46. Complex Implant Procedures

Details
Parent Category: Sexual Health Pathways
Category: SRH Complex

Primary Tariff Rate: £
Additional Tariff Rate: £

    Pathway Detail

    Complex Implant Procedures

     

     

     

    Comments   

    # Vikki Pearce 2016-01-25 14:05
    Check drugs - not sure why IUD/IUS are included at 100% of the time?
    # Usha Kumar 2016-03-03 14:45
    Dear Vikki,
    The above pathway slide was amended and sent to pathway analytics after review by SRH clinicians in 2012, but the changes do not appear to have been done on the slides on the PA website. Please refer back to previous communication from 2012.
    # Pathway Analytics 2016-06-07 12:27
    [CM]Proposed/agree:
    Reduce use of IUD LARC to 10% of patients
    Reduce use of IUS Mirena to 10% of patients
    Reduce use of Implanon LARC to 10% of patients
    Insert:
    2% Xylocaine (2.2ml cart?)
    Complex Implant Removal Kit in 50% of patients £13.69
    Scalpel
    Mosquito forceps
    modified vasectomy ring forceps
    Remove:
    Implanon - LARC
    IUD - LARC
    IUS Mirena - LARC
    Lidocaine Gel 5g
    Steristrips pack
    COC (weighted average)
    EVRA
    POP (weighted average)
    Vaginal ring, Nuvaring
    Male Condom
    Change:
    Syringe 10ml Luer Slip Syringe to Syringe 5ml Luer Slip Syringe
    Allow currency combination:
    SRH Complex and LARC in the same Episode
    # Pathway Analytics 2016-10-24 13:02
    [CM]changed
    Rename step Removal / Insertion to Removal.
    Add Xylocaine 2% 2ml with 1:80,000 Adrenaline for 100% and sharps bin use.
    Include extra complexity step of 30 mins with deep implant removal kit, for 50% of cases
    Swap bandage /plaster for pressure dressing

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