Support each patient’s decision-making process by eliciting and being responsive to their unique needs and preferences.
Be aware of assumptions you make about a patient’s personal situation, communities, and feelings.
Explore how bias may show up in our work and review strategies for self-reflection.
Be mindful of tone, terminology, and body language (for example, sit at a patient’s eye level to communicate an equal power dynamic when culturally appropriate).
Ask each patient for their name and pronouns, and if appropriate, their preferred anatomical terminology; ensure staff is aware of preferences and that they are reflected in patient records.
Use open-ended questions and nonjudgmental listening. Allow time for a patient to think, talk further, and ask additional questions.
Know when to seek help from more experienced providers or staff in a challenging counseling situation.
Attend to each patient’s need for adequate anesthesia, avoiding assumptions about patients’ pain tolerance.
Screen for coercion, intimate partner violence, and human trafficking. Provide patients with local resources.
Support patients to choose pregnancy options consistent with their needs, values, and preferences. Like other medical decision-making, this is within the scope of primary care providers. Know when and how to refer for services beyond what you can provide.
Determine that the patient’s decision about the pregnancy was made freely and without coercion.
Provide an opportunity to see the patient alone, as well as to involve a support person when feasible and requested by the patient.
Maintain patient privacy and confidentiality.
Direct your attention to the patient and include them in any conversations while in the procedure room.