Cervical Smear

Question 1

what menstrual and gynaecologist history do you need to know?

Answer 1

last smear
first day of last menstrual period
contraception

Question 2

what equipment do you need?

Answer 2

light source
trolley with speculum, cervical broom, solution bottle
gloves
request form modesty blanket

Question 3

what position do you need the patient in?

Answer 3

undress to the waist down
blanket to cover
dorsal position - knees up, feet together, relax out

Question 4

how do you introduce the speculum?

Answer 4

move the labia
ask them to bare down and cough
gloves
insert at night angle to final position 
insert and gentry rotate
open gently
locate cervix using speculum

Question 5

what do you do with the cervix?

Answer 5

note the appearance - parity, polyps, cervitis, duplication

take smear - point in OS, rotate broom 5 times

Question 6

how do you rinse the broom?

Answer 6

dip into the cytology solution
make sure you took the lid off when you got the equipment ready
cap on tightly - black to black

Question 7

how do you remove the speculum?

Answer 7

withdraw slightly before closing

allow vaginal walls to contract it shut

Question 8

what documentation needs to be done?

Answer 8

label the vial

cytology form

Question 9

what’d o you do if you’re also doing a bimanual exam?

Answer 9

take the smear first because the lube can mess with the results