Office Procedures and Instruments

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LN2 (liquid nitrogen)

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  • used to treat: AKs (precancerous lesions), SKs, iSKs, and VVs

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LN2 (liquid nitrogen)

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1) before clinic: MA will find blue liquid nitrogen canister in lab

2) fill up canister about ¾ with LN2 ALWAYS WEAR GLOVES AND ASK FOR ASSISTANCE

3) one LN2 placed in each exam room on counter near sink

4) ONLY PHYSICIAN USES LN2

5) ensure pt signs consent form before tx

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5 Terms

1
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LN2 (liquid nitrogen)

  • used to treat: AKs (precancerous lesions), SKs, iSKs, and VVs

2
New cards

LN2 (liquid nitrogen)

1) before clinic: MA will find blue liquid nitrogen canister in lab

2) fill up canister about ¾ with LN2 ALWAYS WEAR GLOVES AND ASK FOR ASSISTANCE

3) one LN2 placed in each exam room on counter near sink

4) ONLY PHYSICIAN USES LN2

5) ensure pt signs consent form before tx

3
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Biopsy (bx)

  • performed to determine definitive diagnosis of a lesion

    • templates: “*BX - new patient” or “*Bx - returning pt”

  • have pt sign consent form prior to bx

  • take photo of lesion on an office cell phone after MD or PA has circled the lesion

  • use a single bx burrito, located in the top drawer of the back cabinet in each exam room; open up burrito on pull-out tray

  • grab biopsy bottle from back cabinet

  • one bottle per biopsy (2 biopsies = 2 bottles)

  • in similar locations, provider will label sites A, B, …

  • hibiclens on a piece of gauze and place on tray for MD/PA to clean site

  • label each bx bottle with pt labels located on the bottom shelf of the back cabinet SEPARATE LABEL FOR EACH BIOPSY PERFORMED

  • prepare bandaging materials (small amount neosporin, band-aid

4
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contents of bx burrito

1) 1 cc lidocaine

  • multiple biopsies = grab larger lidocaine

2) 3 pieces of gauze

3) 3 CTA’s

4) 1 blade

5
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label of bx burrito

  • patient name (last, first)

  • site name

  • date of office visit

  • provider performing biopsy

  • leave slide label blank