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Pap Smears

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IMA WELL WOMEN’S CLINIC

TO REVIEW GUIDELINES FOR ABNORMAL RESULTS: ASCCP.ORG

PROGRESS NOTE TEMPLATE: (UNDER STHE STACKED BOXES ICON) MS OBGYN FEMALE-PREVENTATIVE VISIT

PAP SMEAR ORDER: CYTOLOGY, GYN (ALSO COMES UP WITH “PAP SMEAR”)

• PICK CYTOLOGY (AND REFLEX HPV WILL AUTO-SELECT) OR CYTOLOGY WITH HPV (DEPENDING ON AGE)

• BRUSH: GREEN ¼ TO ½ TURN INSIDE THE OS  SWIRL 10X ALONG THE WALLS OF THE VIAL AND TOSS

• BROOM: PURPLE 5 TURNS INSIDE THE OS  GENTLY JAB 10 X ON THE FLOOR OF THE VIAL AND TOSS

BILLING LEVEL: LEVEL 4, ESTABLISHED (IF ATTENDING COMES IN)

BILLING DIAGNOSIS: TRY TO PUT A NON-Z CODE AS PRIMARY IF POSSIBLE (IF YOU DISCUSSED ANY SYMPTOMS), IF NOT, USE CERVICAL CANCER SCREENING ETC.

WHAT TO DO AT THE END OF THE VISIT:

PAP VIAL: MAKE SURE ITS LABELED (MA/LPN PRINTS OUT LABELS AND PLACES THEM ON THE COUNTER BY THE MA STATION – THESE ARE PRINTED FOR YOU WITHOUT YOU HAVING TO ENTER ANY EPIC ORDERS)

PLACE A LABEL IN THE PAP LOG BOOK IF YOU DID A PAP

ORDER PAP IN EPIC – PLACE BOTH THE COPIES OF ORDERS THAT PRINT (4 SHEETS) IN THE ZIPLOC OUTER POCKET

PLACE PAP VIAL IN THE ZIPLOC INNER POCKET

PLACE THE STD VIAL IN THE ZIPLOC IF ANY STD TESTING DONE (HAND WRITE LAST NAME ON VIAL) – MA WILL LABEL THAT FOR YOU

• LEAVE ZIPLOCK IN LAB (1ST ROOM)