Guidelines Flashcards
What is a PSE?
A personal service establishment is a business in which a person provides a personal service to or on the body of another person for the purpose of altering appearance
Banned personal services
Eyeball tattooing or jewelry, fish pedicures, ear candling
Consents required for invasive procedures
Declaration of health risks
Agreement to responsible after-care
For minors a in-person signature from a parent/ guardian
Facility design criteria
Client area separate from home/residence
Client procedure areas separate from traffic flow/ retail areas
Client areas separate from cleaning area
Materials are clean, durable, non-absorbent, smooth.
Adwuate counter space for hygenic procedures
Lighting
Secure and cleanable space for storage of equipment/ supplies
Local exhaust/ ventilation if using chemicals
Potable water supply
Washroom facility
3 types of sinks- handwashing, equipment cleaning, and janitorial
Hand washing sinks
Separate from washroom hand sinks
Accessible without touching door handles or curtains
Exclusive to PSE
Accessible while procedures are being preformed
Supplied with- hot and cold water, liquid soap, paper towel dispenser, trash that is accessible without using hands
Instrument cleaning stations
Separate from hand sinks and washrooms
Has potable cold and hot water
Is large enough to accommodate largest instrument being cleaned.
Has adequate counter space on both sides for clean and dirty equipment
Clean, organized and free from clutter.
General Equipment use
Durable and in good repair
Suitable to the application
Clean and disinfect reusable
Discard single use
Protect bulk supply
Pencil style makeup should be cleaned with wet wipe then sharpened. Sharpener cleaned daily.
Powder and styptic applied with disposable
Disinfected equipment should be stored in clean packages in clean environment
Maintain a separate space for personal item storage
Invasive procedure equipment
Cover/bag nonclient contact instruments that cannot be cleaned and disinfected between each use
Disinfect motors and frames of all equipment that might become contaminated at least daily
Do not use sterile equipment if they become contaminated
Tanning and Laser equipment
UV lamps must comply with the regulations under radiation emitting devices act.
Laser devices for cosmetic treatments must comply with Health Canada requirements under the Act and medical devices regulation
Sharps use
Use only sterile, single use, disposable items to penetrate the skin and or mucous membranes
Never re use a single use item even on the same client
Before use inspect needles visually for sharpness or defects
Clean and sterilize needles requiring modification or attachment to other items before use
Do not bend, take apart, recap or otherwise manipulate needles or bars and other sharps after use unless instructed by manufacturer
Sharps Disposal
Approved sharps contained required
Discard used sharps into container immediately after using
use magnet or tongs for retrieving broken or dropped sharps
Securely close and dispose of 3/4 full capacity sharps containers according to local regulations
Waste Disposal
Locate waste disposal bins within east access from all work areas.
Put waste contaminated with BBF in a sealed leak proof ag before disposal in regular garbage
Laundry Cleaning and Storage
Put soiled laundry in a laundry bag or container with a lid
Handle soiled laundry as little as possible and with gloved hands.
Do not rinse before laundering to avoid cross contamination
Wash and dry daily on high temp
Store clean laundry in a clean protected env.
IPAC-worker
Do not come to work if sick
Ensure immunizations are up to date
Do not eat, drink or smoke while providing service
Use PPE where necessary
Use strict hand hygiene protocol
When to wash hands
When hands or soiled or have contacted soiled items
Before setting up equipment and before and after each client
Between procedures on same client
Before and after wearing gloves
After personal activities (washroom, blowing nose, eating etc.)
Hand washing steps
Use liquid soap and warm water
Scrub palms, under nails, between fingers, tips, back of hand, around thumbs
Dry with clean paper towel
Turn off sink with paper towel
When and how to where gloves
When- contact with BBF including mucous membranes and non intact skin
and when worker has any broken skin
How- wash hands before and after, do not use latex, change between procedures on same client
Dispose after single use
IPAC-client
Inspect area for cuts, rashes, or skin disease
If above are present advise client to seek medical advice before procedure
Clean treatment area
Provide client with appropriate PPE
How to clean treatment area
Isopropyl alcohol 70% or povidone- iodine solution or other approved antiseptic for required contact time
Procedure for BBF exposure
- wear single use gloves before handling wound
if area is bleeding allow it to bleed freely for a short period of time to remove contamination
Wash wound with water and soap
Apply skin antiseptic and cover with clean dressing
If mucous membrane has been splashed flush the area with water for 15 minutes
Document
Documentation needed for BBF exposure
Full name of person exposed, mailing address and phone number
Full name of operator involved in incident
Date
Site of injury
Circumstances
Actions taken
Records kept onsite for invasive procedures
Operators full name
Client’s full name
Date and details of procedure
details of any incident
Records of instruments and procedures
Instruments- manufacturer, certification designation, sterilization method, lot number, expiry
Daily disinfection test results
Records of mechanical monitoring
Chemical monitoring records for each load
Bio monitoring results
MSDS
Any BBF exposure documentation
Instrument cleaning steps
PPE
Clean immediately or soak
Take instruments apart if needed
Wash in basin with warm soapy water that can fully cover instruments
add detergent or enzymatic product according to manufacturers instructions
Scrub below water
Ultrasonic
Rinse
Airdry
Follow with disinfection or sterilization
Steam sterilizer
Autoclave uses hot steam and pressure. Is best option for PSEs. 2 types gravity displacement and dynamic air removal.
Dynamic air removal is best for packaged and hollow instruments
Types of sterilizers that are not as good
Liquid chemical (low temp)- only achieves temp sterilization as instrument is not packaged and cannot be adequately monitored to ensure sterilization is achieved.
Dry-heat (uneven heating, takes a long time, not compatible with all instruments)
Sterilizers that are not allowed
Glass bead
UV
pressure cookers
Ultrasonic cleaners
microwave ovens
boiling
Autoclave levels
121 C at 30 psi
Universal Precautions
a standard set of guidelines to prevent the transmission of bloodborne pathogens from exposure to blood and other potentially infectious materials
