title: Collaboration in developing a protocol for nurse-led seroma aspiration.
abstract: A seroma is a serous fluid collection which may develop in the space between the chest wall and skin flaps following breast cancer surgery with axillary lymph node dissection. Seroma formation following mastectomy is most common. This article aims to produce a protocol for nurse-led seroma aspiration in collaboration with the breast multidisciplinary team and describe the four main steps involved in the development. It was important to develop a protocol for nurse-led seroma aspiration to enable the breast cancer clinical nurse specialist (CNS) to practice confidently and safely in an extended area of practice. The protocol will assist the breast cancer CNS by providing clear and specific guidance. CNSs considering developing a protocol for seroma aspiration should involve all relevant members of the breast multidisciplinary team. Breast cancer CNSs must be trained in seroma aspiration and undergo clinical supervision. Only when deemed competent, should nurse specialists provide a seroma aspiration service independently. Patient satisfaction with the nurse-led seroma aspiration service should be evaluated by clinical audit at an early stage.
authors.affiliation: The Royal Marsden NHS Foundation Trust, London.
authors.forename: Melissa
authors.initials: M
authors.lastname: Warren
mesh_terms: D001365:Axilla; D001943:Breast Neoplasms / Q000601:surgery*; D002985:Clinical Protocols; D006801:Humans; D008197:Lymph Node Excision; D010348:Patient Care Team; D011183:Postoperative Complications / Q000451:nursing*; D049291:Seroma / Q000451:nursing*; D013396:Suction / Q000451:nursing*