Lead Histopathology Technician

1 month ago

San Francisco, United States Department Of Veterans Affairs Full time
Summary

The Lead Histopathology Technician serves as the point of contact, technical expert and advisor to laboratory and professional medical staff in the specialty of surgical pathology and cytology. Independently performs both routine and complex histological procedures.



Duties

PROCESSING SURGICAL, CYTOLOGY AND AUTOPSY SPECIMENS
1. Receives all requests and specimens for testing into the pathology laboratory. Verifies the accuracy and completeness of the request and proper sample collection, labeling and transport requirements. Makes sure two unique patient identifiers are on each sample. Evaluates, accepts or rejects specimens, using proficiency in recognizing tissue from any part of the body and identifies discrepancies which may cause erroneous results or require special handling. Makes sound decisions independently and takes appropriate action to correct and solve problems. Interacts with supervisor and hospital personnel to correct discrepancies.
2. Records patient and specimen data into the computer system using two unique patient identifiers. Prepares specimens for tissue examination and performs dissection and gross examination of biopsies and simple anatomical specimens.
3. Using principles of histotechnology, processes surgical, cytology and autopsy tissue specimens which are often delicate and difficult to handle through the required, complex steps of fixation, dehydration, clearing, infiltration, embedding, microtomy, staining and cover slipping. Recognizes improperly processed tissue and is able to take corrective action.
4. Sections paraffin blocks of tissue and mounts paraffin sections on slides. Sections are cut at proper thickness (2-5 microns) according to tissue type or as required for special staining procedures. Sections contain a minimal, unavoidable number of artifacts.
5. Stains routine slides using computerized strainers with hematoxylin and eosin for studying nuclear and cytoplasmic details of tissues. Checks for proper differentiation, dehydration and clearing. Control tissue is evaluated and results documented. Problems are corrected.
6. Prepares cytological specimens for examination using the following principles: homogenization, filtration and biochemical processing. Assists in the collection of fine needle aspiration biopsies for immediate diagnosis from the clinics, patient's bedside, and Special Procedure room in Imaging Services. Responsible for knowing appropriate fixation techniques for any special studies that may be appropriate.
7. Cover slips slides choosing the right kind of mounting medium depending on the kind of stain. The labeled slides are checked for accuracy and legibility and distributed to the pathologist for examination and diagnosis. Both the slides and paraffin blocks are stored as per regulatory guidelines.
8. Operates equipment such as microscopes, centrifuges, cassette labeler, thin-prep cytology processor, microtomes, tissue processor, cryostat, embedding center and stainers. Calibrates, performs preventive maintenance and records required function checks. Reports needed repairs to biomedical engineer.
9. Maintenance and inventory for all stains, supplies and reagents used in histopathology and order laboratory supplies. Maintenance of work records including temperature records, preventive maintenance records etc. as assigned by the supervisor.
10. Maintains a safe, clean and professional work area and is responsible for safe work practices of the Anatomic Pathology Laboratory to assure that they comply with accreditation and regulatory requirements.
11. Assists in training personnel, newer staff and students in laboratory safety and laboratory policies and procedures. Participates in the Quality and Performance Improvement plan for Anatomic Pathology
.12. Monitors specimens, reagents, equipment and the environment for contamination and assists in decontamination and safe handling and disposal of chemicals. Prepares and ships specimens required for consultation or to reference laboratories.
13. Complies with all regulatory agencies such as CAP, JCAHO, OSHA and VA guidelines.
14. May be assigned other duties by the supervisor or the service chief.

FROZEN SECTION COVERAGE
1. Performs procedures in the frozen section laboratory. Orients, cuts and stains any specimens submitted for intra operative consultations, including minute biopsies for rapid diagnosis by the pathologist with no margin for error.
2. Prepares quality frozen sections per accrediting agency guidelines to provide rapid diagnosis in surgical cases (intra operative consultations).

MAINTAINS REPORTS, RECORDS AND MATERIALS
1. Performs established quality control and quality assurance procedure to check the accuracy and validity of work.
2. Daily records temperature charts of refrigerators, water baths, rooms, and equipment.
3. Works closely with Biomedical engineering with preventative maintenance and repairs of all equipment in the laboratory.

Work Schedule: Monday to Friday, 8:00 am - 4:30 pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

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