PEMASANGAN IUD

Summary

This instructional video guides viewers through the proper procedure for performing a contraceptive service. The process includes greeting the client, maintaining privacy, explaining the procedure, and introducing essential tools such as a speculum and uterine sonde. Detailed steps are provided for positioning the client, performing hygiene, and safely inserting the IUD using precise techniques. The video emphasizes proper handling of sterile equipment, client comfort, and post-procedure evaluation. It concludes with cleaning and decontaminating equipment, ensuring a thorough and safe experience for both the client and practitioner.

Takeaways

• 😀 The course covers the initial phase of contraceptive services, focusing on greeting the client, maintaining privacy, and explaining the procedure.
• 😀 It's important to introduce oneself to the client and provide clear information on the procedure, its purpose, and steps involved.
• 😀 Before proceeding, ensure the client understands the procedure, ask for consent, and give them the opportunity to ask questions.
• 😀 Key medical tools used include the speculum, tenaculum, uterine sonde, and other sterile equipment.
• 😀 The client should be positioned properly on the gynecological table, and the spotlight should be directed towards the vagina during the procedure.
• 😀 Sterile gloves and hygiene measures must be followed, including performing vulva hygiene and antiseptic cleaning of the cervix.
• 😀 The speculum is used to access the cervix, followed by clamping it with the tenaculum for better visibility and control.
• 😀 The uterine cavity is measured using the uterine sonde, and the depth of the cavity is noted for accurate insertion of the contraceptive device.
• 😀 After measuring the uterine cavity depth, the contraceptive device is inserted carefully using the inserter tube, ensuring it remains sterile throughout.
• 😀 After the device is placed, any used tools should be decontaminated with a 0.5% chlorine solution, and gloves should be disposed of properly.

Q & A

What is the first step in the procedure when interacting with the client?

The first step is to greet the client politely and friendly, invite them to sit down, and ensure their privacy by closing the curtains.

Why is it important to explain the procedure to the client?

Explaining the procedure helps the client understand the purpose and steps involved, ensuring they are informed, comfortable, and can give informed consent.

What are the key tools introduced to the client during the procedure?

The key tools introduced to the client include the speculum, tampon pliers, uterine sonde, tenaculum, scissors, sterile gauze, cotton, povidone-iodine, and other necessary materials.

How does the healthcare provider ensure proper hygiene before starting the procedure?

The provider ensures proper hygiene by washing their hands following the six-step handwashing technique and by sterilizing the necessary tools before use.

What is the purpose of measuring the uterine cavity depth during the procedure?

Measuring the uterine cavity depth helps determine the correct placement of the contraceptive device (such as an IUD), ensuring its proper positioning inside the uterus.

What is the correct method for inserting the inserter tube into the uterus?

The inserter tube is inserted into the uterus carefully, with the blue neck held in a horizontal position. It should be inserted until resistance is felt, signaling the proper placement.

Why is the tenaculum used in this procedure?

The tenaculum is used to clamp the cervix, which helps stabilize the cervix during the procedure, ensuring the correct positioning for the insertion of the device.

What actions are taken if bleeding is observed from the cervix after the procedure?

If bleeding is observed, the area is monitored for 30-40 minutes to ensure that it stops. The healthcare provider checks the cervix for any ongoing issues and takes necessary steps to address it.

How are the tools and equipment decontaminated after use?

The used tools and equipment are soaked in a 0.5% chlorine solution for 10 minutes to decontaminate them before proper disposal or sterilization.

What are the final steps after completing the procedure?

After completing the procedure, the client is observed for 15 minutes, and the healthcare provider evaluates the results of the actions taken. The provider then provides positive feedback to the client and documents the procedure.