Table 3: Percentage performance on VIA abilities at baseline stage.
|
VIA Performance Steps |
VS |
S |
N |
U |
VU |
N = 12 |
Mean |
SD |
Remark |
|
Likert scale |
5 |
4 |
3 |
2 |
1 |
|
|
|
|
|
Verify that the necessary instruments and supplies are ready |
3 |
7 |
2 |
0 |
0 |
12 |
4.08 |
3.61 |
S |
|
Assure that a light source is available |
2 |
6 |
3 |
1 |
0 |
12 |
3.75 |
3.32 |
S |
|
Wash hands and put on examination gloves |
10 |
1 |
0 |
1 |
0 |
12 |
4.67 |
4.22 |
VS |
|
Inspect the external genitalia |
0 |
2 |
3 |
6 |
1 |
12 |
2.5 |
2.12 |
U |
|
Insert the speculum and adjust it to see the cervix clearly |
3 |
5 |
3 |
0 |
1 |
12 |
3.75 |
3.39 |
S |
|
Fix the speculum in an open position to visualize the entire cervix. |
5 |
4 |
2 |
0 |
1 |
12 |
4.00 |
3.65 |
S |
|
Move the light source so that you can clearly see the cervix |
3 |
4 |
4 |
1 |
0 |
12 |
3.75 |
3.34 |
S |
|
Examine the cervix. Is it suspicious for cancer? |
0 |
0 |
3 |
8 |
1 |
12 |
2.17 |
1.67 |
U |
|
Use a clean cotton swab to clean secretions, blood or mucous from the cervix. |
1 |
3 |
1 |
6 |
1 |
12 |
2.75 |
2.48 |
N |
|
Using your light source, identify the cervical OS, the squamo-columnar junction (SCJ) and the transformation zone. |
0 |
0 |
0 |
5 |
7 |
12 |
1.42 |
0.91 |
VU |
|
Soak a clean cotton swab with 3-5% acetic acid (vinegar) and apply to the cervix for 2 MINUTES |
0 |
0 |
0 |
5 |
7 |
12 |
1.42 |
0.91 |
VU |
|
Careful inspection of the SCJ: · Check for any raised and thickened white plaques raised and thickened white plaques or acetowhite epithelium. · If there is a lesion, inspect it to determine if the lesion has clear borders, and if it is touching the SCJ. Note the size of the lesion. |
0 |
0 |
0 |
5 |
7 |
12 |
1.42 |
0.91 |
VU |
|
If necessary, re-apply the vinegar for another minute. Then use a cotton swab to remove mucous or blood that is obstructing your view. Inspect the SCJ again. |
0 |
0 |
6 |
5 |
1 |
12 |
2.42 |
1.96 |
U |
|
Remove the speculum and place it in a bucket with soapy water or 0.5% chlorine solution for 10 min for decontamination |
12 |
0 |
0 |
0 |
0 |
12 |
5.00 |
4.47 |
VS |
|
Perform a bimanual exam (if indicated). Remove gloves and dispose of them properly |
8 |
2 |
1 |
1 |
0 |
12 |
4.42 |
4.00 |
VS |
|
Invite the patient to sit up before discussing her results and plan for follow up |
2 |
4 |
5 |
1 |
0 |
12 |
3.58 |
3.16 |
S |
|
Thank the patient and confirm that the forms are filled out completely. |
1 |
9 |
1 |
1 |
0 |
12 |
3.83 |
3.37 |
S |