Histology Skills Checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreOut of 4Name(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyHistologyConcept of Fixation(Required) 1 2 3 4 Assist with Frozen Sectioning(Required) 1 2 3 4 QC Req and Documentation(Required) 1 2 3 4 Collection of Tissue Specimen(Required) 1 2 3 4 Bone Marrow Biopsy & Slides(Required) 1 2 3 4 Filing of Slides & Blocks(Required) 1 2 3 4 Tissue Embedding (inc small Bxs)(Required) 1 2 3 4 Running of Tissue Processor(Required) 1 2 3 4 Microtome & Disposable Blades(Required) 1 2 3 4 Principle of Hematoxylin & Eosin Stain(Required) 1 2 3 4 Decalcify Bone & Hand Tissue(Required) 1 2 3 4 Grossing Small Specimen(Required) 1 2 3 4 SPECIAL STAIN TECHNIQUESGroup I(Required) 1 2 3 4 Group II(Required) 1 2 3 4 Group III(Required) 1 2 3 4 Group IV(Required) 1 2 3 4 Group V(Required) 1 2 3 4 HISTOLOGYStorage Time of Wet Tissues(Required) 1 2 3 4 Disposal of Wet Tissues(Required) 1 2 3 4 Universal Histology Precautions(Required) 1 2 3 4 Coverslipping(Required) 1 2 3 4 Preparation of Stains/Reagents(Required) 1 2 3 4 Proper Labeling of Reagents(Required) 1 2 3 4 MOHS Sectioning(Required) 1 2 3 4 GYN Prep & Staining(Required) 1 2 3 4 Non-GYN Prep/Staining(Required) 1 2 3 4 FNA Collections(Required) 1 2 3 4 Thinprep(Required) 1 2 3 4 Electronic Documents(Required) 1 2 3 4 AuthorizationsLegal Consent(Required) I agree to the terms and conditions.Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. 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