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Nexplanon Insertion

HISTORY:
Presents for Nexplanon 
Current contraception:   for the last  years
Reason for  Nexplanon:  

Last menstrual period:   ago
Menstrual cycles:  days, 
Menstrual symptoms: 
G P A
Desire for pregnancy in the next year: 

Sexual activity: ,  partners, 
Condom use: 
History of STIs:  
STI risk factors: 
Last Pap smear:   ago 
HPV vaccination: 

Contraindications: 






EXAM:
General appearance: 
Pelvic: vulva , vagina , cervix , uterus , adnexa , 

ASSESSMENT:
Contraceptive implant insertion, 

PLAN:
- Pregnancy test prior to insertion
- STI screening prior to insertion
Nexplanon Insertion:
- Consent: informed of potential risks including infection, expulsion, or perforation, benefits of long-term contraception discussed, consent obtained
- Preparation: skin cleaned with 
- Anesthesia:  with cc of  
- Procedure: Nexplanon inserted in the inner, upper,  arm, bandage applied
- Tolerance: 
- Instructions: keep bandage dry and in place for 24 hours, avoid heavy lifting with the arm for a few days, use backup contraception for the first week
- Advise to check the implant by touch regularly
- Counseling on condom use for STI prevention
- Referral to gynecologist
- Follow-up if   or if complications/concerns arise
- Return if side effects occur, such as persistent pain, redness, swelling, or if the implant can no longer be felt