Monday, May 27, 2024


Table of Contents


  1. A tray containing the following:
    • Vaginal medication and applicator
    • Perineal Wipes
    • Disposable gloves
    • Mackintosh and dressing towel
  2. Receiver for used items
  3. Treatment Chart (Manual or Electronic)


  1. Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
  2. Establish rapport (Refer to steps)
  3. Explain procedure to patient (Refer to steps)
  4. Ensure patient’s right to know/consent and to refuse medication
  5. Perform hand hygiene
  6. Send tray to bedside
  7. Encourage patient to void
  8. Provide privacy
  9. Assist patient into lithotomy position with the upper leg flexed
  10. Protect bed with mackintosh and dressing towel at the buttocks
  11. Fold back the top bedclothes to expose the perineal area
  12. Perform hand hygiene and wear gloves
  13. Assess and clean the perineal area with wipes
  14. Remove gloves and perform hand hygiene
  15. Wear gloves and unwrap the medication
  16. Remove the medication and attach to the applicator as per manufacturer’s instructions
  17. Encourage the patient to relax by breathing through the mouth
  18. Expose the vaginal orifice with your non-dominant hand
  19. Insert the applicator gently into the posterior wall of the vagina
  20. Slowly push the plunger until the applicator is empty
  21. Remove the applicator and place in a receiver
  22. Dry perineal area and ask the patient to remain in the supine position for at least ten (10) – fifteen (15) minutes
  23. Remove gloves and perform hand hygiene
  24. Dispose off used items and decontaminate applicator and tray
  25. Document procedure on treatment chart (manual or electronic) and nurses notes