Re: Exam lights and GC question

From: Vscnmmsn@aol.com
Thu Mar 3 18:41:56 2005


I use the speculum lights too. It seems the consensus here is that OB/GYNs are using the external sources and the CNMs/APRNs use the internal light source. The OB I work with also uses the external source and I use the speculum light. They bought them for me after I started here. They cannot be very expensive because we have a bean counter for a CEO. I can find out tomorrow if anyone is interested. It must be a difference in training and what you are used to using.

Another question: Does anyone do GC/Chlymida cultures on every pap or just symptomatic and pregnant patients? I wanted to do them on all the annuals (the way I was trained) but my OB only does them on pregnant or symptomatic patients. GC/Chl are usually asymptomatic- so are we going to miss a lot of them? Citations? I have found 2 or 3 so far in patients without complaints. I would appreciate the education in different practice protocols. Thanks Vicki SMith, CNM





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