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Part 4: GC and Chlamydia

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PAP SMEARS

1) Visualization of the Cervix:

2) Collecting the Specimen:

Collect the cells:

Transfer the cells to ThinPrep vial:

Assembling specimen w/ documentation:

Transport specimen in bag with requisition order:

c

Turn right immediately to enter the accessioning room

h

Look for a blue Atran drop box that is labeled “Cytology”. In general, please talk to a staff member to ensure you are putting it in the right bin, as there are several bins in this room.

l

The bin may have a sign on it that says "Pick-up only, do not drop off specimens." This sign directs you to the Atran cytopathology lab (Atran 6-10); however, that is closed on weekends. We have been using the bin anyway, and the specimens do (usually) make it to Atran the following Monday.

Note: Previously, you needed to log samples in a green book in the Accessioning Room; this is no longer done.

GONORRHEA/CHLAMYDIA Testing (Endocervical Swab)

Use pink tube. May be found in GYN cart or labs room.

1) Insert swab into endocervical canal until bristles just disappear.

2) Rotate slowly for 20-30 seconds.

3) Remove swab and place into collection tube. Break off excess swab leaving brush in collection tube and replace lid.

GONORRHEA/CHLAMYDIA Testing (Urine)

We can now use APTIMA tubes for this. The test comes with a tube and +/- a dropper. If there is no dropper, you can find them in the Labs room.

1) Have the pt void into a sterile urine cup.

2) Firmly tap the bottom of the tube on a flat surface to dislodge any large drops from inside the cap.

3) Transfer the urine into the Aptima tube with the provided dropper, being careful not to touch the walls of the sterile cup.

4) Fill the tube until the urine level is within the label window (see laminated sheets on wall of lab room for pictures of what this looks like).

5) Add the label once it prints out. Drop off with rest of blood samples to 8th Floor Labs in East Building.