Contraception

BACK TO MAIN INDEX

Standard Operating Procedure for starting Sayana Press Contraception during Covid-19

• Patient phones CNC to request alternative to depo contraception or requests Sayana Press (SP)
• CNC books telephone consultation with contraception clinician

Consultation Steps

1. Initial appointment with clinician - outcome is patient is keen to explore/ start SP

• Clinician send link via AccuRX
• Also follow CCG instructions on GPTN 
• Test video link works on patients AccuRX
• Then clinician books themselves the follow up appointment to see if patient is still keen to proceed - hopefully next day/same day

2. Send prescription for SP and purple sharps box –via EPS and arrange video consultation to go through the procedure in next few days

• NB. Do not delay the starting of SP or if there is a delay use POP for bridging purposes (needs to be started before previous depo runs out i.e. 14 weeks )
• Ask patient to download booklet ready for video consultation
• Counsel patient and record this in Emis NB. scarring of skin over injection site see Sayana Press guidance
• Clinician books a double telephone consultation for patient for step 3

3. VIDEO consultation to start SP

• Both patient and clinician have booklet ready to go through - patients must not give the injection by themselves but to wait for the clinician video call to observe together
• Make sure patient has cotton wool ready , knows site to be used for injection , private area in house, good light/ WIFI
• Go through procedure as per booklet and document all fluid expelled and none left in reservoir ( suggest patient holds it up to light and shoes clinician on video )
• Complete Emis notes with batch number and date of next injection - see emis contraception template -depo, send another EPS for the next injection
• Suggest patient registers for text reminders through Sayana Press website and knows date of next injection

2nd Injection

• Book double appointment with contraception clinician
• Have injection ready
• At this appointment try video call and patients show clinician how to inject themselves
• Any subsequent follow up injections can now be self-injected and if happy no clinician appointment needed

Patient Information Video