University:
University of Nottingham
Course:
B723 | Midwifery
Academic year:

2024
Views:

39

Pages:

4
Author:

Christy C.

PREPARATION FOR CURETTAGE(COLLABORATION SKILLS IN HOSPITAL) PROGRAM MIDWIFERY tools preparation STEPS / ACTIVITIES Oxygen with 5 cc syringe regulator: 2 3 cc syringe: 1 Infusion and fluid set (RL) Povidone iodine 10% in metal bowl Personal Protective Equipment (PPD) Sterile duct Pads for buttocks Spotlights Collecting blood and tissue (bent, potty or kendil) Sterile gauze and alcohol cotton Clean gloves Sterile gloves Use tampons: 1 Bullet shot or tenaculum: 1 Ovum clamp (Foerster/Fenster clamp) straight and curved: 2 Curettage spoons: 1 set Uterine sound/Sondage: 1 Sim's speculum or L: 2 Dilators: Busi, Laminaria stiff, mesoprostol tab Foley catheter: 1 Sterile bottles: 1 Com containing cotton with DTT Trolley water Drug Preparation Analgesics (pethidin 1-2 mg/KgBW, Ketamine HCL 0.5 mg/KgBW, Tramadol (1-2 mg/KgBW) Sedativa (Diazepam 10 mg) Atropine Sulfas 0.25-0.50 mg/ml Uterotonics (oxytocin, metergin) Antibiotics Implementation 1 If possible, ask the mother or family for approval for medical treatment 2 Use personal protective equipment 3 Wash your hands 7 steps under running water 4 Dry your hands with a towel or tissue 5 Measuring the patient's TTV 6 Install an IV 7 Position the lithotomy mother 8 Wear sterile gloves 9 Clean the perineal area and empty the bladder with a catheter 10 Place the pillow under the patient's buttocks 11 According to the doctor's instructions, give sedatives, analgesics and atropine sulfate, pethidine is only given if antidotes and resuscitation equipment are available. 12 Help the doctor to hold the lower speculum in position 13 Pull the lower speculum slightly (until the vaginal lumen is clearly visible) Wait for the doctor to insert the upper speculum 14 Help the doctor to hold the upper speculum in position 15 After clamping the tenaculum properly, remove the upper speculum 16 Keep your right hand holding the lower speculum in position until the cleaning process is complete 17 Once tissue cleansing is complete and the tenaculum has been removed, remove the lower speculum 18 Collect the tissue and place it in a vial for anatomical pathology examination if necessary 19 Clean the patient's genital area, apply a sanitary napkin and put on the patient's bottom clothes and tidy up the patient 20 Return the patient to the position 21 Check vital signs 22 Decontamination of tools 23 Remove gloves and wash hands 24 Provide information to the patient and family about the action, and inform them that the mother needs further treatment 25 Document the results of actions