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    OSCE Checklist Cervical Screening Smear

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    Demuel Dee L. Berto
    This document provides a checklist for performing a cervical screening examination. The checklist outlines 29 steps, beginning with introducing oneself to the patient and gaining consent. It involves inspecting the vulva and cervix using a speculum, collecting a cervical sample using an endocervical brush, removing the speculum, and concluding the examination by thanking the patient and disposing of used equipment properly. The full procedure aims to visually examine the cervix and collect a cell sample for further screening and testing.

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    OSCE Checklist Cervical Screening Smear

    Uploaded by

    Demuel Dee L. Berto
    116 views2 pages
    This document provides a checklist for performing a cervical screening examination. The checklist outlines 29 steps, beginning with introducing oneself to the patient and gaining consent. It involves inspecting the vulva and cervix using a speculum, collecting a cervical sample using an endocervical brush, removing the speculum, and concluding the examination by thanking the patient and disposing of used equipment properly. The full procedure aims to visually examine the cervix and collect a cell sample for further screening and testing.

    Original Description:

    For OSCE

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    This document provides a checklist for performing a cervical screening examination. The checklist outlines 29 steps, beginning with introducing oneself to the patient and gaining consent. It involves inspecting the vulva and cervix using a speculum, collecting a cervical sample using an endocervical brush, removing the speculum, and concluding the examination by thanking the patient and disposing of used equipment properly. The full procedure aims to visually examine the cervix and collect a cell sample for further screening and testing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    116 views2 pages

    OSCE Checklist Cervical Screening Smear

    Uploaded by

    Demuel Dee L. Berto
    This document provides a checklist for performing a cervical screening examination. The checklist outlines 29 steps, beginning with introducing oneself to the patient and gaining consent. It involves inspecting the vulva and cervix using a speculum, collecting a cervical sample using an endocervical brush, removing the speculum, and concluding the examination by thanking the patient and disposing of used equipment properly. The full procedure aims to visually examine the cervix and collect a cell sample for further screening and testing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    OSCE Checklist: Cervical Screening

    Introduction
    1 Gather equipment

    2 Wash your hands and don PPE if appropriate

    3 Introduce yourself to the patient including your name and role

    4 Confirm the patient's name and date of birth

    5 Explain what the procedure will involve using patient-friendly language

    6 Explain the need for a chaperone

    7 Gain consent to continue with the clinical procedure

    8 Ask the patient if they have any pain before continuing with the clinical procedure

    9 Ask the patient to remove their underwear for the procedure and provide them with privacy
    whilst they get undressed

    Vulval inspection
    10 Don gloves and position the patient in the modified lithotomy position

    11 Inspect the vulva including asking the patient to cough

    Inserting the speculum


    12 Re-check that the patient is happy to continue with the examination

    13 Use your left hand (index finger and thumb) to separate the labia

    14 Gently insert the speculum sideways (blades closed, angled downwards and backwards)

    15 Once inserted, rotate the speculum back 90° (so that the handle is facing upwards)

    16 Open the speculum blades until an optimal view of the cervix is achieved

    17 Tighten the locking nut to fix the position of the blades.

    Visualising the cervix


    18 Inspect the cervix

    Cervical screening sample


    19 Insert the endocervical brush through speculum into the endocervical canal

    20 Rotate the brush 5 times, 360 degrees, in a clockwise direction

    21 Remove the endocervical brush, avoiding touching the speculum as you do so

    22 Deposit the tip of the endocervical brush into a liquid-based cytology container

    Removing the speculum


    23 Loosen the locking nut on the speculum and partially close the blades

    24 Rotate the speculum 90°, back to its original insertion orientation

    25 Gently remove the speculum, inspecting the walls of the vagina as you do so
    26 Re-cover the patient and explain the examination is complete

    27 Dispose of the used equipment into a clinical waste bin

    To complete the procedure…


    28 Thank the patient for their time

    29 Label the sample

    30 Dispose of PPE appropriately and wash your hands

    31 Summarise your findings

    32 Suggest further assessments and investigations (e.g. urinalysis, vaginal swabs, ultrasound,
    complete abdominal examination, HPV testing)

    Read the full guide at Download our


    geekymedics.com GEEKY MEDICS clinical skills app

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