What is the Method for a "Good" Pap Smear?

What is the Method for a “Good” Pap Smear?

  1. not during menses
  2. Tell pt. to avoid intercourse, douches, lubricants, and
    tampons for 24 hours prior
  3. Do pap before bi manual
  4. Water lubrication only (if needed)
    OLD SCHOOL OF DOING IT:
  5. Sample endocervix with brush
  6. Sample ectocervix with spatula
    • Include T-zone, spread thin on slide
    MODERN THIN PREP:
  7. Use Broom to take sample
  • Long bristle go in os and get endocervix
  • short bristles scrape ectocervix
    **Turn in 1 direction
  1. Place head of brrom in liquid solution