PERFORMANCE CHECKLIST -FEMALE GENITALIAJarvis Text Ch 24, 25 & 26 Lab manual pg 225-235, 237-244 & pg 245-257*ESSENTIAL SKILLS FOR FINAL CHECK OFF Y N*ITHELPSMEObtains age-relevant GYN history- Lab Manual pg 255Obtains age relevant Urinary history- Jarvis text pg 56 Obtains age-relevant Sexual History- Jarvis text pg 56Determine the presence of risk factors Describes Inspection and palpation of external genitalia using pelvic model (lithotomy position) *Pubic hair and skin (hair distribution, nits, lesions) *Labia majora, labia minora, clitoris (symmetry, lesions) *Urethra and Vagina (redness, llesions, discharge) Perineum, (redness, swelling, lesions, discharge) *Inguinal lymph nodes (size, shape, mobility, tenderness) *Rectum/anus (redness, lesions, hemorroids)Describes significance of internal examination of the cervix, uterus, ovaries and rectum for hemocult stool performed by Healthcare Provider (HCP) Teaches methods to reduce risk for STI (Sexually Transmitted Infection)Creates an environment providing psychological comfort during exam*Explains findings of exam or procedure to patient when completed Documents findings Signs documentation with name and credentials* Adheres to School of Nursing professional dress codeUpdated 8/12PERFORMANCE CHECKLIST - MALE GENITALIA & LYMPHATICS (Includes Anus, Rectum& Prostate)*ESSENTIAL SKILLS MUST BE DEMONSTRATED DURING FINAL CHECK OFF Y N* ITHELPSMEObtains age-relevant urinary history-Jarvis text pg 56 & 684; Lab manual pg 233Obtains age-relevant sexual history-Jarvis text pg 56 & 684; Lab manual pg 233Obtains age-relevant rectal/anal & prostate history- Jarvis text pg 56 & 712; Lab Manual pg 243Determines presence of risk factors- *Inspects and palpates penis and scrotum (standing position)*Pubic hair and skin (lesions, nits)*Shaft, Glans, Urethral Meatus (ulcerations, discharge)*Scrotum, *testes, (lumps, swelling, pain)*Inspects and palpates lymph nodesInguinal lymph nodes (swelling, pain) *Inspects external Rectum/Anus*Skin (lesions, fissures, hemorrhoids) Describes significance of internal examination of rectum and prostate, hemocult of stool and examination for inguinal and femoral hernias performed by Health Care Provider (HCP) *Demonstrates Testicular Self-Exam (TSE) Teaching Jarvis text pg 693-694*Explains relevance of the exam Why testicles should be examined Who should perform TSE Frequency of exam*Instructs client on technique of TSE Method of palpation Normal findings expected Abnormal findings to report*Reinforces importance of early detection and prompt reporting*Explains findings of exam or procedure to patient when completedDocuments findings Signs documentation with name and credentials*Adheres to School of Nursing professional dress codeUpdated
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