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"Excellent NHS Dermatology workers"

About: Outpatients Centre / Dermatology

(as a service user),

I approached my GP about a mole.  His referral led in only 4 weeks to a consultation (punctual to the minute!) with a Lead Nurse Brenda, who reassured about my referred mole but very amenably agreed (or may have also intended) to look at others. Spotting one, which she explained  so clearly and fully as causing her concern, she then discussed further action. She immediately checked availability and booked me in for excision (for pathology examination) the next day.

With no waiting, I met Rose, a senior nurse (and her assistant nurse Angela) who fully discussed the proposed action for my consent, explaining the reasons and risks with complete openness to questions.  I was then made as comfortable as possible on a padded table, suitably disinfected and draped, then carefully given local anaesthetic jabs before excision of a 1.5 cm mole on my back.  Throughout the procedure Rose explained actions and actively listened to my feedback and questions.  She gave great preparation instruction for aftercare and explained subsequent protocols.  Both also chatted generally, including me in conversations, but throughout showed great awareness of actual or potential discomfort. 

With such excellent professional treatment and care, I hesitate to make any further comment, but the facilities in which these professionals worked could be improved. Having to lie face down for about 40 minutes became uncomfortable, largely because of a pillow and square end to the table so my arms were locked above the cricked - up head.  It surprises me that an open face table as for massage was not used, where face and arms are not propped up but can be eased. It also avoids laundry expense to a pillow.  The workers suffered frequent distractions due to the office/ treatment room being used to store shared resources.

I would like Rose , Angela and Brenda to be aware of how grateful and impressed I have been with their warmth, openness and professionalism; hence this contribution which I give at the invitation of Rose and Angela.


Response from Brenda Smith, Dermatology Nurse, Dermatology, NHS Forth Valley 4 days ago
Brenda Smith
Dermatology Nurse, Dermatology,
NHS Forth Valley
Submitted on 05/05/2021 at 11:16
Published on Care Opinion at 11:16

Thank you very much Moley 68 for leaving such high praise for the department and for highlighting the sometimes challenging circumstances we work in.

I will take on board the comments about the operating table situation.

I will pass on your feedback to the members of the team you mentioned in your response

hope your wound is healing ok


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Update posted by Moley 68 (a service user)

Thanks Brenda. I was so grateful that you and your colleagues noted and dealt with what could have been a significant problem, so professionally but with care. I was perfectly okay about the lack of privacy, but my comment about the open nature of the treatment room was to give your staff grounds to ensure that you are given a resource appropriate for patients from other cultures who would be concerned at being on view. I imagine women (in particular) from traditional cultures would have been distressed at strange men, not even involved in their treatment, walking in while they were disrobing or lying exposed on the table. I did not think about this until describing the treatment, which reflects my own cultural blinkers I suppose.

Response from Brenda Smith, Dermatology Nurse, Dermatology, NHS Forth Valley 2 days ago
Brenda Smith
Dermatology Nurse, Dermatology,
NHS Forth Valley
Submitted on 07/05/2021 at 08:43
Published on Care Opinion at 08:43

Thank you Moley68 and I completely take on board your comments about through traffic in that particular room.

we do try and minimise disturbance in the procedure room but occasionally we may need something urgently for another patient in another part of the department from that room

Maybe we need to slightly rearrange our stock and make sure there is enough in all treatment areas -that will be a positive action from your feedback.


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