UNIVERSITY OF BELIZE

FACULTY OF HEALTH SCIENCES

DEPARTMENT OF NURSING

Code and Name of Course: ___________________

Date and Time: ____________________________
Student’s ID #: _____________________________ Total Points: /

INSTRUCTIONS TO CANDIDATES:
Steps done correctly =1 point.
Steps done incompletely = 0.5 point is allotted.
Steps done incorrectly = 0 points.

SKILLS CHECKLIST FOR PREPARATION OF CLIENT FOR VAGINAL EXAMINATION

PROCEDURE Performed Comments

Yes No Incomplet
e
Preparing the Client
1. Explain procedure to the client
a. where and when exam will take place
b. importance
c. how findings will be used to plan
care
2. Permits time for client to answer question or
ask question
3. Assessed for stiffness of muscles and joints
from aging changes or history of orthopedic
surgery.
a. Position is modified if indicated by
assessment
4. Provide privacy
5. Assist client to change into a gown or more
comfortable clothing if appropriate. Assist
with the removal of underwear.
a. Cultural differences is honored
6. Client is directed to empty the bladder
a. assistance is provided as the patient
condition dictates
Preparing the Environment
7. Ensure area is well lighted
8. Temperature of the room is comfortable for
the client
9. Equipments organized for efficient use.
10. Presence of family and friends is addressed

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Positioning
11. Pull curtain around clients’ bed.
12. Don clean gloves
13. Place protective pad or sheet under client’s
Hips
Drape the client to permit minimal exposure (but
adequate for examiner)
14. With the client in the supine position, draw
sheet or square is placed over the client’s
top linen so that one corner of the blanket is
pointed toward client’s head to form a
diamond shape over the client
15. Client is instructed to hold onto the bath
blanket. Linen is fanfolded to foot of bed
Examination by palpation
16. Client is requested to lie nearer the
examiner’s side of the bed, flex the knees
with feet firmly on the bed and allow the
thighs to separate.
17. Lateral corners of the sheet can be wrapped
around the legs in a spiral fashion until the
feet is completely covered.
By speculum examination
18. Have the client flex both knees and bring
buttocks at the edge of the table
19. Remove soil pads or dressings
20. Position feet in the stirrups to assume a
lithotomy position.
a. Drape the client as 14, 15, 17
21. Make client comfortable with a small pillow
under the head
22. Adjust light for maximum focus
23. Wash hands. Don sterile gloves.
24. Perform a vulval swabbing
25. Prepare equipment for examiner.
26. Remained with the client during the
procedure and reassure during the
examination by explanation at each step.
27. Chart of the procedure includes:
(a) Abnormal secretions, (c) Swelling,
(b) ulcerations, (d) Varicosities
(e) Clients’ tolerance

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