Medical Center
Bismarck, ND
tbarnhart@primecare.org
-----Original Message-----
From: Horn, Hazel V [mailto:HornHV@archildrens.org]
Sent: Sunday, September 14, 2003 4:28 PM
To: HISTONET (E-mail)
Subject: [Histonet] CAP Question anp.23075

I'm having my CAP inspection soon and wondered what is meant by this question.
 
Is there EVIDENCE of ongoing evaluation of results of instrument maintenance a nd function for all devices?
 
The 2 questions before this one are about a schedule for checking instruments (yes) and are the service and repair records promptly available.
(yes)
 
So......What does the above question pertain too??   HELP!
 

Hazel Horn, HT/HTL (ASCP)
Histology Supervisor
Arkansas Children's Hospital

Phone - 501.364.4240
Fax - 501.364.3912

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