1. Created by Aimee Cooper, CMA Dermatology Surgery Instruments

2. Objective • To learn the specialized instruments used in Dermatology Surgery • To be able to properly set up Mohs and Excision/Closure trays • To obtain instruments needed by provider in a timely manner

3. Mohs Tray • Instruments needed: • 1 medicine cup • 1 blade handle • 1 adson forceps w/teeth • 1 lrgcurrette • 1 smlcurrette • 1 cvd hemostat • 1 str hemostat • 1 ragnell scissor • Mohs is a non-sterile tray. Proper PPE is necessary (i.e. non-sterile nitrile gloves) • Additional items needed for a complete tray are: • 15 blade • Non-sterile hyfrecator tip • Non-sterile hyfrecator sheath • 1 light cover • Non-sterile cotton tipped applicators • Sodium Chloride in medicine cup

4. Excision/Closure Tray • Instruments needed: • 2 medicine cups • 1 blade handle • 1 adson forceps w/teeth • 1 skin hook • 1 smlmetzebaum scissor • 1 cvd hemostat • 1 str hemostat • 1 lrgmetzebaum scissor • 1 needle holder • 1 bishop harmonforcep • Excision/Closure is a sterile tray. Proper PPE is necessary (i.e. sterile gloves) • Additional items needed for a complete tray are: • 15 blade • Sterile hyfrecator tip • Sterile hyfrecator sheath • 1 light cover • Sterile cotton tipped applicators • Sodium Chloride in medicine cup • Providone-Iodine Swabsticks (3’s) OR Hibiclens

5. Adson Forceps w/Teeth

6. Bishop Harmon Forceps

7. Currette

8. Blade Handle

9. Hemostat- Curved & Straight

10. Beaver Blade Handle

11. Castroviejo Needle Holder

12. Iris Scissor

13. Metzebaum Scissor

14. Needle Holder

15. Ragnell Scissor

16. Skin Hook

17. Tenotomy Scissor

18. Mohs Tray Set-Up

19. Excision/Closure Tray Set-Up