Introduction

What is BeautySafe?• BeautyCouncil initiative to raise &

maintain high standards in a deregulated industry

• Online education tool promoting safe sanitation protocols & standards

• Worked with health authorities & various organizations to incorporate standards recognized in BC and across Canada.

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Why was BeautySafe created?• Need for information and

awareness • Currently no industry standards

for health & safety in place • Public concern over health and

safety• Influx of diversity• Mainstream safety measures

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Benefits of BeautySafe• Unity of standards• Reduces health risks &

infections for you & your clients• Protects your client & your

reputation• Enhances client confidence that

safety standards are upheld• Assists in refreshing knowledge

on safe sanitation protocols & standards

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Who should take BeautySafe?

ALL Personal Service Workers (PSW) & cosmetology professionals:

• Students & Apprentices• Salon & Spa staff• Salon and Spa staff• School Instructors and

Owners• Health Inspectors

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• Card & Wall-Mount size certification

• Window decal for businesses• BeautySafe certification

endorsed & recognized by various jurisdictions

• Valid for 3 years

BeautySafe Certification

Level IIEsthetics Course

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Esthetics Infection ControlInfection prevention and control protects the health of everyone. • Esthetic services encompass– skin care– waxing– make up artistry

• Specifically, skin care procedures offer overall preventative treatments to keep the skin, the largest organ of the human body, healthy and beautiful.

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Skin Care: Before You Begin• Always wash your hands with soap and water thoroughly

before and after each client and between services on that same client.

• Keep your fingernails short and smooth to avoid scratching a client's skin.

• Be sure to wear protective gloves, safety glasses and a face mask when performing a service that may expose you to a client's blood or body fluids and if you have a cut, open lesion or wound.

• Some esthetic services may cause beads of blood on the surface of the skin which present a risk of infection to both the client and the esthetician.

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• Clean & disinfect all areas of your working station.• Be sure to place clean linen or a new single-use, disposable sheet of

paper on the treatment bed before each client.• Be organized and prepared by having all the implements you will need

for that service accessible and ready on a clean equipment tray.• Be sure to equip each room where a procedure is being done with a

puncture-resistant sharps container for immediate disposal of sharps such as lancets, needles and razor blades.

• Do not handle sharps any more than necessary to prevent accidental sharps injury or unnecessary risk.

Skin Care: Work Station

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Skin Care: Client Assessment For Esthetic ServicesDuring your client assessment and

consultation look for signs of unhealthy conditions & symptoms of infection such as:

• open wounds• redness• pus• itching• pain• swelling

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Skin Care: Client Assessment For Esthetic ServicesIf the skin is deemed unhealthy, irritated,

infected or broken:• Do not proceed with the service• Advise the client to visit a physician for

appropriate treatment if necessary• Interview your client regarding relevant

medical history and information such as diabetes, cancer, allergies and skin disorders

• Discuss skin sensitivity and medications relevant to the service

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Clean your client's skin prior to a serviceby using a skin sanitizer such as witchhazel, toner or astringent. Using these agents kill or inactivate thegrowth of microorganisms and helpsprevent infection on the surface of thebody & skin. Always provide a new, disposable loofahor sponge for each new client.

Skin Care: Client Care

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Skin Care: Extractions • Exposure to a client's blood or body

fluids may occur during esthetic services such as through the facial extraction process. Prior to performing extractions wear gloves or fingercots and safety glasses.

• If using a comedone extractor, wipe it with alcohol between extractions on the same client in order to prevent the spread of infection to other areas.

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Skin Care: Eyelash And Brow TintingEyelash & brow tinting can benefit clientswho are sensitive to make up, wear

contactlenses or are active in sports, for exampleswimming. All clients must undergo a patch test forallergic reactions or product sensitivity

priorto a tinting application.

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Skin Care: Eyelash And Brow TintingDo this by:• cleaning an area of the forearm with

alcohol and apply the colour• allow the colour to dry and then wipe off• if redness or irritation occurs do not

perform this serviceProducts used must meet Health Canada'sProduct Safety requirements and must beapplied by persons who have receivedproper training.*Ensure all tinting products and chemicals areapproved by Health Canada.

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Skin Care: Eyelash & Brow Tinting Suggestions• Remove eye make up with an oil-free remover.• Clean the area with a skin sanitizer or warm water and allow the

eye area to completely dry.• Have the client in a partially reclined position and place cotton

under and above the closed eye.• Apply the tint carefully with a disposable cotton swab or

applicator.• When timing is complete, clean the area with a skin sanitizer to

remove any residual chemicals.• Rinse the area with saline and flood the eye area with saline to

make sure there is no residual product in the eyes.

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Skin Care: Product Use And SafetyTo prevent contamination, remove product from itscontainer using pumps, squeeze bottles with

dispensercaps or disposable spatulas into a dappen dish.

Check the integrity of the products being used byinspecting for discolouration, odour and packagingsafety. Always discard any unused product that hasbeen removed from its original container.

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Skin Care: Single-Use Implements

Single-use implements are designed to be used once then disposed of.

An implement is classified as single-use when the process of cleaningand disinfecting or sterilizing will damage or change it, or whendisposing of it is safer and easier than disinfecting or sterilizing it.

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Skin Care: Single-Use ImplementsSome examples of single-use implements used for esthetic servicesare:• cotton pads• swabs• spatulas• sponges• lancets

Store all single-use products and implements in a dry, coveredcleanable container. This prevents dust and debris from settling onthem.

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Skin Care: Principles Of PreventionThe reprocessing procedure involves cleaning all multi-

useImplements followed by either disinfecting or sterilizing

them.

Choosing the appropriate infection control procedures isdependent on how an implement is used.

Therefore, you must first determine the implement classification

type, then the appropriate level of disinfection necessaryto render your implements BeautySafe.

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Skin Care: Principles Of PreventionAlways refer to the manufacturer'srecommendations and suggestionsregarding implements, mixing andappropriate contact time.

Refer to Environmental Health ServicesDepartment and your local Health

Authorityfor regulations, guidelines and updates.

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Skin Care: Cleaning Multi-Use ImplementsMulti-use implements are reusable which means they can be cleaned and disinfected or sterilized safely to use on another client.

Clean all surfaces and multi-use implements prior to each service to remove all organic debris such as residual product, dirt, dust, blood and skin.

Some examples of multi-use implements are:Bowls, Dappen dishes, Tweezers, Scissors, Towels, Linen

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Skin Care: Cleaning Multi-Use ImplementsBe sure to have at least 2 sets of multi-use implements on hand, allowing for time for soiled implements to be cleaned and disinfected or sterilized properly.

Thorough & meticulous cleaning is required prior to any implement being disinfected or sterilized. Procedure:• Soak all items in a soap detergent & warm waterbelow the water's surface use a scrub brush and friction to loosen all organic matter• Rinse well with warm water• Air dry or dry with a disposable towel if proceeding with a disinfectant or sterilizer

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Skin Care: Disinfecting ImplementsDisinfection is required to kill bacteria, fungus and viruses that may exist on any non-critical and semi-critical multi-use implement.

Some examples of implements used for esthetic services that require disinfection are tweezers and equipment trays.

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Skin Care: Disinfecting ImplementsProcedure:• After thoroughly cleaning and drying all implements, completely immerse

in a disinfectant solution for the appropriate contact time.• Follow the manufacturer's directions on the product label regarding

mixing and contact time.• Rinse with sterile water or warm water depending on the intended use of

the implement.• Dry with a disposable towel or air dry taking care not to contaminate the

implements.• All disinfectant solutions must be made fresh daily or according to the

manufacturer's directions on the product label regarding mixing and timing.

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Skin Care: Sterilizing Implements• Sterilization is the highest level of

disinfection since it destroys all bacteria, fungus, viruses and bacterial spores.

• This procedure is necessary following all invasive treatments that break or pierce into the skin.

• Critical multi-use implements must be sterilized after use.

• Semi-critical multi-use implements that have accidentally come in contact with blood or body fluids must be sterilized or discarded if items cannot withstand the sterilization process

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Skin Care: Sterilizing Implements• This level requires a high degree

of quality control to ensure effective results.

• Some examples of implements used for esthetic services that require sterilization are comedone extractors, lancet handles and tweezers (if they contact blood or body fluids).

• These implements must be thoroughly cleaned and dried prior to sterilization.

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Skin Care: Sterilizing Implements• Sterilize these implements by placing them in packaging

material specifically designed and manufactured for use in sterilization and specific to the sterilizer being used.

• As a precaution, refer to the manufacturer's guidelines and recommendations regarding appropriate implements, mixing and contact time.

• All items being removed from the sterilizer should be lifted out with sterile tongs or forceps in order to maintain a sterile state and to prevent contamination.

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Skin Care: Sterilizing Implements• Depending on the implement's intended use, follow by rinsing

with sterile water and dry with a disposable towel or allow the implement to completely air dry.

• Test the effectiveness of the sterilizer by using time temperature test strips bi-weekly.

• It is highly recommended that only sterilized, single-use disposable lancet, razors or needles be used.

Before using, check the integrity of the packaging. If the integrity isjeopardized, either re-sterilize or discard. All items should remain in

theirsterile packaging until point of use

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Once the reprocessing procedure is complete on

all multi-use esthetic implements, store in aclean, dry, air tight cabinet or cleanable

containeruntil point of use.Another safe method of storage is the use of

aUV Sanitizer. This is a metal cabinet that usesultraviolet rays to store implements that havebeen previously cleaned, disinfected or

sterilized.

Skin Care: Safe Storing Of Reprocessed Implements

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A UV Sanitizer must only be used for safestorage of packaged implements. It is notintended to clean, disinfect or sterilizeimplements. Sterilized implements:• Must be kept in sterile packaging until point of use• Must be stored in a clean, dry container to avoid

contamination or damage• Store implements and supplies away from debris,

drains and moisture• Always remember to keep dirty implements

completely separate from clean ones

Skin Care: Safe Storing Of Reprocessed Implements

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• Influenza– Flu, highly contagious, viral infection

leading to respiratory illness– Disease of lungs and upper airways– Contact from contaminated surfaces

like hands or droplets in air from coughs or sneezes to eyes, nose or mouth

• Flu Symptoms– headache, chills, rapid fever,

appetite loss– infected people with flu contagious

from the day before they feel symptoms

• Prevention: flu vaccination

Types of Pathogenic Viruses:

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Skin Care: Exposed Implements• Immediately after use, safely discard all

single-use lancets, sharps and needles in an approved sharps container.

• When a sharps container is 3/4 full, seal the container tightly before disposing. This container must be disposed of as a biomedical waste.

• Follow the instructions in the General Trade Practices module entitled 'Sharps Containers'.*For more info & proper disposal of sharps contact your local waste management authority.

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Immediately following an esthetic treatment:

• Discard all unused product, gloves, sponges, disposable items and porous implements

• Any single-use implement that is exposed to blood or body fluids must be discarded or cleaned and sterilized according to its intended use

• If it cannot be cleaned, it must be placed in a leak-proof plastic bag and discarded

• Refer to the instructions in the General Trade Practices module entitled 'Refuse Disposal'

Skin Care: Clean Up After An Esthetics Service

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To avoid the growth of bacteria in facialsteamers:

• Clean and disinfect at the end of each day• Allow the disinfectant to steam out for

several minutes• Replace with distilled water as it does not

build up in the steamer

Skin Care: Clean Up After An Esthetics Service

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• Be cautious to avoid cutting or piercing a client's skin during an esthetic treatment, especially when performing extractions.

• Any items, such as cotton pads, gloves, sponges or paper towels that have been exposed to blood or body fluids must be discarded immediately.

• Accidental exposures to blood or body fluids (on a client or yourself) should be documented.

Skin Care: Exposure Cautions

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When treating a minor cut or abrasion on yourself, a

client or providing assistance to another staff member

follow these steps: • Thoroughly wash and dry your hands• If treating someone else, put on disposable

gloves• Allow the wound to bleed freely• Wash the affected area thoroughly with soap

and running water• Dry with a disposable towel• Clean with a skin antiseptic

Skin Care: Treating Minor Cuts & Abrasions

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• Cover the injury with a styptic spray or powder taking caution not to allow the container to contact the wound

• Apply a sterile dressing or disposable bandage

• Immediately dispose of the contaminated sharp in a sharps container or if the implement is multi-use, clean and sterilize

• Consult with a physician

Skin Care: Treating Minor Cuts & Abrasions

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• Separate towels, headbands and linen used for skin care treatments from ones used for nail care or other spa treatments.

• A suggestion may be to use different coloured linen for skin care treatments from those used for nail care treatments.

• Launder them separately as this prevents the spread of contamination. Ideally, this clearly defines the differences in linen use for the variety of services your spa may provide.

Skin Care: Laundry Service

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Waxing involves the temporary removal ofhair in unwanted areas of the body. Typesof waxes often used are sugaring, hard,soft, hot and warm.A wax roller is not recommended for thisservice as contaminated debris can betrapped within the roller

Waxing: Introduction To Waxing

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When waxing, double dipping of a spatula into thewax pot can cause the transfer of contaminationfrom the client's skin to the wax pot. The re-use ofwax and wax strips is strictly prohibited.

Some examples of contagious infections are:• herpes virus• viral warts• staphylococci

Waxing: Contaminated Wax

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Localized bacterial infections such as folliculitis mayalso occur. Folliculitis is a contagious infectioncaused by bacteria getting into the hair follicle oftenthrough contaminated wax. It displays such signsas:• itchy• rash like pustules• red bumps on the skin that are swollen and hot

General skin irritation, contact dermatitis and irritantdermatitis may also occur from contaminated wax

Waxing: Contaminated Wax

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Always wash your hands with soap and water thoroughlybefore and after each client and between services on thatsame client. Be sure to wear protective gloves when performing awaxing service if you have a cut, open lesion or wound andsince this procedure may expose you to a client's blood orbody fluids. The peeling of wax may cause tiny beads of blood on the

surface ofthe skin which present a potential risk of the transmission ofbacterial, viral and fungal infections between the client and theesthetician and between clients.

Waxing: Before You Begin The Waxing Service

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• Before each new client, clean and disinfect all areas of your working station.

• Place clean linen or a single-use, disposable sheet of paper on the treatment bed.

• Be organized and prepared by having all the implements you will need for that service accessible and ready on a clean equipment tray.

Waxing: The Waxing Work Station

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Assess your client's skin by looking for signs

of unhealthy conditions and symptoms ofinfection such as:• open wounds• irritation• redness• pus• itching• pain• swelling

Waxing: Consultation & Client Assessment

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If the skin is deemed unhealthy, irritated, infected

or broken do not proceed with the service. Advise

the client to visit a physician for appropriatetreatment if necessary. For a safe and painless procedure, inspect thearea to be treated by assessing the direction

ofgrowth which dictates the direction used toremove the unwanted hair.

Waxing: Consultation & Client Assessment

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• At each client's consultation, discuss with them their home beauty regime.

• Interview your client regarding relevant medical history and information such as diabetes, cancer, allergies and skin disorders.

• Discuss skin sensitivity and medications relevant to the service.

Waxing: Retinol & Other Precautions

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• Never wax a client if they are using an anti-wrinkle cream or an acne product containing Retinol.

• Retin A contains chemicals that make the skin more sensitive and waxing may pull off a layer of skin.

• If a client has a scheduled surgery, suggest refraining from shaving or waxing the surgical area at least one week prior to the date.

Waxing: Retinol & Other Precautions

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Clean your client's skin prior to a waxing service by using a skinsanitizer such as witch hazel, toner or astringent. Using these agentskills or inactivates the growth of microorganisms and helps preventinfection on the surface of the body and skin. Dry the area with adisposable cotton pad. Never apply a numbing product such as a lidocaine containing creambefore waxing. Follow by using a skin buffer such as powder or cornstarch beforeapplying the wax. It is recommended that a patch test be conducted at least 24 hoursprior to a client's first waxing service. It is essential to carry this out if aclient has a history of sensitivity or known allergies.

Waxing: Client Care Suggestions

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In order to prevent burns, always test the temperature of the heated wax on your forearm before applying the wax to a client's skin.

This is especially important if the wax pot is plugged in all day long.Refer to the product manufacturer for recommendations such as the advised temperature control setting.

Waxing: Temperature Of Wax

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When waxing, double dipping of a spatula into the wax pot can cause the transfer of contamination from the client's skin to the wax pot. Therefore, DO NOT double dip unless you are disposing of the entire wax pot after treating that particular client.

Waxing: Double Dipping

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•Once a spatula comes in contact with a client's skin, it must be discarded and never dipped back into the wax pot again.•Wax should be applied with a new disposable spatula or applicator stick that is thrown away after each application onto a client's skin.•A suggested method may be to apply the wax directly onto a new wax strip rather than the client's skin.

Waxing: Double Dipping

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After the waxing treatment apply wax remover on the client's skin to remove residual wax.Follow by applying a soothing lotion to calm the client's skin.

Waxing: Following The Waxing Procedure

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Immediately following a waxing service:• Discard all single-use implements such as

spatulas, gloves, cotton pads, disposable underwear, lancets and paper bed sheets.

• Discard any unused product that has been removed from its original container.

• Thoroughly reprocess all non-critical multi-use implements by cleaning and disinfecting them with a low level disinfectant.

Waxing: Clean Up Suggestions

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Immediately following a waxing service:• Thoroughly reprocess all semi-critical multi-

use implements by cleaning and disinfecting them with a high level disinfectant.

• All critical multi-use implements and semi-critical, that are exposed to blood or body fluids, must be cleaned and sterilized or discarded.é

• Follow the product manufacturer’s guidelines and suggestions regarding contact time.

Waxing: Clean Up Suggestions

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Immediately following a waxing service:• Follow the product manufacturer’s guidelines and suggestions

regarding contact time.• When not in use, cover the wax pot to prevent dust and debris from

settling and turn off the heat at the end of each day.• The wax pot should be cleaned and disinfected with a low level

disinfectant regularly or a minimum of once a week.• Surfaces such as work stations or equipment trays should be cleaned

and disinfected with a low level disinfectant.• Surfaces or equipment trays contaminated with blood or body fluids

must be cleaned and disinfected with a high level disinfectant.

Waxing: Clean Up Suggestions

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Make Up Artistry involves the application of beauty treatments such as:

–skin care products–skin and eye make up–lipstick

Many make up artists are able to recommend products and colour pallets which suit the client's skin tone, style and personality.

Make Up Artistry: Introduction To Make Up Artistry

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• Always wash your hands thoroughly with soap and water before and after each client and between services on that same client.

• Keep your fingernails short and smooth to avoid scratching a client.

• Be sure to wear protective gloves when performing a service that may expose you to a client's blood or body fluids and if you have a cut, open lesion or wound.

Make Up Artistry: Before You Begin Make Up Procedure

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• Follow the manufacturer’s guidelines• Add the disinfectant solution to the water• Place in a covered container• Completely submerse the implements• Change the solution daily or immediately

following contamination

Chemical Disinfectants

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• Highest level of disinfection• Destroys all bacteria, fungus, viruses and

bacterial spores• Necessary following all invasive treatments the

break or pierce skin• Critical multi-use implements must be sterilized

after use• Semi-critical multi-use implements, accidentally

come into contact with blood or body fluids must be sterilized or discarded

• All items should remain in sterile packaging until point of use

Sterilization

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• Dry heat sterilizers:– uses high temperature & duration of

exposure to heat• Chemical autoclaves:

– use disinfectant with heat, pressure, time & packaging

• Steam autoclaves:– use pressure with heat & time to sterilize.

Test strips of time & temperature are monitored ensure effectiveness

• Ensure to follow manufacturer’s instructions

Types of Sterilization

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• Load evenly• Processing time• Point of use• Written records• Monitor effectiveness

Important Facts AboutSterilizers

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• Away from other supplies and equipment

• Cool, dry environment• Away from other chemicals, heat,

furnace• With adequate ventilation• Clearly label all containers• Keep a material safety data sheet

(MSDS) available

Safe Storing of Chemicals

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• Chemical agent that inactivates or kills the growth of microorganisms to prevent infection on the surface of the skin & body

• Skin antiseptics with alcohol 70% or greater, kills most common bacteria in less than 60 seconds • Recommended prior to performing skincare, waxing, manicure, pedicure, ear piercing, cosmetic tattooing

Skin Antiseptics

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• Store all cleaned, disinfected and sterilized implements in a clean, dry, air tight, cleanable container. • UV sanitizer used as storage only when instruments have been cleaned, disinfected & sterilized.

Storing Implements

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• Hand cleaning is the most important procedure for preventing the spread of germs and removing harmful microorganisms.• Hand washing procedure:

– remove hand and arm jewellery– wet your hands with warm (not hot) running

water– add soap, rub hands together making a lather– wash for 20 to 30 seconds, paying attention to

the front and back, fingertips, between fingers and under nails

– rinse well under warm running water, using a rubbing motion

– wipe and dry gently with a disposable paper towel

– turn taps off using the paper towel

Hand Cleaning

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• Used to prevent spread of contamination & diseases

• Examples of PPE:– Gloves– Lab coat– Face mask– Eye wear

Personal Protective Equipment

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• Work Stations• Lighting at your Work Area• Salon Chairs and Treatment Beds• Salon and Spa Flooring• Refuse Disposal

Salon & Spa Work Area

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• Air Quality• Ventilation• Safe Chemical Practices

Salon & Spa Work Area

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• Sinks and Hair Washing Stations• Public Restrooms• Beverage Services• Reception Area• Linen and Laundry Service• Salon and Spa Dispensary

Client Services

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• Determine appropriate service based on the details you receive from your client based on their:

- style- individual personality- lifestyle- health- skin care - hair conditions

Consultation and your client’s health

Questions?

General Trade Practices

Exam