Administration of Vaginal Medication
It is the aseptic administration of medication into the vagina. These medications come in the form of creams, jellies, foams and pessaries.
Aims
Therapeutic effects
Requirements
a. A tray containing the following:
· Vaginal medication and applicator
· Perineal Wipes
· Disposable gloves
· Mackintosh and dressing towel
b. Receiver for used items
c. Treatment Chart (Manual or Electronic)
Steps
1. Check for the right patient, right medication, right time, right dose against doctor’s order and treatment chart (manual or electronic) as well as the expiry date
2. Establish rapport (Refer to steps)
3. Explain procedure to patient (Refer to steps)
4. Ensure patient’s right to know/consent and to refuse medication
5. Perform hand hygiene
6. Send tray to bedside
7. Encourage patient to void
8. Provide privacy
9. Assist patient into lithotomy position with the upper leg flexed
10. Protect bed with mackintosh and dressing towel at the buttocks
11. Fold back the top bedclothes to expose the perineal area
12. Perform hand hygiene and wear gloves
13. Assess and clean the perineal area with wipes
14. Remove gloves and perform hand hygiene
15. Wear gloves and unwrap the medication
16. Remove the medication and attach to the applicator as per manufacturer’s instructions
17. Encourage the patient to relax by breathing through the mouth
18. Expose the vaginal orifice with your non-dominant hand
19. Insert the applicator gently into the posterior wall of the vagina
20. Slowly push the plunger until the applicator is empty
21. Remove the applicator and place in a receiver
22. Dry perineal area and ask the patient to remain in the supine position for at least ten (10) – fifteen (15) minutes
23. Remove gloves and perform hand hygiene
24. Dispose off used items and decontaminate applicator and tray
25. Document procedure on treatment chart (manual or electronic) and nurses notes
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