Title:
Manual Vacuum Aspiration (MVA)
Policy:
RN’s & LPN’s may assist with this procedure
MA’s may set up and clean up for this procedure
Purpose:
To outline the Nurse’s role before, during, and after MVA
Procedure:
1. Gather and set up the needed equipment
Sterile instrument trays will be made up of the following:
2 sponge sticks
Single tooth tenaculum
Metal speculum
Set of dilators
Sterile gauzes
Medicine cup
Additional equipment for the procedure will be kept available:
10 cc syringes
21 gauge 2" needles
18 gauge 1" needles
IPAS aspirators
Cannulas sizes 5 through 10
Betadine
Lidocaine 1%
2. Pre-Manual Vacuum Aspiration
Have patient empty her bladder and obtain a UCG
Document the results in the chart
Obtain Vital signs and document results in the chart
Cover table paper with blue chuck. Place another chuck over the front drawer
The RN or LPN can pre medicate with an analgesic as per Providers' order
Obtain documentation of Rh type and, if Rh negative, make sure a dose of Rhogam is available.
3. Intra Manual Vacuum Aspiration
Assist Provider with needed solutions, supplies and instruments
Label specimen jar and fill out the laboratory requisition form/pathology sheet
4. Post-Manual Vacuum Aspiration
Obtain pulse and B/P, document the results in the patients' chart. Inform the provider of any changes
Assist the patient in getting dressed and provide her with a sanitary pad
Clean room and instruments
Provide patient education by reviewing the Patient Information Sheet with the patient
Document all patient teaching done, the presence or absence of patient complaints and the stability of the patient upon departure from the clinic.
Confirm that Provider has follow-up information for where to reach patient for the evening follow-up call and that the patient has the provider's beeper number to call for questions or problems.
