Subject: Outpatient hysteroscopy/biopsy – Pain Control and Patient Choice
- The patient information leaflet/s
- The consent form/s
For each of the last 3 financial years:
- All audits of OP hysteroscopy adverse events, (including infection, perforation, pain equal to or above 7/10 on VAS)
- All surveys of patients’ outpatient hysteroscopy experiences. Are all your patients allowed to complete the satisfaction survey at home? Y/N
iii. The number of your patients who had a) GA, b) spinal anaesthesia, c) monitored procedural
- Sedation, d) local anaesthetic, e) no anaesthetic iv. the % of your a) diagnostic hysteroscopies, b) operative hysteroscopies that were done in outpatients. Did your Trust meet the Best Practice Target % Tariff for each of these years? Y/N
- Is local anaesthetic available in all your outpatient hysteroscopy clinics? Y/N
- Is Entonox available in all your outpatient hysteroscopy clinics? Y/N
- Are all your hysteroscopy patients (including See & Treat/One Stop Shop/Late Cancellations) offered
- local anaesthetic? Y/N ii. GA? Y/N
iii. spinal anaesthesia? Y/N
- safely monitored
V sedation? Y/N
- Do you use electro-surgery in any of your outpatients clinics? Y/N
If so, do you always use the lowest power setting? Y/N
- What type and diameter of scopes do you use in
- a) outpatients,
- b) for GA patients? Rigid, semi-rigid, flexible?
- What is the minimum training and accreditation (e.g. RCOG ATSM) that all your NEW hysteroscopists must have?
- What % diagnostic outpatient hysteroscopy/biopsy patients had an incomplete procedure which was repeated with epidural, GA or sedation?
Does your Trust have a psychosexual counselling service for PTSD caused by severe procedural pain?
|Thank you for your email dated 07 April 2017 where you requested information about Outpatient hysteroscopy/biopsy – Pain Control and Patient Choice
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