IUD Insertion Procedure

Chief Complaint

IUD Insertion Procedure

Objective

IUD type

[Specify the type of IUD inserted.]

Urine pregnancy test

[Document the result of the urine pregnancy test, e.g., negative or positive.]

Lot

[Provide the lot number of the IUD used.]

Expiration

[Provide the expiration date of the IUD used.]

Procedure Note

[Document the details of the procedure. Include the following:] - [Indications and risks of the procedure reviewed with the patient, including specific risks such as perforation, expulsion, and infection.] - [Instructions provided to the patient, such as using backup contraception for a specified period.] - [Steps of the procedure, including bimanual exam, sterilization, application of tenaculum, sounding of the uterus, insertion of the IUD, and cutting of the string.] - [Details of patient tolerance and any complications, if applicable.]

Objective

Contraindications

[State whether there are any contraindications to the procedure. If none, specify 'No contraindications.']

A/P

[Summarize the assessment and plan. Include the following:] 1. [Confirmation of IUD insertion.] 2. [Follow-up plan, such as booking a follow-up appointment in 6 weeks for string check.] 3. [Patient instructions, such as using backup protection for 7 days, avoiding baths/tubs, intercourse, and tampons for 24 hours.]

Assessment

Assessment

Plan

Plan