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Elements and Performance Criteria

  1. Process tissue
  2. Embed tissue
  3. Cut tissue sections
  4. Stain tissue sections
  5. Process specimens and associated request forms
  6. Record any discrepancies and indicate what action is required
  7. Log acceptable specimens into a laboratory information management system (LIMS) accurately and efficiently, applying required document tracking mechanisms
  8. Perform equipment pre-use checks on the tissue processor to ensure sample integrity is maintained
  9. Embed tissue types in correct orientation and characteristics that minimise tissue loss and artefacts during microtomy
  10. Check tissue for complete processing prior to embedding
  11. Apply procedures to prevent cross-contamination between tissues
  12. Inspect blocks, reject and re-embed items that do not meet quality control standards
  13. Prepare and adjust all external parts of a microtome and associated equipment to accommodate requirements of tissue batch
  14. Secure block in microtome following specified safety directions
  15. Orientate the block correctly for each specific tissue in order to maintain sample integrity and minimise artefacts
  16. Cut thin tissue sections according to needs of subsequent procedures, maintaining sample integrity, minimising artefacts and conserving tissue for further testing
  17. Float sections onto water bath to flatten tissues
  18. Pick up sections onto microscope slides ensuring patient identification on slides matches that on the block
  19. Compare the blocks and sections ensuring the tissue on slides matches that in the blocks
  20. Apply procedures to prevent cross-contamination between patient tissues
  21. Identify, troubleshoot and resolve common section quality control issues
  22. Inspect sections and reject any that do not meet quality control standards
  23. Select reagents for specified technique, ensuring reagent sequence matches standard procedure
  24. Stain sections according to method using the required quality control section and accommodating any authorised variations
  25. Mount slides using medium compatible with staining technique ensuring no bubbles
  26. Examine control sections microscopically to ensure expected staining outcomes are achieved and procedural artefacts are detected
  27. Collate and cross-check slides, blocks and test request forms to ensure requirements have been met
  28. Attach permanent label with case, specimen and stain details as required by workplace
  29. Confirm microscopically that the type/disease is appropriate and still present in the control sections for each stain
  30. Approve slides and release to pathologist
  31. Maintain laboratory records
  32. File and store samples to facilitate efficient retrieval as required
  33. Maintain instrument logs as required by accreditation checks