Pap smear test (also called Pap Romanian by the name Dr. Aurel Babes, which recommended early detection of cancer through the female genital smear citovaginal ) is an analysis ings obtained by harvesting the cells from the cervix and then dropping them on a slide glass . Although the analysis of cells from the cervix is the most commonly used , the Pap test allows cytological evaluation of vaginal and endocervical cell pole .
Materials needed:
- vaginal speculum bivalvular
- gloves
- Pap stick
- applicator rod and cotton bed
- 3 for reading microscopic glass slides
- Catchers
- adjustable lamp
- field
- Laboratory analysis request form
confirmation of patient identity
patient procedure explained
wash hands
patient explains the importance of perineal muscle relaxation to facilitate the examination and collection
patient is asked to urinate before performing harvesting
ensure patient privacy and asked to undress from the waist down
is covered with a disposable gown and helped to sit on gynecological table
maximum brightness lamp fits in the genital area
robe is removed from the genital area
offering medical gloves and vaginal speculum . Do not use lubrefinate for it to not interfere with test results. One can speculate squirt warm water to ease insertion .
patient is announced when the speculum is inserted to prevent twitching and muscle tension
suggested the patient to relax and breathe deeply while entering speculum .
post this species is extended to expose the cervix and then blocked to start harvesting
offering the doctor of all applicators and brushes needed harvesting cells in different areas . After each harvest , it will take applicators and will rotate gently on one glass slide over to be put immediately to prevent drying fixative cell
microscope slides are marked differently according to the areas where the cells were harvested . On a full test , the doctor will remove cells from the cervical , endocervical and vaginal pole .
unlocks after harvest speculated to be removed avoiding damage vaginal walls
patient is helped to get off the examination table
laboratory forms completed patient data , including date of last menstrual period and then sent the samples to the laboratory
Special considerations :
before the test , the patient will be instructed not to do vaginal lavage 48 hours before and do not use vaginal ovules
harvesting can take place before the period of 5-6 days or a week after
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