Presented by: Jonna Bobeck BSN, RN, CEN Pullman Regional Hospital CNA Competency: Pelvic Exam Setup and Assist

Discuss pelvic exam setup Describe pelvic exam assist documentation Objectives

Patient gown; warm blankets Clean exam gloves Vaginal speculum appropriate to patient body size, and the light source for disposable speculums. K-Y jelly Head lamp; overhead lamp 4x4s; ring speculum (if vaginal bleeding present) Genprobe unisex specimen collection kit, KOH specimen container, pink sterile and saline tubule Large cotton swabs Sterile cotton swabs Linen for post-exam cleansing usually the disposable warm towelettes. Pelvic Exam Set-up

Close door Place patient in stirrups room 6 or 7 in ED Open Genprobe kit and tear open swabs keeping cotton tip sterile Assist physician as needed Label specimens appropriately Provide cleansing cloth for patient Pelvic Exam Assist Procedural Steps

Documenting Pelvic Exam Set-up and Assist

References Perry, A., & Potter, P. (Ed.). (2006). Clinical nursing skills and techniques. St. Louis, MI: Elsevier Mosby.