Standard operating procedure

Excision & Wound Closure SOP

Step by step, from the patient sitting down to the wound dressed, the record complete and the specimen logged

For Dermatology & Skin SurgeryRef BS-DER-SOP-001See a sample (PDF) →
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What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Procedure
  • 6. If something goes wrong
  • 7. Training and competence
  • 8. Monitoring and audit
  • 9. Version control and review
  • 10. Common failure modes
  • 11. Appendix A - Procedure record core fields
  • 12. Related documents
  • 13. Disclaimer

CQC fundamental standard

Regulation 11 (Need for consent)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 20 (Duty of candour)
  • Health and Social Care Act 2008: code of practice on the prevention and control of infections
  • Health and Safety (Sharp Instruments in Healthcare) Regulations 2013
  • Human Medicines Regulations 2012 (as amended)
  • Montgomery v Lanarkshire Health Board [2015] UKSC 11

Who it applies to

All clinicians performing excisions and the staff assisting them at [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Aseptic non-touch technique (ANTT)
A way of working that keeps the parts of equipment which will touch the wound completely untouched, so germs are not carried in.
Aspirating
Pulling back on the syringe before injecting to check the needle is not in a blood vessel.
Crush artefact
Damage to tissue caused by squeezing it with instruments, which can make it impossible to examine properly.
Gauge
The thickness of a suture thread.
Haemostasis
Stopping the bleeding.
Margin
The border of normal-looking skin taken out around a lesion.
Neutral zone
An agreed place on the trolley where sharps are put down and picked up, so they are never passed hand to hand.
Orientation suture
A stitch marking a known point on a specimen so the laboratory can say which edge is which.
Relaxed skin tension lines
The natural creases of the skin; cutting along them usually gives a neater scar.
Resheath
Putting the cover back on a used needle, which is prohibited because it causes injuries.
Wrong-site procedure
Operating on the wrong place on the body, or on the wrong lesion.

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  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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