Pap Test, SurePath or Conventional


 

Test Code: LAB4- Pap Test, SurePath or Conventional

ALL PAP TESTS FOR CYTOLOGY MUST BE SUBMITTED WITH A REQUISITION

Additional Test ordered from the SurePath vial:
Test Code: LAB44401618  N. gonorrhoeae/Chlamydia Combo DNA Probe
Test Code: LAB4447500  HPV DNA, High Risk, Cervical (SRH Quest)       -FOR CERVICAL SAMPLES ONLY
Test Code:  LAB44400832 Pap Smear Screening w/HPV (Reflex Genotype 16,18), if ASCUS      -FOR CERVICAL SAMPLES ONLY
Test Code: LAB4447501 HPV DNA, High Risk, Cervical with reflex to Genotype 16,18 (SRH Quest)

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.

For Conventional Pap Smear:
An Endocervical brush sample is collected by inserting the endocervical brush into the endocervical canal and rotating 1/4 or 1/2 turn.  Roll the brush onto a glass slide and immediately spray with Surgipath spray fixative.
Endocervical Scrape sample is collected using a spatula and scraping the entire ectocervix with emphasis on the squamocolumnar junction.  Smear material onto a glass slide and immediately spray with Surgipath spray fixative.
An Endocervical broom sample is collected by inserting the broom into the endocervical canal and rotating 4 times. Smear one side of the broom onto a glass slide and repeat with the other side of the broom on a second slide and immediately spray with Surgipath spray fixative.
A vaginal smear is obtained by lightly scraping the posterior fornix with a spatula.  Spread material onto glass slide and immediately spray with Surgipath spray fixative. 
For Epic users:  Please submit an Epic requisition and label specimen using an Epic label.
For non-epic users or Epic users during a downtime:  Please submit an appropriate downtime form or a paper requisition. 
With a lead pencil, label the frosted end of a glass slide with the patient name and birthdate.  Place in the cardboard slide holder and tape closed and Submit the slide in a biohazard bag with the request form.
 

  SurePath collection vial or cardboard slide holder