Speculum Examination

Question 1

Explain the purpose and process of the exam to the patient.

Answer 1

I would like to conduct a speculum examination. Have you heard or had one of these before?
I’d like to do this examination so that I can obtain cervical smears or swabs.
This involves inserting a speculum (a small plastic device) into the vagina and having a look through at the inside of the vagina the neck of the womb called the cervix.
This examination should not be painful but it may feel uncomfortable.
If at any point you want me to stop the procedure please let me know. You may experience some light vaginal bleeding after the procedure.
I would like to bring a nurse as a chaperone to maintain your comfort during this exam. Is this alright with you?

Question 2

Start by preparing your kit

Answer 2

Light source with speculum 
Prepare swabs and smears
Lubrication
Gloves
Tissues for the woman to wipe with after

Question 3

How do you insert a speculum?

Answer 3

Part labia with one hand, introduce a speculum at 90 degrees then turn to 180 degrees. Open speculum and lock it. Gather samples. Then withdraw speculum 1 - 2 cm, unlock and close speculum and withdraw it completely.

Question 4

How to do you instruct the patient on what to do?

Answer 4

Please remove your underwear and pants and lie down. Cover yourself with the cloth provided. Let us know when you are ready for us to come in.
Bring your feet together with your heels touch. Bring your feet back as close as you can to your bottom. Then relax your knees down to the side of the bed.

Question 5

What does the endocervical NAAT swab test for?

Answer 5

Chlamydia and Gonorrhoea

Question 6

What does the high vaginal charcoal swab test for?

Answer 6

Bacterial vaginosis, candida, Strep B