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Wart Removal: Dermatology Clinic (With or Without EDC -Electro Desiccation and Curettage) (102.039)

Wart Removal: Dermatology Clinic (With or Without EDC -Electro Desiccation and Curettage) (102.039) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Dermatology

102.039

1
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

TITLE: Wart Removal: Dermatology Clinic
(With or Without EDC -Electro Desiccation and Curettage)

Effective Date: October, 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education

Reviewed Dec 2007 December 2011

PURPOSE: To provide guidelines for set-up and assisting with a wart removal at a UWMF Dermatology
Clinic.
DEFINITION: Warts are benign proliferations of skin and mucosa caused by human papilloma viruses
(HPV). The most common types of surgical treatment for wart removal include:
Liquid nitrogen is a very cold, liquid gas (Temperature of -384 degrees) It is used to freeze and destroy
growths on the skin.
Electro desiccation is burning the wart with an electrical current.
Curettage is cutting the wart off with a circular curette, or spoon-shaped tool. Desiccation and Curettage
are often performed together.
Laser surgery seals blood vessels that feed the wart.
Candida Injection to engage the body’s immune system.

POLICY: The clinical staff will utilize the following procedure to set-up and assist with wart removal on a
UWMF patient.

SUPPLIES: Provider order, Patient record, Verbal informed Consent, Local anesthetic, gloves, goggles &
mask, Cryosurgery: Liquid nitrogen (- 384º) or Laser equipment, gauze, alcohol, Band-Aid or Telfa pad,
Mayo Stand w/cover, smoke evacuater, EDC: add – Currette (provider preference) Hyfracator sheath
and disposable tip

PROCEDURE:
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 and verify that patient:
Has no allergies to the anesthetic (if used).
Is not on medications that will interfere with anesthetic.
Has an appropriate injection area, free from scars etc.

5. Place on the Mayo stand: Anesthetic, Laser equipment, alcohol/Operand, Band-Aid or Telfa pad, and gauze.

6. Assist patient onto the exam table and expose affected area.

7. Drape patient to protect areas not being treated.

2

8. For EDC: Prep area to be treated with skin prep.

9. If injecting a local anesthetic: (Review Policy: Injection of Local Anesthetic).

10. Assist provider with procedure, while ensuring patient’s comfort.
EDC: Assist as needed.
Laser surgery: Assist by holding the smoke evacuator (if needed).

11. Apply per patient preference, Band-Aids or Telfa pads, and tape(if needed).

12. Remove gloves and wash hands.

13. Assist patient from exam table and ensure patient comfort.

14. Instruct the patient on the following:
The treatment may be repeated every 2-4 weeks for approximately 3 months
Take prescribed pain medications
Cover skin in sunlight to decrease possible blistering
Side effects may include scarring, ulceration, or pigment alteration

15. 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, C.M.A., Department of Dermatology

REVIEWED: Lisa Hilker, C.M.A., Department of Dermatology, 2011

AUTHORIZATION:


Department of Dermatology Date


Medical Director Date