Issue link: http://cp.revolio.com/i/15024
Practice Precautions CHAPTER TEN Treatment Protocol and Contraindications R esponsible skin care professionals must be knowledgeable about treatment protocols and relative contraindications. The following is provided courtesy of Susanne S. Warfield, executive director of the National Coalition of Estheticians, Manufacturers/Distributors & Associations (NCEA). These guidelines were modified from a chemical exfoliation curriculum, but they are easily adapted to fit your other skin care services. With respect to specific details regarding products or equipment, please seek manufacturers’ recommendations for use. PROTOCOL FOR CHEMICAL EXFOLIATION TREATMENTS Practitioners should have an understanding of, and adhere to, the following protocol and safety guidelines when practicing a chemical exfoliation procedure. • Only estheticians should administer this procedure and should not intend to remove viable (living) tissue. • Estheticians must comply with all rules and regulations established by their respective state boards of cosmetology or other governmental regulatory agencies regarding cosmetic exfoliating substances and procedures. • The use of chemical cosmetic exfoliating services after a microdermabrasion treatment is not recommended. • The use of chemical cosmetic exfoliating services after extensive radiation to the area to be treated is not recommended. • The use of chemical exfoliating services shall not be performed without a thorough skin consultation including a health and lifestyle history. CLIENT HISTORY The esthetician should take a client history of conditions related to the receiving of cosmetic exfoliation procedures. Relevant topics include, but are not limited to, irritant/allergic reactions, herpes simplex virus (cold sores) predisposition, frequency of sun exposure or tanning bed use, topical and/ or oral medications (prescription and over the counter) all of which may increase an individual’s susceptibility to adverse reactions. Particular attention should be paid to the use of topical prescription retinoids and use of AHAs, BHAs, and other chemical exfoliants (enzymes, proteolytic). An in-depth consultation should always be performed prior to the first chemical exfoliation with a review and update of information prior to each subsequent treatment. REVIEW OF FORMS It’s important to meet or exceed client expectations. Take the time before the treatment to address client questions, concerns, and expectations. Work in partnership with the client to set short- and long-term goals using the following forms, all of which can be found at www. ascpskincare.com in the Members section. • Confidential Client Health History. • Client Consultation Form. • Client Consent Form. This is written documentation signed by the client that the licensed practitioner has taken a client history, performed a skin evaluation, and discussed the planned procedure and posttreatment home care (i.e., avoidance of direct sun exposure, use of sunscreen, etc.). www.ascpskincare.com successful business handbook 203