Role of a nurse in the Dermatology OPD, Ward, PUVA Clinic, Laser Clinic, Minor Surgery Dr Sherina Laskar, MD, DNB Resident Physician, Dept of Dermatology&STD Gauhati Medical College&Hospital Role in the Dermatology OPD • Help maintain patient records • Measure patients’ height, weight, pulse, blood pressure, etc. • Fill out investigation and consent forms • Draw blood samples where necessary • Aid in performing dermatologic clinical diagnostic tests for blistering disorders, psoriasis, etc. • Aid in performing examination of peripheral nerves, sensory examination and slit skin smear in patients with Hansen’s disease • Take samples from hair, skin and nails for diagnosis of fungal infections, for pus culture, smears from genital ulcers, etc. • Ensure segregation of waste in appropriately colored waste bins • Maintain and indent OPD supplies, dressing material and sterilisation of instruments used in the OPD • Help maintain general discipline and order and counsel patients and attendants Role in the Dermatology Inpatient Department • Maintain inpatient register and folder • General inpatient nursing care • Perform Condy’s compresses for erosive and oozing skin lesions; also teach attendants the same • Ulcer care: dressing, removal of maggots from neglected ulcers, plaster cast application • Collect samples for investigations • Learn about simple dermatological bedside tests: Tzanck smear, slit skin smear, KOH mount • Learn about and dispense Pulse therapy, ensure maintenance of updated records • Maintain input-output, temperature charts, treatment records • Keep emergency equipment handy • Segregation and disposal of waste, fumigation of rooms Role in PUVA Clinic • Learn about basics of phototherapy • Parts of phototherapy equipment: handling and taking care of • Counsel patients, take written consent • Ensure protection of eyes and male genitalia • Management of acute photo-toxic reactions Role in Laser Clinic • Learn basics of laser therapy • Recognize parts of and correct handling of laser equipment and accessories • Counsel patients, take written consent and maintain records • Pre- and post-procedure care • Ensure laser equipment is covered and accessories are kept back safely after procedure Role in minor dermato-surgical procedures • Learn about the types of procedures performed and indications • Learn about minor surgical equpiment, electrocautery, radio-frequency machines, microdermabrader, skin-graft tools, etc • Maintain sterilisation of equipment, keep sterilized dressing material and OT equipment ready • Keep TCA, phenol, formalin vials, chemical peels, cryogens and other supplies ready and maintain stock • Take written consent and counsel patients • Assist surgeon during procedures • Follow post-operative directions and monitor patients • Maintain records Acknowledgements Prof Anil K Jha Head of Department & Dr Shrishti Shrestha Astt. Prof. Professor Department of Dermatology Nepal Medical College Teaching Hospital Attarkhel, Kathmandu, Nepal Prof Aparna Palit Department of Dermatology, Venereology & Leprosy Sri BM Patil MCH & RC BLDE University Bijapur, Karnataka Dr Vineet Kaur Consultant Dermatologist The Skin Institute Mahmoorganj Varanasi, U.P. Prof Ranjan C Rawal Head, Department of Dermatology NHL Medical College V S Hospital Ahmedabad, Gujarat Dr Sherina N Laskar Resident Physician Department of Dermatology Guwahati Medical College Guwahati, Assam Thank you!