Why materials from countries without strict quality control requirements are unacceptable for body jewelry Brian W Skellie, APP Medical Director (published in issue 86 of The Point Journal of Body Piercing) Does it matter where a biomaterial we use comes from? Biomaterials made in the USA and in a short list of countries who maintain … Read more Biomaterials and trustworthy sources
I traveled to Moscow to share ideas and techniques at the Russian Association of Professional Piercers second annual conference August 13-16 2018 Thanks to the ruAPP for an enthusiastic and curious experience as a speaker and participant. I would be pleased to return in 2019 if you’ll have me. Overall, the conference seemed well put together with a … Read more Seminars in Moscow
See you there to share! I’ll be here just before BMXnet to help my colleagues further their organizational momentum!! UKAPP 4th annual conference in Manchester city centre at the Raddison Blu Edwardian *We will be slowly posting more about class information / speakers / ticket sales / vendors. Please keep your eyes peeled as the page … Read more Seminars | UKAPP 2018
Join the Association and hundreds of piercers as we come together to celebrate the 23rd Annual Conference and Exposition! Our classrooms will once again fill with attendees from all over the world. Piercers, Studio Owners, Vendors, and Health Inspectors will all come together for a week of education and peer-to-peer sharing. Learn the core requirements … Read more Join me at the APP 23rd Annual Conference!
Listen for free on itunes apple podcasts, google play music, or stream from the link below.
A rose by any other name… The APP Jewelry Standards for jewelry for initial or healing piercings were revised 04/04/2017 to include rose gold. Body piercing jewelry should be biocompatible and safe for prolonged contact with skin and mucous membranes. The APP continues to revise their body jewelry standards for initial and healed piercings as … Read more Rose gold included in APP Minimum Standards for Jewelry for Initial Piercings
Here is a 22 minute interview that I did at BMXnet this year for Russian colleagues.
(In English with Russian subtitles)
The first question was: Can a professional piercers use a catheter?
The second question was about the use of steel for totally healed piercing.
The last question: What way of care is correct for a fresh piercing?
Unrelated, but interesting in light of the recent election and psychohistory:
Issue 71 editorial
In an organization comprised of exceptional participants who have gladly offered countless hours of work and traveled across the planet to share their ardor for safe body adornment, it is the privilege and great pleasure of the President each year to shine a light upon one who has exemplified our mission. To offer a special award in esteem of the outstanding contributions of this volunteer is equally to recognize the potential we all have to achieve the goals set forth by our Association.
COMING SOON The world’s first paperless, rack & sleeve, hygiene sterility maintenance container. The revolutionary SALUS – Hygiene Sterility Maintenance Container eliminates the costly and time consuming use of sterilization paper and pouches. Save hours spent wrapping, hundreds of dollars in sterilization paper and reduce waste. A reusable container, SALUS – Hygiene is intended to … Read more SALUS™ – Hygiene Sterility Maintenance Container | SciCan
Issue 70 editorial
By Brian Skellie
Sir Arthur C. Clarke’s Third Law states: “Any sufficiently advanced technology is indistinguishable from magic.” Had I been at Arthur’s elbow as he wrote those words, I’d have suggested adding: “to the uninformed observer.”
— James Randi, WHY MAGICIANS ARE A SCIENTIST’S BEST FRIEND
American Society for Microbiology Bacterial Hand Contamination and Transfer after Use of Contaminated Bulk-Soap-Refillable Dispensers. Another reason not to refill bulk soap or antiseptic dispensers. Because of this is is particularly important to use single dose skin preparation solutions, as bulk dispensers post known problems.
As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 69 editorial Some of the most fundamental ideas about piercing are those that are most intriguing and still relevant to question. What materials are available now to make jewelry for initial healing and prolonged wear in the … Read more President’s Corner The Point 69
As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 68 editorial As we approach our twentieth annual meeting, I reflect on the beginnings of the APP. When I discovered that a group—this group—had formed to take action and establish professional industry standards I was immediately interested … Read more President’s Corner The Point 68
Aseptic No Touch Technique may be used in conjunction with sterile gloves as an alternative to full surgical asepsis for body piercing procedures. I demonstrated variations on this with colleagues during the Versatility in Piercing Techniques series of workshops for the 2014 APP conference. The following is from ANTT.org: What is Aseptic Non Touch Technique ANTT? ANTT is … Read more What is Aseptic Non Touch Technique ANTT?
This is very similar to what I saw when I visited Industrial Strength LLC Sharp Ass Needles, without the hubs, followed by cleaning and chemical passivation. They are ready to be sterilized and used. We use 304 SST and keep on file for every lot of needles we make a passivation certificate. We also have an … Read more How It’s Made – Hypodermic Needles
My company Piercers.com and I are pleased to sponsor a Statim autoclave for sterilization at this year’s event again! I will be there to educate and to learn, as well as to sell infection control equipment and anodizers. The Statim 2000 G4 is on the way, and the new Optim 33TB Blue version for surface disinfection as well. — at Unperfekthaus for the BMXnet … Read more Sponsorship for BMXnet 2013 infection control
I strongly suggest that my fellow piercers discontinue the use of any caps applied manually after piercing, especially two handed capping methods, which appear most likely to result in sharps injury.
OSHA considers recapping of needles unacceptable risk unless there are no alternatives. OSHA allows one handed capping, such as spearing the needle tip into a stopper on your work tray, or using a mechanical device such as a tweezer or clamp to apply the cap providing a safe distance from the sharp end. Even using a receiving tube can pose risks if the tube a small diameter or not sufficiently puncture resistant.
When piercing without a clamp, longer needles allow the tube to be held securely far away from the tip once it has passed through the body. I use 3 inch needles for all body piercings so that the sharp end can be cleared far enough from the pierced area and the tube can be secured close to the blunt base without the need to manipulate the sharp end.
The stylet approach is stable, and based on existing self-blunting sharps technology. Provided that the wire is the appropriate size, the sharp is secured and there is not a cutting edge to catch or stick. It will only move back in the needle with a similar level of force that would puncture through a cork or plastic tube. A telescoping metal tube with a reduction to catch the needle could be more secure, and I’m working on a demonstration of that as well.
This is a prototypical demonstration of the concept and a version of it can be made to fit into needles for our industry with a number of locking and blunting variations of the same strong passivated 304 steel as the needles.
Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below. Shearing or breaking of contaminated needles is prohibited.
Contaminated needles and other contaminated sharps shall not be bent, recapped or removed unless the employer can demonstrate that no alternative is feasible or that such action is required by a specific medical or dental procedure.
Such bending, recapping or needle removal must be accomplished through the use of a mechanical device or a one-handed technique.
Immediately or as soon as possible after use, contaminated reusable sharps shall be placed in appropriate containers until properly reprocessed. These containers shall be:
Labeled or color-coded in accordance with this standard;
Leakproof on the sides and bottom; and
In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps.
Engineering Sharps Safety Workshop
Wednesday, October 22, 2003
Work practice controls
Demonstrated knowledge of and aptitude for appropriate aseptic techniques, and practices, and legal issues involved is required prior to handling sharp instruments.
Watch the sharp end
Maintain awareness and control of sharp implements at all times
Don’t point sharp things at your self, especially fingers
Aim away from client and piercer
- Example: Eyebrow begins by aiming away from eye towards hairline and away from the scalp and forehead.
- Example: Navel begins by aiming out from the top center of the navel opening, out and away from the stomach.
- Example: Tongue begins underneath the medial sulcus center and out away from upper lip and nose.
- Example: Male urethral piercing begins inside urethra and aim outward between the glans penis perineal seam.
Use gauze to support tissue upon exit
- To decelerate leaving the exit wound and avoid fingers
- To reduce tissue tearing and aiming sharp accidents
Select sharp device of appropriate length
- Three inch sharp instruments (currently lancet pointed cannulae) allow for superior control and aim.
- Use the extra length to keep fingertips away from sharp end.
Use appropriate amount of pressure for gentle penetration and exit
- To reduce pressure is to reduce risk, error, and equipment failure
- Slow down to ensure correct angle of exit
Engineered safety controls
No available devices exist specifically engineered to effectively reduce sharp injury risk both safe and effective to satisfy the requirements of the job.
Possible Ideas to assess
- At least one half inch longer than the needle tube
- Use as pin coupling to aid insertion of internally threaded jewelry
- Friction fit/notch/tab for wire/tube to lock in place
- Make 18g wire 3.5” for 14 gauge cannulae
- Get IS Needles to make prototypes for other sizes 18 gauge to 4 gauge
- Video and photograph to document
- Assess at 10 procedures
Using smaller tubing or wire stock cut to size for the stylets.
- The rod is slightly curved in the middle, to provide enough friction to prevent it from sliding back once advanced.
- For a REALLY tight fit you can bend the wire twice in opposite directions and it will basically LOCK the wire into the needle and not allow it to twist or pull out at all.
- The ends are rounded with a cup burr and polished to avoid injury.
- The tail end can even be tapered or threaded to ensure a transfer with internally threaded jewelry.
- 26/28g fits NeoMetal 18g threadless and most other 18g internally threaded posts
- 20g fits NeoMetal 16g threadless and some other 16g and larger internally threaded posts
- 18g fits 14 and 12g internally threaded posts
- Telescoping tubing better suited for larger bore needles
- Stylet wire in place, prepared for a piercing.
- Once pierced through, the wire is inserted into the jewelry then advanced flush with the butt of needle, blunting the sharp and maintaining a connection for the jewelry transfer.
- Now blunted, the jewelry insertion is safer, and the connection is sturdy without need for a taper.
- Blunted needle can be disposed of safely in a sharps container immediately, without need to return it to the work surface.