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ALERGIC REACTIONS

& PIGMENT TESTING

Pigment skin testing is a procedure that consists of implanting a small amount of pigment into the skin to determine whether the client is allergic to the pigmentation selected for this procedure. Generally people do not have any reactions to the pigmentation however it can be possible. This is not a mandatory procedure. Technicians may want to consider a patch test if a client typically has reactions to the following:

  • Bacitracin

  • Novocain, Lidocaine and Epinephrine

  • Latex protein

  • Pigment

  • Needles

Bacitracin: A component of antibiotic ointments. Ask if they have any allergies to antibiotic ointments used at home.Novocain, Lidocaine and Epinephrine: Anesthetics that may cause reactions when used topically or given by injection. Ask if they have had any problems with anesthetics during any previous medical visits.Latex protein: Found in latex gloves. It can cause immediate hives or a more delayed contact dermatitis. (SCALPA Gloves are Nitrile)Pigment: The pigment may cause reactions because it is being embedded under the dermal layer of the skin.Needles: Needles are made of metal. Needles that are made of Nickel (ours are #304 Stainless Steel) and can cause an allergic reaction in clients who are allergic to this metal. Our main concern would be an allergic reaction to the implanted pigment, again this is the SCALPA pigment is your trust supply. True signs of an allergic reaction to the pigment: Cracking, bleeding, swelling, bumps, dry skin, oozing pain, Itching skin, raised blisters, scabbing, burning, won't heal properly, tender to touch.



ANESTHETICS

As an artist, it is vital to ensure the microblading application is as pain-free as possible for our clients. Some clients find the procedure a little uncomfortable, whereas other clients report no discomfort at all.Our product created by SCALPA, is called GON, which is a topical anesthetic that reduces sensitivity by numbing the skin while it reduces bleeding during the procedures. GON is a great tool to help put your client at ease and is good for all different types of broken-skin procedures.

  • 4% lidocaine and 2% tetracaine for numbing

  • .02% epinephrine to reduce swelling, bruising and bleeding


INFECTION,

PREVENTION, & MORE


PURPOSE

This document has been developed for public health inspectors to educate personal service workers (PSWs) to reduce the risk of transmission of blood borne and other types of infection for both clients and PSWs during the delivery of personal services. Percutaneous exposure (through penetration of skin) or mucous membrane exposure to blood or body fluids can lead to infection with blood-borne pathogens including Hepatitis B (HBV), Hepatitis C (HCV), Human Immunodeficiency Virus (HIV), other human retroviruses, bacteria and other pathogens of concern, such as mycobacteria. For this reason, infection prevention and control precautions must be taken in every personal service setting. It is the responsibility of the owner/operator to ensure all PSWs are educated in regards to infection control requirements specified in this protocol; both the client and the operator may be at risk of infection. It is important to recognize that blood and body fluids do not have to be visible on instruments or other surfaces for an infection to be transmitted.


NOTE: IT IS MANDATORY TO COMPLETE THE CPR AND BLOOD PATHOGEN COURSE BEFORE PERFORMING A LIVE PROCEDURE


APPLICABILITY

This best practice document applies to any facility, service or person offering services where there is a risk of exposure to blood, such as, but not limited to: hairdressing and barber shops, tattoo and body piercing studios, electrolysis, acupuncture and various aesthetic services. The following guidelines comprise general recommendations for all personal service settings and equipment. Requirements specific to each area of practice are presented in summarized formats following the general guidelines.


STATUTORY BASIS

This document is to be used in conjunction with the Infection Prevention and Control in Personal Services Settings Protocol, 2008. This protocol is named in requirement No. 10 under the Infectious Diseases Prevention and Control Standard of the Ontario Public Health Standards, 2008, published by the Minister of Health and Long-Term Care as authorized by Section 7 of the Health Protection and Promotion Act (HPPA), Revised Statutes of Ontario, 1990.Note: The Regulated Health Professions Act (RHPA) provides that no person shall perform a controlled act (e.g. a surgical procedure) in the course of providing health care services to an individual unless: (a) the person is a member authorized by a health profession Act to perform the controlled act; or (b) The performance of The controlled act has been delegated to the person by a member of a regulated health profession. Any regulated health professional under the RHPA does not require their practice to undergo routine inspections by health unit staff as delineated below.


INSPECTION OF PERSONAL SERVICES SETTINGS BY BOARD OF HEALTH STAFF

Routine inspections are required for all personal services settings at least once a year by the Medical Officer of Health for each health unit or their designate. These guidelines also apply to "special events" such as trade shows, conventions, fairs or exhibitions. Personal Services Settings that serve food must be in compliance with the HPPA in regards to Food Premises. Be sure to check with YOUR STATES health department for rules and regulations. Every state has different laws, therefore it is critical you learn them.


BACKGROUND

The use of personal service settings has become a way of life for many individuals. The range of services offered varies from hair care to invasive procedures such as tattooing and piercing. A 2002 study conducted with university undergraduates found that tattoos were present in 22% of men and 26% of women with an average of one to three sites per person. Piercing was found to be more common with 42% of men and 60% of women reporting that they were pierced.The popularity of personal services has also highlighted the risk of infection in many of these services.Lack of infection prevention and control practice in personal service settings, can affect the health of the client as well as present a risk to the operator. Infections may be spread during procedures even when skin penetration does not occur. Staff who are knowledgeable and consistently practice infection prevention and control will significantly reduce the risk of infections being transmitted within the personal service setting. Public health staff must be knowledgeable resources for personal service staff and assist them in providing a safe environment.


HYGIENE &

EQUIPMENT

Guidelines for the control of infections are needed to assist in developing policies and procedures to ensure an optimal level of care is provided. These guidelines should be seen as directing principles and indications or outlines of the expected practice.The goal of infection prevention and control is to provide service in a manner that reduces the risk of transmission of microorganisms to the client and the personal service worker. Service should be provided in a manner that prevents disease transmission. Infection prevention practices must be tailored to the services being provided.Routine Practices describe prevention and control strategies to be used with all clients during all service delivery and include:

  • Face Protection

  • Hand Hygiene

  • Equipment & Environment

FACE PROTECTION

Face protection should be worn to protect mucous membranes of the eyes, nose and mouth during procedures likely to generate splashes or sprays of blood, body fluids, secretions, or excretions.


HAND HYGIENE

Hand hygiene should be performed:Between clients, before performing invasive procedures, after contact with blood, body fluids, secretions and excretions, after contact with items known or considered likely to be contaminated with blood, body fluids, secretions, or excretions.Immediately prior to and after removing gloves between procedures on the same client in which soiling of hands is likely, to avoid cross-contamination of body sites. When hands are visibly soiled, hands must be washed with soap and water.Alcohol-based hand rubs are an acceptable method of hand hygiene especially when access to hand washing facilities is limited. Gloves are not required for routine procedures in which contact is limited to a client's intact skin. Gloves are not a substitute for hand hygiene, clean, non-sterile gloves should be worn. For contact with blood, body fluids, secretions and excretions, mucous membranes, or non-intact skin.When handling items visibly soiled with blood, body fluids, secretions and excretions.When the PSW has non-intact skin on the hands. Gloves should be changed between procedures with the same clients and between clients. Gloves should be removed immediately after completion of the procedure, at the point of use and before touching clean environmental surfaces.Hand hygiene should be performed immediately after removing gloves. Single-use disposable gloves should not be reused or washed.


HAND HYGIENE

Articles that touch the client's intact skin should be clean, equipment touching mucous membranes or non-intact skin, should be appropriately disinfected between clients. Chairs, cabinets, counters and charts should be cleaned on a regular basis. Soiled client care equipment should be handled in a manner. That prevents exposure of skin and mucous membranes and contamination of clothing and the environment. Used needles and other sharp instruments should be handled with care to avoid injuries during disposal. Used sharp items should be disposed of in an approved puncture resistant container located in the area where the sharps item are used. All equipment that is being used by more than one client must be cleaned or cleaned and disinfected or sterilized as appropriate between client according to recommendations.


CLEANING

& STERLIZING

Cleaning and sterilizing are crucial steps to preventing infection. There are 3 steps you need to know:

  • Cleaning

  • Disinfecting

  • Sterilizing

STEP 1


CLEANING SOLUTION

Any combination of soap (or detergent) and water, with or without a chemical disinfectant, used to wash or wipe down environmental surfaces such as floors, chairs, benches, walls and ceilings.

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SANITIZER

Chemical the reduces the number of bacterial contaminants to safe levels on inanimate objects based on public health requirements. These are typically the CaviWhipes available in the grocery stores. This is used on counter tops, sinks, doors and door knobs.


DISINFECTANT

Chemical that destroys or inactivates microorganisms. Disinfectants are classified as low, intermediate, or high depending on their ability to kill or immobilize some, or all microorganisms.


STERILANTS

Chemicals used to destroy all forms of microorganisms, including endospores. Most sterilants are also high level disinfectants when used for a shorter period of time. Sterilants are used only on inanimate objects that are used in semi critical and critical areas. Sterilants are not meant to be used for cleaning environmental surfaces.

STEP 2

The classification system first proposed by Dr. E. H. Spaulding divides medical devices into categories based on the risk of infection involved with their use. This classification system is widely accepted and is used by the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), epidemiologists, microbiologists, and professional medical organizations to help determine the degree of disinfection or sterilization required for various medical devices. Three categories of medical devices and their associated level of disinfection are recognized. Understanding what category your tools and or supplies far into, critical, semi-critical, and noncritical.


CRITICAL

A device that enters normally sterile tissue or comes in contact with blood body fluids. Such devices should be sterilized, which is defined as the destruction of all microbial life. Items such as implements, microblading tool, comedone extractors, surgical implements, etc.


SEMI-CRITICAL

A device that comes into contact with intact mucous membranes or non-contact skin. Tweezers, scissors, marking pens, electrodes


NONCRITICAL

Devices that do not ordinarily touch the patient or touch only intact skin. These devices should be cleaned by low-level disinfection. Esthetic Beds, Counter tops, mag lamps, machinery.

STEP 3

When using cleaning, sanitizing, or disinfecting products ALWAYS Choose a product appropriate for the task. Keep a log book for Chemosterilants and MSDS safety sheets from the manufacturer. Follow the label instructions for mixing, using, and storing solutions. Read the warning labels. Clean soiled surfaces and items before using sanitizers or disinfectants Store these products safely out of reach of children. Choosing your method of cleaning, disinfecting and sterilizing and adhering strictly to the directions.


CLEANING & STERILIZING WHEN IT COMES TO MICROBLADING

Always use disposable drapery on bedding. Wipe your lights, bed, and counter tops down using a CaviWhipes or Spray, to have a facial setup use disposable drapery at the head wipe or a Virucide, Bactericide, Fungicide, Tuberculocide, 30 of the bed Second Sanitizer Use a disposable head cap or head band as hair protection. Clean your microblading tool in warm, soapy water or an enzymatic implement wash. Let dry completely and have an open garbage can with a clean liner ready, you will need easy access to throw away used garbage. If you are going to use an Auto Clav now would be the time not having to touch anything you insert your implement into a sterile pouch and follow the manufacturer guidelines. Use a sterile tray with a disposable drape on top to lay out. If you are using a chemical sterilant, follow the directions of your tools below. Keep your blade unopened until you are clean. Once you have washed and dried your tool, using clean gloves and ready to use it. With clean gloves to pick up your tool and insert it into a chemosterilant Keep your Microblading such as Virrox PreEmt CS20. Soak for the recommended tool in a sealed sterile amount of time (usually 20 mins) pouch until you are ready. Once completed again, using clean gloves rinse and dry to use it your tool free of any chemicals. Once you are ready to place tool into sterilant pouch and seal until you are ready microblade after you have measured and designed the brows, clean the skin one last time. To use it again, ALWAYS clean your tool immediately. Never leave your changed your gloves then prepare your tool and blade tools for hours unclean. Bacteria multiplies itself and will ruin your treatment. At the end fo the day, change your gloves again and dispose of all drapery. Dispose of your blade in a sharps container labeled biohazardous (These are usually available at your local pharmacy.)


GENERAL GUIDELINES FOR EQUIPMENT, INSTRUMENTS, AND SUPPLIES FOR YOUR PHYSICAL SETTING REQUIREMENTS 

The work site must be appropriate to the personal service activity. Contact surfaces including: (counters, tables, trays, lamps, magnifers, etc) must have a smooth and non-absorbent finish. The work area: must be well lit to facilitate cleaning and prevention of injuries. The hand washing sink (must be accessible for use while personal services procedures are being performed (e. sink is free of cleaning equipment) and continuously supplied with potable hot and cold running water, dispensable liquid soap from a single-use disposable container and single-use (cloth or paper) hand towels in a dispenser. If the soap container is refilled, it must first be cleaned, disinfected with low-level disinfectant, rinsed and allowed to thoroughly air dry. Note: A washroom hand sink (s) within the PSS premises may be used for hand washing Hand washing sinks used by more than one premise are not acceptable (ie. hand washing sinks in a public washroom within a mal). All personal services settings must be equipped with a sink(s) for cleaning of equipment/instruments The cleaning sink (s) must be Conveniently located near the work area (s) Continuously supplied with potable hot and cold running water and of adequate size to accommodate thelargest instrument/ item of equipment to be cleaned. f one sink available within the PSS premis the same sink may be used for both hand washing and cleaning of there is only equipment/instruments providing that it satisfie the requirements of 3.1 (v) and (vii). The Pss water supply should be tested in accordance with local water regulations, unless the water is from a municipally controlled water source (e.g. water in a city or town) Note: In the event that a plumbing system cannot be installed i n an existing personal service setting (eg premises is located in an older building) the Pss must seek approval from their local health department in order to use a portable sink. Such sinks must be inspected and approved by the health unit to ensure a health hazard does not exist.

Questions?

Contact Gaby on WhatsApp 

at+1 (626) 376-5269