Instruments-GYN-OSCE

??# Dilation and Curettage (D&C) OSCE Protocol

Arrange the instruments (Metallic catheter- speculum- Tenaculum / Vulsellum- dilators- uterine sound- ovum forceps -curette-)

Phase	Step	Key Actions & Instruments
Preparation	1	- You will be asked to name the instruments and to arrange them Z 1. After scrubbing & anaesthesia. 2. Clean the area. Arrange Instruments & Prepare: Lay out all necessary instruments in order. The procedure follows scrubbing, administering anesthesia, and cleaning the perineal area. (Note: You will be asked to name and arrange these).
Procedure	2	Empty Bladder: Use a Metallic Catheter to ensure the bladder is empty.
	3	Visualize Cervix: Insert a Cusco’s or Sim’s Speculum to get a clear view of the cervix.
	4	Stabilize Cervix: Grasp the anterior lip of the cervix with a Tenaculum or Vulsellum to hold it steady.
	5	Sound the Uterus: Gently insert a Sim’s Uterine Sound to measure the depth and determine the direction of the uterine cavity.
	6	Dilate Cervix: Gradually widen the cervical canal using Hegar’s Uterine Dilators in sequential sizes.
	7	Evacuate Contents: Introduce Ovum Forceps to remove larger products of conception, then use a Uterine Curette to systematically scrape the uterine lining.
Post-Procedure	8	Specimen Collection: Collect all tissue for histopathological examination.
	9	Completion & Debriefing: Remove all instruments, clean the area, and inform the patient that the procedure is finished.
	10	Documentation: Record all findings and procedural details.
https://www.youtube.com/watch?v=1IwrAyonFA4

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