Top Banner

Click here to load reader

27

NAIL SURGERY POLICY - Mersey Care NHS Foundation Trust · PDF file 5.2 Podiatry Assistant: It is the responsibility of the foot care assistant to assist the podiatrist in under taking

Aug 23, 2020

ReportDownload

Documents

others

  • COMMUNITY DIVISION SERIVCE BASED POLICY DOCUMENT

    NAIL SURGERY POLICY

    Policy Number: 177 Scope of this Document: Staff wortking within Podiatry

    Services – Mersey Care Community Services Division

    Recommending Committee: N/A Approving Committee: Clinical Standards Group Date Ratified: Novemb er 2019 Next Review Date (by): November 2021 Version Number: 2019 – Version 2 Lead Executive Director: Executive Director of Nursing

    and Operations Lead Author(s): Podiatry Team Leader

    COMMUNITY DIVISION SERVICE BASED POLICY

    DOCUMENT

    2019 – Version 2

    Striving for perfect care and a Just Culture

    Page 1 of 27 177 - Nail surgery policy Version 2 November 2019

  • COMMUNITY DIVISION SERVCE BASED POLICY DOCUMENT

    NAIL SURGERY POLICY Further information about this document:

    Document name 177 - NAIL SURGERY POLICY

    Document summary

    THIS DOCUMENT OUTLINES THE GUIDELINES AND

    PROCEDURES FOR PODIATRY STAFF TOP FOLLOW WHEN COMPLETEING NAIL SURGERY IN A CLINICAL SETTING

    Author(s)

    Contact(s) for further

    information about this document

    Kate Marley Podiatry Team Leader

    Telephone: 0151 295 9457 Email: kate.marley@merseycare.nhs.uk

    Published by

    Copies of this document are available from the Author(s) and

    via the trust’s website

    Mersey Care NHS Foundation Trust V7 Building

    Kings Business Park Prescot

    Merseyside L34 1PJ

    Trust’s Website www.merseycare.nhs.uk

    To be read in conjunction with

    HS4 COSHH PROCEDURE INFECTION PREVENTION AND CONTROL POLICY

    MC01 MENTAL CAPACITY ASSESSMENT LoccSips

    DUREThis document can be made available in a range of alternative formats including various languages, large print and braille etc

    Copyright © Mersey Care NHS Trust, 2015. All Rights Reserved

    Version Control:

    Version History: Consultation Draft,

    Version 1 Clinical policies group 05/12/18

    Version 2 Reviewed and Ratified by Clinical Standards Group 26 Nov-19

    Page 2 of 27 177 - Nail surgery policy Version 2 November 2019

    mailto:kate.marley@merseycare.nhs.uk http://www.merseycare.nhs.uk/

  • SUPPORTING STATEMENTS This document should be read in conjunction with the following statements:

    SAFEGUARDING IS EVERYBODY’S BUSINESS All Mersey Care NHS Foundation Trust employees have a statutory duty to safeguard and promote the welfare of children and adults, including: • being alert to the possibility of child / adult abuse and neglect through their observation of abuse, or

    by professional judgement made as a result of information gathered about the child / adult; • knowing how to deal with a disclosure or allegation of child /adult abuse; • undertaking training as appropriate for their role and keeping themselves updated; • being aware of and following the local policies and procedures they need to follow if they have a child

    / adult concern; • ensuring appropriate advice and support is accessed either from managers, Safeguarding

    Ambassadors or the trust’s safeguarding team; • participating in multi-agency working to safeguard the child or adult (if appropriate to your role); • ensuring contemporaneous records are kept at all times and record keeping is in strict adherence to

    Mersey Care NHS Foundation Trust policy and procedures and professional guidelines. Roles, responsibilities and accountabilities, will differ depending on the post you hold within the organisation;

    • ensuring that all staff and their managers discuss and record any safeguarding issues that arise at each supervision session

    EQUALITY AND HUMAN RIGHTS Mersey Care NHS Foundation Trust recognises that some sections of society experience prejudice and discrimination. The Equality Act 2010 specifically recognises the protected characteristics of age, disability, gender, race, religion or belief, sexual orientation and transgender. The Equality Act also requires regard to socio-economic factors including pregnancy /maternity and marriage/civil partnership.

    The trust is committed to equality of opportunity and anti-discriminatory practice both in the provision of services and in our role as a major employer. The trust believes that all people have the right to be treated with dignity and respect and is committed to the elimination of unfair and unlawful discriminatory practices.

    Mersey Care NHS Foundation Trust also is aware of its legal duties under the Human Rights Act 1998. Section 6 of the Human Rights Act requires all public authorities to uphold and promote Human Rights in everything they do. It is unlawful for a public authority to perform any act which contravenes the Human Rights Act.

    Mersey Care NHS Foundation Trust is committed to carrying out its functions and service delivery in line the with a Human Rights based approach and the FREDA principles of Fairness, Respect, Equality Dignity, and Autonomy

    Page 3 of 27 177 - Nail surgery policy Version 2 November 2019

  • Contents

    1. Purpose and Rationale 5

    2. Outcome Focused Aims and Objectives 5

    3. Scope 5

    4. Definitions 6

    5. Duties 6

    6. Process 6

    7. Consultation 12

    8. Training and Support 13

    9. Monitoring 13

    10. Equality and Human Rights Analysis 14

    11. Appendices 19-26

    Appendix 1 nail surgery referral flow chart

    Appendix 2 high-risk conditions

    Appendix 3 At Risk conditions

    Appendix 4 Total contraindications to use of phenol

    Appendix 5 Contraindications letter to GP

    Appendix 6 Pregnancy and breastfeeding

    Appendix 7 Consent to treatment for adults

    Appendix 8 Consent to treatment for children

    Appendix 9 nail surgery information leaflet

    Appendix 10 Nail surgery standard operating procedure

    Appendix 11 Maximum safe dose of LA Appendix 12 LocSIPP Appendix 13 Competency Framework

    Section Page No

    Page 4 of 27 177 - Nail surgery policy Version 2 November 2019

  • 1. PURPOSE AND RATIONALE

    1.1 The documentation included is relevant to the referral, assessment and consent

    to the procedure of nail surgery. It aims to provide standardised practice of nail surgery referrals for the Podiatry Service.

    1.2 To ensure the safe assessment and treatment of patients undergoing nail

    surgery from Mersey Care NHS Foundation Trust community Podiatry Department

    1.3 To ensure all staff are safeguarded in the use of podiatric Chemicals and

    understand COSHH guidelines associated with chemicals

    1.4 To ensure all staff are carrying out Nail surgery in a competent manner with competent clinical skills

    1.5 To ensure that all documents are consistent in format and content

    2. OUTCOME FOCUSED AIMS AND OBJECTIVES

    2.1 This policy is intended to offer guidance to both patients and members of staff during consultation, assessment and treatment of those patients under-going nail surgery

    2.2 The documentation included is relevant to the referral, assessment and consent

    to procedure. It aims to provide standardised practice of nail surgery referral and treatment for the department.

    2.3 As with all patients, they will receive a primary assessment and conservative treatment to help resolve the painful nail condition. Should this not resolve the problem and nail surgery is indicated, a referral for nail surgery will be made.

    2.4 Band 5 Podiatrists should complete the defined Nail Surgery competencies alongside an experienced Band 6 Podiatrist. They should complete 20 sessions before being signed off as competent.

    3. SCOPE

    3.1 This policy applies to all working in the podiatry service at Mersey Care NHS

    Foundation trust who carry out nail surgery, this will include podiatrists and foot care assistants.

    3.2 The procedure involves removal of part or all of a toenail and is the most common surgical procedure for the treatment of ingrowing toenails.

    Page 5 of 27 177 - Nail surgery policy Version 2 November 2019

  • 3.3 Nail surgery is a procedure undertaken by HCPC registered Podiatrists with a

    certificate in local anaesthesia.

    3.4 Registered podiatrists can obtain some medicines from a registered medicines distribution service for supply or administration to patients in the course of their professional practice, the podiatrist needs to be registered with the appropriate annotation on the register: Prescription only medicines (POM’s)

    3.5 The Podiatrist is a Band 6 or Band 7 Clinician assisted by a Band 5 Podiatrist or Foot Care Assistant

    3.6 The procedure should be carried out in a clinical setting across Liverpool and South Sefton sites

    3.7 Only in exceptional circumstances may nail surgery be carried out in a domiciliary setting at the discretion of the Podiatry Team Leader

    3.8 All health care professionals have a responsibility to ensure they work in line with their own professional code of conduct

    4. DEFINITIONS

Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.