This document outlines the procedures and guidelines for performing a Pap smear test. It describes obtaining a cervical cell sample to screen for early cervical cancer. It recommends all women get an initial Pap smear by age 21 or within 3 years of becoming sexually active. It provides details on equipment, preparing the patient, performing the procedure, and explaining possible results to the patient.

2.  Is obtaining sample of exfoliated cell
(dead cells that are shed) @ simple test
to look at cervical cells
 The specimen should be obtained 2
weeks after the first day of LMP taken by
brushing or scraping.

3.  To detect early cancer of the cervix
 To determine estrogen activity related to
menopause or endocrine abnormalities.

4.  All women have initial pap smear test no
later than 21 years old
 3 years after onset of sexual intercourse
 After initial test, have annually or
biannually
 After age 30, because screened for 2-3
years unless has high factor developing
cervical cancer

5.  Vulva swabbing set •Container
 Vaginal speculum - Mask
 Receiver -Vaginal
speculum
 Savlon -Torch light
 Perianal drapes -Cytobrush,Thin
prep
 Sterile glove
 KY jelly
-Incopad
-Swab sticks for HVS
 Specimen Form

8. Ayer’s
spatula

10.  Nurse should advise patient to make an
appointment other than during
menstruation
 Before appoiment :
1.Avoid intercourse for 2 days
2.Refrain from douching for 1 day
3.Cease the use of vaginal medication
for at
least 48 hours.

11. 1. Inform and explain the procedure to
patient
2. Advice patient to void.
3. Provide privacy.
4. Assistant position Lithotomy to her on
examining table
5. Drape patient permit minimal exposure.

16.  Normal: negative means there is no identifiable
infection.
 ASCUS :presence of a high-risk infection with HPV.
 Low-Grade changes: frequently due to infection with
HPV, which in some instances can be a risk for
cervical cancer.
 High-Grade changes: very atypical cells that may
result in cancer
 Squamous cell carcinoma or adenocarcinoma:
cancer is evident and requires immediate attention.

17. 1.Tell patient to inform any excessive
bleeding after procedure(a little bid
bleeding is normal.)
2.Instruct patient to follow up the
procedure at least annually or
biannually.(Depend on results)