| Consent form |
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For explaining the procedure, risks, and benefits to the patient and getting their permission to proceed. |
| Timeout Sheet |
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A checklist for doing timout. |
| lidocaine 1% without epinephrine, 3 mL |
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For numbing the arm prior to insertion. |
| 5 mL Syringe |
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For injecting lidocaine. |
| 18 gauge needle |
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For drawing up lidocaine into the syringe. Do not let the patient see this needle. |
| 25 to 27.5 gauge needle |
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A small and friendly needle for injecting lidocaine. |
| Chucks pad |
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Put this under the patient's arm in case of bleeding. |
| Paper Measuring Tape |
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For measuring the location of the insertion site. |
| Derm Marker |
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For marking the insertion site. |
| Chloraprep |
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An antibacterial solution for cleaning the skin prior to insertion injection of lidocaine or insertion of the nexplanon. |
| Nexplanon Kit |
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The device that is used for inserting the nexplanon. |
| x2 Sterile Gauze, 2" x 2" |
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For bandaging the wound, holding pressure, and cleaning the wound. |
| Alcohol Prep Pads x 2 |
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For cleaning off any blood after the insertion is complete. |
| Steri-Strips |
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For cutting steri-strips prior to application. Cut in half, hamburger style. |
| Coban |
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For wrapping the wound after insertion. |