Policies
NH Board of Nursing Policies:
For more information regarding scope of practice in medication aesthetics, please visit:
Position Statements Supported by AMPNH:
https://ispan.org/multimedia/files/position-statements/Injectables.pdf
https://ispan.org/multimedia/files/position-statements/Social-Media.pdf
Medical Aesthetic Practice Hand Hygiene Policy
PURPOSE
POLICY
Policy applies to all staff including reception. Staff will use good hand hygiene practices. Soap and water will be utilized (but not limited to) in the following scenarios:
- Visible dirt
- Known or suspected exposure to patients with any infectious process
- Before eating
- After using a restroom
During routine care, hand sanitizer or soap and water will be used for all other situations. This includes (but is not limited to):
- Before and after patient care
- Before and after handling any patient specimens or contact with any body fluids
- After cleaning equipment, supplies and exam areas
- After glove removal
- Periodically throughout the day
PROCEDURE
Alcohol based hand sanitizer
- Put product on hands and rub together
- Cover all surfaces including between fingers and backs of hands
- Rub in until hands feel dry
Soap and Water
- Wet hands with water
- Apply antibacterial soap
- Rub hands together vigorously for at least 20 seconds, covering all surfaces of hands and fingers
- Rinse hands
- Use disposable towels to dry
- Use towel to turn off faucet
Glove Use
- Always clean hands after using gloves
- Choose the right size and type of glove for the task
- Put on the gloves prior to touching the patient’s non-intact skin, open wounds or mucous membranes
- Change gloves during patient care if the hands will move from a contaminated area to a clean body site
- Remove gloves after contact with a patient and/or the surrounding environment using proper technique to prevent hand contamination
- Never wear the same gloves for the care of more than one patient
Medical Aesthetic Practice Cleaning and Disinfecting Policy
PURPOSE
POLICY
- All exam rooms will be cleaned and disinfected prior to, between, and after patient visits.
- For exam rooms and treatment areas, disposable surface wipes will be used per the manufacturer’s guidelines
- The germicidal wipes are for use on any surface that comes into contact with the patient, such as beds, equipment, counters and flooring.
- For any objects that come into contact with the patient’s intact skin, alcohol will be used as disinfectant.
- For disposable instruments, the tool will be placed in a Sharps Box after use. Disposable instruments will not be re-sterilized; they are for a single use only.
- Used sharps items—such as needles, disposable scalpels, and used medication vials/ampules/syringes—will be placed in a Sharps Box immediately after use. Sharps Boxes are available in each exam room and medication prep area. Used sharps items should not be transported outside of the exam room to minimize the risk of injury.
- For general housekeeping, Clorox wipes, Lysol wipes and/or similar products will be used.
- Each staff member is responsible for the tidiness and organization of their workspace on a daily basis.
Medical Aesthetic Practice Biohazard Waste Policy
PURPOSE
RED SHARPS BOX
The following items should be placed in a Red Sharps Box using careful technique to avoid injury (puncture/needlestick):
- Used or expired vials and ampules including any neurotoxin vial
- Expired vials and ampules
- Used or expired needles (including syringe, butterfly needles and safety versions)
- Other needles and glass products
- Used or expired Lab tubes with blood
- Used shavers or scalpels
- Blood-soaked gauze that would release blood if squeezed
- Blood-soaked gauze or gloves that release or could release flakes of dried blood
- Other items with visible blood that might ooze, crust, flake or drip
- Syringes with blood or blood-tinged fluid (If the syringe has a needle attached, it must be placed in a Sharps Box.)
Red Sharps Boxes will be replaced once the contents within the container reach the “Do Not Fill Past This Line” text on the box. Allowing the contents to accrue past this line increases the risk for needle stick injuries.
The clinical team will be responsible for the removal of full Sharps Boxes from the treatment areas. Closed Sharps Boxes will be placed within a biohazard bag.
The clinical team will be responsible for the closure of full biohazard bags and office manager for notifying the third-party vendor that the facility needs full boxes picked up.