Future NSH S/C Dates. 37 th Annual Symposium/Convention September 16-21, 2011 Cincinnati, OH

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SPRING NEWSLETTER ~ MARCH 2011 Greetings from the Region IX Director Ann Lynde Future NSH S/C Dates Finally spring is in the air, hope that everyone survived the long Canadian winter months. I would like to thank Darlene Collett for volunteering to be the Co-Editor of The Cutting Edge. If you have suggestions or articles you would like published in our Newsletter please contact either Darlene or myself. National Medical Laboratory Week April 18 April 24 National Medical Laboratory Professionals Week provides the profession with a unique opportunity to increase public understanding of and appreciation for, clinical laboratory personnel. Montreal Education Day May 27 28, 2001 See page 6 for more information Region IX Nomination for Awards page is open and the deadline for submissions is June 15, 2011 www.nshregionix.org/nominations.html The registration for the Cincinnati NSH symposium will open on April 1 st. I will be asking attending members to help at our PR table to promote Vancouver 2012. If you are attending this year s NSH Symposium/Convention and are planning on staying in Cincinnati until Wednesday Sept 21, please consider becoming a delegate for Region IX. This is a great opportunity to learn more about the NSH and how it works. The business that is handled in the HOD will determine the direction of the NSH and particularly Region IX. Please do not hesitate to become a HOD representative. The requirements of becoming a delegate are as follows: Active member in good standing: A member of this Society who has an active membership classification and whose dues are paid in full for the current year and who is not under suspension. 37 th Annual Symposium/Convention September 16-21, 2011 Cincinnati, OH 38 th Annual Symposium/Convention September 23-October 3, 2012 Vancouver, BC 39th Annual Symposium/Convention September 20-26, 2013 in Providence, RI 40th Annual Symposium/Convention August 21-27, 2014 in Austin, TX

Page 2 Education Update Lisa Manning Region IX Education Committee, Chair Lisa Manning graduated as a Medical Laboratory Technologist in 1986 and after several years of night school, she completed her Bachelor of Science with honors in 1991. Her profession as a Histotechnologist spans almost 25 years in which she dedicated her free time taking every histology course offered by the CSMLS. She created her own hematoxylin formula as a project for one of her courses and it is still in use today as the routine H&E stain. She spent many hours educating other staff on staining theories and how to create the best H&E possible. She initiated a monthly staining slide quality control practice and educated staff in its execution and implementation. After leaving her position at St. Boniface hospital, Lisa went on to start up and supervise a new histology lab in the private sector. After three very successful years, she moved on to become a biologist/ lab supervisor at the Canadian Food Inspection Agency where she performed the immunohistochemistry confirmatory stain that provided the diagnosis of the first case of mad cow disease (Bovine Spongiform Encephalopathy-BSE) in Canada This veterinary histology position provided new educational opportunities which enabled Lisa to attend her first NSH in Long Beach in 2002. After the first NSH, Lisa became even more eager to share her knowledge and she decided to apply as a presenter at the next NSH in Kentucky. Since that time she has presented several seminars and workshops at the NSH S/C focusing on sharing her knowledge of safe handling practices on prions and later branched out to give seminars on basic immunohistochemistry and In-Situ procedures Lisa s commitment to providing educational opportunities for histotechnologists extended to the CSMLS Pathology congress where she volunteered to chair this event in 2006. Lisa has co authored numerous publications and was the 2009 recipient of the Malcolm D. Silver award. She also was the recipient of the 2009 Surgipath Award of Excellence. Lisa is currently working for Diagnostic Services of Manitoba, a unique not-for-profit organization overseeing the entire laboratory and rural diagnostic imaging services for the province. In her three years in this position she has worked with the staff of Manitoba to increase the opportunities for access to histology education by offering lunch and learn sessions, putting histology courses into Media lab and by encouraging all technologists to join the NSH. In these few years she successfully managed to obtain funding support for 9 histotechnologists to attend our National Histotechnology conferences. Lisa has recently obtained her Six Sigma Green belt certification and will be writing her American QIHC exam in the next few months. Lisa is looking forward to the challenges and opportunities in her new position as Education Chair. NSH 2011 Teleconference Schedule www.nsh.org March 23: The Evolution of Digital Pathology April 27: The Effect of Pre-Analytical Factors on IHC Quality and the Optimization of Antibodies for Formalin Fixed Paraffin Embedded Tissue May 25: What's so "Big" About Macrosections in the Histology Laboratory? June 22: Clone Wars: Muridae vs Leporidae (Are You Team Mouse or Team Rabbit?) July 27: The Cell Cycle and Cancer To purchase teleconferences that have already past please visit the NSH Live Learning Center on the NSH website.

Page 3 Awards Update Tracey Membership Lenek Update Region IX Awards Committee, Chair Matthew Canlin Region IX Membership Committee, Chair Tracey completed her MLT certification at SAIT and subsequent training at the Calgary General Hospital. She has over 21 years experience in the Anatomic Pathology division, moving into more leadership roles in the last ten years. She became an Immunopathology MLT II in 2001 and an MLT III on 2006. She was happy to take the position as AP Supervisor in January of 2009 and recently became the Manager of Anatomic Pathology and Cytopathology. Tracey is a member of Canadian Society for Medical Laboratory Science (CSMLS), Alberta College of Medical Laboratory Technologists (ACMLT), and National Society for Histotechnology (NSH), as well for the past four years was on the Awards Committee for Region IX for NSH. Some of the major projects Tracey has spent time on include the AP Centralization, Southern Alberta Cytology Consolidation, and the expansions of South Health Campus and McCaig Tower. Tracey is a huge supporter of continuing education activities for staff and enjoys watching people expand their knowledge base and improve their confidence in the workplace. THE CUTTING EDGE is the official newsletter of Region IX of the National Society for Histotechnology. It is distributed quarterly to all members in Canada. The Objectives of THE CUTTING EDGE are to: Reflect both Canadian and North American articles pertinent to the practice of Histotechnology Publish articles that are beneficial to our discipline. Promote communication between Region IX members and members of the other NSH Regions Provide a medium for exchange of information among members. Contributions are welcome. Please send your articles to: Ann Lynde ann@nshregionix.org Medicine Hat Diagnostic Laboratory #202 73 7 th Street SE Medicine Hat, AB T1A 1J2 Tel: 403-527-3989 Ext: 117 Fax: 403-527-9694 or Darlene Collett collettd@gamma-dynacare.com Gamma-Dynacare Medical Laboratories 115 Midair Court Brampton, Ontario L6T 5MS Tel: 905-790-3515 Ext: 5223 Fax: 905-790-9659 Production of The Cutting Edge is sponsored by Leica Canada Inc. http://www.nshregionix.org/ Page 4

Ten tips for more effective time management Do you feel exhausted by the end of day? Does your "to do" list seem endless? Get more control over your time and you'll feel better and accomplish more. Maybe these tips can help. 1 Make time management your first priority Take a few moments to prioritize your daily action items. The best time for this is either first thing in the morning or the last thing before you leave the office. Use whichever time slot works best for your schedule, but make sure you do it consistently. It will help you manage your projects and stay in control. 2 Give yourself a break As your time management improves you will see an increase in your personal productivity. It can be exciting and even a little addictive. If you find yourself frequently exhausted or working into the evening remember to pace yourself with occasional downtime. Schedule breaks or rewards to add a little balance to your workday. 3 Stop driving yourself Nuts Nagging Unfinished Tasks (Nuts) can easily zap your energy. After a week or two of putting off an unpleasant task it can start affecting your attitude and productivity. When an action item stays on your on your to do list too long, either buck-up and get it done or agree with yourself to let it go and stop worrying about it. 4 Keep purpose top-of-mind It s easy to follow familiar routines. Once a regular meeting is set-up or a process established it s easy to just go with the flow. But things change. Try to keep the larger purpose in mind when you find yourself following the usual routine. If the purpose is valid, fine. But when routines are losing value or efficiency encourage a better use of the time. 5 Find out what works for you There are many time management tools available. Some people prefer date books or calendars. Some prefer software applications or programs like Outlook with built-in features like Task Lists. Ask your colleagues what tools they use to manage their time. Try several and then settle on the one that works best for you.

Page 5 6 Stay on track In today's fast-paced, demanding workplace it s easy to get sidetracked. Keep your priority action items in mind throughout the day. Take a moment to reprioritize when an unexpected disruption occurs. The best time managers find a practical balance between dedication-to-task and flexibility. 7 Get organized Being organized doesn t necessarily mean being neat. An organized person is one who can find what they are looking for quickly. Whether its your physical desktop or your computer desktop take some time to get organized. You will know you have been successful when you can find what you need fast. 8 Don t waste time waiting Its only a matter of time before you find yourself delayed or stuck waiting for something or someone. With a little preparation you can put the unexpected time to good use by reading, making notes, or catching up on email or phone calls if you have a mobile device in hand. Much better than watching the minutes tick away. 9 Take charge of your time Open calendars fill up quickly. If your workdays are often full of meetings with little time for your task list, try scheduling some time for yourself. Block out an hour or more on your calendar for working through your daily action items. And if you want to avoid a working lunch, you may need to schedule a daily lunch period too. 10 Track your time If you cannot figure out where your time goes, try keeping a time tracker. As you go through your day jot down everything you do in 15- or 30-minute intervals. In a week, you will have enough data to see where improvements can be made.

Page 6 Montreal Education Day May 27-28, 2011 All events being held at the Sheraton Airport Hotel The speaker information, registration and hotel reservations will be available on Region IX website starting April 1 www.nshregionix.org/education.html

Page 7 Future is bright for Histology at Gamma-Dynacare Medical Laboratories Page 7 The combination of state-of-the art equipment, expanded laboratory space and a department of dedicated staff are putting Gamma-Dynacare s Brampton histology lab in an excellent position to grow. The histology department at our Brampton, Ontario laboratory is one of four histology labs operated by Gamma- Dynacare Medical Laboratories. The Brampton histology department is very busy, processing on average 600 blocks per day with projected volume growth of 20 per cent every year. We currently employ 11 full time MLT's and three full time MLA's, along with a clerical staff of nine. I joined Gamma Dynacare s Histology department as a supervisor in 2008, and became the manager in 2009. In order to better manage increasing volumes, the department has changed significantly over the past three years. Beginning in 2009, we purchased a new state-of-the-art tissue processor, and four new automated microtomes. The next year, we challenged ourselves further as we set out to shape our future with Lean Six Sigma Page 8 training and certification. In addition, we upgraded our equipment again, with the implementation of an automated special stainer, H&E stainer/coverslipper system, cassette labeller and slide printers. We also replaced our grossing fume hood with an ergonomic elevating grossing workstation.

Page 8 These changes have gone a long way towards making our day-to-day routine much easier, as well as putting us in a great position to continue to grow with our increasing volumes. In 2011, we will take another step forward with a move into our newly constructed laboratory space. This innovative space was designed entirely by our employees equipped with Lean Workflow skillsets With so much going on, the future looks so bright that I have to wear shades! Of course all of these wonderful achievements could not have happened without the hard work of many, and I would like to recognize the entire Histology department staff in Brampton for their dedication in these exciting times of change and growth. This group works tirelessly to ensure that our pathologists receive quality work that enables them to deliver accurate and timely diagnoses. About Gamma-Dynacare Gamma-Dynacare is one of Canada s largest and most respected providers of laboratory services and solutions, with more than 50 years of experience in the industry. Headquartered in Brampton, Ontario, its operations include six laboratory facilities, located in Brampton, London, Ottawa, Bowmanville, Montreal and Winnipeg. In addition, Gamma-Dynacare operates more than 175 Patient Services Centres in Ontario, Quebec, Manitoba, Saskatchewan and Alberta. By living its mission of Caring for People, the company positively impacts the health and wellness of people across Canada, and is a valuable contributor to the betterment of the healthcare system. Darlene Collett Manager

Page 9 Histology Word Scramble 1. esiuaptdioess 2. suiimatmonns 3. etchhiots 4. ciepoloscssermid 5. coeitmrmo 6. lnnuisgaatmnia 7. igmedcrdeneenbt 8. taaticnisn 9. ossctevuenteciin 10. smcelu 11. dyaeemdrhlof 12. eytacnsrokit 13. taruglelydhade 14. plleehcnolgyetyyol 15. scroyatt Answers found on page 12 NSH Region IX would like to extend thanks to Leica Microsystems for their continued sponsorship of The Cutting Edge Newsletter

2011 MEMBERSHIP APPLICATION SOURCE: ONLINE NATIONAL SOCIETY FOR HISTOTECHNOLOLGY 10320 Little Patuxent Parkway, Suite 804, Columbia, MD 21044 PHONE: 443-535-4060 FAX: 443-535-4055 EMAIL: Histo@nsh.org WEBSITE: www.nsh.org TYPE OF MEMBERSHIP: PROFESSIONAL STUDENT RETIRED RENEWING YOUR MEMBERSHIP * Student Members must provide School & Program Director/Supervisor Name NEW MEMBER HISTOLOGY SCHOOL/PROGRAM: PROGRAM DIRECTOR/SUPERVISOR: MEMBER NAME: NICKNAME: WORK ADDRESS: TITLE: COMPANY: DEPARTMENT/SUITE: ADDRESS: CITY: STATE: ZIP/POSTAL CODE: COUNTRY: WORK PHONE: FAX: WORK EMAIL: NSH MEMBER REFERRED BY: STATE HISTOLOGY LICENSE #: MEMBER DEMOGRAPHICS: DESIGNATION (Check all applicable Boxes): DATE OF BIRTH: / / HOME ADDRESS: ADDRESS: CITY: STATE: ZIP/POSTAL CODE: COUNTRY: HOME PHONE: PERSONAL EMAIL: MAIL PREFERENCE: (Please select primary address) WORK ADDRESS HOME ADDRESS WORK EMAIL PERSONAL EMAIL Please Note: All NSH correspondence will be sent to address selected. In addition this address is published in our on-line membership directory. Confidence GENDER: MALE FEMALE HT (ASCP) HTL (ASCP) MT (ASCP) CT (ASCP) SLS (ASCP) QIHC (ASCP) RT ART MLT MD PhD OTHER NOT CERTIFIED I WOULD LIKE TO RECEIVE INFORMATION FROM THE FOLLOWING COMMITEES: IHC HARD TISSUE VIR HEALTH & SAFETY QUALITY CONTROL OTHER MEMBERSHIP DUES: $80 (2011 PROFESSIONAL) $40 (2011 STUDENT/RETIRED) WOULD LIKE TO PURCHASE MEMBERSHIP PIN ($10.00)? YES NO THANKS WOULD LIKE TO CONTRIBUTE TO EDUCATIONAL FUND? NO THANKS YES $ WOULD LIKE TO CONTRIBUTE TO ADA FUND? NO THANKS YES $ (Your donation to the Educational Fund helps provide Awards & Scholarships such as Lee Luna Award, etc & ADA will aid in furthering the education of the physically challenged) PAYMENT INFORMATION: (Please Remit fee with completed application in US Funds to the NSH office) TOTAL: $ A check for the total amount due payable to NSH is included with this application. Please charge my VISA, MC or AMERICAN EXPRESS for the total listed above. PAID IN CASH/MONEY ORDER Card Holder s Name: Signature: Card Number: Expiration Date: NSH, 10320 Little Patuxent Parkway, Suite 804, Columbia, MD 21044 or FAX (443) 535-4055 or RENEW ONLINE: www.nsh.org

Reproducibility Accuracy Delivering diagnostic confidence in HER2 IHC testing Leica BOND Oracle HER2 IHC System A streamlined HER2 assay for rapid and efficient determination of HER2 status. CONFIDENCE proprietary HER2 control cell lines included in each kit REPRODUCIBILIT Y full automation means lower repeat rates than semi-automated and manual methods ACCURACY complete system of Bond automation and Bond-optimized reagents deliver high-quality staining Canadian Medical Licence Number: 77188 TOTAL HISTOLOGY is complete solutions that help you deliver better patient care www.leica-microsystems.com www.leica-microsystems.com/ TA9145-elearning (convenient e-learning proficiency training) Living up to Life 95.10104 Rev A 10/2010 Copyright by Leica Biosystems, Melbourne, Australia, 2010. LEICA and the Leica Logo are registered trademarks of Leica Microsystems IR GmbH.

Page 12 Histology Word Scramble Answers 1. esiuaptdioess is adipose tissue. 2. suiimatmonns is immunostains. 3. etchhiots is histotech. 4. ciepoloscssermid is microscope slides. 5. coeitmrmo is microtome. 6. lnnuisgaatmnia is manual staining. 7. igmedcrdeneenbt is embedding center. 8. taaticnisn is actin stain. 9. ossctevuenteciin is connective tissue. 10. smcelu is muscle. 11. dyaeemdrhlof is formaldehyde. 12. eytacnsrokit is cytokeratins. 13. taruglelydhade is glutaraldehyde. 14. plleehcnolgyetyyol is polyethyleneglycol. 15. scroyatt is cryostat.