Fundamentals Chapter 7: The Treatment Room

what to do before setting up room

- refer to the facility setup checklist - look at your schedule to see what supplies are needed - if specified, put the clean laundry away - have the client's chart notes ready - review the product retail consultation forms if applicable

multi-use supplies

- sheets - hand-held mirror - bed warmer (optional) - bolster for back support, placed under the knees - a pillow or rolled hand towel for neck support - an extraction tool such as a comedone extractor - blankets to cover the client - bowl or basin for water - client chart and home care prescription card/pad or computer for database - client gown/wrap for the client to change into - facial kits - glass or plastic containers to hold cotton pads or other supplies - linens such as sheets and face and hand towels (either cloth or disposable) - rubber mixing bowls to warm or mix product in - metal spatulas to disperse products from jars - retail product brochures - scissors - tongs to handle hotel towels and retrieve clean items - tweezers

end of day checklist

1. Complete the end of service checklist and check the schedule for the next shift or workday. 2. Use an end-of-day checklist to make sure you do not forget anything. 3. Turn off and unplug all equipment. 4. Leave the towel-warmer door open to dry and empty the tray underneath before cleaning and disinfecting it. 5. Clean anything that has not been cleaned after the last service, including the equipment, bed, sink, counters, and doorknobs. 6. Refill all containers, supplies, and the steamer. 7. Check floors; sweep or mop as required. Check for wax spills. 8. Empty waste containers. Replace with clean trash liners. 9. Remove personal items from the area.

reviewing the daily schedule steps

1. Review your client schedule for the day and decide which products you are likely to need for each service. Make sure you have enough of all the products you will be using that day. You may have to retrieve additional product from the dispensary. This is also a good time to refresh your mind about each repeat client you will be seeing that day and their individual concerns. 2. Retrieve the client's intake form or service record card and review it. If the appointment is for a new client, the client will need a new intake form.

equipment for the facial treatment consists of the following items

- treatment table (facial chair, table or bed) - esthetician's chair, or operating stool - step stool - trolley - magnifying lamp or light - steamer - galvanic, high-frequency, brush, vacuum, and spray machines (multifunctional machine) - towel warmer or "hot cabi" - closed, covered waste container for trash - closed, covered laundry hamper - sink or basin for water

additional items in treatment room

- wax heater - autoclave - sharps disposal container - small hand-held mirror: to use before and after treatments - binder for safety data sheets (kept in a binder or computer within the treatment room for easy access)

the towel warmer should be used to heat

- wet (not dry) towels - product dishes/bowls - cotton cleansing pads

Facial treatment supplies

- makeup remover - cleanser - toner - exfoliant - sunscreen - disposable spatulas - 4x4 esthetic wipes - serum - eye cream - moisturizer - lip cream - sponges - 2x2 esthetic wipes - basin for water - dispensed product - cotton rounds

washable flooring and workstation surfaces

- Carpeting or rugs can harbor germs and dirt - Treatment room flooring and workstation surfaces (including treatment tables and chairs) need to be easily washable and able to tolerate daily washing with antimicrobial cleansers without degrading. - Flooring and workstation areas should be tile or stone, re-engineered wood, bamboo or vinyl - facial chairs and stools should be made of nonabsorbent washable synthetic materials.

materials needed at a facial station

- Facial chair - Magnifying lamp - Consultation chart - Unscented facial tissues - Gloves - Esthetics wipes - Disposable headbands - Hand sanitizer - Spatulas - Closed-lid garbage cans - Disposable towels - Rubber mixing bowls - Small bowls - Bottled water for quick water changes - Hand-held mirror - Makeup sponges for application of masks and makeup - Facial cape to drape the client - Cotton swabs - Trolley or workstation

running water

- Having a sink within the treatment rooms and a separate shower area is ideal for a full-service skin care salon. - Many spas and salons today do not have a sink in the room. The access to water may be in the hall or breakroom area. In these cases, a hot towel cabinet and bringing in two bowls of water will alleviate any need to leave the treatment room on multiple occasions during a facial treatment.

appropriate handling of single-use items

- Soiled items such as gloves and extraction supplies must be placed in a covered waste container. - While in use, single-use items must be placed on surfaces that can be disinfected or disposed of, such as a paper towel. - Keep the clean supplies separate from the used ones. Take out only what is needed for each service. - Disposable extraction lancets go in a sharps disposal container. (Check OSHA and state rules for proper handling.)

electrical outlets

- Treatment rooms should have a minimum of four separate electrical outlets. - Avoid the use of extension cords or multiple plug appliances within the room, as these can overheat and become a fire hazard. - Always be sure that no wires are in your way or in the way of the client.

tips on cleaning and disinfecting

- Wear gloves for all procedures to prevent contamination and protect hands from strong chemicals. Wash hands after completing infection control procedures. - Wash and disinfect all synthetic brushes, tweezers, and other nondisposables. Implements are multiuse items and include tools such as synthetic brushes, tweezers, and comedone extractors. - Change the disinfectant to comply with the manufacturer's directions and infection control regulations. If required, record on a dated log when the disinfectant is changed - To avoid cross-contamination, roll the used side of linens and sheets inward so the dirty side is inside the laundry bundle. This also helps keep product and hair off the floor and saves cleaning time. For additional cleanliness, do not let linens or other items touch your clothing before or after use. - Turn off the table warmer if used. - Clean the wax machine (and turn it off and unplug it at the end of the day). - Disinfect the steamer and magnifying lamp. - Disinfect the bottom tray and the inside of the towel warmer after removing all used items. - Disinfect any other equipment that was used and turn it off. - Clean all containers and wipe off dirty product containers with a disinfectant. - Clean all counters, sinks, surfaces, and floor mats with disinfectant.

What six elements constitute a professional image?

- Well-groomed hair. Never let your hair brush against your client's skin. - Minimal accessories. - Skin. Keep it poppin - Well-groomed nails. - Makeup. Keep it light - Proper uniform. Spotless, freshly laundered, crisp, and ironed. - Positive energy and a healthy lifestyle. Maintain energy by eating healthy and drinking water.

how to set up dressing area for the client when they get there

- arrange a place for the client to sit while changing - have a clean robe or spa wrap hanging on a hook on the door or folded on a small table for the client to change into - get water or tea ready for the client, and have a client chart and release form prepared - explain to the client where to put their personal belonging, including jewelry and purse, and how to put on the spa wrap. NEVER touch the client's jewelry or assist them with the removal of jewelry - explain how to get into the bed and where to position their head - explain exactly what clothes need to be removed and how to put the gown on TIP: use a checklist to set up and clean up the treatment room- put an outline of the steps on index cards or phone

basic products used in facials

- body massage creams - body oil - cleanser - desincrustation solution - essential oils - exfoliants (mechanical, chemical) - eye cream - eye pads - face massage cream or lotion - facial peel kits - galvanic gel to be used with galvanic treatment - hand cream - lip balm - makeup remover - masks (cream, mud/clay, seaweed, sheet, paraffin) - moisturizer (cream, lotions, gel) - serums and ampoules - sunscreens - toner and astringent

materials needed to set up treatment room

- check your room supply of linens (towels and sheets) and replenish as needed - for the first appointment of the day, preheat your towel warmer, towels, wax heater, steamer and any other equipment Equipment - treatment table - stool - towel warmer - steamer - magnifying glass - trolley - client charts - close-lid garbage cans Supplies - 2 twin-size flat bed sheets (backup is needed) - EPA-registered disinfectant - hand sanitizer and liquid soap - dish soap - mixing bowls - 2 bowls of warm water (without sink in room) - hand-held mirror - spatula - hand towels (2-4) - linens - bolster - pillows - facial cape to drape the client Single-Use Items - disposable or synthetic brushes (2) - gloves - esthetic wipes (4" x 4" for cleansing; or disposable sponges) - cotton rounds or squares - cotton swabs - makeup sponges for application of masks and makeup - headband or protective cap - plastic bag - paper towels - spatulas - tissues (unscented) Products - eye makeup remover or cleanser - facial cleanser (one cream and one gel) - masks - moisturizer - serum - astringent/toner - sunscreen

what is the correct order of products for an application procedure?

- cleanser - massage cream or lotion - mask - toner - moisturizer - other products

single-use items

- client headband to protect the hair and hold it out of the way - 2" x 2" esthetics wipes, for cleaning and for product application - 4" x 4" esthetics wipes or single use sponges to remove product from the skin (sponges are porous and cannot be disinfected or reused) - disposable hair wraps/protective caps - disposable lancets - disposable vinyl or nitrile gloves (latex is not recommended) - fan and mask bushes to apply masks or massage lotions (because brushes are porous, they cannot be disinfected. brushes should be disposable - fragrance-free tissues, which are available in medical supply stores or online - gauze squares - makeup sponges for applying makeup post procedure and for applying product - paper towels - personal service towels (PST) to drape clients and to keep work area clan - plastic lines for electric mittens and booties - sealable plastic bad for proper disposal of single-use items - sterile cotton swabs for performing extractions; important that they're sterile; can have wooden handles for extra strength - wax supplies

proper ventilation

- ensures a healthy esthetician and healthy clients. - The Occupational Safety and Health Association (OSHA), provides important guidelines for ventilation in regards to nail service rooms and areas, as well as the use of formaldehydes in hair care, but - Fumes from skin care treatments, as well as cleaning and disinfecting materials, must be properly eliminated. - Air vents must be present in the room, providing air input and output. This means two separate vents. These vents must be properly functioning and calibrated for two or more people within the room.

what are the two most important considerations before, during and after treatments

- ensuring client safety - following health regulations

size

- large enough to ensure proper movement of the esthetician in the space - Neither the professional nor the client should ever feel cramped.

it takes approx. ____ minutes to set up for a service

10

it takes approx. ____ to clean up after a service

10-15 min.

setting up supplies steps

15. Check to make sure the disinfectant is ready. Wet disinfectants are filled and changed according to the manufacturer's instructions (check to see that the strength is maintained by regular refilling). 16. Place supplies on a clean towel (paper or cloth) on the clean and disinfected workstation. Put out supplies in the order used, line up neatly, and if any supplies or products are uncovered, cover with another towel until you are ready to use them. 17. Set up the professional trolley with supplies and disposables. 18. Dispense only the amount of product needed for the service.

setting up the dressing area steps

19. Arrange a clean robe or spa wrap folded on a small table for the client to change into. 20. Have cold water or tea water ready for the client.

preparing for the client steps

21. Organize yourself by taking care of your personal needs before the client arrives—stretch, use the restroom, get a drink of water, return personal calls—so you can focus your full attention on their needs. Remember to turn off electronic devices to eliminate any distractions. Take a moment to clear your head of all your personal concerns and issues. 22. Wash your hands before going to greet your client. 23. Your client has arrived!

Plan on arriving at least ____ minutes prior to the start of your shift to - make sure your room is well stocked - all your electrical equipment is in working order

30

the proper spa environment should engage all ___ of the senses

5

prepare the treatment table steps

7. Wash your hands with soap and warm water before setting up and touching clean items. 8. Place one sheet lengthwise on the treatment table. 9. Place one hand towel lengthwise on top of the sheet at the head of the bed. Lay out another hand towel for placement over the décolleté on the upper chest area if applicable. 10. Place the second sheet lengthwise on top of the first. 11. Fold the top one-quarter of the second sheet back horizontally. Then fold the sheet diagonally across the bed. 12. Place a blanket on top of the linens to keep the client warm and comfortable. 13. Have a clean headband and gown or wrap ready for the client. 14. Have a bolster and pillow available.

bolster and pillow tips

A bolster can be a rolled-up towel or blanket in a pillowcase. Comfortable pillows are also important to a client's neck comfort and make a difference in how relaxing the facial is for the client.

wax heater

electric warming device used for soft-wax, paraffin, and hard-wax applications usually kept activated during the day for walk-ins or unexpected requests

end of service checklist

At the end of the service, the esthetician must clean the treatment room and ready it for the next client. 1. Create an end of service checklist that works for your space. Not everyone will complete the post-service steps in the same order. 2. Place all soiled laundry linens (towels and sheets) in a covered receptacle. 3. Discard any used disposables into a covered trash container. 4. Disposable extraction lancets go in a sharps disposal container. 5. Wipe down all equipment with an EPA-approved disinfectant. 6. Clean trolley and workstation surfaces. Clean and disinfect the bottom tray and the inside of the towel warmer after removing all used items. 7. Reset products and disposable items and replenish clean robes and spa wraps. 8. Use an antibacterial dish soap and warm water to wash the used bowl(s). Rinse and dry thoroughly. 9. Change linen on the treatment table. Tip: Do not put wet brushes in a closed drawer or container because moisture may cause mildew and not dry properly. Lay brushes out to dry, covered with a clean towel before storing in a closed container.

step stool

if you don't have an electric treatment bed/table, it helps clients get on and off the bed safely make sure it's stable assist clients if they need help

Determining the costs of setting up a treatment room

Items: - sink/water supply - treatment table/facial chair - esthetician chair/stool - hot cabinet/towel warmer - trolley - magnifying lamp - steamer - stepstool - wax heaters - optional electrical equipment - furniture - linens - products - supplies - single-use items - music player

how to set out single-use items

Set out single-use supplies on a clean towel in the order they will be used. Do not put clean or soiled supplies on bare counter surfaces. Contaminated, single-use items must be disposed of properly in a covered waste receptacle.

facial station

facial bar concept in addition or in place of treatment rooms skin care treatment area within the reception or retail area of the facility where clients can have express skin care treatments without having to change clothes

Headbands with Velcro® should be _________ before you put them in the laundry to prevent lint from sticking to them.

fastened

equipment preparation steps

Time needed: preheating equipment can take up to 15 minutes 3. Turn on the wax heater as needed. Check and adjust the temperature. 4. Preheat the towel warmer and put in wet towels. Note: Towels should not be dripping wet. 5. Preheat the steamer. First check the steamer water level (it should be just slightly below the fill line). If necessary, refill the steamer. Follow the manufacturer's directions for care. 6. Preheat any other equipment needed.

Tonya Example of opening up her own salon

Tonya is considering building a new facility and the cost in her location is $225 to $375 per square foot, with a minimum space requirement of 1,5k square feet. That means $450k for the salon or spa space. After some research, the cost for the equipment in the treatment room, excluding any reception and retail areas, adds up to between $6,4k to $9,2k She took into consideration the treatment table, mobile facial bar, workstation, the facial stool, hot towel cabinet and single-use and multiuse items to start. Tonya has now estimated the start-up cost to build her own facility to be between $456,400 to $459,200. She can now make a more informed decision between building or renting in her area. This is an exercise that any esthetician can do to determine what you would need to spend to set up your own room.

product pumps

great idea for ease in dispensing, inventory control and preventing contamination many manufacturers provide pumps with professional back bar-sized products if not, consider using single-dose applications

what is performed in a facial station

express or mini shortened facial treatments - eye treatments - facial sheet masks men's treatments - beard facials targeted body treatments - hand and foot treatments (client doesn't need to disrobe or change)

having your products in order of use will assist you if the spa room light is _____

dimmed

Change the __________ in the container according to manufacturer's directions or if it is cloudy.

disinfectant solution

closed, covered waste container for trash

a fire retardant receptacle (metal) with a self-closing lid and foot pedal is required for preventing contamination, especially if disposing of chemical waste material

sharps disposal container

a puncture-proof biohazard container for disposal of lancets, syringes, needles and other sharp objects

dispensary

a room or area used for mixing products and storing supplies

autoclave

a sterilizer for implements completely kills all microorganisms, including bacteria, fungi, viruses, and bacterial spores sterilizes by providing pressurized steam reusable implements need to be sterilized between treatments use disposable supplies to avoid the chance of cross-contamination

Shandra, the head esthetician at Elements Salon and Spa, has recently purchased new supplies, disposables, and products for all of the treatment rooms. She is not finished with her update, however. Her next step is to write a salon procedure manual for room preparation to ensure that employees take care of the new equipment, tools, and materials. Shandra wants to include some timing estimates for setups in the manual. She starts with facials, because she knows that setting up for a standard facial typically takes _____ minutes.

approximately 10 minutes Rationale: It takes approximately 10 minutes to set up for a service and 10 to 15 minutes to clean up after a service.

what piece of equipment sterilizes the other equipment?

autoclave

trolley or utility cart

can be a stationary table or roll cart a rolling cart that holds tools, supplies and products

galvanic, high frequency, brush, vacuum and spray machines

can be either individual machine or multifunctional machines all on one stand all jewelry should be removed from the client and esthetician before treatments

moist towels

can be used to remove products from the skin during a facial and body treatments

treatment room furnishings

can range from the basics to high-end designer equipment

Shandra, the head esthetician at Elements Salon and Spa, has recently purchased new supplies, disposables, and products for all of the treatment rooms at the salon. She is not finished with her update, however. Her next step is to write a salon procedure manual for room preparation to ensure that employees take care of the new equipment, tools, and materials. In addition to the procedure manual, Shandra creates a _____, or an outline of the steps for setup and clean-up of the treatment room that will serve as a quick and easy reference for the estheticians at her salon.

checklist Rationale: Use a checklist to set up and clean up the treatment room—put an outline of the steps on index cards or create a task list on your phone or other electronic device for easy reference.

what does the treatment room setup include?

choosing and properly installing and arranging: - furniture - equipment - supplies - products

where are single-use items kept?

clean, covered containers, drawers, or closed cupboards to prevent contamination

after the facial service, follow proper ______ and ______ protocols to prepare the treatment room/station for the next client

cleaning; disinfection

Shandra, the head esthetician at Elements Salon and Spa, has recently purchased new supplies, disposables, and products for all of the treatment rooms at the salon. She is not finished with her update, however. Her next step is to write a salon procedure manual for room preparation to ensure that employees take care of the new equipment, tools, and materials. According to Shandra's procedure manual, contaminated single-use items must be disposed of properly in a _____ waste receptacle.

covered

always keep single-use items in ____

covered containers

ultraviolet sanitizer

doesn't disinfect tools and is used only for storage after tools have been disinfected

Shandra, the head esthetician at Elements Salon and Spa, has recently purchased new supplies, disposables, and products for all of the treatment rooms at the salon. She is not finished with her update, however. Her next step is to write a salon procedure manual for room preparation to ensure that employees take care of the new equipment, tools, and materials. When setting up supplies, it is best to place them _____.

in the order they will be used Rationale: Set out single-use supplies on a clean towel in the order they will be used.

safety data sheets (SDSs)

informational forms regarding every skin care product, retail and professional, used in the salon. include: - product name - product code - ingredients - relevant use of the substance (cosmetic/skin care) - restrictions on use (e.g., on skin as directed on product label) - details of product supplier and address - emergency contact information (e.g., phone number of the manufacturer) Also: - identification of any hazardous substances - precautionary statements - first aid measures - accidental release measures - proper handling - storage Information on: - exposure control - physical and chemical properties - stability and reactivity - toxicological, ecological, disposal, and regulatory information, both national and international

what is not performed in a facial station

intensive peels, full facial or body treatments that include extensive extractions, and full body massage

towel warmer or hot cabi

keep warm, moist towels ready for use throughout the day

temperature

keeps clients feeling warm enough in the treatment room properly cooled if it's hot outside

steamer

know what water to use in steamer make sure it's UL approved clean it daily aids in deep cleansing effect of the facial should be performed before extractions skip on sensitive or rosacea-prone skin

try placing your products in order of use from ______ if right-handed

left to right

treatment table (also called a facial chair, table or bed)

may come equipped to have adjustable height, removable headrests, adjustable head- and footrests, electrical controls and built-in electrical outlets meant for the client's use

two methods of proper infection control

method 1: clean and then disinfect with an appropriate disinfectant method 2: clean and then sterilize

multi-use implements (reusable implements)

must be properly cleaned and disinfected after use on one client and prior to use on another

music selection

must have spa sounds that will add a definitive flavor to your spa's identity

esthetician's chair or operator's stool

needs to be ergonomically correct: healthy for the body and spine make sure it's adjustable and comfortable while you perform services and it can roll around easily adjust the chair so that it is waist hight to the treatment table, which will ensure you will not be working at an awkward angle to the client while you are sitting

magnifying lamp or light

used to properly analyze a client's skin provides magnification and good light gives you a clear view of the skin protects you from exposure to debris from procedures such as extractions always place cotton pads over the client's eyes when using the lap use a 3 or 5 diopter lens magnification ideal: a magnifying lamp with a circular bulb, rotating head and mobile base

room esthetics

vital to creating a relaxing, professional atmosphere

where are facial stations usually located

within 20 feet of the front door to allow max. visibility

taste

offer naturally-flavored waters and small healthy snacks for refreshment in the reception area to promote the energy and well-being of clients

where should you place your supplies when setting up the treatment room?

on a clean paper or cloth towel then cover them with another towel to prevent contamination

Shandra, the head esthetician at Elements Salon and Spa, has recently purchased new supplies, disposables, and products for all of the treatment rooms. She is not finished with her update, however. Her next step is to write a salon procedure manual for room preparation to ensure that employees take care of the new equipment, tools, and materials. Shandra writes out five steps in her procedural manual for preparing a treatment table. What is the first step in preparing the treatment table?

placing clean linens on the treatment table

Clean-up procedures are regulated by ________

regional laws

Soiled items such as gloves must be placed in a _________ and then in a covered waste container.

sealable plastic bag

scent

should be soothing and natural can imply lack of proper cleaning and disinfection, while overly chemical smells can be off-putting

the ambience of a spa includes the:

sight, sound, smell, and feel

what structural feature is described in square feet?

size

what should you use to disperse products from jars?

spatulas

how to strengthen hands and wrists

squeeze a stress ball once a day Hold for two to three seconds, then relax your grip. Repeat for one minute, then rest. Repeat for a total of three times on one hand, then switch hands. Try to build up your endurance to 90 seconds.

in between clients

stretch and take 12 deep breaths

proper lighting

the key to illuminating a well-designed spa environment - Dim lights may help relax the client and set the mood for the treatment - the lighting should be able to be increased or decreased during skin analysis and product removal. - Light fixtures should also be able to be adjusted to point up toward the ceiling or down. - Uplighting provides the most efficient light for a treatment room, and also helps create a better esthetic atmosphere.

implements

tools used by technicians to perform services either multi-use (reusable) or single-use (disposable)