1Sample Takers 2014 Cervical Sample Taker Training Quality IssuesCervical Sample Taker TrainingSouth West Regional Cytology Training Centre1
2Quality AssuranceThe NHSCSP is one of the best quality assured screening programmesQA guidelines cover all aspects of the programme
3Limitations of Cervical Screening No screening test can provide 100% protectionNon-attendanceSampling errorScreening errorInterval cancers
4Samples Ensure correct patient/details Good quality sample (Good technique & Audit)Result must be back to patient within 2 weeks
5How to measure sample quality? Monitor inadequate samplesMonitor whether samples contain evidence of transformation zone sampling
6Possible reasons for inadequate samples Excess BloodMenstrual samplesLarge ectropionExcess mucusAtrophic cervixLubricantPoor sampling technique/sample transferShould all be covered during practical session
8Transformation Zone Sampling It is important that the TZ is sampled as this is the area where abnormalities may arise
9Transformation Zone Sampling A sample does not have to have TZ material to be called negativeWhy do some samples not contain TZ material?Position of TZ in post-menopausal womenPoor sampling?
10Transformation zone sampling Audit of TZ gives an indication of the quality of your sample takingIn women aged 25-50, 80% of samples should contain evidence of TZ samplingThis is your target during training periodMust see reports of all samples taken
11Auditing Quality Sample Taker 1 : Inadequate rate 0% Who would you rather took your sample?Sample Taker 1: TZ sampling 30%Sample Taker 2: TZ sampling 85%Unless they audit TZ sampling, sample taker 1 thinks they are doing a brilliant job
12Transformation zone sampling This audit will be done for you during your training periodYou should continue to audit this once qualifiedHow?
13TZ sampling – Bath Feedback sheets TZ listed as Y, N or PM (postmenopausal)Reports:Adequate cellular content. TZ cells presentAdequate cellular content. TZ cells absentPM: adequate cellular contentInadequate: Unsatisfactory
14Assessment of TZ sampling - Southmead Laboratory Sample quality codes located towards the bottom of the report form indicate presence or absence of TZ samplingUsually 2 digits
20Sample taker registerDifferent areas have separate sample taker registersOutside BNSSG?Check with your local laboratory about obtaining a sample taker code asapBristol sample takers:Please register before taking a sample at: nww.avon.nhs.uk/phnet/cervical.htmUpon registration a unique sample taker code is issuedInform register if you move practices (keep code unless you move out of Bristol)
24Sample Taker Register Monitor initial training & update training Sample Taker ProfilesBristol: Updated annually onto CTC websiteNo. of samples takenNo. of inadequatesNo. samples with TZ sampling (work out %age)Bath: Need to request information from labBest practice is on-going self-audit