Table 4: Percentage performance on VIA abilities after the training.
|
VIA Performance Steps |
VS |
S |
N |
U |
VU |
N = 14 |
MEAN |
SD |
Remark |
|
Likert scale |
5 |
4 |
3 |
2 |
1 |
|
|
|
|
|
Preparation |
|
|
|
|
|
|
|
|
|
|
Verify that the necessary instruments and supplies are ready |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Assure that a light source is available |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Wash hands and put on examination gloves |
10 |
4 |
0 |
0 |
0 |
14 |
4.71 |
4.21 |
VS |
|
Inspect the external genitalia |
13 |
1 |
0 |
0 |
0 |
14 |
4.93 |
4.41 |
VS |
|
Insert the speculum and adjust it to see the cervix clearly |
12 |
2 |
0 |
0 |
0 |
14 |
4.86 |
4.34 |
VS |
|
Fix the speculum in an open position to visualize the entire cervix. |
13 |
1 |
0 |
0 |
0 |
14 |
4.93 |
4.41 |
VS |
|
Move the light source so that you can clearly see the cervix |
11 |
3 |
0 |
0 |
0 |
14 |
4.79 |
4.28 |
VS |
|
Examine the cervix. Is it suspicious for cancer? |
12 |
2 |
0 |
0 |
0 |
14 |
4.86 |
4.34 |
VS |
|
Use a clean cotton swab to clean secretions, blood or mucous from the cervix. |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Using your light source, identify the cervical os, the squamo-columnar junction (SCJ) and the transformation zone. |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Soak a clean cotton swab with 3-5% acetic acid (vinegar) and apply to the cervix for 2 MINUTES |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Careful inspection of the SCJ: · Check for any 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. |
13 |
1 |
0 |
0 |
0 |
14 |
4.93 |
4.41 |
VS |
|
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. |
10 |
2 |
0 |
0 |
0 |
12 |
4.83 |
4.32 |
VS |
|
Remove the speculum and place it in a bucket with soapy water or 0.5% chlorine solution for 10 min for decontamination |
14 |
0 |
0 |
0 |
0 |
14 |
5.00 |
4.47 |
VS |
|
Perform a bimanual exam (if indicated). Remove gloves and dispose of them properly |
10 |
2 |
0 |
0 |
0 |
12 |
4.83 |
4.32 |
VS |
|
Invite the patient to sit up before discussing her results and plan for follow up |
13 |
1 |
0 |
0 |
0 |
14 |
4.93 |
4.41 |
VS |
|
Thank the patient and confirm that the forms are filled out completely. |
13 |
1 |
0 |
0 |
0 |
14 |
4.93 |
4.41 |
VS |