Easy Im Implementation of Medical Termination of Pregnancy In In - - PowerPoint PPT Presentation

Easy Im Implementation of Medical Termination of Pregnancy In In Your Practice

Step by Step

NP Hannah Varto, MN, NP(F), SANE-A

Embrace Clinic – Forensic Nursing Service Fraser Health

Speaker / Presenter Disclosure

Hannah Varto I declare I have no relationship with commercial interests.

Barriers to Im Implementing MAs

“I’m nervous I don’t know what I’m doing” “I heard you need an u/s first and I’m scared if I don’t have one” “It’s hard to do and follow up” “What if there are complications?” “I took the online training but there is so much to consider, I don’t know where to start” “What if the patient doesn’t follow up?”

Step by Step Assessment

I developed a flow sheet to assist other clinics in understanding a process (and to clarify ours within our own clinic staff) Can be adapted for your own clinical workflow Principles:

• Keep it simple!
• Do not need an U/S as a standard
• As few appointments as is necessary
• As easy as possible for provider and patient
• Clear education and consent

 MOA MOA MOA

 Clinician

 Clinician

Day 3 - 5: Clinician plans a phone call with the patient within 3 – 5 days of planned Step #1

• verifies pick up
• no concerns, reviews experience, symptoms, ongoing symptoms
• reminds about 7 day follow up lab work
• reminds about contraception considerations
• create a bring forward for day #8

Day 8:

• verifies lab work was done, if no result, phone pt to remind
• If labwork done, phones pt to discuss results
• offers contraception start (ie. fax OCP Rx to pharmacy, book IUD insertion appt, etc)

 Clinician

 Clinician

RhoGam

• Have a process in place for pt to get this when needed
• Review blood type as soon as results rec’d and book pt to come in as

soon as possible for administration

Patient Education is Most Im Important Step of f MA!!

• These appointments take about 30 mins
• Need to book translator for any ESL issues
• Simplify pt information as much as possible
• Wish List: a video that visually shows how to take mife and what to expect

(benefits low literacy, ESL, non-English speaking, hearing impaired, possible visually impaired)

• The follow up phone calls are well received and tend to keep pt on

track, they feel like they are cared for