Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...
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<strong>St</strong>.Vincent’s Healthcare Group<br />
Department of<br />
D e r m a t o l o g y<br />
Departmental Review<br />
The Department of Dermatology at <strong>St</strong> Vincent’s University<br />
Hospital together with Hume <strong>St</strong>reet <strong>and</strong> <strong>St</strong> Michael’s Hospitals<br />
provide dermatology services for patients living in the East<br />
Coast Area Health Board <strong>and</strong> other health boards.<br />
Dermatology Day-<strong>Care</strong> Unit<br />
Narrowb<strong>and</strong> UVB phototherapy, PUVA therapy, short contact<br />
dithranol therapy, patient education,cryotherapy, dressings<br />
including scalp therapy were provided by Ms Sheila Ryan <strong>and</strong><br />
2,494 episodes were recorded.<br />
<strong>St</strong>aff<br />
Consultants<br />
Dr Paul Collins <strong>and</strong> Dr Sarah Rogers<br />
Outpatient clinics<br />
98<br />
Specialist Registrar<br />
(<strong>St</strong> Vincent’s/<strong>St</strong> Michael’s)<br />
Registrar<br />
(Hume <strong>St</strong>/<strong>St</strong> Vincent’s)<br />
Clinical Nurse Specialist (CNS)<br />
Ms Sheila Ryan<br />
Dr Marina O Kane (SpR3) January-June<br />
Dr Sinead Langan (SpR3) July - D e c e m b e r<br />
Dr Rupert Barry January-December<br />
Administrative Assistants<br />
Mrs Eileen Cusack<br />
Mrs Brenda Harte (both half time)<br />
Clinical service<br />
Inpatients<br />
There were 98 <strong>St</strong> Vincent’s dermatology clinics at which 2,542<br />
patients (new referrals = 755) were treated.There were 49 <strong>St</strong><br />
Michael’s dermatology clinics at which 786 patients (328 new<br />
referrals) were treated. Outpatient investigation <strong>and</strong> therapy<br />
including cryotherapy, diagnostic punch biopsy, four layer<br />
b<strong>and</strong>aging,wart dressings/treatments, wound care <strong>and</strong> light<br />
cautery for macrocomedones was provided for 492 patients at<br />
SVUH <strong>and</strong> 224 patients at SMH.<br />
Patients were referred to Hume <strong>St</strong> hospital for photodynamic<br />
therapy, patch testing <strong>and</strong> phototherapy/PUVA <strong>and</strong> there were<br />
14,206 patient episodes.There were 637 new <strong>and</strong> 3615 return<br />
patients seen at clinics in the outpatients <strong>and</strong> in day-care.<br />
99<br />
Twenty-one patients were admitted as urgent cases. Patients<br />
with chronic stable skin conditions,including psoriasis <strong>and</strong> atopic<br />
eczema,requiring five day elective inpatient dermatology<br />
nursing, were admitted to Hume <strong>St</strong> Hospital (276 patients).<br />
331 patients at <strong>St</strong> Vincent’s <strong>and</strong> 36 patients at <strong>St</strong> Michael’s had<br />
inpatient dermatology consultation for medical <strong>and</strong> surgical<br />
teams. Twenty-four of these patients required significant<br />
ongoing dermatology inpatient management at <strong>St</strong> Vincent’s.<br />
Day-care<br />
Extramural Theatre<br />
Day case surgery, predominantly for non-melanoma skin cancer<br />
<strong>and</strong> atypical melanocytic naevi,was performed for 137 patients<br />
at extramural theatre.<br />
Postgraduate <strong>and</strong> undergraduate education<br />
Higher Specialist training for specialist registrars in dermatology<br />
<strong>and</strong> General Professional training for senior house officers<br />
was provided at <strong>St</strong> Vincent’s <strong>and</strong> Hume <strong>St</strong> Hospitals.There<br />
was a weekly postgraduate dermatology session with<br />
dermatologists from <strong>St</strong> James’s <strong>and</strong> Adelaide/Meath<br />
Hospitals comprising journal club <strong>and</strong><br />
combined clinical case meeting at Hume<br />
<strong>St</strong>reet on Wednesday morning. The<br />
fortnightly histopathology<br />
meeting took place at <strong>St</strong><br />
Vincent’s University<br />
Hospital.<br />
<strong>St</strong> Mark’s Ward<br />
There were thirty-eight patient episodes for infusions of<br />
infliximab <strong>and</strong> immunoglobulin as day case patients.