Seminars | UKAPP 2018

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 moreSeminars | UKAPP 2018

Join me at the APP 23rd Annual Conference!

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 moreJoin me at the APP 23rd Annual Conference!

Optim 1 results in Environmental Surface Cleaning Investigation

Dental Advisor and Dr John Molinari: Environmental Surface Cleaning Investigation Are your surfaces really clean? Dr John Molinari tests alcohol and QUAT surface cleaners, as well as OPTIM 1: One-Step Cleaner & Intermediate Disinfectant.OPTIM 1 was the only disinfectant wipe to successfully clean and remove proteins with a single application. Buy direct from Brian‘s Statim.us … Read moreOptim 1 results in Environmental Surface Cleaning Investigation

Christina Blossey interviewed by Ryan Ouellette

Ryan Ouellette from Precision Body Arts follows up with a witty and conscientious interview with my former apprentice Christina Blossey of Piercing Experience.

Read moreChristina Blossey interviewed by Ryan Ouellette

Brian Skellie interviewed by Ryan Ouellette

An opportunity to share ideas with my colleagues hosted by Ryan Ouellette from Precision Body Arts.

Check out his podcast for interesting discussions with piercers, including my former apprentice Christina Blossey of Piercing Experience.

My guest on the Piercing Wizard Podcast this week is Brian Skellie. We talk about sterilization, jewelry materials, and his journey from piercing fan to piercing authority.

Listen for free on itunes apple podcasts, google play music, or stream from the link below.

https://pinecast.com/…/0458f3ee-b706-42ad-9eb4-0f78c653e091…

Avoid Long Delays in Instrument Decontamination, Reprocessing

Leaving instruments unprocessed for any period of time can lead to the development of biofilm. The recommendation is to begin the cleaning process as soon as possible. As a matter of fact, a number of manufacturer’s instructions for use (IFUs) are now specifying the time frame that cleaning should be implemented. This ranges from “immediately after use” to “within 10, 20 or 30 minutes;” it varies with the device/instrument manufacturer. The manufacturer’s IFUs should always be followed.

2016 BMXnet event interview on needles, steel and wound care

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:

http://www.newyorker.com/news/news-desk/when-newt-met-hari-seldon

seminars | UKAPP 2017

Come to the 2nd annual UKAPP seminars. Sunday 4th & Monday 5th at the Radisson Blu hotel in Birmingham England

See you there to share! I’ll be here just before BMXnet to help my colleagues further their organizational momentum!! It gives us great pleasure to announce the 2nd annual UKAPP seminars. Sunday 4th & Monday 5th at the Radisson Blu hotel just a 2 minute walk from Birmingham Moor street train station This year the UKAPP … Read moreseminars | UKAPP 2017

APP: The Point #73

As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 73 editorial   Please enjoy my article on asepsis in the new issue of The Point by the Association of Professional Piercers  

General Statim questions and answers for Body Artists

Glad you could visit my site, and I’ll be pleased to talk with you and address your questions in detail. As an authorized SciCan dealer for our lovely Body Modification world, and I’ve written quite a bit about protocol for Statim use in our field, especially for piercing and tattoo. https://brnskll.com/shares/statim has plenty of detail for you to dig into. … Read moreGeneral Statim questions and answers for Body Artists

SALUS™ – Hygiene Sterility Maintenance Container | SciCan

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 moreSALUS™ – Hygiene Sterility Maintenance Container | SciCan

Sterile gloves use rationale

Are you using sterile gloves for body piercing procedures? If you are not, using an Aseptic Non Touch Technique with sterile engineering controls to prevent client contamination is an alternative that you can use now with equipment that you already have. The burden of proof Fitness for purpose: Sterile gloves, be they exam or surgical are designed … Read moreSterile gloves use rationale

Bacterial Hand Contamination and Transfer after Use of Contaminated Bulk-Soap-Refillable Dispensers

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.

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 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 morePresident’s Corner The Point 69

Passing the buck on contaminated instruments, washer placement

Original article: December 2014 – CS Solutions. How this applies to body artists: Start the cleaning process for instruments right away in the procedure area at the point of use by wiping them off and wetting them with a foam enzyme cleaner product such as the all-in-ONE™ Surgical Instrument Cleaners and Conditioners. Transport the instruments to an … Read morePassing the buck on contaminated instruments, washer placement

“Didn’t Wash Hands” Alarm

Didn't Wash Hands alarm, Gary Larson — The Far Side

Our friends at the CDC created a helpful website about hand washing, which is worth the time to read through. I particularly appreciate their “Show me the science” section. ;) How to make your own “Didn’t Wash Hands” Alarm | MAKE. Big brother says, “wash your hands” More on Germ theory by How Stuff Works: Related: … Read more“Didn’t Wash Hands” Alarm

What is Aseptic Non Touch Technique ANTT?

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 moreWhat is Aseptic Non Touch Technique ANTT?

Double pouching for sterile presentation? ATP use in CS? May 2014 – CS Solutions

From May 2014 – CS Solutions.

Double pouching for sterile presentation? ATP use in CS?

by Ray Taurasi

Q The OR requires that Sterile Processing double peel pouches all items sent to them. They claim this is essential to allow for sterile presentation to the sterile field. I cannot find anything in AAMI or AORN recommendations stating this is necessary. I find it strange that they have no issues with commercially prepared items they use from manufacturers that are all single packaged. Why should there be different packaging standards for items sterilized in-house versus commercially sterilized items?

A There are no AAMI or AORN recommendations that state you must double peel pouch items for use in the Operating Room. Both AORN and AAMI state that you should follow the manufacturer’s IFUs for any packaging materials. Their recommendations also advise that if a hospital chooses to double peel pouch they must be sure that the manufacturer has validated their pouches for double pouching.

Read moreDouble pouching for sterile presentation? ATP use in CS? May 2014 – CS Solutions

11 Things You Should Know About Piercings

“This article presented some sound information, but there’s still much more to know. When piercings are performed by a trained professional using sterile equipment and high quality jewelry, and appropriate aftercare is followed, the risks are drastically minimized.” — Elayne Angel, APP President

FDA Antiseptic sterility report

Sterility of Antiseptic Products:

FDA Investigates, Deliberates on Potential Recommendations

(Infection Control Today, PDF)
FDA investigates Antiseptics Sterility and potential recommendations_Page_01

In light of a number of high-profile recalls of contaminated alcohol prep products in the last several years, the Food and Drug Administration (FDA) is currently weighing whether or not to require sterility of patient skin prep products, specifically items such as alcohol prep pads used for injections, but it is not ruling out other surgical prep products.

On Dec. 12, 2012, the FDA held a hearing to receive expert testimony and public comment on how to address microbial contamination of these patient preoperative skin preparation drug products. It is a step in the ongoing investigational process that the agency is undertaking to determine issues related to sterility impacted by manufacturing processes.

An FDA spokesperson says that the panel members and FDA’s working group have received the submissions from the hearing and have been deliberating. FDA’s working group will be ready to make new recommendations in the coming months. The spokesperson adds that FDA’s working group has been soliciting clinician feedback from the FDA’s federal partners and other public health organizations, and that the agency will be ready to make new recommendations in the coming months.

Currently, patient preoperative skin preparations are not required to be sterile, since bacteria can contaminate these products at the time of manufacture or during product use. But because contaminated patient preoperative skin preparations have been associated with clinical infections and adverse outcomes, the FDA is exploring certain scientific and product-use issues related to patient preoperative skin preparations.

Patient preoperative skin preparations are over-the-counter (OTC) topical antiseptic drug products used to reduce the number of bacteria on the skin prior to medical procedures or injections. Although they are marketed predominantly to healthcare facilities, the use of these products extends beyond the healthcare facility setting.

Distilled water vs. saline soak; tears in wrapped sets; keeping instruments open for cleaning

December 2013 – CS Solutions. More insightful answers to infection control questions from Ray T. Surgical instruments should not be soaked in saline. Saline contains chloride ions which can be very damaging to surgical instruments. These chloride ions are highly caustic and can cause pitting and deterioration to instruments. (See figures 1 and 2.) For support … Read moreDistilled water vs. saline soak; tears in wrapped sets; keeping instruments open for cleaning

Sacred cows in infection control

SSI Prevention: Evidence-Based Practices Replace Lingering “Sacred Cows’ in the OR
This report explores the prevention of surgical site infections (SSIs) within the context of evidence-based practices replacing “sacred cows” in the operating room. It focuses on the critical practice of preoperative hair removal.

When Thomas Paine noted in 1776 that, “A long habit of not thinking a thing wrong, gives it a superficial appearance of being right,” he could not have imagined that he was describing a current tug-of-war that still exists in some operating rooms today.

Sponsorship for BMXnet 2013 infection control

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 moreSponsorship for BMXnet 2013 infection control

Researchers Develop Off-Grid Sterilization with Solar Steam

Original article: Researchers Develop Off-Grid Sterilization with Solar Steam.

Copyright 2013 by Virgo Publishing http://www.infectioncontroltoday.com/
Posted on: 07/22/2013

Rice University graduate student Oara Neumann, left, and scientist Naomi Halas are co-authors of a new study about a highly efficient method of turning sunlight into heat. They expect their technology to have an initial impact as an ultra-small-scale system to treat human waste in developing nations without sewer systems or electricity. Photo by Jeff Fitlow/Rice University.

Read moreResearchers Develop Off-Grid Sterilization with Solar Steam

Stylets and needle safety

A quick sketch from a number of years ago
A quick sketch from a number of years ago

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.

1910.1030(d)(2)(vii)

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.

1910.1030(d)(2)(vii)(A)

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.

1910.1030(d)(2)(vii)(B)

Such bending, recapping or needle removal must be accomplished through the use of a mechanical device or a one-handed technique.

1910.1030(d)(2)(viii)

Immediately or as soon as possible after use, contaminated reusable sharps shall be placed in appropriate containers until properly reprocessed. These containers shall be:

1910.1030(d)(2)(viii)(A)

Puncture resistant;

1910.1030(d)(2)(viii)(B)

Labeled or color-coded in accordance with this standard;

1910.1030(d)(2)(viii)(C)

Leakproof on the sides and bottom; and

1910.1030(d)(2)(viii)(D)

In accordance with the requirements set forth in paragraph (d)(4)(ii)(E) for reusable sharps.

via Bloodborne pathogens. – 1910.1030.

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

Stylet wire

  • 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

Test

  1. Make 18g wire 3.5” for 14 gauge cannulae
  2. Get IS Needles to make prototypes for other sizes 18 gauge to 4 gauge
  3. Video and photograph to document
  4. 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.

What fits?

  • 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

Demonstration:

  1. Stylet wire in place, prepared for a piercing.
  2. 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.
  3. Now blunted, the jewelry insertion is safer, and the connection is sturdy without need for a taper.
  4. Blunted needle can be disposed of safely in a sharps container immediately, without need to return it to the work surface.