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Programme Outline 01

This document outlines a tentative programme for a train the trainer workshop on cervical smear taking. The programme covers cervical screening policies and standards, how the call and recall system works, how to properly take a cervical smear, obtaining consent, understanding test results and recommended actions, managing inadequate smears, and colposcopy and subsequent management of abnormal results. The workshop aims to train smear takers on best practices for administering cervical cancer screening.

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Clarence Ko
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© Attribution Non-Commercial (BY-NC)
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15 views

Programme Outline 01

This document outlines a tentative programme for a train the trainer workshop on cervical smear taking. The programme covers cervical screening policies and standards, how the call and recall system works, how to properly take a cervical smear, obtaining consent, understanding test results and recommended actions, managing inadequate smears, and colposcopy and subsequent management of abnormal results. The workshop aims to train smear takers on best practices for administering cervical cancer screening.

Uploaded by

Clarence Ko
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Train the Trainer Workshop: Gynaecological Smear Taking

Tentative Programme Outline:

1. Cervical Screening Policy


 Aims of the cervical screening programme
 The eligible population & the target age group for cervical screening
 Ceasing women from the programme
 Recall interval
 Opportunistic smear taking
 Women with HIV
 ‘Clinically indicated’ smears
 Referral for colposcopy
 Cytological surveillance and follow-up

2. Cervical Screening Standards / Performance


 Coverage
 Time from smear taking to receipt of result
 Call and recall arrangements
 Smear taking
 Colposcopy
 Research, training and audit

3. The Call and Recall System


 Opting out of the programme
 Postponing invitations for screening (pregnant, unwell or undergoing hospital
treatment)
 The prior notification list
 The invitation cycle
 Action on receipt of a ‘non-responder’ card
 ‘Failsafe’ procedures
 Cervical screening ‘Colpsafe’ scheme
 Women with physical disabilities
 Women whose cervix is impossible to sample

4. TAKING A CERVICAL SMEAR


 Materials Required
 Before Taking a Smear
o The Woman
o Clinical History
o The Request Form (HMR101)
o The Vial
 Taking a Smear
o The Speculum
o Assessment of the Cervix
o The Smearr
o Sampling the Cervix
o Transferring the Smear to the Vial
o Special Situations
 After Taking a Smear
 Infection Control
 The appearance of the cervix
o Nabothian follicles
o Cervical Ectropion
o Cervical Cancer
 Smear taker checklist

5. CONSENT TO CERVICAL SCREENING


 General Principles of consent
 Good practice in assessing capacity to consent
 Women with learning disabilities
 Resources for women, their supporters and smear takers
 Assumptions about sexual activity
 Capacity to consent to cervical screening
 Best interests
 Deciding if screening is important
 Behavioural consent to screening
 Preparation for the smear taker
 Good practice in preparing women with learning disabilities to have a smear test
 Making an appointment for a smear test
 Good practice in making an appointment for women with learning disabilities
 Women who are unable to consent

6. TEST RESULTS AND RECOMMENDED ACTIONS


 Introduction to TBS report
 Possible test results
 Possible recommended actions
 Test results and recommended actions
 Cytological Surveillance (before colposcopy)
 Women who will be 65 or over at next screen
 Women previously ceased from recall
 Reporting of endometrial cells on smears
 Special management
 Management of common infections found on cervical smears
7. INADEQUATE SMEARS
 Reasons, possible causes, and possible solutions

8. COLPOSCOPY AND SUBSEQUENT MANAGEMENT


 Referral for colposcopy
 Direct referral to colposcopy clinics
 Colposcopy appointments
 Treatment
 Cytological surveillance
 Modified cytological surveillance
 Cytological follow-up
 Management following diagnosis of cervical cancer

9.
10.

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