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  • Cervical Screening Test (CST) Resources

    Order Form

    Doctor Name:

    Practice Name:

    Phone Number:

    Address:

    To action the above order, please either

    u Fax this form back to (07) 3318 7409 v Email this form to snp_marketing@snp.com.au

    Request a follow-up visit from your Medical Liaison Manager to discuss the Cervical Screening Program

    Information for patients

    Changes to cervical screening

    Changes to cervical screening - information for patients

    Cervical Screening Test (CST) Collection guide

    Collection using a cervical sampler For the majority of pre-menopausal women, it is advisable to use the cervical sampler (broom-like device) alone.

    LubricantThe chemical composition of some lubricants can interfere with cervical cytology and HPV testing. If lubrication of the speculum is required, please use warm water. If additional lubrication is necessary, use only a small amount of water-soluble lubricant (available through SNP Stores), avoiding the tip of the speculum.

    Visualise the cervix and obtain an adequate sample from the cervix by rotating the cervical sampler 35 times in the cervical os.

    Vigorously rinse the sampler immediately in the vial. The sampler should hit the base of the vial 510 times, splaying the bristles open.

    DO NOT LEAVE THE HEAD OF THE SAMPLER IN THE VIAL.

    Tighten the cap of the vial. Place the vial and the request form in a specimen bag for transportation to the laboratory.

    Label the ThinPrep vial with the patients given name, surname and date of birth.Record patient details, test, reason for test and clinical history on the pathology request form.

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    CST collection guide

    A practical guide for clinicians

    Improved reportsTo support the risk-based approach of the screening program, Sullivan Nicolaides Pathology has designed an entirely new suite of reports.

    These reports clearly show a colour coded risk category, the component test results and an overall recommendation.

    These reports will be provided electronically or in hard copy, according to your previously communicated reporting preferences.

    If you wish to change your report preferences, please contact our Doctor Service Centre on (07) 3377 8629.

    Personalised patient summariesSullivan Nicolaides Pathology has created optional personalised patient summary sheets for clinicians to give to patients when they return to discuss their screening results. These will only be available for routine screening tests and provide general information on cervical screening, together with a summary of the patients risk category and follow-up requirements. A contact number for the National Cancer Screening Register (NCSR) and directions on where to find further information are also included.

    The patient summary sheets can be provided in hard copy with the report, in PDF format as an attachment in your practice management software, or via Sonic Dx where they can be emailed directly to patients using a two-factor authentication system.

    If you wish to receive the patient summary sheets, please contact our Doctor Service Centre on (07) 3377 8629.

    Changes to cervical screening

    . Unk

    DOBSexRequestedCollectedReportedReferred byPhoneLab ID

    Ingrid Test

    CERVICAL SCREENING TEST (CST)

    RISK CATEGORY HIGHER RISK for significant cervical abnormality

    SPECIMEN Cervical - ThinPrep

    TEST RESULTS PCR for Oncogenic HPV and Genotype

    HPV 16 Detected

    HPV 18 Invalid

    HPV (not 16/18) Invalid

    Liquid Based Cytology (LBC) - Image Assisted

    Low Grade Squamous Intraepithelial Lesion (LSIL)

    Endocervical component is present

    RECOMMENDATION Refer for colposcopic assessment

    The clinical history is noted

    Reported by Melissa Turner

    H I G

    H E

    R R

    I S K

    CLINICAL NOTES

    Page 1 of 1Douglass Hanly Moir | 14 Giffnock Avenue, Macquarie Park 2113 | Ph (02) 9855 5222

    Accredited for compliance withNPAAC standards and ISO 15189NATA Accreditation No. 2178

    Tests requested:

    . Unk

    DOBSexRequestedCollectedReportedReferred byPhoneLab ID

    Bronwyn Test

    CERVICAL SCREENING TEST (CST)

    RISK CATEGORY INTERMEDIATE RISK for significant cervical abnormality

    SPECIMEN Cervical - ThinPrep

    TEST RESULTS PCR for Oncogenic HPV and Genotype

    HPV 16 Not Detected

    HPV 18 Not Detected

    HPV (not 16/18) Detected

    Liquid Based Cytology (LBC) - Image Assisted

    Possible Low Grade Squamous Intraepithelial Lesion (pLSIL)

    Endocervical component is absent

    RECOMMENDATION Repeat HPV test in 12 months

    No previous cervical screening history on record with the National Cancer Screening Register (NCSR)

    Reported by Melissa Turner

    I N T

    E R

    M E

    D I A

    T E

    R I S

    K

    CLINICAL NOTES

    Page 1 of 1Douglass Hanly Moir | 14 Giffnock Avenue, Macquarie Park 2113 | Ph (02) 9855 5222

    Accredited for compliance withNPAAC standards and ISO 15189NATA Accreditation No. 2178

    Tests requested:

    Dr Test Doctor (M1234) Suite 15 Practice Road Brisbane QLD 4000

    DOBSexRequestedCollectedReportedReferred byPhoneLab ID

    30/07/1976 (41 Yrs) Female1 Dec 20171 Dec 2017 3 Dec 2017, 10:05 am Dr Test Doctor

    123456789

    CERVICAL SCREENING TEST (CST)

    RISK CATEGORY LOW RISK for significant cervical abnormality

    SPECIMEN Cervical - ThinPrep

    TEST RESULTS PCR for Oncogenic HPV and Genotype

    HPV 16 Not Detected

    HPV 18 Not Detected

    HPV (not 16/18) Not Detected

    RECOMMENDATION Rescreen in 5 years

    L O

    W R

    I S K

    ROUTINE SMEAR, NO SYMPTOMSCLINICAL NOTES

    Page 1 of 1

    Accredited for compliance withNPAAC standards and ISO 15189NATA Accreditation No. 1964

    Kate Goodhealth1 Address Street Brisbane QLD 4000

    Ms Kate Goodhealth1 Address Street Brisbane QLD 4000

    DOB Collected Referred byDoctor details

    30/07/197601/12/2017, 10:40amDr Test DoctorSuite 15 Practice Road Brisbane QLD 4000 Kate Goodhealth

    Cervical Screening Summary

    Sullivan Nicolaides Pathology Pty Ltd | ABN 38 078 202 196A subsidiary of Sonic Healthcare Limited | ABN 24 004 196 909

    Page 1 of 1

    Please note: this sheet is provided for patient information only. Your full cervical screening result has been sent to your doctor.

    Tell me about cervical screening Women need regular screening to check for cervical cancer

    or early signs that indicate a higher risk of developing cervical cancer in the future.

    Cervical cancer has been linked to infection with certain types of human papillomavirus (HPV).

    HPV viruses are very common, and are usually cleared by the body naturally.

    In 2007, Australia began vaccinating young women against the two types of HPV with the strongest links to cervical cancer types 16 and 18.

    In December, 2017, Pap tests were replaced with a test for specific HPV types. This test has been found to be a better screening test for both vaccinated and unvaccinated women.

    All women between 25 and 74 years of age will be offered HPV screening at least every 5 years.

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    Information for patients

    Changes to cervical screening

    More informationNational Cervical Screening ProgramMore information on cervical screening can be found at www.snp.com.au/cst or www.cancerscreening.gov.au/cervical/resources

    National Cancer Screening RegisterAll cervical screening results are sent to the National Cancer Screening Register. If you would like to update your contact details, change your consent status, or find out when your next Cervical Screening Test is due, please call 1800 627 701.

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    What next?You will need to be rescreened in July, 2022.

    The National Cancer Screening Register will send you an invitation to remind you when your next screening test is due.

    Remember, if you experience any symptoms, such as pain, bleeding or discharge, you should see your doctor or healthcare professional.

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    Your cervical screening summary

    You need to return for your routine HPV test in 5 years' timeYour result has been categorised as low risk.

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    Correct at time of printing (Nov 2017)

    For further information on the new program, please contact your Medical Liaison Manager on 1300 767 284.

    24 HURWORTH STREET BOWEN HILLS QLD 4006 AUSTRALIAP (07) 3377 8666 | F (07) 3318 7409PO BOX 2014 FORTITUDE VALLEY QLD 4006 AUSTRALIA

    SULLIVAN NICOLAIDES PATHOLOGY PTY LTD ABN 38 078 202 196A subsidiary of SONIC HEALTHCARE LIMITED ABN 24 004 196 909

    GuideforClinicians_CST_red.indd 1-2 6/11/17 8:20 am

    CST clinician guide

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    Self-collected HPV testPatient instructions

    Your sample must be collected at your medical or healthcare clinic. Your healthcare provider will provide you with a private place to collect your sample.

    Wash your hands with soap and water.Remove your underwear.

    Preparation

    Medicare benefits for self-collect only apply when the following criteria are met: you have declined to have a speculum examination, are 30+ years old, and are more than 2 years overdue for screening or have never been screened

    Sample collection

    Sit or stand in a comfortable position. Some women prefer to place one leg on the toilet seat or raised platform, while others prefer to squat down.

    Twist the red cap open and pull out the swab.

    Find the red mark halfway down the stem of the swab. This is the mark that you are aiming for in step 5.

    After you find a comfortable position, open the folds of skin around t

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