ProgestinOnly Injectable Contraceptives Session V Giving the Injection

Progestin-Only Injectable Contraceptives Session V: Giving the Injection with Sayana Press Session V, Slide 1

Objectives At the end of this session, participants will be able to: 1. Demonstrate how to administer the injection of Sayana Press a) b) c) d) Steps to prepare for the injection Steps to administer the injection Steps to safely dispose of the Sayana Press injection device How to support the user in self-injection using Sayana Press Session V, Slide 2

Step 1: Getting together the supplies Supplies include: • Injection device at room temperature • Soap • Cotton swabs or cotton balls • Safe container for sharps disposal Session V, Slide 3

Step 2: Wash hands 1. Wash your hands well with soap and water. 2. Let your hands dry in the air. Session V, Slide 4

Step 3: Ask where the client wants the injection You can give the injection • in the back of the upper arm • in the abdomen (but not at the navel) • on the front of the thigh. If your client is very thin and it is difficult to pinch enough fat at the site she prefers, ask her if you can try the other sites to get a better pinch. Remember that Sayana Press should NOT be injected in the buttocks, hip, or deltoid muscle like with depo-IM. Session V, Slide 5

Step 4: Open the pouch • Check that the expiration date on the pouch has not passed. • Open the foil pouch by tearing the small notch and remove the Sayana Press Session V, Slide 6

Step 5: Mix the solution • • Hold the device by the port (see drawing) Shake it hard for 30 seconds Check that the solution is mixed and there is no damage or leaking Do not flick or bend the device. This can damage the device. Session V, Slide 7

Step 6: Activate the device • Hold the device by the port. • Keep the device with the needle pointed upward to avoid spilling the drug. • Push the needle shield into the port. • Continue to push firmly until the gap between the needle shield and port is closed (see drawing 2). • Take off the needle shield. Session V, Slide 8

Closing the gap and taking off the needle shield Explain that there is a gap between the port and the reservoir where the DMPA is held. It is very important to close that gap be cause: • This pushes the needle through the barrier that holds the DMPA. • The DMPA goes into the needle and to the client Session V, Slide 9

Step 7: Give the injection • Gently pinch the skin at the injection site. (This helps to make sure that the drug is injected into fat and not into muscle. ) • Hold the port. Gently push the needle straight into the skin at a downward angle (never upward) until the port touches the skin. • Squeeze the reservoir slowly. Take 5 to 7 seconds. • Pull out the needle. • Do not clean or massage the site after injecting Session V, Slide 10

Step 8: Discard the used device • Do not replace the needle shield • Place the device in a safety box Wash hands again with soap and water. Session V, Slide 11

Practice Safe Handling of Needles Do not re-cap the needle. Do not touch the needle. Do not leave the needle inside the vial. Do not dispose of used needles in anything other than a sharps container. Do not overfill the sharps container. Destroy full sharps container by burning or burying. Session V, Slide 12

Supporting the user Teaching the clients to self-inject. Some clients will want to give themselves the injection. Teach them the following steps: 1. Discuss plan for storage and disposal 2. Explain and show them how to self-inject. Source: CDC, 2001. Session V, Slide 13

How to use the Sayana Press injectable contraceptive device Important steps 1. Choose a correct injection site 2. Mix the solution 3. Push the needle cap and the base of the stem together How to do it 1. Choose either the belly or the front of the thigh 2. After washing hands, open pouch, take out device. Hold the device at the base of the stem and shake hard for about 30 seconds. 3. Point needle upward. Hold needle cap with one hand the base of the cap with the other. Press the cap firmly down until the cap is closed Session I, Slide # 14

How to use Sayana Press (cont) 4. Pinch your skin to make a “tent” 5. Put the needle into the skin, and squeeze the bulb slowly. 4. Take the cap off the needle. Hold the device by its base. With the other hand pinch about 4 cm (11/2 inches) of skin with one hand. 5. Press the needle straight into the skin with the needle facing downward. Session I, Slide # 15