Health, safety & Hygiene:
Safety and hygiene standards should always be as high as possible whenever any form of treatment is carried out. It is vital that hygiene and cleanliness are prime considerations; not only for the satisfaction of the client but also to comply with legal requirements. These are laid down by the Health and Safety at work Act and the local Environmental Health Office. Business premises are inspected annually and must conform to various hygiene requirements. Regulations may vary from area to area.
Cross infection must be avoided at all times by thoroughly checking for contraindications. It is possible to avoid working on people who have obvious infections. However, clients are not always aware that infection is present. It is therefore necessary for the safety and well-being of both client and practitioner that sound hygiene measures are strictly adhered to.
When performing any type of therapy treatment where very little equipment is used, and the range of the hygiene measures that had to be implemented are reduced:
- Surfaces and equipment should be washed daily with antiseptic solution.
- Tools should always be sterilised
- Floors should be hovered and mopped daily
- Caps and lids on bottles and jars should be immediately replaced when you have used them to avoid spillage
- Towels and any linen should be changed for each client
- Couch roll and face covers should be used at all times
- First aid kit should be available
- All paper waste should be disposed immediately into a covered container and disposed at the end of each day. Waste bins should be disinfected daily
- Toilet and washbasins should be cleaned daily with the appropriate chemicals
- All oil spills should be wiped up immediately
- Disposable gloves should be available
- Use antibacterial hand wash between each treatment
- Wipe massage chair / couch with antibacterial spray after each treatment
The practitioner should also adopt high standards of personal image to avoid cross infection at all times:
- Always wash hands, preferably with an antibacterial soap prior to the treatment and ensure nails are clean
- Long hair should be tied back
- Take regular showers
- Prevent body odour by using deodorant
- Clean teeth twice a day and have regular dental checks
- Avoid eating heavily spiced foods before each treatment
- Keep fingernails short and don’t wear polish.
- Wear minimal make up and no jewelry
- Don’t use strongly fragranced perfumes.
- Wash hands with anti-bacterial soap between each treatment.
Preparation of your Work Area:
Using Tools and Equipment:
As you will be using needles, cut down on the risk of injury and contamination by:
- Making sure that sharp tools are only used by trained staff
- Using a single use, disposable needle
- Never re-use a needle
- Taking care when fitting new needles
- Store new needles securely and safely
- Keep all equipment clean
- Wash metal products in hot soapy water and then disinfect between each client
- Dispose of needles in a proper sharps box. Never throw them in a waste bin or leave them lying around. In some areas, you can get sharps boxes from your local council, otherwise you will need to use a commercial service to deliver and collect boxes
Your treatment area should be as clinical as possible for aesthetic treatments, unlike facials and some other advanced facial services the couch should have a plastic wipeable cover, and no couch cover or towels, sheets or pillows. This is due to the risk of contamination form blood and other bodily fluids.
> All tools must be sanitised and cord and devices covered in barrier film and/or disposable protective cable covers.
> Needles must remain in the sterile packs until they are used, needles must not be handled without wearing gloves. It is recommended to show the client the needle being removed from the sterile packaging.
> A yellow bin must be in place for waste that is contaminated. e. blood and bodily fluids that are crated from breaking the skin.
> A waste provider will be able to collect this type of waste for you. There are many providers, search your local area or try direct 365 waste management for more information.
> A sharps box must be in place, and needles must be placed safely inside it immediately following the treatment.
> Gloves, apron and a face mask must be worn by the practitioner and a hair net by both client and practitioner.
Creating a sterile work area:
A sterile work area ensures maximum hygiene practice during the procedure.
A full and thorough client consultation and consent form must be completed prior to the following.
These steps should be observed:
- Spray the couch in barbicide solution, allow 10 minutes for it to activate and cleanse thoroughly.
- Dry it and cover the couch in barrier film, a plastic couch cover or cling film at the head area.
- Spray and then cover the tray or trolley top shelf with film as above
- Ensure you are double gloved prior to covering the derma pen hand device with barrier film or a plastic protective sleeve and sealing with micropore.
- Following correct sterile procedures open the sterile packaging containing the needle cartridge and place it into the device.
- Begin treatment
Keeping equipment clean and sterile:
All waste should be disposed of into a lined pedal operated waste bin immediately after use. Waste should never be left on a trolley. All surfaces should be wiped down with sanitiser after each use. Methods of sterilisation and disinfection should be used for tools and equipment.
Disinfection – destroys some bacteria and organisms i.e. barbicide
Sterilisation – Destroys all bacteria and organisms i.e. an autoclave
One other essential requirement you have is to ensure that you are fully insured to provide treatments. Therefore, you MUST hold a Professional and Public Liability insurance, which must be in place before you practice on the public or charge for your service. This can be obtained from one of the following companies:
Telephone: 01200 309516
Alternatively, you can add your training to your existing insurance cover, but please check with your individual insurance company as requirements vary.
The Data Protection Act 1984 – states all information taken from the client must remain at all times private and not disclosed or discussed with anyone else apart from the client
The Data Protection Act requires client information be used by the therapist only and not given to anyone else without the client’s permission. Client information and any notes you keep must be secure in an area where no-one else will have access to them, i.e. in a locked drawer or password protected area if kept on a computer. Clients have the right to ask to see personal data you hold on them.
Confidentiality is an important part of the therapeutic relationship between a client and a therapist. Whilst carrying out a consultation it is important for you to stress that all personal information relating to the client will remain completely confidential, and that information will not disclosed to a third party without the client’s written consent.
You can help maintain client confidentiality by:
- Carrying out the consultation in private, or as privately as possible
- Ensuring that all consultation and treatment records are stored in a secure place and never left lying around
- Never discussing a client’s personal details or their treatment with another person