Biopsy, Skin

To obtain a skin sample to send to lab. Often used to determine if skin lesion is cancer

In advance (Huddle)

• MA to confirm supplies needed with provider.

Glove size:
Scalpel type	#10	#11	#15
Biopsy punches?	Yes          No
Sutures?	Yes          No
Dermablade?	Yes          No
Lidocaine	1% with epi 1% WITHOUT epi
Other requests:

PPE

• Sterile gloves

Setup (MA)

• Complete demographics portion of consent form.

• Verify if allergy to iodine or Betadine.

• Ensure all supplies required are available and in procedure room.

For sterile field

MA will get supplies. Provider will then prep sterile field, unless MA is trained to do so.

• Derm Procedure Pack

  • Tissue forceps

  • Straight Kelly forceps

  • Straight mosquito forceps

  • Curved mosquito forceps

  • Iris scissors

  • Needle holder

  • Fenestrated sterile drape

  • Gauze 4x4s (sterile)

• Scalpel (type above)

Prepped on non-sterile counter

• Consent form (demographics completed)

• Sterile gloves (size above)

• Chux (procedure underpad)

• Alcohol wipes

• Syringe 5mL with needle, 18 g x 1” (for drawing medicine)

• Needle, 27 g x 1” (for administering)

• Lidocaine (type above)

• Betadine swabs

  • Substitute Chloraprep swabs if allergic to iodine or Betadine.

• Specimen container

• Silver nitrate sticks

• Dressing supplies

  • Bacitracin

  • Sterile Telfa dressing to cover wound

  • Gauze for over Telfa

  • Tape

  • Bandage scissors

• On request

• Biopsy punches

• Sutures

• Dermablade

Procedure (Provider)

Before

• After reviewing procedure with patient, have patient sign consent form.

• Using sterile technique, place appropriate items on sterile field.

• Confirm allergies.

• Perform time out immediately before procedure.

After

• Remove all sharps from work stand and place in sharps container. 

  • Do not delegate this task.

Dressing (MA or Provider)

• Dress wound.

• Give patient after-care instructions.

Post-procedure (MA)

• When procedure is complete, prepare specimen for lab and send.