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Session IV, Slide 1 Progestin-Only Injectable Contraceptives: DMPA and NET-EN Session IV: Practicing Provision of Progestin-Only Injectables

Progestin-Only Injectable Contraceptives: DMPA and NET-EN

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Progestin-Only Injectable Contraceptives: DMPA and NET-EN. Session IV: Practicing Provision of Progestin-Only Injectables. Overview. The injection can be given in:. X. the hip or buttock. the upper arm. How to Give the Injection: Steps 1-2. 1.Wash your hands well with soap and water. - PowerPoint PPT Presentation

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Page 1: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 1

Progestin-Only Injectable Contraceptives: DMPA and NET-

ENSession IV: Practicing Provision of

Progestin-Only Injectables

Page 2: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 2

Overview

the upper arm

The injection can be given in:

the hip or buttock

X

Page 3: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 3

How to Give the Injection: Steps 1-2

1. Wash your hands well with soap and water.

2. Dry your hands with a clean towel or let them air dry.

Page 4: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 4

How to Give the Injection: Steps 3-5

3. If the skin around the injection site is dirty, clean the site with a cotton ball soaked in clean water.

4. Double-check the bottle for content, dose, and expiration date.

5. Roll the bottle gently between the palms of your hands.

Page 5: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 5

How to Give the Injection: Steps 6–9

6. Hold the bottle of DMPA or NET-EN and remove the plastic cap.

8. Insert the needle into the rubber cover and empty the entire contents into the syringe.

7. Open the sterile package containing the syringe and the needle (if necessary attach needle to syringe).

9. Hold the syringe upright and tap on the barrel to move the air into the tip. Expel the air from the syringe gently.

Page 6: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 6

How to Give the Injection: Step 10

10. Locate the exact site to insert the needle.

the upper arm

knobby part of arm

injection site

crease at arm pit

the hip

knobby top part of long bone in leg

edge of hip bone

(pelvis)

injection site

the buttock

pelvic bone

upper outer quadrant

sciatic nerve

injection site

X

Page 7: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 7

How to Give the Injection: Step 11

Hold the syringe like a dart.

Use a dart-like motion to insert the needle.

DMPA or NET-EN must be injected into the muscle

Syringe must enter the skin straight―not at an angle

11. Insert needle straight into the muscle.

Page 8: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 8

How to Give the Injection: Steps 12-13

12. Inject DMPA or NET-EN, emptying all of the contents of the syringe, then pull the needle out of the muscle.

13. Gently press the injection site with a clean cotton ball or cloth. Instruct the client not to rub or massage the site.

Page 9: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 9

How to Give the Injection: Steps 14-15

14. Place the used syringe in a puncture-proof container. Use great care to avoid a needle-stick injury to yourself or others.

15. Wash hands again with soap and water.

Page 10: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 10

Practice Safe Handling of Needles

Destroy full sharps container by burning or burying.

Do not overfill the sharps container.

Do not leave the needle inside the vial.

Do not dispose of used needles in anything other than a sharps container.

Do not re-cap the needle.

Do not touch the needle.

Page 11: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 11

Caring for a Needle-Stick Injury

• Wash injured area with soap and water as soon as possible.

• Do not apply anything to the site.

• Contact your supervisor.

• Seek counseling and care at a health facility.

Source: CDC, 2001.

Page 12: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 12

Finding the Injection Site

Upper arm

knobby part of arm

injection site

crease at arm pit

Page 13: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 13

Practice Finding the Injection Site

ButtockHip

knobby top part of long bone

in leg

edge of hip bone

(pelvis)

injection site

upper outer quadrant

sciatic nerve

injection site

X

Page 14: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 14

Using the DMPA Reinjection Job Aid

1. Had initial injection on 15 Jan. Has returned for reinjection on 15 Mar. Mentions light bleeding and spotting but no other health problems. Wishes to continue DMPA.

2. Had her previous injection on 04 Feb. Has returned for reinjection on 01 Jun. Mentions minor complaints about feeling moody and bloated but no other health problems. Wishes to continue DMPA.

3. Had previous injection on 13 Jan. Has returned for reinjection on 03 Jun because her husband who has been gone the past month is due home. She would like to continue using DMPA. She has developed no other health problems since her previous injection.

Describe how the job aid helps you decide whether these women can receive their next injection.

Page 15: Progestin-Only Injectable Contraceptives:  DMPA  and NET-EN

Session IV, Slide 15

Using the NET-EN Reinjection Job Aid

1. Had initial injection on 15 Jan. Has returned for reinjection on 19 Feb. Mentions light bleeding and spotting but no other health problems. Wishes to continue NET-EN.

2. Had her previous injection on 04 Feb. Has returned for reinjection on 13 Apr. Mentions minor complaints about feeling moody and bloated but no other health problems. Wishes to continue NET-EN.

3. Had previous injection on 13 Jan. Has returned for reinjection on 16 Apr because her husband who has been gone the past month is due home. She would like to continue using NET-EN. She has developed no other health problems since her previous injection.

Describe how the job aid helps you decide whether these women can receive their next injection.