Do we really know how to respond to an unexpected event during the fitting of an intra-uterine contraceptive device?

OBJECTIVE To assess and improve knowledge of correct resuscitation procedures if an unexpected event occurs during an intra-uterine device (IUD) fitting. DESIGN Previous literature on resuscitation in the family planning clinic was reviewed to provide a basis for a questionnaire for doctors and nurses within the service to assess knowledge of correct procedures. Outcome of first questionnaire: Seventeen questionnaires were returned in the first round, of which 12 were from nurses. The results to the first question gave a 70% correct response rate. The response to the second gave a correct response of 41%. Only six out of 17 would give atropine in a vaso-vagal attack. INTERVENTION The results were discussed at an audit meeting and most staff said that they wanted further training. This was linked with the Leeds Community and Mental Health Trust training for resuscitation. By linking to this training programme it saved time and resources for the family planning service. Outcome of second questionnaire: Twenty-one staff returned questionnaires, of which 12 were nurses. The results to the first question gave an 87% correct response rate. The response to the second showed a correct response of 71%. Fourteen out of the 21 replying would give atropine. CONCLUSION A service cannot assume that staff know what to do in an emergency if it is rarely encountered. This audit showed that it is possible to raise knowledge standards through a training programme.