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removing contraceptive implants [Music] there are several ways to remove contraceptive implants this video shows the longitudinal and the perpendicular approaches as well as the modified eu method for rods that are more difficult to remove the best approach causes the least trauma to the womans arm explain the procedure to the woman if she wants to continue using the implant a new one can be inserted through the same incision preparation is similar for all approaches gather your sterile instruments and supplies ring forceps a drip with an opening a number 11 pointed blade curved mosquito forceps gauze squares a small metal ball a syringe with needle and bandage materials have a bottle of local anesthetic such as lidocaine one percent and a waterproof marker nearby then pour your antiseptic clean your hands then position the womans arm locate the rod by feel if you cannot feel the implant refer the woman to a provider with experience in difficult removals first mark the incision site
