. A reference hand-book of gynecology for nurses . in suitable receptaclesthe following supplies (Fig. 10): Tampons of non-absorbent cotton or wool. Cotton balls. Cotton-wound applicators. How to Make a Vaginal Tampon.—Take a thinlayer of cotton or wool about eight inches long andthree and a half inches wide, fold over each longedge to the center. Fold one end down to meetthe other end, and tie a piece of linen thread, sixinches long, around all layers of the tampon, abouthalf an inch from the cut end. 24 GYNECOLOGY FOR NURSES Prepare tampons of different widths and lengths;thick tampons are n
. A reference hand-book of gynecology for nurses . in suitable receptaclesthe following supplies (Fig. 10): Tampons of non-absorbent cotton or wool. Cotton balls. Cotton-wound applicators. How to Make a Vaginal Tampon.—Take a thinlayer of cotton or wool about eight inches long andthree and a half inches wide, fold over each longedge to the center. Fold one end down to meetthe other end, and tie a piece of linen thread, sixinches long, around all layers of the tampon, abouthalf an inch from the cut end. 24 GYNECOLOGY FOR NURSES Prepare tampons of different widths and lengths;thick tampons are not desirable. Preparation of the Patient.—Clothing.—Inoffice practice, tell the patient to remove her hatand coat, loosen all bands about the waist, and totake off her corset. Closed drawers must be takenoff. If the patient is in bed, provide a pair of drawersand stockings for her to wear in addition to hergown. Bowels.—The patients bowels must be thor-oughly emptied by a low soap-suds enema, givenat least one hour before the I Fig. 10.—Tampon, cotton balls, and cotton-wound applicators. Bladder.—Direct the patient to empty herbladder immediately before the examination. Cleansing and Disinfection.—Wash off thevulva and perineum with warm water and soap,and give a cleansing vaginal douche of salt orboric-acid solution before the examination. If an extensive examination is planned, includingpassing the uterine or bladder sound, disinfectthe vulva with bichlorid solution i : 10,000 afterthe soap-and-water cleansing, and give a bichloridvaginal douche. THE GYNECOLOGIC EXAMINATION 25 In some cases the physician may prefer toexamine the patient without preliminary cleansingor disinfection, in order to determine the presenceand character of certain discharges. Preparation of the Table.—Pelvic examina-tions are usually made upon a gynecologic treat-ment table. For the examination the nurse must provide twopillows and two sheets. Cover the table with oneshe
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