https://drive.google.com/file/d/1dI_s_nYAFFyx-M72uNZQBa8ph1vTujvQ/view?usp=drive_link

Introduction 🤝

  1. Talk:

    1. Introduce yourself, Confirm the patient’s name and DOB
    2. Verbal consent
    3. Explain the procedure, if pain will stop
    4. WHO checklist: Wristband, side, procedures, Meds/allergies (any blood thinners),

  2. Do: Prep Wash hands, don gloves, check expiry dates for LA, etc,

  3. Dispose of waste appropriately in sharp box, yellow bin, and black bin

  4. End: usually the actor will ask you about post-op instructions during the station

    1. Post-op Instructions in touch as soon as results are out, analgesia, safety net
    2. documentations (procedure, histopathology, microbiology)

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Steps 👣

Tip: This is a too long station for the dedicated 9 mins, be quick

Equipment will be prepared, the patient prepped AND LA INJECTED (unlike primary closure)

  1. LA:
    1. Check LA is working prick with a needle
  2. Mark an ellipse around the lesion:
    1. Use a ruler
    2. no one will check you measurements, make a long and thin ellipse to make it easy to close
  3. Remove the lesion → place in a histopathology pot
  4. Suture:
    1. UNDERMINE it’s nearly impossible to close without undermining on this skin model
    2. Use a monofilament non-absorbable thread
    3. Start at the periphery and do alternate stitches to both ends of the wound
    4. Dressing
  5. Dispose
  6. Post-op instructions:
    1. Analgesia
    2. ROS 7-10 days by GP
    3. Safety net: red, hot, tender, swollen, pain, opens up → come to A&E
    4. I will contact you with histology results in 2 weeks

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Questions❓