The novel coronavirus 2019-nCoV (COVID-19) has disrupted and altered the way health care is delivered in the United States and across the world. Patient care guidelines and isolation recommendations continue to hastily change, demonstrating the key role of nursing professional development practitioners in educating and preparing frontline staff to provide safe patient care during the COVID-19 pandemic. This article describes a community hospital’s strategic educational response to a highly contagious respiratory pandemic. Initiatives to increase staff education and conserve personal protective equipment are discussed.

Abnormal findings on routine skin exams are common and can be a source of unnecessary medical workup if a clinician is unfamiliar with the finding. Sebaceous nevi are rare skin lesions that are most often benign but may be associated with a multiorgan syndrome or local skin cancer. Dermatologists and primary care physicians may encounter these on routine exams and thus must be comfortable with diagnosis and management. We present the clinical characteristics of a benign sebaceous nevus to help aid in diagnosis of these lesions and outline suggestions for appropriate management options.T he total body skin examination is one of the most common dermatologic visits and a common component of primary care visits. Examining the skin for potential malignancies can be taxing; therefore, effi cient evaluation is a necessity for high-volume clinics. Quick identifi cation of malignant features and confi dence in evaluating rare nevi is fundamental to effi ciency. We present a case describing the evaluation and management of a rare, unusual-appearing congenital nevus with neoplastic potential. CASE DESCRIPTIONA 52-year-old white woman presented to the dermatology clinic for a routine annual full-body skin exam and evaluation of a suspicious lesion she noticed on her posterior auricular skinfold. She was unsure how long the lesion had been present but believed it to be growing in size over the past 5 years. She denied pain, pruritus, bleeding, or drainage from the lesion and denied ophthalmologic defects, neurologic symptoms, skeletal deformities, or a personal history of skin cancers.Th e postauricular lesion was a linear, waxy, fl esh-and yellowcolored plaque that measured approximately 40 mm in length (Figure). No erythema or drainage was noted. On palpation, the lesion was fi rm and nonmobile, and sebum could not be expressed. No punctum was identifi ed. No other similar lesions were found on the remainder of the skin exam, only benign nevi and seborrheic keratoses.Th e lesion was determined to be a single sebaceous nevus based on texture, anatomic distribution, physical characteristics, and presence for more than 5 years. A biopsy was not performed as the lesion was not felt to have any signifi cant characteristics suggesting malignancy. Th e patient was counseled to observe the lesion for continued growth, change in texture, ulceration, or pruritus. Th e lesion was photographed to assist with monitoring it over time, with plans for yearly follow-ups. DISCUSSIONSebaceous glands are sebum-secreting glands located in the dermis of all hair-bearing skin and are associated with hair follicles and apocrine ducts (1). Hormones strongly aff ect the activity level of these glands; thus, at the time of puberty, sebum production increases. However, as an individual ages further, sebaceous glands become diff usely hyperplastic, sebum production decreases, and cell turnover and migration slow (2).