Pap Test, SurePath 


 

Test Code: LAB4- Pap Smear, Screening

Additional Test ordered from the SurePath vial:
Test Code: LAB44400815 Pap Test with Reflex HPV Extended is ASCUS
Test Code: LAB44400830 Pap Smear, Screening with HPV Extended Genotype (SRH PathGroup)
Test Code:  LAB4449 HPV with Extended Genotype (SRH PathGroup)

For non-Epic users or Epic users during a downtime:  Please submit an appropriate downtime form or a paper requisition.  For insurance information submit a copy of the insurance card or a printed form from another information system.  Also, if applicable, retain a signed advanced beneficiary notice (ABN) or health insurance notice for non-coverage (HINN) and attach to the cytology request form.

For SurePath Pap Smear:
SurePath Method 1-  Insert the Rovers Cervex Brush into the cervical os.  Rotate 5 times in a clock-wise direction.  Remove the tip of the brush and immediately drop it into the SurePath vial. 
SurePath Method 2-  If using the Pap Perfect plastic spatula and Cytobrush Plus GT devices, insert the contoured end of the plastic spatula into the cervical os and rotate 360 degrees around the entire exocervix.  Immediately remove the spatula end of the device into the SurePath vial.  Next, insert the Cytobrush Plus brush into the endocervix and slowly rotate 1/4 to 1/2 turn in one direction.  Do not over-rotate.  Immediately remove the brush head and drop into the SurePath vial.   
Epic users: Please submit an Epic requisition and label specimen vial using an Epic label.
For non-Epic users or Epic users during a downtime:  Please submit the appropriate downtime form or a paper requisition with patient demographics, specimen source, date of collection, physician name, additional tests to be ordered and any pertinent patient history and clinical information.
Label the SurePath collection vial with the patient's name and birthdate.  Submit the request form and the vial with the collection device to the laboratory.

  SurePath collection vial