Specialized Nursing Care

Subtopic:

Vulva Toilet/Swabbing

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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.
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