Comprehensive colposcopy practice | Minimum colposcopy practice | |
Precolposcopy evaluation | Evaluate and document at least the following:
| Evaluate and document at least the following:
|
Obtain informed consent. | Obtain informed consent. | |
Examination | Examine vulva and vagina grossly. | Examine vulva and vagina grossly. |
Examine the cervix with multiple magnifications after application of 3 to 5% acetic acid. | Examine the cervix with magnification after application of 3 to 5% acetic acid. | |
Examine cervix with both white light and a red-free (blue or green) filter. | ||
Examine upper vagina with magnification. | ||
Documentation | Document findings using a diagram or photograph, annotated if possible. Findings should be imported into electronic medical record. | Document findings at least in text format. |
Document cervix visibility (fully/not fully visualized). | ||
Document SCJ visibility (fully/not fully visualized) and whether cervical manipulation is needed to completely visualize the SCJ (eg, using an applicator stick or endocervical speculum). | Document SCJ visibility (fully/not fully visualized). | |
Document colposcopic findings:
| Document colposcopic findings:
| |
Document a colposcopic impression (benign-normal/low-grade/high-grade/cancer). | Document a colposcopic impression (benign-normal/low-grade/high-grade/cancer). | |
Biopsy | If biopsies are indicated, take biopsies at the SCJ and document their location. | If biopsies are indicated, take biopsies at the SCJ. |
Document whether endocervical sampling performed and method: curette versus brush or both. | Document whether endocervical sampling performed. | |
Postprocedure | Document how patient will be notified of results and management plan. | Make arrangements to notify patient of results. |
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