Course Title: Perform histological tests

Part B: Course Detail

Teaching Period: Term1 2020

Course Code: BIOL5250C

Course Title: Perform histological tests

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C5388 - Diploma of Laboratory Technology

Course Contact: Kirsten Balding

Course Contact Phone: +61 3 9925 4283

Course Contact Email: kirsten.balding@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Dr Rowena Lavery

email : Rowena.Lavery@rmit.edu.au

Nominal Hours: 200

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

MSL973019  Perform microscopic examination

MSL954003  Relate anatomical and physiological features to laboratory samples

Course Description

This unit of competency describes the skills and knowledge to perform tests and procedures associated with processing and staining tissues for examination of tissue structure and abnormalities by pathologists and scientists to assist with disease diagnosis. The unit covers tests and procedures that are associated with anatomical pathology and may involve the use of automated processors and staining machines.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

MSL975029 Perform histological tests

Element:

1. Process specimens and associated request forms

Performance Criteria:

1.1 Identify specimens and request forms that do not comply with minimum industry requirements for labelling, identification and test requests 1.2 Record any discrepancies and indicate what action is required 1.3 Log acceptable specimens into a laboratory information management system (LIMS) accurately and efficiently, applying required document tracking mechanisms

Element:

2. Process tissue

Performance Criteria:

2.1 Select processor program for routine and non-routine samples 2.2 Perform equipment pre-use checks on the tissue processor to ensure sample integrity is maintained

Element:

3. Embed tissue

Performance Criteria:

3.1 Perform equipment pre-use check on embedding centre to ensure samples integrity and uninterrupted embedding of processor load 3.2 Embed tissue types in correct orientation and characteristics that minimise tissue loss and artefacts during microtomy 3.3 Check tissue for complete processing prior to embedding 3.4 Apply procedures to prevent cross-contamination between tissues 3.5 Inspect blocks, reject and re-embed items that do not meet quality control standards

Element:

4. Cut tissue sections

Performance Criteria:

4.1 Check the flotation bath is ready and satisfactory for use 4.2 Prepare and adjust all external parts of a microtome and associated equipment to accommodate requirements of tissue batch 4.3 Secure block in microtome following specified safety directions 4.4 Orientate the block correctly for each specific tissue in order to maintain sample integrity and minimise artefacts 4.5 Cut thin tissue sections according to needs of subsequent procedures, maintaining sample integrity, minimising artefacts and conserving tissue for further testing 4.6 Float sections onto water bath to flatten tissues 4.7 Pick up sections onto microscope slides ensuring patient identification on slides matches that on the block 4.8 Compare the blocks and sections ensuring the tissue on slides matches that in the blocks 4.9 Apply procedures to prevent cross-contamination between patient tissues 4.10 Identify, troubleshoot and resolve common section quality control issues 4.11 Inspect sections and reject any that do not meet quality control standards

Element:

5. Stain tissue sections

Performance Criteria:

5.1 Prepare labile reagents for immediate use 5.2 Select reagents for specified technique, ensuring reagent sequence matches standard procedure 5.3 Stain sections according to method using the required quality control section and accommodating any authorised variations 5.4 Mount slides using medium compatible with staining technique ensuring no bubbles 5.5 Examine control sections microscopically to ensure expected staining outcomes are achieved and procedural artefacts are detected 5.6 Collate and cross-check slides, blocks and test request forms to ensure requirements have been met 5.7 Attach permanent label with case, specimen and stain details as required by workplace 5.8 Confirm microscopically that the type/disease is appropriate and still present in the control sections for each stain 5.9 Approve slides and release to pathologist

Element:

6. Maintain laboratory records

Performance Criteria:

6.1 Complete control stain quality assessment forms to report quality control outcomes 6.2 File and store samples to facilitate efficient retrieval as required 6.3 Maintain instrument logs as required by accreditation checks


Learning Outcomes



Details of Learning Activities

You will learn how to perform histologist tests for example how to embed several tissue types, use a microtome to section paraffin blocks, stain tissue sections using 7 different histological stains as well as how to register samples into a LIMs system.  Your primary learning mode will be face-to-face and will include a combination of tutorials, classroom activities and practical demonstrations.


Teaching Schedule

 

Schedule

Session

Week beginning

Topic/Activity/Assessment

SEMESTER 1 #

Week 1

 

10/02/2020

Please go to canvas topics 1 module to find your group.

 

Class 1 please attend the 9 am to 11 am class.

Class 2 please attend the 11.30 am to 1.30 pm class.

Class 3 please attend the 2.30 Pm to 4.30 pm class.

 

Theory:

  • Introduction to histology, organising a histology laboratory and safety in a histology laboratory.
  • Macroscopic cut-up and fixation

 

Practical:

Complete OHS forms and risk assessment forms

Tissue collection and fixation of skin, lung (large tissue), trachea and kidney (small tissue)

Examine the on-site automated tissue processing machine

Week 2

 

17/02/2020

Theory: Embedding, Tissue accessioning, Specimen reception, Tissue processing – manual and automatic

Embedding of samples training (two stations, 1 station per teacher)

Examine histological sides

AT1 OBSERVATIONAL CHECKLIST- embedding

 

EOP Quiz before 23rd Sunday 11.59 pm

Week 3

 

24/02/2020

Theory: Microtomy – introduction

Please read through your observation checklists before coming to class:

AT2 OBSERVATIONAL CHECKLIST- microtomy

AT5 OBSERVATIONAL CHECKLIST - staining

Practical: Component A

AT3 Part 1: Specimen reception – matching samples and request form for 10 samples (Class 2)

 

Embedding of samples

Perls staining for iron deposits (1 x spleen slides) occasion # 1

 

Practical: Component B

AT3 Part 1: Specimen reception – matching samples and request form for 10 samples (Class 2)

 

*Microtomy on kidney (10 slides per student)

 

 

Week 4

 

02/03/2020

Theory:

Microtomy

Tissue processing troubleshooting and possible effects on microtomy.

Practical: Component A

*Microtomy on kidney (10 slides per student)

 

Specimen reception – matching samples and request for 10 samples (Class 3)

 

Biopsy collection (Kidney core needle biopsy).

 

Practical: Component B

Specimen reception – matching samples and request for 10 samples (Class 3)

Embedding of samples

 

Perls staining for iron deposits (1 x spleen slides) occasion # 1

Biopsy collection (Kidney core needle biopsy).

Week 5

9/03/2020

Theory:

Histological images of epithelial and connective tissue

Practical: Component A

Specimen reception – matching samples and request form for 10 samples (re-sits))

Embedding of samples

 

Perls staining for iron deposits (1 x spleen slides) occasion # 2

Practical: Component B

 

*Microtomy on tongue (14 slides)

 

 

 

 

 

Week 6

16/03/2020

Theory:

Histological images of adipose tissue and blood vessels

Practical: Component A

*Microtomy on tongue (14 slides)

Practical: Component B

Specimen reception – matching samples and request form for 10 samples (re-sits)

Embedding of samples

Perls staining for iron deposits (1 x spleen slides) occasion # 2

Week 7

23/03/2020

Theory:

Bone and biopsies processing

Practical: Group A & B

  • Biopsy embedding (Kidney core needle biopsy).
  • Bone embedding
  • Microtomy on tongue catch up (14 total)

PAS/PASD staining for carbohydrates (liver x2) occasion # 1

Staining PAS (Kidney section X1) occasion # 1

Week 8

30/03/2020

 

AT3 Part 2. SIMULATED LIMS ASSESSMENT (Identify non-compliant specimen request forms and log acceptable specimens into LIMs)

 

Week 9

 

6/04/2019

Mid-semester break starts Friday – no class

 

Week 9

13/04/2020

Theory:

Histological images of nerve tissue

Practical Component I: Group A & B

 

Practical: Component A

*Microtomy on lung (6 slides)

 

OHS and preparation of reagents exercises

 

 

 

Practical: Component B

 

OHS and preparation of reagents exercises PAS/PASD staining for carbohydrates (liver x2) occasion # 1

Staining PAS (Kidney section X1) occasion # 1

Week 10

 

 

20/04/2020

Theory:

Histological images of muscular tissue (skeletal and cardiac)

Practical: Component A

OHS and preparation of reagents exercises

Biopsy embedding

PAS/PASD staining for carbohydrates (liver x2) occasion # 2

Staining PAS (Kidney section X1) occasion # 2

Practical: Component B

*Microtomy on lung (6 slides)

 

Bone and Biopsy embedding

 

Week 11

 

27/04/2020

Theory:

Histological images of upper and lower digestive system

Practical: Component A

*Microtomy skin (10 slides)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Practical: Component B

Checkpoint analysis:

By now you have stained

2 occasions Perls using spleen tissue

2 occasions PAS/PASD using 2 liver

2 occasions AB using intestine

All slides pass QC according to industry stands

PAS/PASD staining for carbohydrates (liver x2) occasion # 2

Staining PAS (Kidney section X1) occasion # 2

 

Week 12

04/05/2020

Theory:

Histological images of Haematopoietic tissues

Practical: Component A

Checkpoint analysis:

By now you have stained :

2 occasions Perls using spleen tissue

2 occasions PAS/PASD using 2 liver

1 occasions AB using intestine

All slides pass QC according to industry stands

 

AB staining for Mucins (intestine x1) occasion # 1

Practical: Component B

*Microtomy skin (10 slides)

 

Week 13

 

11/05/2020

Catch up on embedding microtomy.

Checkpoint - by now you have cut:

10 x kidney

14 x heart

6 x lung

10 x skin

By now you have embedded:

  1. Epithelial tissue – Skin
  2. Large tissue – Liver
  3. Bone
  4. Trachea
  5. Multiple core biopsies in a single block (kidney)
  6. Small tissue – tongue

AB staining for Mucins (intestine x1) occasion # 2

Week 14

18/05/2020

Catch up on embedding, microtomy and staining

 

Staining PTAH (tongue section x1) occasion # 1

Week 15

25/05/2020

Staining PTAH (tongue section x1) occasion # 1

Week16

01/06/2020

AT4 END OF SEMESTER 1 THEORY EXAM - Online Quiz 1:  tissue processing, embedding, microtomy

sLIMs re-sits

Week 17

08/06/2020

Resits AT4 and sLIMS

 

SEMESTER 2 starts

Week 1

 

6/07/2020

Theory: Introduction to staining

Practical: Component A

*Microtomy on heart (7 slides)

Practical: Component B

Staining PTAH (tongue section x1) occasion # 2

 

Week 2

 

13/07/2020

Theory: Routine Haematoxylin & Eosin staining (H&E)

Practical: Component A

Staining PTAH (tongue section x1) occasion # 2

Practical: Component B

*Microtomy on heart (7 slides)

 

Week 3

 

20/07/2020

 

Theory: Pigments

Practical: Component A

*Microtomy heart (7 slides catch up)

Practical: Component B

Masson staining for connective tissue (Skin x 1) occasion # 1

 

Week 4

 

27/07/2020

Theory: Connective tissue stains

Practical: Component A

Masson staining for connective tissue (Skin x 1) occasion # 1

Practical: Component B

*Microtomy heart (7 slides catch up)

Week 5

 

03/08/2020

Theory: Staining for Carbohydrates

Practical: Component A

Total number of slide/sections to date:

Kidney= 10, Liver =14, Skin=10, Lung=6

Tongues=14

Microtomy: Catch up

 

Practical: Component B

 

Masson staining for connective tissue (Skin x 1) occasion # 2

 

Week 6

 

10/08/2020

Theory: Staining for Mucins

Practical: Component A

 

Masson staining for connective tissue (Skin x 1) occasion # 2

 

 

 

Practical: Component B

Total number of slide/sections to date:

Kidney= 10, Liver =14, Skin=10, Lung=6

Tongues=14

Microtomy: Catch up

Week 7

 

 

17/08/2020

Theory: Histological images of respiratory system

 

Practical:

Staining H & E (occasion # 1)

Start taking photos of stained slides for portfolio: H & E, PAS, PTAH, Perls, Masson

Week 8

24/08/2020

Mid-semester assessments- no exam.

Work on preparation of your histology slide portfolio

 

 

31/08/2020

Mid-semester break

Week 9

 

7/09/2020

Theory: Histological images of urinary system

Practical:

Staining H & E (occasion # 1)

Take photos of stained slides for portfolio: H & E, PAS, PTAH, Perls, Masson

Week 10

 

14/09/2020

Theory: Histological images of male and female reproductive system

Theory: Polarising Microscopy

Practical:

Staining H & E (occasion # 2)

Take photos of stained slides for portfolio: H & E, PAS, PTAH, Perls, Masson

Week 11

 

21/09/2020

No practical - AFL bank holiday on the Friday

Week 12

28/09/2020

Theory: Immunohistochemistry (IHC)

Practical:

Staining H & E (occasion # 2)

Take photos of stained slides: H & E, PAS, PTAH, Perls, Masson, PASD

Week 13

 

5/10/2020

Theory: Cryotomy (frozen sections)

Practical:

Staining H & E (occasion # 2)

Week 14

12/10/2020

  • Catch up staining Staining H & E
  • Take photos of stained slides: H & E, PAS, PTAH, Perls, Masson, PAS/PASD, AB.

 

Archive Box: Labelled stained slides to be archived, record slide location in your portfolio.

Week 15

 

19/10/2020

  • Catch up staining Staining H & E
  • Take photos of stained slides: H & E, PAS, PTAH, Perls, Masson, PAS/PASD, AB.

 

Archive Box: Labelled stained slides to be archived, record slide location in your portfolio.

Week 16

 

26/10/2020

AT6. END OF SEMESTER 2 THEORY EXAM - Online Quiz general staining knowledge, IHC, Polarising Microscope, Croytomy (frozen sections)

Week 17

 

02/11/2020

Resits AT6. END OF SEMESTER 2 THEORY EXAM - Online Quiz general staining knowledge, IHC, Polarising Microscope, Cryotomy (frozen sections)

AT7 END OF SEMESTER PORTFOLIO SUBMISSION.


Learning Resources

Prescribed Texts


References


Other Resources

No required text. Recommended: Wheater’s functional histology: A text and colour Atlas. 5th edition. Authors: Barbara Young, James S. Lowe, Alan Stevens, John W. Heath.


Overview of Assessment

Assessment may include

Knowledge tests

Observation of laboratory skills

Folio of prepared slides

Logbook of results


Assessment Tasks

Assessment details

 

Assessment tasks

Each task must be completed satisfactorily before Competence is achieved for the full subject/unit.

Date



 

 

 

EOP Quiz

23/02/20

 

AT1 OBSERVATIONAL CHECKLIST- embedding

Starts week 2

 

AT2 OBSERVATIONAL CHECKLIST- microtomy

Starts week 3

 

AT3 Part 1 SPECIMEN RECEPTION Identify non-compliant specimen request forms

Week 3

 

AT3 Part 2SIMULATED LIMS ASSESSMENT log acceptable specimens into sLIMs

Week 8

 

AT4 END OF SEMESTER 1 THEORY EXAM - Online Quiz 1:  tissue processing, embedding, microtomy

01/06/20

 

AT5 OBSERVATIONAL CHECKLIST –  staining

Starts week 3

 

AT6 END SEMESTER 2 THEORY EXAM – Online Quiz 2 general staining knowledge, IHC, Polarising Microscope.

26/10/20

 

AT7 END SEMESTER PORTFOLIO SUBMISSION

Week 17

 

         

 

To pass the course you need achieve a satisfactory result for every assessment.
You will be given only two attempts for each assessment to demonstrate you have the required skills.

A third attempt can only be offered after discussions between the teacher and the Program Coordinator and is not automatic.


Assessment Matrix

Other Information

This course is graded in accordance with competency-based assessment

CA Competency Achieved  
NYC Not Yet Competent
DNS Did Not Submit for assessment

Submission of Assessment Tasks

It is expected that any work presented for assessment in this course will be your own. Plagiarism is the presentation of the work, idea or creation of another person as though it is your own. It is a form of cheating and is a very serious academic offence that may lead to expulsion from the University. Plagiarised material can be drawn from, and presented in, written, graphic and visual form, including electronic data and oral presentation. Plagiarism occurs when the origin of the material used is not appropriately cited. It also occurs through enabling plagiarism, which is the act of assisting or allowing another person to plagiarise or to copy your own work. Please make sure you consider this carefully in completing all your work and assessments in this course and if you are unsure about whether you might have plagiarised, seek help from your teacher.

Extensions of time for submission of assessable work

If you are prevented from submitting an assessment on time by circumstances outside your control you may apply for an extension of up to seven (7) calendar days by filling in the application form at least one working day BEFORE the due date. The application form should be emailed to your Program Coordinator, Namrita Kaul, namrita.kaul@rmit.edu.au
Eligibility criteria for application and the form is available from the link: https://www.rmit.edu.au/students/student-essentials/assessment-and-exams/assessment/extensions-of-time-for-submission-of-assessable-work

If you require an extension of time longer than 7 days, you must apply for Special Consideration.

Late work that is submitted without an application for an extension will not be corrected.

Special consideration

If you are unable to sit a test, exam or lab-based assessments due to unexpected circumstances (e.g., illness), you should apply for Special Consideration for the missed assessment. Information on applying for Special Consideration can be found from the link: https://www.rmit.edu.au/students/student-essentials/assessment-and-exams/assessment/special-consideration. Applications for Special Consideration should NOT be submitted to the course or program coordinator.

 

 

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