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be able to prepare for facial treatments using electrotherapy part 1 Management of hearth and safety at work Clean up spillages, report slippery surfaces, remove/report obstacles. ensure good all-round access to trolleys and equipment, sterilise/disinfect tools, equipment and work surfaces, and wear personal protective equipment Electricity at work: Checking/visual check of equipment, no trailing wires, portable appliance testing (PAT). Manual handling: Moving stock, lifting working heights, unpacking, posture, deportment, balance weight, preserve, back, prevent slouching. Towels Wash regularly, clean for every client, dirty towels in a covered bin. Liability Insurance: Employers, public, professional indemnity. Reporting of injuries, diseases and dangerous occurrences regulations: Accident book, reporting diseases, local byelaws, code of conduct, risk assessment. Control of substances hazardous to health: Replace lids, ensure ventilation for vapour and dust... Health and safety legislation: Data protection, electricity at work, employers' Security (people) Staff, clients, visitors, children, personal belongings, systems (security, emergency evacuation, storage, client records, business information). Risk: Likelihood of a hazard happening. risk assessment, determine the level of risk, preventative measures, reduce a potentially harmful situation, the judgement of salon hazards, who/what is at risk, level of risk, interpret results, conclusions, record findings, regular reviews. Reasons for risk assessment: Staff. visitors, client health and safety, safe. environment, minimise hazards and risks, and requirements of the legislation. Hygiene: General sterilise and sanitise tools. disinfect work surfaces, cover cuts and abrasions, sanitise therapist's hands before and after treatments, sanitise with sprays and gels, clean towels between clients, place dirty towels in a covered bin, use disposable towels, disposal products with a spatula, pump or spray, use disposables wherever possible, no smoking, personal hygiene, replace loose lids, uncapped bottles and pots. Disinfection-heat or chemical methods, bactericides, fungicides, viricides, UV cabinet for storage only. Disposal of waste-single-use items. a pedal bin with a liner, spillages and unused chemicals, contaminated waste, hazardous waste, and environmental protection. Therapist posture and department: Correct posture when sitting, lifting and carrying, working methods to avoid Repetitive Strain Injury (RSI), hand exercises, standing posture, and even weight distribution, client comfort, maintaining modesty, client correctly positioned to get the maximum benefit from treatment, ensure technician positioning delivers appropriate techniques, appropriate space between client and technician, prevent injury, optimum results, allow for visual checks. Work area: Clean and hygienic, height adjustable chair, correct posture, correct couch height, lighting, ventilation, noise, music, temperature, ambience, no trailing wires, no obstructions, tools and equipment in a safe working position for the therapist. Client preparation: Protect client clothing. client comfort, privacy, modesty, client positioned correctly. Communication: Verbal-speaking manner and tone, professional, supportive, and respectful. sensitive to the client, and open questioning related to treatment. Non-verbal eye contact, body language, and listening. Record keeping: Accurate appointment systems, stationery, loyalty, rewards, acknowledgement of occasions, consultation record keeping, contra-indications, signatures, referring to existing records, information clear, accurate and in logical order (name, address, contact numbers, age range, reason for treatment, occupation, sport/hobbies, medical history, allergies/hypersensitivity. contact lenses, contra-actions, contra-indications, skin sensitivity tests, adaptations and modifications, recommendations, requirements, treatment plan), update record at the end of the treatment, update at each visit, maintained electronically, and paper records. Professional appearance: Clean professional uniform, no jewellery, no piercings, hair neatly tied back, fringe secured, closed-in footwear, make-up (light day make-up), personal hygiene and cleanliness (shower/bath, cover cuts and abrasions, deodorant or antiperspirant). oral hygiene (clean teeth, fresh breath). nails (good condition and maintained). Professional ethical conduct Polite.. cheerful and friendly manner (friendly facial expressions, positive attitude, eye contact. open body language), client relations, confidentiality, respect for colleagues and competitors, avoiding gossip, taking pride in work, punctuality, employer and client loyalty. Treatment objectives: Improved skin. condition, improved contour and muscle tone, lymphatic drainage, relaxation, client needs and suitability, and client agreement. realistic outcome, cost, duration and frequency of treatments, and further treatments. Skin analysis: Carried out using a magnifying lamp, protect eyes with damp cotton wool pads, check all areas of the face and neck for the skin type, skin conditions and characteristics, record results on a record card, client skin type, conditions and characteristics, treatment plan, most suitable treatment, suitable products, prevent worsening of conditions, accurate aftercare advice, future treatment needs. Skin types: Normal, oily, dry. Skin conditions: Mature, sensitive, dehydrated, congested. Examples of skin imperfections: Broken capillaries, pustules, papules, milia, comedones, open pores, fine lines and wrinkles. Skin characteristics: Sensitive-often pale skin, dry, colour easily, redness, react to products. Dehydrated normal sebaceous. secretions but still flaky, and tight. Mature loss of elasticity, loss of muscle tone, and wrinkles. Normal-fine texture, no visible pores. smooth, supple, and flexible. Oily shiny, slight thickening, sallow. coarse texture, enlarged pores, congestion, and comedones. Combination-combination of two or more skin types, usually oily T-zone, normal or dry on cheeks. Dry- lacks moisture, dry to touch, flakiness, fine texture, thin, tight, small pores, broken capillaries, ageing. Skin sensitivity tests: Tactile test for sharp and blunt, thermal test for hot and cold. Tactile - use a sharp (orange stick) and smooth (cotton pad) object, stroke over the skin in the area to be treated. The client should be able to differentiate between the different sensations Thermal fill test tube with cold water and one with hot water, place on the skin in the area to be treated. Ask the client to differentiate between the sensations. Skin sensitivity test-record results. Skin sensitivity test (interpret results) -the client should be able to identify the difference between sharp/blunt and hot/ cold. If the client can, treatment can go ahead, but if the client is unresponsive to tactile and thermal tests, treatment should not be carried out (the client would not be able to feel if the electrical current was too high, risk of skin damage) Explain the treatment to the client: Treatment process, expected sensations skin reaction, outcomes, and further treatments. Equipment maintenance Checked for damage, dials, leads and plugs checked. no trailing wires, dials at zero before starting, test before use on the client, only turn up current during treatment, check with the client throughout for comfort and sensitivity, stay with the client, and always follow manufacturer's instructions for each machine. Environmental conditions: Heating (warm), lighting (soft), noise level and music selection (relaxing), ventilation sufficient, pleasant aroma, privacy of work area, client comfort, health, safety and hygiene requirements maintained throughout treatment. Examples of contra-indications that may prevent treatment: Contagious skin diseases and disorders, dysfunction of the nervous system, heart disease/disorder, undergoing medical treatment, pacemaker, any cancer-related treatments, recent scar tissue, undiagnosed lumps or swellings, inflammation, medication causing thinning or inflammation of the skin (e.g. steroids, accutane, retinol), diagnosed scleroderma. Examples of contra-indications that may restrict treatment: Micropigmentation, botox, dermal fillers, diabetes, and epilepsy. high/low blood pressure, history of thrombosis or embolism, metal pins or plates, medication, pregnancy, piercing. anxiety, varicose veins, cuts, abrasions, bruises, recent dermabrasion, recent chemical peels, IPL, laser or epilation. Products (galvanic unit: Cleanser, toner, moisturiser, exfoliant, ampoules (f required) desincrustation gel, lontophoresis gel, masks Products (EMS unit: Moisturiser exfoliant conducting solution using manufacturer's instructions), masks. Products (lymphatic drainage unity Cleanser, toner, moisturiser, exfoliant lubricant (oil/cream), masks. Products (high-frequency unit): Cleanser, toner, moisturiser, exfoliant, massage cream, oxygenating cream or talc, masks. Products (microcurrent treatment); Cleanser, toner, moisturiser, exfoliant, non-surgical face lifting gel masks (using manufacturer's instructions), paper cotton buds (if required) Tools: Spatula, facial sponges, mask brush. Equipment Headband, large towel/ blanket to protect client, couch, stool or chair, trolley, bin with liner, cotton wool bowl, mirror, magnifying lamp, tissues, machines (EMS, lymphatic drainage unit. high-frequency, galvanic, microcurrent) and all relevant leads, electrodes, pads and ventouse. Selection process: Choice based on skin type, condition, fatty tissue, muscle tone, client needs, and target areas of treatment. Aftercare advice: No make-up (for 24 hours), no further facial treatments (for 24 hours), use a cleanser, toner and moisturiser am/pm, eye cream, neck cream, avoid UV light/heat/swimming (for 24 hours), drink plenty of water, regular/further treatments.