Dermatology Mohs Surgical Tech

Mohs Surgical Technician

Preoperative responsibilities

• Review the Mohs schedule and patient charts.
• Confirm biopsy site and pathology.
• Confirm surgical site with the patient and surgeon.
• Review medications, allergies, anticoagulants, pacemakers/implanted devices, and relevant medical history and vitals
• Take preoperative photographs.
• Prepare the surgical room and sterile field.
• Set up instruments, supplies, sutures, dressings, and medications.
• Assist with surgical timeout/site verification procedures.

During Mohs surgery

• Assist the surgeon during removal of each Mohs layer.
• Maintain clean technique for stages
• Pass instruments and supplies.
• Assist with electrocautery and bleeding control as directed.
• Prepare the patient between Mohs stages.
• Monitor the patient while awaiting pathology results.
• Assist with subsequent stages when additional tissue removal is required.
• Take photos each stage, before/after

Reconstruction/closure

• Prepare the sterile field for reconstruction.
• Assist with:
  • Simple closures
  • Complex layered closures
  • Flaps
  • Grafts
• Prepare sutures and instruments.
• Dress the Wound
• Take postoperative photographs

Postoperative care

• Review provider-approved postoperative and wound-care instructions.
• Answer postoperative questions within MA scope and escalate clinical concerns.
• Assist with wound checks and dressing changes.
• Monitor documentation for postoperative complications and notify the provider.
• See suture removals and wound checks

Surgical operations responsibilities

• Sterilize/process instruments according to practice policy.
• Maintain surgical instruments and equipment.
• Complete biological/chemical sterilization monitoring documentation as applicable.
• Maintain surgical supplies and inventory.
• Ensure emergency equipment and supplies are available.
• Maintain OSHA and infection-control compliance.
• Assist with surgical logs, specimen logs, and quality-control documentation.

Scribe & Clinical Documentation Required throughout all Phases of Visit

• Provide real-time scribing support during patient visits, accurately documenting the provider-patient encounter in the electronic medical record (EMR).

Additional Responsibilities

• Path Reports
• Phone Screens
• Outreach- Follow-up calls patient questions/ call backs