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pre-procedure patient preparation best done during mid-cycle avoid douching vaginal medications and intercourse 24 hours prior to procedure advice to empty bladder prior to procedure introduction introduces self and identifies correct patient informs the patient of the procedure obtains informed consent ensures chaperone is present for the procedure preparation prepares necessary equipment required equipment required count for examination warm well-it room bivalve speculum Cusco swabs gauze normal saline gloves cervical brush vial for specimen laboratory form completes the cytology form and labels the vial cleaning and draping washes disinfects hands and wears gloves both hands adjusts the light inspects external genitalia for abnormalities bleeding discharge rashes skin lesions ulcers swelling mass or growth have the patient strained to look for prolapse of vaginal walls and involuntary leakage of urine whatamp;#39;s the Cusco speculum informs patient when about to insert the speculu
