Body Art ProgramBody Art Program

Earlobe Piercing EducationEarlobe Piercing Education

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This education session, in addition to the study references used to source the examination, will provide individuals with the necessary information pertaining to CCSSIC in the earlobe piercing industry. There is an examination immediately following this session to ensure individuals gain a basic understanding of CCSSIC for earlobe piercing.

“Earlobe piercing” means piercing of the soft lower part of the external ear only, not to include cartilage or any other part of the body.

Earlobe piercing is a hands-on profession that must be learned through practical experience.

The piercer must: Provide consultation to the client and conduct

anatomy assessment; Discuss jewelry, the piercing procedure, potential

risks and complications, the healing process and aftercare guidelines; and

Provide required documentation to the client.

Assessment of the EarlobeBecause everyone is built differently, not everyone is

anatomically suited for every piercing.

A piercing should not be attempted if there is not enough tissue to support the piercing.

Certain daily activities and sports can delay healing or prohibit certain piercings.

An experienced piercer will be able to ascertain if the piercing is likely to be successful.

Immediate DisqualifiersImmediate disqualifiers include: A person who is inebriated or appears to be

incapacitated by the use of alcohol or drugs;

A person who shows signs of recent intravenous drug use; and

A person under 18 years of age, who does not have a parent or guardian present to provide consent.

Jewelry Jewelry that is used for an earlobe piercing must be a

sterile, encapsulated single-use stud with clasp.

Jewelry should be an appropriate size for the amount of tissue; jewelry that is too small may get imbedded in the tissue.

Use of personal client jewelry or any apparatus or device presented by the client is prohibited.

Discussion with the Client; Questions and Concerns

The piercer must:

Answer questions the client may have before and after the piercing is performed;

Provide information to the client regarding the piercing procedure; and

Give both oral and written aftercare instructions.

Discussion with the Client; Questions and Concerns, continued Discuss risks and possible complications associated

with the piercing which may include:

Allergy or sensitivity to the jewelry; and Aftercare products.

Suggest a course of action if a problem occurs with the piercing;

Review causes and symptoms of infection; and

Explain the healing time for the piercing.

To receive a piercing, a client must:

Be 18 years of age;

Provide proof of age which includes:

Current governmental issued photographic identification.

If the client is a minor:

Parent or legal guardian must be present and provide:

Written parental consent; and

Governmental issued photographic identification.

Piercers are required to maintain forms for a minimum of three years; these forms must be made available for inspection upon request by the agency.

Client RecordsPiercers shall maintain client records which include:

Client:

Name, address, telephone number;

Date of birth;

Health history:

Sensitivities to medicines or topical solutions; Bleeding disorders; andComplications from previous piercing

procedure(s).

Client Records, continued Date of each service;

Body location;

Type of service performed;

Name and registration number of the technician providing service;

Special instructions or notations relating to the clients' medical or skin condition;

Copy of signed statement that the client has received educational material and aftercare instructions;

Client Records, continued Proof of age consisting of the following:

Copy of current government issued photographic identification verifying client is 18 years of age.

If client is under 18 years:

Written parental or legal guardian consent; and

Copy of parent or legal guardian current governmental issued photographic identification.

Client Records, continued Possible health risks resulting from the piercing which

may include pain, bleeding, swelling, infection, scarring and nerve damage; and

Who to contact with questions and concerns:

Oregon Health Licensing Agency, Regulatory Operations Division, 700 Summer St. N.E., Suite 320, Salem, Oregon 97301-1287.

Client Records, continued Signed statements from the client which includes:

Certification that the client is 18 years of age;

Certification that the client is not under the influence of alcohol or drugs; and

Signature attesting the client has:

Reviewed the disclosure statement; and

Been provided aftercare instruction in written and verbal format.

AftercareAftercare instructions for appropriate piercing care during healing must be provided verbally and in written format to every client.

Written and verbal instructions must include:

Cleansing and sterilization techniques;

Required equipment and supplies;

Requirements regarding the piercing site;

Aftercare, continued Restrictions;

The importance of maintaining a clean environment; and

Possible side effects.

Client education is an essential service every piercer must provide.

Hand WashingAll licensees are responsible for adhering to the

following standards while serving clients:

Hands must be washed before and after treatment of each client, and before putting on gloves and immediately after gloves are removed;

Thorough hand washing may be by use of antibacterial hand sanitizer; and

Single-use disposable paper products.

Proper GlovingA new pair of disposable gloves must be worn during

the treatment of each client.

When gloves are removed during a treatment, gloves must be discarded, hands must be washed and a fresh pair of gloves used.

Gloves must be worn during the procedures of: Cleaning, rinsing and drying of instruments.

Torn or perforated gloves must be discarded immediately, and hands must be washed after gloves are removed.

Tray Set-UpWhen performing a piercing procedure, all instruments,

tools and supplies should be on a sanitized tray set-up with an appropriate tray liner.

Tray liners should be a plastic-backed dental bib or other impenetrable tray liner.

The Marking InstrumentAll marking instruments must be used on cleansed skin

and marked with the following:

Single use, disposable permanent marking instrument; or

Sterilized toothpick dipped in Gentian Violet.

Skin Cleansing of Procedure AreaThe client’s skin must be cleansed by applying an

antiseptic prior to and following treatment.

Skin cleansing product must be used according to manufacturer’s instructions.

All substances shall be dispensed in a manner to prevent contamination of the unused portion.

Single-use tubes, containers and applicators shall be discarded following the piercing service.

The Earlobe Piercing System“Earlobe piercing system” means a hand-held tool that

pierces an individual’s earlobe using a sterile, encapsulated stud with a clasp.

The earlobe piercing system must be:

Made of non-absorbent or non-porous material which can be cleaned and disinfected;

Used according to manufacturer’s instructions;

Disinfected with a high-level disinfectant before being used on a client; and

Used with single-use piercing instruments and discarded immediately after use.

Disposal of Contaminated WasteDisposable products that come in direct contact with

clients must be stored in closeable clean containers.

All waste material related to treatment must be deposited in a covered container following service for each client.

All items that come in direct contact with the client’s skin that cannot be cleaned or disinfected must be disposed of utilizing a “double bagging” technique in a sealable plastic bag that is separate from sealable trash or garbage liners in a covered waste receptacle immediately after use.

Clean, sterilized re-usable instruments must be stored in clean covered containers and must be stored separately from used or soiled instruments; and

A high-level disinfectant must be used to disinfect surfaces contaminated by blood or bodily fluids and used in accordance with the manufacturers' instructions.

You will be required to take an examination upon completing this earlobe piercing education.

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