Office based procedures
Cadden, F. (2010). Office based procedures. Check: Independent Learning Program for GPs, May edition, 3-28.
This unit of check looks at office based procedures with clinical scenarios demonstrating the important aspects of minor surgeryfor skin lesions, abscesses and ingrown toenails, intrauterine contraceptive device (IUCD) insertion, electrocautery and supraspinatus tendon injection. With any office based procedure it is important to accurately diagnose the problem, explore options for treatment, explain the procedure, and obtain informed consent Clinicians should ensure appropriate training, allow sufficient time, and carry out procedures in a stepwise fashion with adherance to aseptic technique where appropriate. Aftercare should be arranged at the time of the procedure and be clearly articulated to the patient.
The author, Associate Professor Frances Cadden, brings to this unit a wealth of clinical, research and teaching experience. Frances Cadden MBChB, FRACGP, Dip Health Informatics, Cert Skin Cancer Surgery, is General Practitioner and Adjunct Clinical Associate Professor at The University of Notre Dame, Fremantle, Western Australia. Her clinical and research interests include dermatology, office based procedures, computers in practice, women's health, neurofibromatosis and management of cardiovascular risk factors.
Frances would like to thank Associate Professor Tom Brett, GP and Director, General Practice and Primary Health Care Research Unit School of Medicine, The University of Notre Dame, Fremantle, Western Australia for his assistance in producing this unit of check. [Exerpt from editorial by Kath O'Connor - published with permission]