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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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