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Part 4: Pap Smears, 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:

Contact WHC Chief TS Chloe Getrajdman (chloe.getrajdman@icahn.mssm.edu) to inform her there are samples. If WHC is operating, bring samples to E-level GYN clinic TS. If WHC is not operating, contact Chloe Getrajdman to arrange drop off to her.

PREVIOUS MECHANISM (NO LONGER IN PLACE AS OF 11/14/20) Go to Annenberg 15th floor. Turn left into A15-36.

paproom

Once in the room, immediately turn left again to enter a small office. Directly ahead, you should see two blue bins. One is labeled "cytology". Place the lab container (labeled with patient name, MRN, and EHHOP) into the container. There should be a log book nearby. Record the patient name, MRN, EHHOP, and Dr. Meah or Dr. Nentin as the contact

In general, you can always talk to a staff member to ensure you are putting it in the right bin!

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.

BACTERIAL VAGINOSIS Testing

The litmus test should be used in diagnosing BV and is available in clinic in room 213. Please make sure to return the litmus paper.