PSNCB-CANS Exam Information and Guideline
PSNCB Certified Aesthetic Nurse Specialist
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
- 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 patient’s expectations are realistic.
- Perform health assessment.
- 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 assessment.
- 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 patient’s comfort.
- Monitor physiological status
- medication reactions (allergic reactions)
- adverse treatment reactions (vascular compromise, tissue integrity)
- monitor for vasovagal response (fainting)
- Post-Treatment
- Assess patient’s 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
- CD’s or DVD’s
- 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