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Reason patient is seeking care.

Vaginal Speculum
Wooden spatula
Fixative

1. Ask  patient and remind to empty bladder.
2. Advise to undress and where to put clothing.
3. Explain that the drape is used as a sheet to cover the lower half of the body and prove extra comfort.
4. The cape should go on with the opening in the front to allow for the breast examination.

Second position. Patient is moved into this position to allow physician to examine the breasts and abdomen.

Usually first and final position . Physician speaks to patient and instructions are given in this position .

Third position . This position requires the use of stirrups.

This position allows the physician to perform a Bi-manual and rectal exam. Done also if no examination table for performing a Pap smear.

Clean and organize examination tray:
-gloves
-lubricant
-proctoscope
-drape
-tissue
-fecal occult cards and regent

Allow patient to lie in a comfortable position until the physician is ready to begin the exam.

Used for proper proctoscopy.

this is an alternative to knee-chest when performing a proctoscopy.

used as a screening test for colorectal cancer for males at 50 years and women at 40 year

Is visible blood in stool that gives stool a dark, tar like appearance.

false positive results.

3

One

Pediatric Vital Signs (use growth chart for tracking percentiles)
Recumbent Length in the Supine position

-use flexible , cloth tape measure
-measure around widest portion of head

B/P taken at 3 years of age
cuff inflated to approx. 130mmHg and release pressure at a rate of no more than 2 to 3 mm/Hg per second.

Consists of collecting small amount of blood from infant's heel.
Test is  PKU (phenylketonuria) or hyperthroidism

Within the first 24 hours of birth

second done 10-14 days after  birth if inconclusive.

Snellen Eye Testing

Myopia

Eye chart and an eye occulder

The Big E chart for non English speaking

20ft.

20/20

So that a child can easily identify objects like boat, house and ball.

Ear irrigation

Eye irrigation

Use open ended questions

-less time
-with greater effectiveness
-increased patient comfort

-assisting with patient positioning
-providing assistance to physician and patient during exam
- instruct patient to dress and assist if necessary

Step 1: Clean tray using a cotton ball or gauze and alcohol
Step 2: Wipe tray in a circular motion, inward to outward and allow it to tray.
Step 3: Place a utility towel on the tray.
Step 4: Arrange equipment in order of use from left to right.

1.Use open ended questions

1. exam room should be free from clutter and well lit
2. supplies well stocked
3. a comfortable room temp is maintained

Patient may nee to empty bladder