To provide knowledge and the principles for both the theoretical content and practical assessment in order to carry out cervical cytology screening competently.
- Outline basic anatomy and physiology to recognise the features of a healthy cervix.
- Discuss awareness of human papilloma virus (HPV) in relation to cervical abnormalities, the implications of the vaccination programme and HPV testing and the ways in which women may be managed in the future.
- Discuss safety and effective clinical examination of the woman.
- Outline importance of working in accordance with local policy and guidelines such as Protection of Vulnerable Individuals in the assessment of any client’s capacity to provide valid consent.
- Identify how to take correct cervical samples and how to prepare and dispatch safely.
- Discuss common vaginal, vulval and cervical conditions and how to identify situations where specialist evaluation and advice may be required.
- Identify how to interpret and convey clear and accurate results, and the importance of this.
- Discuss treatment options for women with abnormal cervical sample results.
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At the end of the course delegates should be able to:
- Recognise and evaluate own role in undertaking a cervical cytology sample as part of the national screening programme in accordance with national and locally agreed guidelines.
- Apply knowledge of basic anatomy and physiology to recognise the features of a healthy cervix.
- Demonstrate a critical understanding of the principles and criteria for screening and apply them to cervical screening.
- Demonstrate awareness of human papilloma virus (HPV) in relation to cervical abnormalities, the implications of the vaccination programme and HPV testing and the ways in which women may be managed in the future.
- Draw on skills to ensure safe and effective clinical examination of the woman, offering a chaperone and working in accordance with local policy and guidelines such as Protection of Vulnerable Individuals in the assessment of any client’s capacity to provide valid consent.
- Use a range of principle professional skills to initiate effective health education based on the health beliefs of the woman.
Apply knowledge, skills and critical understanding in demonstrating:
- Taking correct cervical samples from women across the screening age range.
- Preparing adequate Liquid Based Cytology samples and dispatching safely to designated laboratory for analysis.
- Skills required to undertake examination procedures and relevant specimen/sample collection required of role, while observing health and safety and infection control procedures.
- How to identify common vaginal, vulval and cervical conditions.
- How to identify and evaluate situations where specialist evaluation and advice may be required.
- How to interpret and convey clear and accurate results and findings to the woman and consult and refer as appropriate. Seek clarification in understanding the findings where needed e.g. laboratory, relevant colleague.
- An understanding of the current management and treatment options for women with abnormal cervical sample results.
- The interpretation of specimen results including sexually transmitted infections and colposcopy.
The following criteria must be met in order for applicants to commence on this short course:
> Currently employed in general practice as a registered adult nurse.
> Currently employed within secondary care in a colposcopy or CASH clinic.
And also be:
Supported by employer and have access to completing 20 cervical samples.
Applicants are expected to name a supervisor for clinical practice that has trained in cervical cytology as part of their initial professional training or successfully completed a recognised training programme on cervical cytology screening. In addition, a supervisor should be a current cervical sampler (smear taker) and have undertaken update education in the last three years as per the recommendations within the Northern Ireland Standards for Nurse and Midwife Education Providers: Cervical Screening Sample Taking Final Version 02 December 2016.
At the end of the course applicants will be required to undergo a formal clinical assessment in their workplace to assess their level of competence in cervical screening practice.
Delegates along with Practice Managers must ensure there is an adequate volume of patients requiring this procedure within six months from the course start date – this will enable the delegate to complete the course within the recommended time frame.