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Long-Acting Injectable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tab: Long-Acting Injectables ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Do you want to know more about this injectable, or talk about a different method?” If client wants to know more about this injectable,  go to next page. Next Move: ,[object Object],[object Object],[object Object],[object Object],[object Object],L I 1 ,[object Object],[object Object],To discuss another method,  go to a new method tab or to Choosing Method tab. Long-Acting  Injectable Long-Acting  Injectable
Who can and cannot use  a long-acting injectable But usually cannot use this injectable if: Most women can safely use this injectable ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],“ We can find out if you can use this injectable safely. Usually, women with any of these conditions should use another method.” ,[object Object],[object Object],[object Object],Who can and cannot use  a long-acting injectable Client able to use injectables: Go to next page. Next Move: ,[object Object],Client unable to use injectables: Help her choose another method. ,[object Object],Most women can safely use this  injectable.  But usually cannot use if: L I 2 Usually cannot use with any of these serious health conditions  (if in doubt, check handbook or refer) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Long-Acting  Injectable
Possible side-effects ,[object Object],[object Object],[object Object],Do you want to try  using this method and see how you like it? If you choose this method, you may have some side-effects.  They are not usually signs of illness.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Does client understand side-effects? Is she ready to choose method? If she has decided to use method ,  g o to next page. Next Move: If not , discuss further or consider other methods. Possible side-effects ,[object Object],L I 3 If you choose this method, you  may have some side-effects.   They are not usually signs of illness. ,[object Object],[object Object],[object Object],Long-Acting  Injectable
You may be able to start today ,[object Object],Would you like to start now?
You may be able to start today Client ready to start now? Next Move: If yes,  prepare to give first injection. If not,   arrange another visit  (during next menstrual period would be best).   Give condoms  to use until then. Explain their use. ,[object Object],L I 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Long-Acting  Injectable
Getting your injection ,[object Object],[object Object],[object Object],When to come back: ,[object Object],[object Object],[object Object],Can you  mark a calendar? What else will help you remember?
Getting your injection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Confirm that client understands  how often to return  and  what to do if late . If not, discuss further. Next Move: When to come back: 1.  Give injections in a clean, designated area of the room. 2.   Wash your hands with soap and water. If client’s skin is visibly dirty, wash injection site. No need to swab skin.  3.  If available, use  disposable syringe and needle  from a new, sealed package for each injection (not damaged and within the expiry date). Never reuse disposable syringes and needles. If disposable syringes and needles are NOT available, use ones that have been  sterilized with proper equipment and technique . Throw away or resterilize any needles that touch hands, surfaces, or non-sterile objects. 4.  If possible, use single-dose vials. Check expiry date. Shake gently. If using a multi-dose vial, check when opened. Pierce with a STERILE needle. No need to swab septum (vial top). Don't leave needles in the septum.  5.  Insert sterile needle deep into upper arm (deltoid muscle) or into buttock (gluteal muscle, upper outer portion). Inject. 6.  Do not massage the injection site. Tell client not to rub site. 7.  Dispose of needles and syringes properly.  After injection, do not recap needles. Place in sharps container immediately after use.  See handbook or clinic guidelines for more information.  ,[object Object],[object Object],[object Object],L I 5 Long-Acting  Injectable
[object Object],What to remember See a nurse or doctor if: ,[object Object],[object Object],[object Object],Anything else I can repeat or explain?  Any other questions? ,[object Object],[object Object]
[object Object],[object Object],What to remember “ Do you feel confident you can use this method successfully?  Is there anything I can repeat or explain?”   Remember to offer condoms for dual protection and/or back-up!     Last, most important message:  “Remember to come back for your next injection.” Last Moves: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],L I 6 ,[object Object],[object Object],[object Object],[object Object],Long-Acting  Injectable
Monthly Injectable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Do you want to know more about this method, or talk about a different method?

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