Patients are admitted on day of procedure, or earlier if less fit. Must be arranged in advance via ultrasound sec or by discussing with radiologist who has a list. If deemed suitable for day care, can be assessed by Clinical Nurse Practitioner. If admitted to general wards to be assessed by medical staff.<\/p>\n
Ensure no major change in condition or therapy (seek advice if there is)<\/p>\n
Recent results for the following must be available:<\/p>\n
Consent is obtained jointly by the referring nephrologist and the practitioner (usually a radiologist) performing the biopsy. \u00a0We therefore use a dedicated consent form: Kidney Biopsy Consent Form v2.0<\/a> (also available here<\/a>). \u00a0The top part is completed by the nephrologist; the bottom part by the radiologist. \u00a0This should be attached to the front of the case-notes next to the pathology form so that it is easily accessible to the radiologist performing the biopsy.<\/p>\n At the agreed time if all the above satisfactory. Minimum is 6h if suitable for day-case biopsy, see below. In all cases:<\/p>\n These are suitable if the following conditions can be met:<\/p>\n Diabetes mellitus does not automatically exclude day case biopsy as there is no requirement to fast. Urgent biopsies<\/span><\/strong> – warn renal pathologist<\/p>\n Out of hours procedures<\/span><\/strong> – contact the consultant pathologist first<\/p>\nPost-procedure<\/span><\/strong><\/h3>\n
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Discharge<\/span><\/strong><\/h3>\n
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Day case biopsies<\/span><\/strong><\/h3>\n
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\n Inclusion criteria:<\/i><\/td>\n Low risk
\nSuitable responsible person at home
\nCan arrange own transport for evening discharge<\/td>\n<\/tr>\n\n Exclusion criteria:<\/i><\/td>\n Anticoagulation
\nCreatinine >250 micromol\/l
\nSerious comorbid disease<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\nPatients must have an appropriately early biopsy.<\/p>\nFurther information\u00a0<\/span><\/strong><\/h3>\n