Policy

Nail Surgery & Local Anaesthesia Policy

Patient selection, digital block technique, phenolisation, aftercare and the management of anaesthetic complications in podiatric nail surgery

For Podiatry & ChiropodyRef BS-POD-POL-002See a sample (PDF) →
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

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

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Patient selection
  • 6. Consent
  • 7. Local anaesthesia
  • 8. Managing complications
  • 9. Phenol handling
  • 10. Aftercare and follow-up
  • 11. Roles and responsibilities
  • 12. Training and competence
  • 13. Records, monitoring and audit
  • 14. Version control and review
  • 15. Appendix A - Pre-operative assessment record
  • 16. Appendix B - Procedure and safety checklist
  • 17. Related documents
  • 18. 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 18 (Staffing)
  • Human Medicines Regulations 2012 (as amended), including the provisions on administration of prescription-only medicines by podiatrists
  • 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
  • Control of Substances Hazardous to Health Regulations 2002 (COSHH) - phenol
  • Resuscitation Council UK guidance on the management of anaphylaxis
  • Montgomery v Lanarkshire Health Board [2015] UKSC 11

Who it applies to

All podiatrists performing nail surgery, assisting staff, and the clinical lead and registered manager of [Organisation Name]

Glossary

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

Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Capillary refill
Pressing the toe and timing how quickly the colour returns, as a quick check of blood supply.
Digital block
An injection at the base of the toe that numbs the whole toe.
Doppler
A handheld device that listens to blood flow in the arteries of the foot.
Ischaemia
Not enough blood reaching the tissue, which can cause it to die.
LAST
Poisoning caused by too much local anaesthetic reaching the bloodstream, which can cause fits or stop the heart.
Matrix
The part under the base of the nail that grows the nail.
Osteomyelitis
Infection of the bone, which needs urgent medical treatment.
Partial nail avulsion
Removing a strip down one side of the toenail, usually for an ingrowing nail.
Phenol
A corrosive chemical applied to the nail matrix so that the removed part of the nail does not grow back.
Protective sensation
Enough feeling in the foot to notice pain or pressure and react to it.
Regrowth
Nail growing back in a part that was treated to stop it growing, and the commonest reason for a repeat procedure.
Tourniquet
A tight band put round the toe to stop bleeding during the procedure. It must always be removed.
Vasoconstrictor
A substance that narrows blood vessels. Not used in toes here, because the toe depends on a small blood supply.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  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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