Nurse-Led Management of Carpal Tunnel Syndrome: An Audit of Outcomes and Impact on Waiting Times

Abstract

INTRODUCTION: This article describes the outcome of a nurse-led service developed to manage patients referred with a presumptive diagnosis of carpal tunnel syndrome. PATIENTS AND METHODS: We developed a rapid-access service in response to unacceptable waiting times for patients with carpal tunnel syndrome. The service was developed around the role of a nurse practitioner providing a single practitioner pathway from first clinic appointment, through surgery to discharge. RESULTS: Waiting times improved considerably whilst the standard and quality of care was maintained. CONCLUSIONS: There is a role for nurses to perform certain surgical procedures within a well-defined environment.