APPENDIX 7 - CHECKLIST INSTRUMENTS

This list may be placed in the instrument room and staff should be instructed to follow the checklist every time they assemble a pack of instruments. This prevents delay during a termination procedure caused by a missing instrument.

 PREPARATION

vaginal speculum (Collin or similar)

two swab forceps

steel or plastic kidney dish

disposable razor

several small gauze

FIRST TRIMESTER

single blade speculum (Auvard) or double bladed preferably a.t. Collin

uterine probe

tenaculum forceps

Hawkin Ambler dilator 3-6

Hawkin Ambler dilator 4-7

Hawkin Ambler dilator 5-8

Hawkin Ambler dilator 6-9

Hawkin Ambler dilator 7-10

slender forceps to remove tissue from cervical canal (van Lith)

blunt curette nr 2 (Evans)

several gauzes

hygienic pad

SECOND TRIMESTER

Hawkin Ambler dilator 8 - 11

Hawkin Ambler dilator 9 - 12

Hawkin Ambler dilator 10 -13

Hawkin Ambler dilator 11 -14

sharp curette preferably a.t. Evans

abortion forceps acc. to Mac Clintock and Finks

numerous gauze

DILATING PROBLEMS

Hegar single ended dilators 2 to 5 mm uterine probe

OCCASIONAL INSTRUMENTS

narrow blade speculum (narrow introitus vaginae)

Evans sharp curette 8 mm

Evans sharp curette 10 mm

revised spring 2010

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