Pap Smear Technique

Video

Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000

Slide 1

Positioning ‡ ‡ ‡ ‡ ‡ Privacy Buttocks just off table Good Lighting Drape Standby Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 2 .

Padded Stirrups ‡ ‡ ‡ ‡ Soft. padded stirrups Oven mitts Socks Battle dressings Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 3 .

Inspect ‡ ‡ ‡ ‡ Spread labia Discharge Ulcers Growths Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 4 .

Anatomy Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 5 .

Vaginal Speculum Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 6 .

Warm Speculum ‡ ‡ ‡ ‡ Warm water Not too hot Lubricates speculum Don¶t use K-Y. Surgilube or Vaseline to lubricate speculum Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 7 .

Insert Speculum ‡ Spread labia ‡ Keep labia apart ‡ Blades remain closed until fully inserted Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 8 .

Squamo-Columnar Junction ‡ Junction of pink cervical skin and red endocervical canal ‡ Inherently unstable ‡ Key portion of the cervix to sample ‡ Most likely site of dysplasia Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 9 .

Ayers Spatula ‡ Concave end to fit the cervix ‡ Convex end for vaginal wall and vaginal pool scrapings Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 10 .

Sample Cervix ‡ Use concave end ‡ Rotate 360 degrees ‡ Don¶t use too much force (bleeding. pain) ‡ Don¶t use too little force (inadequate sample) Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 11 .

Cytobrush ‡ Insert ~ 2 cm (until brush is fully inside canal) ‡ Rotate only 180 degrees (otherwise will cause bleeding) Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 12 .

Make Pap Smear ‡ As thin as possible ‡ Properly labeled Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 13 .

Spray with Fixative ‡ Within 10-15 seconds ‡ Allow to fully dry before packaging ‡ Cytologic Fixative (hairspray works acceptably also) Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 14 .

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