Pap Smear Technique Video Operational Obstetrics Gynecology Bureau

Pap Smear Technique Video Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide

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