Specialized Nursing Care
Subtopic:
Vulva Toilet/Swabbing
Table of Contents

Vulva Toilet / Swabbing
Objectives:
- State the indications for vulva swabbing.
- Identify the requirements for vulva swabbing.
- Prepare requirements for vulva swabbing.
- Perform vulva swabbing procedure.
- Prepare requirements for vulva swabbing.
- Perform vulva swabbing procedure.
Indications:
- To remove vaginal discharge.
- To keep the vulva clean and dry.
Requirements:
A Trolley (Top Shelf):
- 3 Bowels
- 2 Receivers
- Sponge holding forceps (or artery forceps)
- Sims speculum (if needed for inspection/discharge)
- 1 Drum of swabs
- 1 Drum of cotton balls
- 1 Drum of drapes
- Antiseptic solution (e.g., warm sterile water, saline, or mild soap solution as per policy)
Bedside:
- Bedpan (if patient is unable to use the toilet)
- Mackintosh (or waterproof sheet)
- Sanitary towels (or pads)
- Screens (for privacy)
- Hand washing equipment (access to sink, soap, water, towel)
- Waste receptacle (for soiled swabs and pads)
- Adequate lighting
- Clean gloves
Procedure

Points to Remember:
- In case of too much discharge or if internal inspection is needed, a Sims speculum may be used to visualize the vaginal walls and cervix.
- Always wipe from front to back (anterior to posterior) to prevent contamination of the urethra and vagina with fecal microorganisms.
- Dispose of soiled materials immediately and appropriately in the designated waste receptacle.
- Maintain clear communication with the patient throughout the procedure to ensure comfort and cooperation.
Related Topics
- Wound dressing
- Colostomy Care
- Abdominal Paracentesis(Abdominal Tapping)
- Vulva Toilet/ Swabbing
- Oxygen Administration
- Lumbar Puncture
- Nasogastric tube to feed patients
- Gastrostomy Feeding
- Gastric Lavage
- Catheterization
- Tracheostomy Care
- Caring for patients in traction
- Prepare for application of orthopaedic splints
- Bandaging
- Nursing Process
- Take History of the patient
- Perform a physical examination of the Patient
- Making a Nursing Care Plan
- Admission of a patient
- Drug administration
- Transfer Patients
- Discharge of patients
- Last Office
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