Gynecological Examination Procedure
Preparing for a gynecological exam requires careful attention to patient comfort and proper technique. Begin by assembling all materials, sanitizing your hands, introducing yourself, and explaining the procedure to the patient. Have the patient provide a urine sample if needed, then instruct them to change into a gown that opens in the front.
Position the patient properly for each part of the exam. Start with the patient sitting at the table's edge for the breast exam, then help them into the lithotomy position for the pelvic exam. Remember to keep the patient draped for privacy and adjust stirrups so their knees are comfortably rotated outward.
During the pelvic examination, direct light onto the perineum, warm the speculum, and assist the provider with instruments like the cytobrush and spatula for collecting cervical samples. For Pap test preparation, swirl the cervical specimen in preservative solution at least 10 times, then label and place it in a biohazard bag.
Important: Always follow proper infection control procedures throughout the examโwear gloves, sanitize hands before and after, and properly clean, disinfect, and sterilize all equipment when finished.