ThinPrep® PAP Test Cervex Brush Protocol

PREPARE ALL EQUIPMENT BEFORE STARTING THE PROCEDURE

  • Note expiry date on sample collection vial. Do not use expired vials.
  • Ensure the entire plastic seal is removed from the lid of the vial and discarded.
  • Complete patient details on both the request form and the vial. Specimens may be returned or discarded if details are missing from the vial.
  • Remove the lid from the vial before taking the sample.
  • Use of lubricant is not recommended.

Do

  • If excessive mucus is present, this should be gently removed before sampling.
  • Use either the Cervex Brush (broom-like device) on its own or a Plastic spatula
    and endocervical brush combination.
  • The Cervex Brush should be rotated 5 times in a clockwise direction. The Plastic spatula should be rotated through 360 degrees and the endocervical brush rotated through one quarter to one half turn.
  • Immediately rinse the collected material into the vial.
  • Replace the lid and tighten so that the black torque line on the cap passes the black torque line on the vial to avoid leakage.
  • Keep the unlabelled portion of the sample vial free of labels so that the contents can be seen.
  • If barcoded labels are used these must be applied horizontally around the vial.
  • Samples should be sent to the laboratory without delay.

Don't

  • DO NOT leave the head of the Cervex Brush in the vial.
  • DO NOT routinely clean the cervix or take a cervical swab before taking a cervical sample.
  • An endocervical brush should never be used in isolation.
  • DO NOT under any circumstances use a wooden spatula.
  • DO NOT leave the collection device sitting in the vial whilst dealing with the patient.
  • DO NOT over-tighten the lid on the vial.
  • DO NOT place multiple labels on the outside of the vial.
  • DO NOT apply barcoded labels vertically on the vial.
  • DO NOT use expired vials.
  • DO NOT delay the sending of vials to the laboratory. The sample needs to be processed within 3 weeks of collection.
  • DO NOT use excessive lubricant – please avoid it if possible
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