https://drive.google.com/file/d/1eFEo8gLJs-lwgJSCKw_v6AaDDi2wgFsi/view?usp=sharing

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)

Steps 👣

Tip: Equipment will be prepared, and the patient prepped

The actor will be placing a skin model on their thigh

1. Inject LA:
   1. CHECK EXPIRY DATE,
   2. Pull the plunger before injecting to make sure you’re not in any vessels
   3. Ideally, I would wait for 5 mins
   4. Check LA has worked prick with a needle
2. Suture:
   1. Undermine only if you think it’s necessary
   2. Use a monofilament non-absorbable thread
   3. Start at the periphery and do alternate stitches to both ends of the wound
   4. Dressing
3. Dispose
4. 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

Questions❓

• What are the maximum Doses of local anesthetic?
• Do you need to give antibiotics?