A method for providing the very best care to your patients before and after the procedure
Conceptus is dedicated to making sure you and your staff have the support and training you need to provide excellent care to your patients before and after the Essure procedure. Follow these suggestions to ensure success:
Pre-Procedure
Consultation
For existing patients:
For Referral Patients: Establish rapport with your patient during the consultation and confirm her desire for the Essure procedure. Inform her about possible discomfort during and after the procedure. Review planned comfort measures such as the administration of a non-steroidal anti-inflammatory drug (NSAID) or paracervical block.
Scheduling
Schedule the patient when she is in her early proliferative phase to optimize visibility. Be aware of the set up time required and make sure you have staff available. Allow time for the procedure as well as patient recovery time in the same room.
Staffing
Line up a support nurse or technician to assist you during the procedure. Additionally the nurse cares for the patient by assisting with pre-procedure preparations and comfort management during and after the procedure.
Pregnancy test
Administer a pregnancy test within 24 hours prior to the procedure. In women with menstrual cycles shorter than 28 days, the day of ovulation must be carefully calculated to reduce the potential of a luteal phase pregnancy. The procedure should NOT be performed during menstruation.
Medication
Administer a non-steroidal anti-inflammatory drug (NSAID) one to two hours before the procedure. Offer an anxiolytic agent 30 minutes prior to the procedure to reduce anxiety.
Procedure Preparation
Inspect equipment for damage or missing parts. Ensure supplies and product are available. Ensure that follow-up patient materials and instructions are on hand to be given to the patient.
As with all minimally invasive office-based procedures, appropriate equipment, medications, staff, and training should be in place to handle emergency situations.
In the Procedure Room
1) Have on hand a blanket to drape the patient, a pillow for her head, and calm, soothing music.
2) Place patient in the lithotomy position and drape. Ensure patient’s legs and hips are comfortable.
3) Introduce a speculum to allow access to the cervix and prep the cervix with a suitable antibacterial solution.
4) Administer a local anesthetic.
5) While waiting for the anesthetic to take effect, connect and check the endoscopy equipment.
Post-Procedure
Interim Contraception
Instruct the patient to use an alternative form of contraception for at least three months, or until confirmation of occlusion by Essure Confirmation Test.
Essure Confirmation Test
Schedule 3-month Essure Confirmation Test and impress upon the patient the importance of this procedure follow-up.
Patient ID Card
Give your patient a Patient ID card, and ask that she carry it with her at all times and show it to any other physicians involved in her care.
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