Setting up a Nurse-Led Nipple Areola Tattooing Service
Association of Breast Surgery ePoster Library. Hewick V. 05/15/17; 166210; P182
Vanessa Hewick
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Abstract
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Introduction
We described our experience in developing a Breast Care Nurse (BCN)-led nipple areola tattooing service.
Method
Two BCNs attended training for nipple-areola tattooing at a private clinic and gained accredited certification in the procedure. The next step was to create a unit guideline which included obtaining informed consent, patient selection criteria and documentation. The guideline was endorsed and published on the Trust intranet. BCNs then carried out supervised tattooing sessions with consultant, which then was an in-theatre procedure. On achieving competency, the service was commissioned as a nurse-led service, within the outpatient setting in our breast unit.
Results
A monthly clinic was set up with four potential appointment slots each, from March 2015. Between March 2015 and September 2016, 38 patients have been tattooed (average 2 per clinic). Six patients have required bilateral tattooing. Four patients have had 3D tattooing.
An audit on patient satisfaction was carried out. Twenty-five surveys were sent, with 17 responses received (68%). All patients felt that they were involved in the decision-making for shape, position and colour of the procedure. 82% were satisfied with the results of their tattooing. Eleven patients (68%) required more than one session.
Conclusion
The service has allowed professional development for our BCNs and has increased theatre capacity for consultants. Patients were satisfied with the cosmetic outcome but improvements in the re-tattooing rate can be achieved with increased experience and the use of colour chart aid.
We described our experience in developing a Breast Care Nurse (BCN)-led nipple areola tattooing service.
Method
Two BCNs attended training for nipple-areola tattooing at a private clinic and gained accredited certification in the procedure. The next step was to create a unit guideline which included obtaining informed consent, patient selection criteria and documentation. The guideline was endorsed and published on the Trust intranet. BCNs then carried out supervised tattooing sessions with consultant, which then was an in-theatre procedure. On achieving competency, the service was commissioned as a nurse-led service, within the outpatient setting in our breast unit.
Results
A monthly clinic was set up with four potential appointment slots each, from March 2015. Between March 2015 and September 2016, 38 patients have been tattooed (average 2 per clinic). Six patients have required bilateral tattooing. Four patients have had 3D tattooing.
An audit on patient satisfaction was carried out. Twenty-five surveys were sent, with 17 responses received (68%). All patients felt that they were involved in the decision-making for shape, position and colour of the procedure. 82% were satisfied with the results of their tattooing. Eleven patients (68%) required more than one session.
Conclusion
The service has allowed professional development for our BCNs and has increased theatre capacity for consultants. Patients were satisfied with the cosmetic outcome but improvements in the re-tattooing rate can be achieved with increased experience and the use of colour chart aid.
Introduction
We described our experience in developing a Breast Care Nurse (BCN)-led nipple areola tattooing service.
Method
Two BCNs attended training for nipple-areola tattooing at a private clinic and gained accredited certification in the procedure. The next step was to create a unit guideline which included obtaining informed consent, patient selection criteria and documentation. The guideline was endorsed and published on the Trust intranet. BCNs then carried out supervised tattooing sessions with consultant, which then was an in-theatre procedure. On achieving competency, the service was commissioned as a nurse-led service, within the outpatient setting in our breast unit.
Results
A monthly clinic was set up with four potential appointment slots each, from March 2015. Between March 2015 and September 2016, 38 patients have been tattooed (average 2 per clinic). Six patients have required bilateral tattooing. Four patients have had 3D tattooing.
An audit on patient satisfaction was carried out. Twenty-five surveys were sent, with 17 responses received (68%). All patients felt that they were involved in the decision-making for shape, position and colour of the procedure. 82% were satisfied with the results of their tattooing. Eleven patients (68%) required more than one session.
Conclusion
The service has allowed professional development for our BCNs and has increased theatre capacity for consultants. Patients were satisfied with the cosmetic outcome but improvements in the re-tattooing rate can be achieved with increased experience and the use of colour chart aid.
We described our experience in developing a Breast Care Nurse (BCN)-led nipple areola tattooing service.
Method
Two BCNs attended training for nipple-areola tattooing at a private clinic and gained accredited certification in the procedure. The next step was to create a unit guideline which included obtaining informed consent, patient selection criteria and documentation. The guideline was endorsed and published on the Trust intranet. BCNs then carried out supervised tattooing sessions with consultant, which then was an in-theatre procedure. On achieving competency, the service was commissioned as a nurse-led service, within the outpatient setting in our breast unit.
Results
A monthly clinic was set up with four potential appointment slots each, from March 2015. Between March 2015 and September 2016, 38 patients have been tattooed (average 2 per clinic). Six patients have required bilateral tattooing. Four patients have had 3D tattooing.
An audit on patient satisfaction was carried out. Twenty-five surveys were sent, with 17 responses received (68%). All patients felt that they were involved in the decision-making for shape, position and colour of the procedure. 82% were satisfied with the results of their tattooing. Eleven patients (68%) required more than one session.
Conclusion
The service has allowed professional development for our BCNs and has increased theatre capacity for consultants. Patients were satisfied with the cosmetic outcome but improvements in the re-tattooing rate can be achieved with increased experience and the use of colour chart aid.
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