| 1. | Administer preoperative nonsteroidal anti-inflammatory drug. |
| 2. | Obtain informed consent. |
| 3. | Set up instruments on a sterile field. |
| 4. | Complete pelvic examination to check for vaginitis and uterine position. |
| 5. | Insert speculum to localize cervix. |
| 6. | Clean cervix with antiseptic. |
| 7. | Apply tenaculum to anterior lip of cervix. |
| 8. | Use sound to measure uterus and note cavity depth. |
| 9. | Consider using a paracervical block for patients with cervical stenosis. |
| 10. | Load device through sterile packaging. |
| 11. | Set stop/flange to depth indicated by sound. |
| 12. | Insert IUD until stop/flange is against cervix. |
| 13. | Release IUD (method varies with type and design of IUD). |
| 14. | Remove insertion device. |
| 15. | Cut string(s) to 1 to 2 cm from the cervical os and note length in chart. |
| 16. | Remove tenaculum. |
| 17. | Observe for bleeding. |
| 18. | Remove speculum. |
| 19. | Discharge patient with appointment for position check and review of side effects after first postinsertion menses. |