Assisting with Gynecological Exam
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| A gynecological exam is AKA; | A vaginal or pelvic exam
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| A pelvic exam should be scheduled; | Approx. 2wks after LMP
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| Client should be instructed not to have sex, douche, use tampons, vaginal foams, or jellies for; | 48 hours prior to the pelvic exam
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| Gynecological exam equipment includes; | 1.Exam table w/stirrups
2.Head lamp
3.Vaginal speculum
4.Patient gowns
5.Exam gloves
6.Water soluble lubricant
7.Tissue
8.PAP kit
9.Cytology fixative
10.Cytology transport container w/biohazard transport bag
11.ThinPrep -liquid transport medium
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| A PAP -(Papanikolaou) smear collection kit containes; | 1.Cervical spatula
2.Cervical brush
3.Culture swabs
4.Microscope specimen slides
5.Microscope specimen slide covers
6.Identification labels
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| What is a PAP smear; | Cells are scraped from the cervix, and examined under a microscope for disease
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| The client should be advised to avoid the following for 48 hrs after a PAP; | Vaginal sex, douche, use tampons, vaginal foams, or jellies
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| During a GYN exam it is prudent for the MA; | To stay in the room during the entire pelvic and breast examination
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| The MA's responsibilities for a vaginal exam include; part 1 | 1.Assemble supplies needed
2.Identify patient / obtain conscent
3.Obtain and document vitals
4.Ask for urine specimen
5.Ask client to disrobe
6.Assist client into dorsal lithotomy position
7.Warm speculum
8.Hand doctor exam gloves
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| The MA's responsibilities for a vaginal exam include; part 2 | 9.Hand doctor speculum and lub
10.Hand doctor cervical spatula and/or brush
11.Hand doctor sterile culture swabs
12.Have microscope specimen slides avaialbe
13.Apply cytology fixative
14.Label specimens and package for transport
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| When applying cytology fixative you should; | Hold the bottle 6 inches from the specimen slide and using a side to side motion, apply a light coat within 10 seconds of cell application
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| A sterile culture swab is used to; | Collect vaginal discharge during a PAP
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| Cytology slides should be labeled with; | 1.Clients name
2.Date
3.Time
4.Physician's name
5.Your initials
6.Location of sample
*V - Vaginal
*C - Cervical
*E - Endocervical
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| After a cytology slide has dried, you should; | Place in a cytology slide transport container, place the transport container in a Bio specimen transport bag, attach requisition,place in a secondary bio transport container and send to cytology lab
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| After the physician removes the speculum place it; | In a basin to later be sanitized, disinfected AND sterilized
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| The client should be informed that after a PAP it is not unusual to | Experience a small amount of vaginal bleeding for 24-48 hrs
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Created by:
adrouillard
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