Gyn nurses who work in office setting

Specialties Ob/Gyn

Published

I have a question about those nurses who work in OB/GYN office. After a woman has a pelvic exam and pap smear- what are the nurse's duties as far as preparing the slide and sending to pathology - or does the doctor do that? Please let me know generally step by step what the normal routine is. Thanks

tlsaegesser

4 Posts

I have worked in an ob/gyn office for three years and of course every office is different. Most doctors offices are using a method of pap smears called sure-path. It is a great improvement over previous methods. There are no slides to prepare and actually no leg work at all. The tips of the brushes, paddles, or brooms just break off and are sent in the bottle of preservative to the lab. Women's health is a wonderful and rewarding field. Good luck.

tlsaegesser

4 Posts

I am sorry I guess I didn't give you a step by step. First the doctor will insert the speculum and visualize the cervix. Next he will have you hand him the paddle or broom depending on his preference to remove cells from the outside of cervix and vaginal wall. Then an endocervix brush will be used to get some cells from inside the cervix. You will hold a bottle of preservative labeled with the pt. info. and then break off the tips of the brushes and send them in the preservative to the pathologist. Next the Dr. will remove the speculum and do the actual pelvic exam.

mmad09

4 Posts

Thank you tlsaegesser - I appreciate your feedback and the time in writing your responses. If you don't mind my

additional questions (I've never worked in OB, not since nursing school over 20 years ago). You mentioned an endocervix brush and paddle and broom - what are they? I'm not familiar with the terminology. Thanks for your patience. Also - if there are internet sites that would explain these terms in greater detail - I would appreciate that info too.

Thank you.

Mary K.

tlsaegesser

4 Posts

The brushes I was referring to are the plastic instruments that the Dr. uses to collect the cells from the cervix. The company that makes the Surepath pap smear kits has a web site that is informative and it has good pictures of the brushes as well as info on how the test is done and what the results mean. I have enclosed the link for that site.

http://www.bd.com/tripath/products/surepath/freemont_smith.asp

There is also an interesting site http://www.essure.com that explains an in office tubal ligation procedure. We have done several of these and they are extremely interesting. There are many aspects of working in a gyn office that I love. It is a very diverse job that includes a lot of pt. education and it also involves a great deal of internal medicine as well as gyn. Many women have no other Dr. beside their gyn so they rely on them for every aspect of their healthcare and since most gyn Dr.'s do surgery as well you get to work with post surgical pt.'s and issues as well. One thing is for sure it is never boring. I hope that is helpful.

mmad09

4 Posts

Thanks so much - this is all very helpful. Again I appreciate your feedback and experience. Glad to hear how much you like your job - that's great. It makes it so much easier to get up and go to work every day. Thanks again.

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