Nurse-Led Seroma Clinic Three Years On....
Association of Breast Surgery ePoster Library. Hewick V. 05/15/17; 166209; P181
Vanessa Hewick
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Abstract
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Introduction
We described our experience of conducting a Breast Care Nurse (BCN)-led seroma clinic over the past three years.
Method
A retrospective audit of prospectively kept clinic records was conducted to evaluate this service. All data from September 2013 to August 2016 were included.
Results
A total of 964 patients were seen in this 36-month study period. This service is run by two BCNs. There were on average one BCN-led seroma clinic per week. The average number of patients seen per clinic was 6. Most patients were pre-booked into these clinics, but urgent patients were commonly accommodated into ad hoc clinics within 2 working days of contacting the breast unit. Over time, this clinic has expanded to include assessing outcome of nurse-led tattoo, reviewing complex wounds, informing benign results and managing breast abscesses. Seroma aspiration (24.3%) and post-operative wound review (27.0%) remain the two highest proportions of clinic attendees.
57 patients (6.2%) required Consultant input. 1% of these patients were purely for antibiotics prescription which BCNs are currently unable to provide.
Conclusion
This new service has provided flexibility and has allowed professional development for the BCNs. It has increased consultant clinic availability and has provided a cost improvement within the unit. With an increasing service demand and an expanding scope of practice, further improvements to the service should include a second weekly clinic and nurse prescribing.
We described our experience of conducting a Breast Care Nurse (BCN)-led seroma clinic over the past three years.
Method
A retrospective audit of prospectively kept clinic records was conducted to evaluate this service. All data from September 2013 to August 2016 were included.
Results
A total of 964 patients were seen in this 36-month study period. This service is run by two BCNs. There were on average one BCN-led seroma clinic per week. The average number of patients seen per clinic was 6. Most patients were pre-booked into these clinics, but urgent patients were commonly accommodated into ad hoc clinics within 2 working days of contacting the breast unit. Over time, this clinic has expanded to include assessing outcome of nurse-led tattoo, reviewing complex wounds, informing benign results and managing breast abscesses. Seroma aspiration (24.3%) and post-operative wound review (27.0%) remain the two highest proportions of clinic attendees.
57 patients (6.2%) required Consultant input. 1% of these patients were purely for antibiotics prescription which BCNs are currently unable to provide.
Conclusion
This new service has provided flexibility and has allowed professional development for the BCNs. It has increased consultant clinic availability and has provided a cost improvement within the unit. With an increasing service demand and an expanding scope of practice, further improvements to the service should include a second weekly clinic and nurse prescribing.
Introduction
We described our experience of conducting a Breast Care Nurse (BCN)-led seroma clinic over the past three years.
Method
A retrospective audit of prospectively kept clinic records was conducted to evaluate this service. All data from September 2013 to August 2016 were included.
Results
A total of 964 patients were seen in this 36-month study period. This service is run by two BCNs. There were on average one BCN-led seroma clinic per week. The average number of patients seen per clinic was 6. Most patients were pre-booked into these clinics, but urgent patients were commonly accommodated into ad hoc clinics within 2 working days of contacting the breast unit. Over time, this clinic has expanded to include assessing outcome of nurse-led tattoo, reviewing complex wounds, informing benign results and managing breast abscesses. Seroma aspiration (24.3%) and post-operative wound review (27.0%) remain the two highest proportions of clinic attendees.
57 patients (6.2%) required Consultant input. 1% of these patients were purely for antibiotics prescription which BCNs are currently unable to provide.
Conclusion
This new service has provided flexibility and has allowed professional development for the BCNs. It has increased consultant clinic availability and has provided a cost improvement within the unit. With an increasing service demand and an expanding scope of practice, further improvements to the service should include a second weekly clinic and nurse prescribing.
We described our experience of conducting a Breast Care Nurse (BCN)-led seroma clinic over the past three years.
Method
A retrospective audit of prospectively kept clinic records was conducted to evaluate this service. All data from September 2013 to August 2016 were included.
Results
A total of 964 patients were seen in this 36-month study period. This service is run by two BCNs. There were on average one BCN-led seroma clinic per week. The average number of patients seen per clinic was 6. Most patients were pre-booked into these clinics, but urgent patients were commonly accommodated into ad hoc clinics within 2 working days of contacting the breast unit. Over time, this clinic has expanded to include assessing outcome of nurse-led tattoo, reviewing complex wounds, informing benign results and managing breast abscesses. Seroma aspiration (24.3%) and post-operative wound review (27.0%) remain the two highest proportions of clinic attendees.
57 patients (6.2%) required Consultant input. 1% of these patients were purely for antibiotics prescription which BCNs are currently unable to provide.
Conclusion
This new service has provided flexibility and has allowed professional development for the BCNs. It has increased consultant clinic availability and has provided a cost improvement within the unit. With an increasing service demand and an expanding scope of practice, further improvements to the service should include a second weekly clinic and nurse prescribing.
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