Table of Contents
REQUIREMENTS #
- Sterile vaginal exam pack containing the following:
- Gallipot
- Two Receivers
- Amniotic forceps or hook
- Sponge holding forceps
- Swabs
- Disposable Towels
- Antiseptic Solution e.g. savlon
- Antiseptic vaginal cream or sterile lubricant e.g. Hibitane cream
- A pair of sterile gloves
- Perineal pad
- Mackintosh apron
- Mackintosh
- Draw sheet
- Drape
STEPS #
- Explain the procedure to the client (Refer steps)
- Help client to empty bladder and provides privacy
- Protect bed with mackintosh and assist client to lie on her side
- Perform hand hygiene and wear protective clothing
- Instruct client to assume the dorsal position with legs flexed and knees apart
- Drape client and asks client to expose vulva
- Inspect vulva and swabs with strokes from upwards downwards starting with the labia majora
- Separate the labia minora and swabs vestibule using a swab for each stroke
- Using the right hand, the middle and index fingers are inserted gently into the vagina pressing firmly downwards
- Speculum is use when indicated (premature rupture of membranes, premature labour)
- Assess the cervix for degree of dilatation and moulding, rupture of membranes, liquor, presenting part, position and adequacy of the pelvis
- Withdraw examining fingers gently and observe
- Tidy up client, apply clean perineal pad
- Put client back in a comfortable position and communicate findings to her
- Appreciate client for her cooperation
- Dispose off used items and decontaminate
- Perform hand hygiene
- Record and report findings to Officer in-charge