Last review date 29/03/2023

The template can be located in the following ways:


  • Auto-Consultations > ardens PROCEDURES and CONSENT FORMS > LNG-IUD - Fitting
  • Embedded within the Contraception template
  • Use the bottom left search bar in SystmOne


If using on a regular basis, add the template to the F12 favourites for quick access.


The template is separated in to several tabs along the top of the template, Including Home, Assessment, Fitting, Products, Review, Replacement, Removal, Additional Precautions and Resources. 


Home Tab


There are also links to the other pages depending on the type of appointment.  There is access to other contraceptive templates, Cervical Smear or DNA if the patient did not attend.


The Done elsewhere drop down box contains codes if the patient had the coil fitted elsewhere other than the surgery.


Assessment Tab


Discussed - This section allows you to easily document discussions with the patient by ticking the appropriate boxes.


Assessed - Again this section makes it simple to record your assessment and has useful links to templates & documents that may be required during the consultation, saving the need to exit the template and navigate to other resources.

 

A calendar drop down box is available to record Date of LMP.


UK MEC risk score template is available which lists risk for all contraception types.



A consent form is available as a Word document to print out, also available on the Fitting & Removal pages.


There are links to printable Leaflets or web pages, tick to record a leaflet given.


If a follow up is required, the Follow Up template can be used to take further actions.


Fitting Tab


The Yellow Stars indicate codes required for Local Enhanced Services payments if applicable in your area.


Please note: These yellow stars are not always specific to your ICB as this is not possible, but clicking the yellow star at the bottom right of the template will open your local enhanced service template.


There is another opportunity to print a consent form if not yet completed.


Recording of Date of LMP, before procedure BP and HR can be recorded here.  Clicking into these fields will display historical dates in the yellow pane on the right side of the template.


The Vaginal Examination free text field has a preset alongside to save typing.


Click on the preset button (notepad icon) and use mouse to select the required text. The text can be edited once added to the template. 


Again there are hyperlinks to the Products page if a prescription is required and if any Local Anaesthetic has been used. The BN + Expiry Date box for the LA can be added in this section too. 


Select the appropriate IUS fitting code as required for payment. You can also add a batch number & expiry date for the device.  The After BP and HR can also be added at this stage too.


Add details for any chaperone present/declined etc.


Advice After Fitting leaflet is available as a Word document to print.



If required there is a link to the Follow Up template to book any further appointments if needed.




Products Tab


This hyperlink will navigate to the page where you can generate the appropriate prescription if needed.


Review Tab


This tab is split into 5 different sections; Reason Fitted, Check, Confirmation, Complications and Other. 


The Check and Complications sections have Yellow Stars linked for possible local enhanced payments.

Replacement Tab


This tab is for removing and replacing the device during the same appointment



Removal Tab


Pre-procedure section allows you to record Contraceptive advice and Pregnancy advice.  There is also a link to the Contraception template if providing an alternative.


Don't forget to complete the fields marked with a Yellow Star to ensure payment.


Use the Follow Up template link to book any further appointments needed.

Resources Tab


Please see our Resources Tab support article for more information.


Ardens Reports


There are a number of reports to show coils fitted/replaced/removed etc.  These can be found under Ardens Ltd folder > Procedures > IUCDs and Implants


For any Local Commissioned Services payment reports regarding Women's Health, please see your local Ardens ICB guidance for more details.