Contraception
Useful information, links and forms about contraception and contraception services at HMG
- Combined Hormonal Contraceptive New Guidelines - coming soon....
- IUD Self Assesment Form - coming soon...
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