Insertion Tray: IUD

• Urine pregnancy test • Silver nitrate • 2-10cc Lidocaine w/o epi: • Possible: sterile gloves (ask 10cc syringe, 18g needle to provider) draw it up and a spinal needle • Lubricating jelly (provider preference) • GC/CT swab • 6-10 scopettes • 2 hot packs (if available) • Betadine swabs • 2 pads and 2 liners • Instruments: • 2 washcloths • Speculum • Chux • • 800mg ibuprofen • Uterine sound • IUD device • Cervical set • Ring for removal • Long scissors

fpeutah.org LUBRICATING IUD SPECULUM JELLY SILVER GC/CT CERVICAL LIDOCAINE NITRATE SWAB

18g NEEDLE

BETADINE SWABS

10cc SYRINGE TENACULUM LONG RING UTERINE SCISSORS SCOPETTES 2 PADS FORCEPS SOUND

URINE PREGNANCY TEST IUD INSERTION

2 WASH TRAY CLOTHS 2 LINERS fpeutah.org Removal Tray: IUD

• Urine pregnancy test • Silver nitrate • 2-10cc Lidocaine w/o epi: • Possible: sterile gloves (ask 10cc syringe, 18g needle to provider) draw it up and a spinal needle • Lubricating jelly (provider preference) • GC/CT swab • 6-10 scopettes • 2 hot packs (if available) • Betadine swabs • 2 pads and 2 liners • Instruments: • 2 washcloths • Speculum • Chux • Tenaculum • 800mg ibuprofen • Uterine sound • IUD device • Cervical dilator set • Ring forceps for removal • Long scissors

fpeutah.org 2 WASH 2 PADS CLOTHS

RING TAMPONS FORCEPS 2 LINERS SPECULUM

SCOPETTES LUBRICATING JELLY HOOK ALLIGATOR IUD FORCEPS IUD REMOVAL TRAY fpeutah.org Insertion Tray: Implant • urine pregnancy test • Betadine swabs • 6-10cc Lidocaine: 10cc syringe, 18g needle to draw it up and 22g 1.5" needle or spinal needle • 4x4 sponges • bandaid • steristrips • coban • • chux • Possible: sterile gloves (ask provider) • Nexplanon device fpeutah.org 10cc IMPLANT LIDOCAINE DEVICE 4x4 SPONGES URINE PREGNANCY TEST 18g NEEDLE BANDAIDS COBAN

BETADINE SWABS 10cc SYRINGE

STERI- BANDAGE STRIPS SCISSORS IMPLANT INSERTION TRAY fpeutah.org Removal Tray: Implant • Betadine swabs • 10cc Lidocaine: 10cc syringe, 18g needle to draw it up and 22g 1.5" needle or spinal needle • #11 • 2 small curved , small straight mosquito • Nexplanon removal instrument (if available) • 4x4 sponges • Bandaid • Steristrips • Coban • Bandage scissors • Sterile glove • Chux fpeutah.org STERILE 4x4 GLOVES SPONGES 10cc LIDOCAINE COBAN 10cc SYRINGE 2 SMALL CURVED BANDAIDS HEMOSTATS

BETADINE #11 STERI- SWABS SCALPEL 18g STRIPS NEEDLE BANDAGE SCISSORS IMPLANT REMOVAL TRAY fpeutah.org