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   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  &nb= sp;            =             &nb= sp;            =             &nb= sp;            Allina Laboratories

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; 

CERVICAL/VAGINAL THINPREP® I= MAGED PAP

 

Epic Diagnostic Pap CYTOLOGY/LAB6293C

Epic Screening Pap CYTOLOGY/LAB6293D

Star 6293= or Manual Req - Ind= icate if Diagnostic or Screening

 

DEPARTMENT= :        &= nbsp;          Cytology=

&n= bsp;

CONTAIN= ER:        &= nbsp;           &nbs= p;  ThinPrep® vial labeled with patient’s label= , or two identifiers at minimum.

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  ANW-Obtain vial from Materials Management; Unity, Mercy, United-obtain vial from Patho= logy Lab; AMC/Clinics obtain vials from Allina Reference Lab.

&n= bsp;

INSTRUC= TIONS:        &= nbsp;        The cervical specimen must be obtained under direct vision after the introducti= on of the speculum.  Under no circumstances should the speculum be lubricated with medical jelly= as it can make the Pap unsatisfactory.

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; 

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  Indicate:  Reflex HPV if ASCUS, HPV and Pap, o= r No Reflex HPV.

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  (If HPV Only <= /b>-no Pap requested -order HPV test 6595 in Epic, not a Pap).

&n= bsp;

1. &= nbsp; Obtain an adequate sample using a plastic spatula and endocervical brush.

 &nb= sp;    Rinse the spatula in the ThinPrep® vial by swirling vigorously 10 times.  Discard spatula.=

2.  Endocervical Brush - Insert brush into cervix and slowly rotate 1= /4 to 1/2 turn in one direction (bloody specimen if over-rotated).<= span style=3D'mso-spacerun:yes'>  Swirl the brush in the vial solution 10 times while pushing against the vial wall to release specimen, then swirl vigorously.  Discard brush.  (Brushes left in the vial can dama= ge the ThinPrep® automated processor.)<= /span>

3.  Tighten cap so the torque line on the cap passes the torque l= ine on the vial.

 &n= bsp;    (If the vial lea= ks, solution makes the label un-readable).

 

Supply= patient’s last menstrual period, previous Pap, pertinent history, etc.

 

<= span style=3D'font-size:10.0pt'>Send vial to lab.  Clinics send requisition with vial.

 =

For ThinPrep® Co= llection Instructions   Link to ThinPrep&= reg; Collection Guidelines

<= span style=3D'font-size:10.0pt'>REPORTING

<= span style=3D'font-size:10.0pt'>INTERVAL: &= nbsp;           &nbs= p;             = Within nine days.  (HPV results are r= eported separately).

 

REFERENCE

VALUES: &nb= sp;            =             &nb= sp;    See pathology report.

 

<= span style=3D'font-size:10.0pt'>SPECIMEN

REJECTION: =             &nb= sp;           Unla= beled ThinPrep® vial.

 

CPT = Routine G0145    Diagnostic = 88175

 

Reviewed:  &= nbsp;           &nbs= p;            &= nbsp; 

10/99       Linda Wennerstrom, CT (ASCP)   &nb= sp;            =        2/04         = Linda Wennerstrom, CT (ASCP

2/00         = Linda Wennerstrom, CT (ASCP)                 2/05         = Linda Wennerstrom, CT (ASCP=

2/01         = Linda Wennerstrom, CT (ASCP)                 6/05 Revised:  Linda Wennerstrom, CT (ASCP

2/02         = Linda Wennerstrom, CT (ASCP)                 6/06 Revised:  Linda Wennerstrom, CT (ASCP)<= /o:p>

2/03         = Linda Wennerstrom, CT (ASCP)   &nb= sp;            =        10/07 Revised:  Linda Wennerstrom, CT (ASCP)