Scope of services provided
Procedures in the categories below
and other procedures, which the Ailesbury Clinic deems
competent to carry out,
will be covered by this patient directed service. These
procedures have been classified into these main groupings.
- Injections/Aspiration/Arthrocentesis
(muscles, tendons and joints). Includes cortisone and hyalgan injections.
- Invasive procedures, including
r/o all skin cancers, pigmented nevi, ganglions, sebaceous cysts, lipomas,
dermatofibromas,
abscesses or tumours.
- Treatment of verrucae or plantar warts with cryotherapy CO2
laser/ Erbium YAG laser and Aldara cream
- Suturing and repair of superficial
and deep wounds
- Skin Biopsy of subcutaneous
lesions or rashes for histopathological
diagnosis
- Treatment of Actinic Keratosis
by PDT/ALA, cyrotherapy and CO2 laser
- Treatment of superficial BCC by Photodynamic Therapy ALA and 633nm Omnilux
Nursing support
Registered surgical nurses
are present to provide support and care to
patients undergoing
minor surgery. Nurses assisting in minor surgery
procedures usually are also trained in laser therapy
and competent
to assist in minor procedures.
Sterilisation and infection control
Although it is recognised that minor surgery performed
in General Practice has a low incidence of complications,
it is important that practices providing minor surgery
operate to the highest possible standards. The Ailesbury
Clinic uses
approved Excel autoclaves and sterilisation procedures
that comply with national guidelines.
Consent
In each case the patient is
fully informed of the treatment options and the treatment
proposed. The patient gives
written consent for the procedure to be carried out and
the completed consent form should be filed in the patient’s
medical record.
Pathology
All tissue removed by the
Ailesbury Clinic are sent routinely for histological
examination to St. Vincent’s Hospital and are usually
seen by a dedicated skin histopathologist Dr. Keiran
Sheehan. It is considered acceptable not to overload the
service with diagnostically obvious lesions such as sebaceous
cysts etc.
Audit
Full records of all procedures
should be maintained in such a way that aggregated data
and
details of individual
patients are readily accessible. The Ailesbury Clinic
regularly audits peer-review minor surgery and cosmetic
work.
Continual patient care
There is an opportunity
for the referral General Practitioner to be part of their
own
patient’s continuing care
by electing to remove sutures etc. or by monitoring a
patient’s progress.
Pricing
There
is a E70 consultation fee and treatments will be priced
in accordance with the approved VHI or BUPA schedule of benefits. Medical card patients will have
the facility to sign a STC if their doctor provides a
proper referral form. Obviously this has to be within
reason and patients presenting with multiple sebaceous
cysts or multiple seborrheoic keratoses may incur a higher
fee depending on complexity of procedure.
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