IUD Insertion

An IUD (intrauterine device) is a small device that is placed into the uterus in a procedure similar to a pap to help (more than 99% effective). This effect is reversed by removing the IUD.

In advance (Huddle)

• MA to confirm supplies needed with provider.

PPE

• Sterile gloves
• Gown
• Eye protection
• Surgical mask

Setup (MA)

• Complete demographics portion of consent form.
• If ordered: Complete urine pregnancy test and document results in EHR.
• Verify if allergy to iodine or Betadine.
• Ensure all supplies required are available and in procedure room.

For sterile field

• Gyn Procedure Pack
  • Single tooth tenaculum
  • Allis forceps
  • Ring forceps
  • Straight Kelly forceps
  • IUD string scissors
  • Endometrial cell sampler
  • IUD hook
  • Uterine sound (plastic)
  • Cervical os dilator (Os Finder)
  • Gauze 4x4s (sterile)

Prepped on non-sterile counter

• Consent form (demographics completed)
• PPE (see above)
• Chux (procedure underpad)
• IUD device
• Speculum with light
• Water-based lubricating gel (KY jelly)
• Betadine swabs
  •  Substitute Chloraprep swabs if allergic to iodine or Betadine.
• Large cotton swabs (“Scopettes”)
• Silver nitrate and/or Monsel’s solution
• Feminine pad

On request

• Stainless steel uterine sound (if stainless is desired)
• Cervical os dilator set (if available at site)

Procedure (Provider)

Before

• After reviewing procedure with patient, have patient sign consent form.
• Order UPT if possibly pregnant. 
• Review results of pregnancy test.
• Using sterile technique, place appropriate items on sterile field.
• Confirm allergies.
• Perform time out immediately before procedure.

During

• Obtain GC/chlamydia specimen if no negative result within last 60 days.

After

• Remove all sharps from work stand and place in sharps container. 
  • Do not delegate this task.