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PSNCB-CANS Exam Format | PSNCB-CANS Course Contents | PSNCB-CANS Course Outline | PSNCB-CANS Exam Syllabus | PSNCB-CANS Exam Objectives

- Neurotoxins
- Botox (Allergan)
- Dysport (Medicis)
- Xeomin (Merz)

- Dermal fillers
- Hyaluronic Acid
- Juvederm Ultra
- Juvederm Ultra XC
- Juvederm Ultra Plus
- Juvederm Ultra Plus XC (Allergan)
- Restylane
- Restylane-L
- Perlane
- Perlane-L (Medicis)
- Belotero (Merz)

- CAHA
- Radiesse (Merz)
- Bioactivators/biostimulator
- Sculptra (Valleant)
- Semi-permanent
- Artefill (Suneva)

- Sclerotherapy
- Sotradecol (Sodium tetradecyl sulfate)
- Asclera (Polidocanol) (Merz)


- Nonablative Laser, Light-based, and Energy-based Treatments
- IPL (500-1200 nm)
- Photodynamic therapy
- Vascular lasers (532-595 nm)
- Laser hair reduction (LHR)
- Light Emitting Diodes (LED)
- Non-ablative fractional resurfacing
- Infrared light skin tightening
- Radiofrequency (RF) skin tightening

- Ablative – Laser, fractional only
- CO2
- Erbium-Yag
- Ultrasound
- Skin tightening (Ulthera)
- Fat reduction (Liposonix)
- Cryolipolysis

- Topical products
- Sunscreens/Sunblocks
- Retinols/retinoic acid
- Antioxidants
- Lightening agents - hydroquinone
- Peptides (amino acids)
- Growth factors
- Alpha and Beta hydroxy acids

- Topical devices
- Blue light
- Chemical peels
- Superficial
- AHA
- BHA
- Jessner and modified Jessner
- Resorcinol
- TCA

- Medium
- TCA (10-40%)
- Pyruvic acid
- Mechanical Exfoliation
- Dermaplaning
- Microdermabrasion
- Cleansing devices

- Assess and Monitor Patient Status, Physical and Psychosocial
- Pre-Treatment
- Identify patient expectations.
- Determine if patients expectations are realistic.
- Perform health exam.
- Medical History
- look at autoimmune disease
– neurotoxin
- ALS
- Lambert
- Eaton

- Family history.
- Current medications and treatments.
- Allergies, history of anaphylaxis.
- Identify contraindications
- herpes cold sore
- inability to give consent
- too young
- psychological issues
- infection at site
- medications that interfere with treatment
- skin condition
- recent sun exposure
- sunless tanning products on skin - for laser

- Assess and Monitor Patient Status, Physical and Psychosocial
- Pre-Treatment
- Perform health exam.
- Other considerations
- response to previous treatment
- previous surgeries or alterations to A&P
- nutrition
- lifestyle
- occupation

- physical activities
- smoking
- alcohol use
- pain tolerance
- bruising history
- upcoming social events

- Perform site-specific skin exam
- identification of skin type
- A&P
- symmetry
- Obtain pre-treatment photographs
- Assess patient's ability to maintain and follow-through with ongoing treatments.

- During Treatment
- Monitor patient safety/provider safety (e.g., laser safety/appropriate OSHA standards).
- Observe patient reactions to treatment.
- Assess patients comfort.
- Monitor physiological status
- medication reactions (allergic reactions)
- adverse treatment reactions (vascular compromise, tissue integrity)
- monitor for vasovagal response (fainting)

- Post-Treatment
- Assess patients knowledge and ability to manage on-going post-treatment care.
- Assess need for follow-up evaluation (on site, phone call, email).
- Assess patient outcome.
- Obtain post-treatment photographs.

- Pre-Treatment
- Develop individualized treatment plan including refinements or retreatments.
- Identify expected/desired outcomes of treatment.
- Identify issues/problems that require referral to other providers.
- Establish mutually-set goals with patient including optimal timing.
- Obtain appropriate informed consent.
- Prepare equipment, supplies, products, medications, environment (laser) and personnel (patient, provider, possible assistant) for treatment.

- During Treatment
- Administer medications (local anesthesia, dental blocks for fillers, topical anesthetics).
- Maintain infection control measures.
- Ensure safety of patient and staff throughout procedure.
- Perform procedure/treatment.
- Provide emotional support throughout treatment.
- Ensure proper equipment function throughout treatment.
- Apply appropriate post-treatment topical preparations, dressings or garments.

- Post- Treatment
- Document treatment.
- Dispose medical waste appropriately: sharps, laundry, supplies.
- Determine follow-up care/retreatment (optimal timing).
- Encourage patient to express feelings about changes in temporary and long-term appearance (positive and negative).
- Refer patient experiencing serious adverse effects that require medical intervention to appropriate provider.

- Pre-Treatment
- Provide instructions and patient educational materials.
- Specific Products
- Brochures
- Medication guides
- CDs or DVDs
- Specific Procedures
- Restrictions prior to procedure
- Preparation(products, medications) for procedure
- Combination therapy
- Explain the treatment process (e.g., neurotoxin: delayed onset)
- Dispel misconceptions
- Post-Treatment
- Provide instructions and explain restrictions for care following treatment.
- Explain difference between expected normal treatment response versus adverse events or complications.
- Discuss measures to maintain optimal post-treatment results

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