Visualization of the vagina and cervix using a Cusco's speculum.
Indications
- • Abnormal bleeding
- • Discharge
- • Cervical smear
- • Suspected PPROM
Contraindications
- ⚠ Recent obstetric surgery without indication
Equipment
- • Cusco's speculum
- • Lubricant
- • Light source
- • Swabs / smear kit
Positioning
- • Lithotomy or dorsal position; chaperone present.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/6)
Tap to complete
Explain and offer chaperone.
Immediate complications
- ⚠ Discomfort
- ⚠ Minor bleeding
Prevention
- • Correct size and lubrication
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
