Nexplanon implant pre-insertion counselling checklist

The interactive checklist below could be used during a consultation with women considering the use of the Nexplanon implant. Fill in the boxes as you go, then print out and keep a copy of the completed checklist in the patient file.


(e.g. complications of insertion/removal; supportive information on Nexplanon; maximum period of use; option to discontinue at any time; return to pre-existing fertility; possibility of second implant)

Print checklist

 


Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.gov.uk.
Adverse events should also be reported to MSD Drug Safety Department on 01707 363773

Organon

Terms and Conditions
Privacy Policy

Date of Preparation 6/2011
Code 6/12 - NEX.10.GB.9260.AVc

© 2010 Copyright Organon Laboratories Limited. All rights reserved.