Reproductive screening is decided by the organs a patient actually has and the sex they actually have — not by the gender on the chart or an assumption about age. Build a patient on the left and watch the swab sites and the screening calendar assemble themselves. Then dial the five numbers that carry most of the diagnostic weight in this chapter, and settle who on the team is allowed to do each task.
Age
Years24
13 — 92
Organs present — ask, do not assume
The five Ps — partners and practices
Practices — this is what decides the swab sites
History that changes the calendar
Why organs, not gender. A transgender man with a retained cervix still needs cervical screening. A transgender woman on oestrogen still has a prostate. Ask what is present and screen that.
Pick the test
Beta-hCG2mIU/mL
0 — 100 mIU/mL
The bench principle. Every one of these numbers has a trap attached to it. Learn the trap and the number takes care of itself.
Loading task…
0 / 0
The rule that decides all of them. The RN keeps assessment, initial teaching, evaluation of the response, and every unstable patient. UAP get standardised tasks with a predictable outcome. LPN/LVN get most medications, sterile dressing changes per policy, and reinforcement of teaching the RN already started.