Colposcopy +/- cervical biopsy

Colposcopy is a procedure to closely examine the cervix (the opening to the uterus) and the vagina.  This is done after a pelvic exam or Pap test reveals abnormalities.  A device called a colposcope is used to magnify the image. In some cases, a cervical biopsy is taken (a small sample of tissue for exam in the lab).

In advance (Huddle)

• MA to confirm supplies needed with provider.

Setup (MA)

• Complete demographics portion of general consent form.
• If ordered: Complete urine pregnancy test and document results in EHR.
• Ensure all supplies required are available and in procedure room.

PPE

• Sterile gloves
• Gown
• Eye protection
• Surgical mask

Equipment

• Colposcope

For sterile field

• Colpo Procedure Pack
  • Kevorkian biopsy forceps
  • Ring forceps
  • Endocervical curette

Prepped on non-sterile counter

• Consent form (demographics completed)
• PPE (see above)
• Chux (procedure underpad)
• Speculum with light 
• Water-based lubricating gel (KY jelly)
• Acetic acid 5%, in urine cup
• Lugol’s iodine solution, 10-20mL in urine cup
• Large Cotton Swabs “Scopettes” (or Junior?)
• Small wooden q-tip x2
• Silver nitrate and/or Monsel’s solution
• Formalin bottle x3
• Black Sharpie
• SFL form?
• Feminine pad

Procedure (Provider)

Before

• After reviewing procedure with patient, have patient sign consent form.
• Order UPT if possibly pregnant. Confirm results of pregnancy test.
• Using sterile technique, place appropriate items on sterile field.
• Confirm allergies.
• Perform time out immediately before procedure.

After

• Remove all sharps from work stand and place in sharps container. 
  • Do not delegate this task.

Post-procedure (MA)

• If biopsy specimen taken: prepare specimen for lab and send.