IMPLANTABLE CONTRACEPTIVE DEVICES (ICD'S) *

Effective Date: 
Mon, 07/07/2014
Reviewed: 
Wed, 07/14/2021
Revised: 
Wed, 07/14/2021
Policy: 

Implantable contraceptive devices ( ICD ) are available for UCSC patients from trained UCSC clinicians.

Procedure: 

PRIOR TO INSERTION

Patients who would like to get an Implantable Contraceptive Device ( ICD ) inserted here need to have an assessment by a clinician. The clinician will document the product, lot and expiration date in the electronic medical record and on the consent form.

INSERTION

The clinician will select the appropriate ICD and insert the ICD.  The clinician will document the product, lot number and expiration date in the electronic medical record.  The clinician will send a prescription to Pharmacy, and attach a patient ID sticker to the empty ICD box, and include any product that was part of a failed insertion.  The charge for the ICD is embedded within the procedure code.

POST PROCEDURE

After the procedure, the Medical Assistant (or RN) will bring the empty box, with the patient sticker attached, to the Pharmacy.  The Pharmacy staff will hand a replacement ICD to the MA to restock the locked cabinet.  At that time, the Pharmacy staff will enter the prescription sent by the clinician into the pharmacy software and note the lot and expiration date in the "SIG" from the returned box.

FAILED INSERTION

If there was a failed insertion, the product should be wrapped and placed into a zipper-lock bag and returned by the Medical Assistant to the Pharmacy staff with the box and any packaging.  The Pharmacy staff will begin a process for replacement.  If the product and the box/packaging are not returned that day, the Pharmacy staff will follow up.