Pap Smear Thin Prep Pap Test

CERNER / EPIC MNEMONIC: PAP SMEAR
CPT CODE: 88150
DAYS PERFORMED: Mon-Fri, 0730-1700
TURNAROUND TIME: 3-7 days
SPECIAL INSTRUCTIONS: Slides must be labeled with the patient`s last name. Last menstrual period (LMP), previous Pap smear date, and previous Pap smear diagnosis are required information. Pertinent clinical information including exogenous hormone therapy, chemotherapy, radiation, prior gynecologic surgery, and pregnancy should also be indicated.
CONTAINER TYPE: Pap smear collection kit
COLLECTION: VCE (vaginal, cervical, endocervical Pap smear):

Scrape the midlateral wall of the vagina very lightly with a spatula and keep the sample on the spatula.

Scrape lightly the entire ectocervix with another spatula and keep this sample on the spatula.

Sample the endocervix with an endocervical brush.

Rinse the spatulas in the PreservCyt Solution for Thin Prep Pap Test by swirling the spatulas 10 times in the vial. Discard the spatula.

Rinse the brush in the Presevacyt Solution by rotating the device in the solution 10 times while pushing against the Preservacyt vial wall. Swirl the brush vigorously to release further material. Discard the brush.

Tighten the cap so the torque line on the cap passes the torque line on the vial.

Record the patient's name and ID number on the vial. Submit the vial along with an appropriate cytology requisition with the patients clinical information to the laboratory.

SPECIMEN REQUIREMENTS: Vaginal, cervical, endocervical scraping
REJECTION CRITERIA: No patient name on slide, discrepancy between specimen labeling and requisition.
ADDITIONAL INFORMATION: The Bethesda System is used for reporting cervical Pap smear specimens. The reporting system includes a statement of Adequacy in one of the following categories; Satisfactory, Satisfactory but limited by, Unsatisfactory or Unacceptable. Each Satisfactory or Satisfactory but limited by sample is classified by one of the following general categories. Negative for Intraepithelial malignancy, Epithelial abnormality or Malignancy other. Each general category is then characterized by a standardized set of descriptors.

Unsatisfactory specimens are identified as to the reason for being unsatisfactory. Examples include Scant specimens or specimens obscurred by blood or inflammation.

Unacceptable specimens are characterized by the reason for being unacceptable and are returned to the submitting office. Examples include no patient name on slide or a discrepant patient name on slide from the requisition submitted.