I posted this question on the NP forum and only got one answer. While that was appreciated, I hoped for more! Anyone on this forum have an answer?
I'm an experienced FNP, have done many pelvic exams, rarely have to repeat a pap for a bad specimen. I do an average of 1-2 a day.
I also try to give as gentle a pelvic exam as possible.
However, on occasion, not often, I have a problem. I can get the cervix into the ends of the speculum, but then when I'm done, I can't get the speculum to "let go" of the cervix, no matter what I do.
I get frustrated and of course it's uncomfortable if not outright painful for the patient.
I hate this- I wouldn't want that to happen to me as a patient- but I can't figure out what I'm doing wrong!! Help!
I use the disposable plastic speculum with the light in the handle, if that makes any difference. I usually use a medium but will use a small or a large if necessary. It probably happens with all sizes.
Thanks so much for any and all responses!
Nov 14, '06
You may also want to try this question on the OB/Gyn forum, since a lot of OB nurses do spec exams (nurses don't currently do them on my floor):