SURGICAL SERVICES

Effective Date: 
Sun, 09/01/1996
Reviewed: 
Thu, 08/11/2011
Revised: 
Sun, 06/14/2015
Policy: 

The Student Health Center performs only minor surgical procedures. Examples include; laceration repair, incision and drainage, removal of skin tags or simple superficial excisions, and skin biopsies.  In addition, intrauterine device insertion and removal, colposcopic examination that includes cervical biopsy and endometrial sampling is performed on site as well by appropriately credentialed and privileged health care providers. These procedures are performed under local or topical anesthesia only. There is no conscious sedation performed on site.

Procedure: 

Clinicians must be appropriately credentialed prior to being granted specific privileges to perform surgical procedures.

The Student Health Center clinician assesses the patient, explains the need and appropriateness of the procedure, alternative treatments available and obtains the patient’s informed written consent prior to performing the procedure.

Appropriate aseptic technique is observed for all surgical procedures and the procedures are documented in the electronic medical record.

Patients are provided education on wound care and instructions on after hours care and follow up as clinically appropriate.

With the exception of skin tags, dystrophic nails, or normal skin removed incidental to other procedures, all tissues removed during surgical procedures are submitted for examination by an offsite pathologist at the reference laboratory, whose signed report is made part of the medical record and acknowledged by the ordering health care provider.

Patients with significantly abnormal pathology results will be referred for speciality care to assume management.

Patients are informed at the time of tissue biopsy that their pathology results will be communicated by secure electronic communication.

Key Points: 
  • The Student Health Center performs only minor surgical procedures.
  • Informed consent is documented for surgical procedures.
  • Removed tissues are routinely sent for pathology evaluation and patients are notified of results and recommended follow up.