Nexplanon Removal

Nexplanon Removal Opener

This module describes how to remove a Nexplanon contraceptive implant.




Always verify your patient’s identity and obtain informed consent before proceeding.

How do I explain this procedure?

“You are ready for the removal of your Nexplanon implant. This is a short and simple procedure with minimal discomfort.”

What can my patient expect?

“I will give you an injection for pain first. I will make a small cut where the implant is, and then I’ll pull it out with tweezers.”

What is my patient’s role?

“Keep still with your hand behind your head while I remove the implant. Fearing blood or needles is normal, but tell me if you have fainted from it. Let me know if you have any pain.”


Prepare a trolley with equipment.

Nexplanon removal Equipment

Documentation

Equipment


Position the patient with their arm (containing the implant) flexed, and the hand behind their head. Palpate the arm to locate the extraction site, usually 8-10 cm proximal to the medial epicondyle and 3-5 cm inferior, overlying the triceps. On depressing the proximal end of the implant, the distal end should pop up under the skin.


Follow medical asepsis with sterile gloves.


I can’t palpate the implant OR I can’t remove it.

Stop and refer the patient to a provider experienced in difficult removals.

After removal, I want to insert a second Nexplanon.

You can do this through the same incision.

I suspect I didn’t get the entire implant out.

These implants can sometimes break, resulting in incomplete removal. Refer the patient to a provider experienced in difficult removals.