TITLE:- VISUAL INSPECTION OF THE CERVIX USING ACETIC ACID (VIA)
1. Carry out the inspection of the cervix on the model using the substance (acetic acid)
Provided.
2. Report your findings along.
CHECK LIST FOR PROCEDURE
TITLE:- VISUAL INSPECTION OF THE CERVIX USING ACETIC ACID (VIA)
STEPS 0mk ¼mk ½mk 1mk
Explain the procedure and obtained informed consent obtained (¼mk)
The reasons for the examination and when to perform it is explained:
Within 20weeks of pregnancy,
6weeks post- partum
when a woman is suspected of having an STI (½ mk)
The examination table should be set which contain, bivalve vaginal speculum, sterile
gloves, normal saline or warm water, acetic acid, sterile cotton wool, spatula, sponge
holding forceps, gallipots, kidney dish.( ½mk)
- Position client in dorsal or lithotomy position with her heels on the stirups and hips
on the edge of the table (¼ mk)
- Wear gloves on both hands (¼mk)
- Pick the speculum and lubricate with clean water or Normal saline (¼ mk)
-Expose the introitus using the index and middle fingers of the left hand
(½ mk)
- Insert the speculum with bills horizontal, pointing and pressing slightly
downward (½mk)
- Open the bills of the speculum slightly to keep the vaginal walls in sight
until the cervix is seen. (¼mk)
- Secure the speculum by turning the thumb nut. (¼mk)
VAGINAL SPECULUM EXAMINATION
- Perform VIA by cleaning the cervix with clean water or normal saline (½mk)
- Carefully observe the cervix and vaginal walls for lesions or discharge (½mk)
- Damp the cervix with 3-5% acetic acid, wait for 1 minute and read the result with a
light source. (½mk)
- If the cervix turns white after the application of acetic acid, this is called ACETO
WHITE reaction and it is positive result for cancer precursor cells (½mk)
-If there is no change in colour result, it is negative (½mk)
- Withdraw the speculum gently (¼mk)
- Explain the result to client and give appointment or refer her based on result (¼ mk)
- Tidy the work field and make it ready for the next candidate (½ mk)
TOTAL=7
INSTRUCTION TO CANDIDATE
TITLE:- EXTERNAL BIMANUAL COMPRESSION OF THE UTERUS
Demonstrate the external bimanual compression of the uterus
Report as you perform the procedure
CHECK LIST FOR PROCEDURE STATION
TITLE: EXTERNAL BIMANUAL COMPRESSION OF THE UTERUS
STEPS 0mk ¼mk ½mk 1mk
- Candidate explain the procedure and gain permission to proceed (¼ mk)
- Prepare and explain to the client that because she is bleeding much her
uterus needs to be rubbed (¼ mk)
- Ensure her bladder is empty (¼ mk)
- Call for an assistant (¼ mk)
- Provide privacy and wear sterile gloves (½ mk)
- Stand on the patient right side (½ mk)
- Place one hand on the abdominal wall and rub the uterus to make it contract (½
mk)
- Expel blood clots (¼ mk)
- If bleeding does not stop place one hand on the abdomen pressing down the
fundus of the uterus (½ mk)
- Put the other hand above the symphysis pubis and press both hands together
to compress the bleeding vessels at the placenta site. (½ mk)
- Ask assistant to give the woman infusion or give oxytocin 10 I.U IM
(½ mk)
- Apply pressure for 20 minutes (¼ mk)
- Check vital signs and record (¼ mk)
- Estimate blood loss and record (¼ mk)
- If bleeding did not stop continue to hold the contracted uterus and prepare
for internal bimanual compression (½ mk)
- Call for help (¼ mk)
-Observe for bleeding every 15 minutes when the uterus contract and
bleeding reduces (½ mk)
- Put baby to breast to enhance oxytocic release (½ mk)
- Continue monitoring the vital signs every half hourly then hourly until she is
stable for two hours (½ mk)
-Tidy patient and make her comfortable (¼ mk)
- Return used instrument and clean the work field (¼ mk)
Total marks = 7.5mks
