Complete the medical and treatment plan.
Take before photos of the client from several angles. Wash and dry hands.
Prepare the pigment.
Draw the template on the clients head, get them to check and adjust until you are both happy. Photograph the client from several angles to clearly show the template.
Washing and dry hands and put on clean gloves. Put on apron and facemask if used.
Open the needle cartridge, check and insert into the handpiece. Switch on machine and adjust needle to correct length.
Switch off machine and wrap barrier film to cover the joint between needle and handpiece. Check if client is comfortable and ready.
Check that the items on the top shelf are covered in plastic and disposable.
If you need anything from second shelf or anywhere else during the treatment, remove the gloves and place in the waste bag on the trolley. Fetch whatever you need, put on clean gloves and continue.
At the end of the treatment, get the client to check. Remove gloves to hand client the mirror.
Put on fresh gloves to make any adjustment to the treatment.
When you both agree that the treatment is over remove gloves and take the after photographs from several angles.
Get the client to sign the treatment plan and give them aftercare advice. Take payment and rebook for the next session if required.
Put on clean gloves.
Remove several medical grade wipes and leave them close to hand. Remove the needle from handpiece and put it into the sharps box.
Remove all the plastic cling film/barrier film from the machine, lead, trolley, light and put them in the waste bag.
Put the waste bag into a yellow bin bag.
Wipe down all surfaces including the floor area with a clinical grade wipes and put it in the yellow bin bags.
Spray down all surfaces including the floor area with medical grade solution. Air dry.
Remove gloves and apron and put into the yellow bin bag. Tie up the yellow bin bag and place in a large yellow outdoor bin.
Wash hands and dry with single use paper towel.
Metal allergies/Nickel/Iron oxide. Patch test before treatment
Mitral valve prolapse. A heart condition which increases risk of infection. Dentists prescribe antibiotics before dental treatment. For the same procedure for the two treatments. Refer to GP.
Pregnancy no treatment no line retinal detachment. Written consent from ophthalmic surgeon required for eye treatments.
STD. Use double gloves and show your cleaning starters are high.
Scars. Scar tissue can vary enormously. Some scar tissue can be very delicate and absorb high intensity pigments however that scar tissue can also be tough and very difficult to tattoo. Proceed with caution and ensure client is aware the more sessions may be required.
Keloid scars. Scar tissue grows excessively. Ask about healing with small cuts and proceed with caution. Hypertrophic scars. Raised, becoming more white with time. Allow to heal for 6 months before treatment and proceed with caution.
Atrophic scars. Indented scars. Wait 6 months before treatment.
Shingles. Immune system virus. Wait until six months after an outbreak.
Skin disorders (psoriasis, eczema, dermatitis) The skin can be sensitive, dry. Pigment may not implant or retain well. Do not treat if it’s in the area of the treatment.
Styes and eye infections. Allowed to heal for 6 weeks. Eyeliner treatment may cause further outbreak.
Surgery. Allow 3 months before PMU treatment.
Thyroid problems. May cause slower healing and colour fading.
Trichotillomania. Hair/scab pulling. Increased risk of infection, patchy healed results, scarring.
Visual impairments. Client will need to be accompanied by someone who can co-sign consent forms.
Vitiligo. Treatment may trigger further outbreaks.
Medications and skin preparation.
Antabuse. Stop taking and leave for 6 months before giving treatment. Allow 4 to 6 weeks to heal before taking Antabuse
Anti-Coagulants. Blood thinners. It’s best to obtain medical consent.
Anti-Inflammatories. Such as ibuprofen, Nurofen. Thin the blood, may bleed bruise easily. May require additional treatments.
Blood thinners aspirin, may bleed bruise easily. May require additional treatments.
Insulin. See diabetes
Roaccutane & Accutaane. Skin medication, causes thin skin prone to scarring. Do not tattoo within 6 months of treatment and leave 4 to 6 weeks to heal before resuming medication.
Steroids & Cortisone. Skin medication, causes thin skin prone to scarring. be cautious and don’t over work the skin.
Thyroxine. See thyroid problems.
Warfarin. Blood thinner. It’s best to obtain medical consent.
Retin A, Retinol, Retinoid, Tretinoid, Tretinoin, Vitamin A skin treatments. Thin skin, delay in healing and risk of scarring.
Mild – discontinue for 2 weeks before treatment. Wait 4 weeks before using again
Medium/strong – discontinue for 4 weeks and weight 4 week before using again.
Mild – discontinue for 2 weeks before treatment. Wait 4 weeks before using again.
Medium/strong – discontinue for 4 weeks and wait 4 weeks before using again.
Sunbeds. Discontinue for 2 weeks. Wait 2 weeks before using again.
Eyelash growth serums. Discontinue for 4 week before eyeliner treatment. Wait two weeks.
Tinting lashes and eyebrows. Treatment one week after tinting or 4 weeks after tattoo treatment.
A new client is anyone who may be making enquiries or using the services of the workplace. Our responsibility is to offer treatment which does not put the client or others at risk.
Prepare treatment area, couch, chair, trolley.
Cover with plastic film anywhere which you make touch during treatment. This is to prevent blood borne pathogens and pigments from contaminated surfaces.
There should be no pillows, blankets and towels in the treatment area.
Complete forms and check for contraindications.
Check that the client is comfortable full stop Offer water and breaks as required.
If a cushion is needed in must be covered in plastic film.
Treatment may take several hours so be sure is not causing you strain. Be especially careful with your back and neck.
The trolley should be made of non absorbent surfaces, and wiped down and sprayed with a medical grade solution after each treatment.
Wrap with cling film or plastic any part of the trolley you will touch during the treatment.
Should be covered with plastic waterproof roll paper.
The only item on this shelf should be disposable, or also covered with plastic wrap. Machine wrapped in plastic.
Wound care pack, sterile gauze, plastic pot with a sterile water. Pigment/Inc stand, covered in plastic and small pigment/ink pot.
Cotton buds, micro brushes, hauze, clippers, pencil, sharpener, barrier film, pigment pots, dilutant, mirror, wipes, box gloves, sterilant wipes and spray, spare needles.
Plastic pre-cut lead covers, cling film, hand mirror, spare wound packs, sharps box, pigments, light with daylight bulb, aprons, masks, height adjustment stool, indoor waste foot pedal bin lined with yellow clinical waste bag.
Wash hands, palm to palm, palm over backs, between fingers, along each finger and thumb. Dry with single use paper towel.
Cover the couch, chair, trolley top with plastic film. Cover the couch with paper roll if required.
Cover the light with plastic film.
Attached a small waste bag to the trolley.
Place a disposable apron and face mask on the second shelf. Put a needle cartridge on the shelf.
Put on gloves.
Cover the top of the trolley with waterproof paper.
Wrap the tattooing motor with plastic film and place on a trolley’s top shelf. Cover the handpiece and lead with pre-cut lead cover. Fix with a barrier film. Wrap the pigment stand with a barrier film.
Push a pigment pot into pigment stand.
Attach a small waste bag to the side of the trolley (for tidying used gauze wipes when working). Feel the small plastic pot with sterile water/normasol and dampen the gauze
Allergies – Patch test prior to treatment
Alopecia – Work gently, may be more sensitive, thinner skin. Colours may heal warmer.
Anaemia – May bleed more and take longer to heal
Asthma – Use of inhaler may cause skin to be thinner, more sensitive with more bleeding and bruising.
Birthmarks – Cannot be tattooed over
Blepharoplasty (eye surgery) – Wait 3 months before giving treatment close to the eyes.
Botox – Best to do PMU prior to botox. Or must leave 21 days after botox was given.
Breast Feeding – Treatments must not be given until no longer breastfeeding
Bruise, bleed easily – Consider stopping if excessive during the treatment. Check you technique
Cancer – 5 weeks pre and post radiotherapy or chemotherapy Cataracts – visual impairment, obtain medical consent Chapped lips – Do not give lip treatment until healed.
Conjunctivitis – Do not give eye treatment until healed. Allow to heal for 6 weeks,
Contact lenses – to be removed before treatment
Contagious Skin Conditions – do not give treatments to anyone with highly contagious skin conditions, impetigo, ring worm, scabies until conditions have cleared up.
Corneal Abrasion – – protect with lubricant before doing eye treatments. Refer to GP
Cosmetic Surgery – Allow 3 months before PMU treatment
Diabetes – Skin may be thinner, more sensitive with more bleeding, bruising and more prone to infection. Leave longer for healing between treatment sessions. Consider getting medical consent.
Dry eye – During eye liner treatments, use more lubricant. Flush eye with saline/eye drops. Epilepsy – advised not to give treatment if client has experienced seizure within last two years. Eye laser surgery – Wait 3 months before giving treatment close to the eyes.
Glaucoma – I wouldn’t do eye liner treatments.
Haemophilia – Do not treat.
Heyfever – Find out when client is at their best and treat then.
Heart Conditions – discuss and treat at technicians discretion if condition is managed well.
Hepatitis – There are many causes for liver inflammation and usually you can give treatment. Consider using double gloves. Ensure to keep cleaning standards high.
HepB – Inoculation can help to protect you.
HepC – Do not give treatment.
Herpes Simplex – Lips can be more difficult to treat, and may trigger outbreak. Colours may not hold. Preventive medication from GP may help to prevent an outbreak.
HIV – Consent from GP required. Use double gloves. Ensure to keep cleaning standards high.
Hyper Pigmentation – Do not treat over these areas. Treatment may trigger further pigmentation.
Injectable Fillers – do lips before fillers, or 4 weeks after, Can make implantation/retention difficult.
Kidney Disease – requires written doctor’s consent
Latex allergy – use Nitrile or Vinyl gloves
Liver Disease – requires written doctor’s consent
Lupus – autoimmune, attacks body tissue. Treat during dormant phase, not during flare phase.
Discoit (cutaneous) Lupus – Skin condition, usually rash on the face, neck and scalp. Do not treat.
Makeup allergies – patch test before treatment. Use client’s pencil for template drawing.