HT Trainer

Histology site trainer or clinical affiliate HT trainer: please provide us with information about your facility HT duties and instrumentation.

NAME AND FACILITY

Name

First:

Last:

Facility Name:

Address:

City:

State:

Zip Code:

Phone:

HT DUTIES (Check all that apply)

Paraffin embedding

Paraffin microtomy

microtomy, tissue-specific cutting protocols

Frozen section using cryostat

Manual H & E staining

Automated H & E staining

Manual special staining

Automated special staining

Hand cover-slipping

Automated cover-slipping

Manual or automated immunoflourescence

Manual or automated immunohistochemistry

Cytology, cytospins or cell block preparation

Papanicolaou staining

Tissue processing (conventional) using Tissue Tek or similar instrument

Rapid processing using rapid processing instrument

Tissue grossing/dictation

Electron microscopy

Quality control activities/documentation

Use of computer/pathology/LIS system

Use of light microscope




INSTRUMENTATION

Please tell us about the instruments used in the Histology laboratory

Tissue processing instrumentation:

Select:

Additional tissue processing instruments?

Rapid tissue processing instrumentation:

Select:

Additional rapid tissue processing instruments?

Embedding Units:

Select the number of embedding centers that are available at your facility

Microtomes:

Are the microtomes used at you facility of the rotary type?

Yes

No

Do you have any automated/semi-automated microtomes available?

Yes

No

Indicate the number of microtomes available at you facility.

Automated staining instrumentation:

Indicate if the following staining methods are performed

on automated staining equipment (Check all that apply).

H & E staining

Special stains using barcode technology

Special stains using other slide labeling technology

Immunohistochemistry using barcode technology

Immunohistochemistry using other slide labeling technology

Immunoflourescence using barcode technology

Immunoflourescence using other slide labeling technology

Enzyme Histochemistry

Papanicolaou Staining

Automated cover-slipping:

Does your facility use an automated cover-slipper?

Yes

No

If yes, select either tape or glass cover-slips.

Tape

Glass