VAGINAL SWAB/SMEAR Leave a Comment / Nursing Procedure / By nurseinfo.in VAGINAL SWAB/SMEAR Vaginal specimen (swab) collected for cervical cytology to detect the abnormities Purpose To detect the abnormalities To do routine examination To diagnose and treat the infection To identify carcinogenic cells To do cytohormonal study, to know the progesterone status Indications Cervical: suspected cervix to exclude premalignant or malignant lesion Vaginal: vaginitis – to know the specific pathogen and cytohormonal status General Instructions Smear means to make a fine film of vaginal discharge on a slide and send it for examination of the vaginal discharge Minimum two slides with smear should be sent to the laboratory When trichomonas vaginitis is to be tested the vaginal discharge is collected in a test tube or a hanging drop made on a slides Preliminary Assessment Check The doctors order for any specific instruction General condition and diagnosis of the patient Self-care ability of the patient Mental status to follow instructions Articles available in the unit Vaginal Swap Collection Procedure Step 1: collect specimen prior to digital examination or manipulation of the cervix to avoid sample contamination Step 2: during speculum exam, lightly rotate swab across posterior fornix of the vagina for 10 seconds to absorb cervicovaginal secretions Step 3: remove swab and immerse tip in buffer. Break the shaft at the score even with the top of the tube Step 4: insert the swab shaft into the hole inside the tube cap and push down tightly over the shaft, sealing the tube with a click. Ensure the shaft is inserted securely to avoid leakage. Label, and send fetal fibronectin sample to a laboratory near you Preparation of the Patient and Environment Explain the procedure to the patient Arrange the equipment at the bedside Provide privacy Obtain laboratory request and specimen container and slides Position the patient comfortably Instruct the patient to empty bladder Equipment Draw Mackintosh and sheet Sterile swab container or slides Sterile gloves or clean gloves Paper bag and K-basin Torch light or spotlight Sterile speculum and water soluble jelly Procedure Give dorsal positions Wear clean gloves Take the vaginal discharge with sterile swab stick Smear it on one side of the slide and make thin film over the sides Dry in the slides, then wrap in paper and send to the laboratory After Care Place the position comfortably Label and send the specimen to the laboratory Replace the articles after cleaning Wash the hands thoroughly Record the procedure in the nurse’s record sheet VAGINAL SWAB/SMEAR – Purpose, Indications, Instructions, Preliminary Assessment, Preparation of the Patient and Environment, Equipment, Procedure, After Care Post navigation ← Previous PostNext Post → Leave a Comment Cancel Reply Your email address will not be published. Required fields are marked *Type here..Name* E-mail* WebsiteSave my name, email, and website in this browser for the next time I comment.