OUTPATIENT PROCEDURE ROOMS Surgical procedures are performed in multiple venues, including examination and procedure rooms. For example, physicians often perform Mohs procedures for the excision of skin cancers in outpatient procedure rooms or their offices.9 Typically only the wound closure step is treated as sterile during this procedure, and there are wide variations in patient skin prepping techniques, the use of personal protective equipment (PPE), and re-use of instruments.9 Although low infection rates are reported for this procedure, surveillance in these settings is not mandatory.10 Regardless of the setting, at least one published peer-reviewed study reports that when basic infection prevention measures are applied reliably, even the low infection rates after Mohs procedures can be reduced.11 This would be best achieved with a dedicated certified IP to consult, observe practice, track infection rates, introduce new products/practices with supporting evidence, and educate personnel about infection prevention measures.