Pap Testing

Question 1

What is the standard lube you should be using?

Answer 1

warm water only

Question 2

If you HAVE to use lubricant, how should you apply it?

Answer 2

Use dime size only, and stay away from tip of speculum, apply higher up ( like midway)

Question 3

A lot of lubricants can?

Answer 3

interfere with testing and clog up samples

Question 4

what should you do if you notice a lot of discharge/mucus or exudate on the cervix?

Answer 4

remove it with using gauze with ring forceps
or with a PROCTOSWAB ( looks like a giant sterile Q tip)

Question 5

Should you wash the cervix with saline to remove exudate or discharge?

Answer 5

No, it can result in a crappy sample that has very few cells on it

Question 6

Should you ever apply acetic acid PRIOR to sample collection?

Answer 6

NO

Question 7

Do you use the spatula and the brush?

Answer 7

yes

Question 8

how to you use the spatula for a sample?

Answer 8

use contoured end and rotate it 360 Degrees in a lockewise direction around ectocervix ( outer layer of the cervix ) then rinse in perserverCyt solution by swirling it in liquid 10 times.

Question 9

How do you use the brush?

Answer 9

insert the brush into the endocervical canal until only the bottom most fibers are exposed. slowly rotate 1/4 or 1/2 turn in ONE direction. DO NOT OVER ROTATE BRUSH - you don’t get more cells and you can cause bleeding. Then vigorouly swirl brush i solution to release material.