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Preoperative
Advice And Information
Pre-operative
advice is given in writing at the assessment visit (or by telephone
for acute referrals). The following important points are highlighted
to each patient verbally at the assessment.
Escort
The
escort needs to be a responsible adult who is able to escort
them to the clinic on the treatment day, to remain in the practice
while treatment is being carried out, and to take them home
and remain with the patient until the following day.
Transport
It
is emphasised that this should be by private transport. If transport
home cannot be arranged by private car, then a taxi will be
organised for the patient. Patients are warned in advance that
it will not be acceptable for them to use public transport or
drive for 24 hrs after their treatment.
Need
for appropriate childcare
Patients
with children will need to arrange childcare for the post-operative
period. Parents with small children are advised to bring only
the patient to the treatment session and to arrange childcare
for the other children.
Starving
Patients
are advised that they must be starved for six hours prior to
the appointment for consultant anaesthetist-given sedation,
and for two hours before simple sedation with RA or single drug
intravenous sedation.
EMLA
Topical
anaesthetic cream for patients will be supplied to improve tolerance
of venepuncture if required. Patients are issued with written
advice and instructions of how this product should be used.
Treatment
Plan and Estimates
An
estimate of the NHS cost of treatment if appropriate, including
charges for failure to attend, is given to the patient so that
any queries can be dealt with before the treatment session.
NHS fee-paying patients are warned that charges may change during
treatment and in some cases an additional visit may be required,
which will incur further cost. Non-NHS fee-paying patients will
be asked to settle their accounts before they are sedated.
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