Post on 19-Jan-2016
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Session IV, Slide 1
Progestin-Only Injectable Contraceptives: DMPA and NET-
ENSession IV: Practicing Provision of
Progestin-Only Injectables
Session IV, Slide 2
Overview
the upper arm
The injection can be given in:
the hip or buttock
X
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.
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.
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.
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
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.
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.
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.
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.
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.
Session IV, Slide 12
Finding the Injection Site
Upper arm
knobby part of arm
injection site
crease at arm pit
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
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.
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.