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SCREENING PAP TESTS AND PELVIC EXAMINATIONS
ICN 909032 December 2015
Please note: The information in this publication applies only to the Medicare
FeeForService Program (also known as Original Medicare).
The
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How to fill out screening pap tests and

How to fill out screening pap tests:
01
Gather the necessary paperwork and supplies, including the pap test form, a clean speculum, lubricant, and a cervical brush or spatula.
02
Have the patient undress from the waist down and position themselves on the examination table, with their feet in stirrups.
03
Begin by explaining the procedure to the patient, ensuring their understanding and obtaining their consent.
04
Wash your hands and put on gloves to maintain hygiene.
05
Insert the speculum into the vagina gently and slowly, taking care not to cause discomfort or pain to the patient.
06
Once the speculum is in place, open it slowly to visualize the cervix.
07
Use the cervical brush or spatula to gently collect cells from the cervix by scraping or brushing the surface.
08
Place the collected cells on a glass slide or in a liquid-based cytology vial as per the laboratory instructions.
09
Remove the speculum carefully and provide the patient with a tissue or sanitary pad for any discharge.
10
Label the specimen properly and send it to the laboratory for analysis.
Who needs screening pap tests:
01
Women aged 21 to 65 years are generally recommended to undergo regular screening pap tests.
02
Those with a cervix who are sexually active or have been in the past should consider pap testing.
03
Individuals who have a history of abnormal cervical cells or cervical cancer should continue routine screening as per their healthcare provider's guidance.
04
Women who have received the HPV vaccine should still follow pap testing guidelines, as the vaccine only protects against certain strains of HPV, not all.
05
It is advisable to discuss individual risk factors and personal medical history with a healthcare provider to determine the most appropriate screening frequency.
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What is screening pap tests?
Screening pap tests are tests performed to detect abnormal cells in the cervix that could potentially develop into cervical cancer.
Who is required to file screening pap tests?
Healthcare providers are required to file screening pap tests for their patients.
How to fill out screening pap tests?
To fill out screening pap tests, healthcare providers need to collect a sample of cells from the cervix using a small brush or spatula.
What is the purpose of screening pap tests?
The purpose of screening pap tests is to detect any abnormal changes in the cervix early on, so that treatment can be provided before cervical cancer develops.
What information must be reported on screening pap tests?
The information reported on screening pap tests includes the patient's name, date of birth, date of test, and results of the test.
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