0:00

So moving on to talk about post biopsy care

0:03

and instructions after you've done the biopsy,

0:07

I would recommend that you do at least five minutes

0:09

of firm compression depending on

0:11

how much the patient has bled during the procedure.

0:14

The instructions are gonna be institutionally dependent,

0:16

so please do give them written instructions.

0:19

Patients forget what you've told them, you know,

0:21

they're very stressed at that time,

0:23

so make sure they do have written instructions.

0:26

We put on Steri strips.

0:28

Tell the patients to remove them after one week.

0:31

Remove them earlier if they itch.

0:33

Um, still probably overkill,

0:34

these tiny incisions to be honest.

0:36

And then we put some gauze with paper tape on.

0:40

Rarely we need to put a pressure dressing on if,

0:43

if we've had to do a prolonged compression for hemostasis,

0:46

we give them little disposable ice packs to take with them

0:50

and put within their bra,

0:52

and we recommend that they do wear a good supportive bra,

0:55

um, to keep themselves comfortable.

0:58

Other instructions, again,

0:59

are gonna be very institutionally dependent.

1:01

Uh, we tell them to avoid swimming hot tubs

1:04

and bars for one week,

1:05

but they can shower the next day

1:07

to limit lifting on their affected

1:09

side for a couple of days.

1:11

To be honest, it's only really matters

1:13

for very posterior lesions.

1:14

If you've got an anterior lesion,

1:16

it's not gonna be affected by lifting.

1:18

I do think they should limit cardiovascular exercises

1:22

for two to three days in particular, anything

1:25

where their breast is gonna bounce up

1:26

and down, such as running.

1:28

And pretty much what I say to them, you know,

1:30

if it hurts, don't do it.

1:32

Um, we have a lot of patients who are very avid exercises,

1:37

particularly avid runners,

1:39

and they don't like being told that they can't do it.

1:41

So, you know, you have to leave it to their discretion.

1:44

I say we're a good supportive bra when you start doing it,

1:47

if it hurts your breast stop.

1:49

So how the results are communicated

1:51

with the patient will depend on your institutional policy,

1:54

but those pathways must be very clearly defined

1:57

and documented, uh, within your institutional records.

2:02

Verbal communication is really the best.

2:06

Uh, this can be from the radiologist,

2:08

from a nurse within your section, from the,

2:12

could be perhaps somebody from your comprehensive breast

2:14

program if you have one,

2:16

or it may be from their PCP or surgeon.

2:18

I have to say I prefer the results to come from our section

2:22

as I feel that is, uh, the most reliable.

2:25

But either way, you must have very clear communication

2:30

and clear documentation that this communication occurred,

2:34

uh, both for the result

2:36

and for the subsequent planned management.

2:39

Um, this can be documented in the report.

2:42

It could be documented in the EMR

2:43

or it could be documented in both.