IUD Insertion Procedure Note 2025

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  1. Click ‘Get Form’ to open the IUD Insertion Procedure Note in the editor.
  2. Begin by entering the patient's Last Menstrual Period (LMP), pulse (P), and blood pressure (BP) in the designated fields.
  3. Fill in the Urine HCG results and any known allergies, checking 'NKDA' if applicable.
  4. Indicate the analgesia ordered by the provider, selecting from options like Ibuprofen or Acetaminophen, and provide a signature for LPN along with the date.
  5. Document the reason for visit and OB/GYN history, including age, number of pregnancies, births, and abortions/miscarriages.
  6. Confirm that IUD risks and benefits were discussed with the patient and that consent was signed. Select the type of IUD chosen and record its lot number and expiration date.
  7. Complete the procedure section by noting findings from the bimanual exam, uterus position, sounding measurement, IUD insertion details, and any complications encountered.
  8. In the assessment section, indicate whether the IUD was inserted or not. Finally, outline follow-up plans for patient care.

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IUD Insertion Steps Inspect vagina and cervix. Perform bimanual exam. Disinfect vagina and opening to cervix. Sound uterus. Insert IUD.
Uterine cramping is common after IUD placement. You can help relieve the discomfort with heating pads, Tylenol (acetaminophen), Aspirin or Advil (ibuprofen). If your cramping becomes very painful, please call the clinic.
To insert an IUD, your doctor pushes a small tube containing the IUD through your cervical canal and into your uterus. Some people find the procedure no more painful than a Pap smear and experience only mild discomfort after. For others, it can cause pain and cramping that lasts for days.

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Recovery can take a few days to a few weeks, most patients experience moderate-heavy bleeding and cramping following insertion. You can take 600mg ibuprofen (Motrin, Advil), acetaminophen (Tylenol), or naproxen (Aleve) as needed, following package instructions for use.
Your provider will then use a device called a speculum that holds the vagina open. Next, an antiseptic solution will be used to gently clean the vagina and cervix. The IUD will be inserted through the opening of the cervix into the uterus. You will likely feel some cramping when the IUD is inserted.

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