UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: Paring of Warts
Effective Date: October, 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed June, 2008 May 2009 November 2011
PURPOSE: To provide guidelines for set-up and assisting with the paring of plantar warts at a UWMF Clinics.
DEFINITION: Warts are benign proliferations of skin and mucosa caused by human papilloma viruses (HPV).
When paring, the skin growth is trimmed with a small knife and examined. Paring usually causes little or no
pain or bleeding because only the dead outer layers of skin are removed. Paring can also make some wart
treatments work better. Removing thick, dead layers of skin that cover the wart helps medication, cold, or heat
to reach deeper into the wart.
POLICY: The clinical staff will utilize the following guidelines to properly set-up and assist with the paring of
plantar warts on a UWMF patients.
SUPPLIES: Provider’s order, Patient’s record, Band-Aids or Telfa pad, gauze
Alcohol or Operand, 15 Blade scalpel,
Aluminum Chloride cotton tipped applicator
1. Check provider’s order and clarify any inconsistencies.
2. Wash hands and gather equipment.
3. Introduce yourself, identify the patient and provide privacy.
4. Explain procedure to the patient.
5. Assist patient onto the exam table and expose affected area.
6. Prep area to be treated with Alcohol or Operand.
7. If injecting a local anesthetic: Verify that patient:
Has no allergies to the anesthetic
Is not on medications that will interfere with anesthetic
Has an appropriate injection area, free from scars etc.
o Review Policy: Injection of Local Anesthetic.
8. Clinical staff pares wart, while ensuring patient’s comfort.
Use Aluminum Chloride cotton tipped applicator to stop pinpoint bleeding.
9. Place tissue in container (if sending for pathology).
10. If provider is not treating wart - apply per patient preference, Band-Aid or Telfa pad.
11. Remove gloves and wash hands.
12. Document in the patient’s record:
Care given to the patient including medications
Vital Signs (if taken)
Post care instructions given to the patient or family
Patient questions or concerns
Future appointments (if needed).
WRITTEN BY: Ronnie Peterson, R.N., M.S., Clinical Staff Educator
CONTRIBUTORS: Jodie Cook, Manager Dermatology
Lisa Hilker, CMA, Department of Dermatology
REVIEWED BY: Lisa Hilker, CMA, Department of Dermatology, 2011
Department of Dermatology Date
Medical Director Date