Complete Allegheny General
Form.
Brush/Spatula
1. Sample ectocervix with a plastic spatula.
2. Rinse spatula in the PreservCyt® vial by swirling vigorously 10
times. Place cap on vial until step 4. Discard collection device.
3. Sample endocervix with an endocervical brush.
4. Rinse the brush in the PreservCyt® solution by rotating the device
in the solution 10 times while pushing against the PreservCyt® vial
wall. Swirl the brush vigorously to further release material. Discard
the collection device.
5. Cap the PreservCyt® vial tightly. Tighten the cap of the vial so
that the black "torque" line on the cap passes the black "torque" line
on the vial.
Broom
1. Obtain a sample from the cervix using a broom-like device.
2. Rinse the collection device into a PreservCyt® Solution vial by
pushing the broom into the bottom of the vial 10 times, forcing the bristles
to bend apart to release the cervical material. As a final step, twirl
the broom between the thumb and forefinger vigorously to further release
cellular material. Discard the collection device.
3. Cap the PreservCyt® vial tightly. Tighten the cap of the vial so
that the black "torque" line on the cap passes the black "torque" line
on the vial.
NOTE: .
•
Patient
Acknowledgement of Non-Covered Services (ABN) form MUST accompany the specimen for prompt processing. This form is necessary
to allow Meadville Medical Center to bill the patient, due to some insurance
restrictions.
• If the patient is a Medicare patient, note the date of the last
pap smear.