It's O&G time !!
FRIDAY, FEBRUARY 25, 2011
Counsel for pap smear
Posted by medik-ukm on Friday, February 25, 2011
1. Introduction
2. Ask patient if she know what we will do
3. Explain indication
-screening tool for cervical Ca
-yearly for two years,if normal then three yearly
- age 20-65 / once sexually active
4. Explain procedure
- duration is about 5-10 minutes
-no analgesia/ LA/ sedation given
- patient will feel uncomfortable during the procedure
-this is sterile procedure, wash hand,do aseptic technique, wear sterile gloves
- in dorsal position with open leg
- clean the perineum first with sterile water
- do bimanual palpation to know the position of cervix
- insert the Cusco speculum
-visualize if there is any lesion or abnormality if vulva/vagina/cervix
-use Ayre’s spatula to take sample
- rotate the spatula 360⁰
-put the smear on the slide
-make sure the slide have name and RN
- fix the slide with cytofix/ alcohol
-send the slide to lab
-then remove the speculum
-the procedure is finish
5. Explain complication of procedure
-spotting
-if having heavy bleeding come to hospital ASAP
-infection
6. Result
- ready in 1-2 weeks
- if normal, we don’t call. But if abnormal,we will call
- futher management will be done if any abnormalities detected
7. Ask patient if any question
source: workshop and dr. nasir
hanisah A115275
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