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Contraceptive Implants Session V B: Two-Rod Implant Removal

Contraceptive Implants Session V B: Two-Rod Implant Removal. Two-Rod Implant Removal: Required Equipment. An examination table Sterile surgical drapes and gloves Antiseptic solution Local anesthetic, needles, and syringe Sterile #11 scalpel, forceps (straight and curved mosquito)

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Contraceptive Implants Session V B: Two-Rod Implant Removal

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  1. Contraceptive Implants Session V B: Two-Rod Implant Removal

  2. Two-Rod Implant Removal: Required Equipment • An examination table • Sterile surgical drapes and gloves • Antiseptic solution • Local anesthetic, needles, and syringe • Sterile #11 scalpel, forceps (straight and curved mosquito) • Skin closure, sterile gauze and compresses

  3. Two-Rod Implant RemovalStep 1 • Have the client lie on her back with her arm flexed at the elbow. • Palpate the area to locate both implants. • Clean the patient’s upper arm with an antiseptic solution and frame the area with a drape that has an opening.

  4. Two-Rod Implant RemovalStep 2 • Apply a small amount of local anesthetic, such as lidocaine (1%) to the skin and under the ends of the implants (below the bottom of the “V”). This will raise the ends of the implants.

  5. Two-Rod Implant RemovalStep 3 • Make a 4 mm incision with the scalpel close to the ends of the implants (below the bottom of the “V”). • Do not make a large incision.

  6. Two-Rod Implant RemovalStep 4 • Push each implant gently toward the incision with your fingers. • When the tip is visible or near to the incision, grasp it with mosquito forceps.

  7. Two-Rod Implant RemovalStep 5 • Use the scalpel, the other forceps, or gauze to very gently open the tissue sheath that has formed around the implant.

  8. Two-Rod Implant RemovalStep 6 • Grasp the end of the implant with the second forceps and gently remove it. • Repeat the procedure for the second implant.

  9. Two-Rod Implant RemovalStep 7 • Close the incision with a skin closure. • Apply a sterile gauze and wrap the arm with a pressure bandage. • Before the client is discharged, observe her for a few minutes for signs of bleeding from the insertion site. • Review post-removal instructions and other key messages. • Clean or dispose of the instruments properly.

  10. Post-removal Options • If the woman decided to keep using this method and is still eligible, insert a new set of implants through the same incision, or if the client prefers, use the other arm. • If the woman decided to discontinue using implants and does not want to become pregnant, counsel her about other contraceptive options.

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