Whoso would be a man must be a nonconformist. He who would gather immortal palms must not be hindered by the name of goodness, but must explore if it be goodness. Nothing is at last sacred but the integrity of your own mind. Absolve you to yourself, and you shall have the suffrage of the world.
— “Self Reliance,” Ralph Waldo Emerson
You may find this conversation interesting or useful as a colleague if you are on the fence about joining the Association of Professional Piercers.
|Less than 30 MORE DAYS UNTIL THE CONFERENCE!
ONLINE REGISTRATION CLOSES THIS WEEK!
Our 17th Annual Conference and Exposition will be in
Las Vegas, Nevada on June 17-June 22, 2012.
You need not be an APP member to attend the Conference!*
A useful collection of scientific studies on antimicrobial use in clinical and home settings.
For brevity, I suggest that you use all sterile disposable single use items, however if you are to reprocess used instruments: Classes Come to the APP or the APT conference for classes on the subject Read the notes from one of the recent APP classes https://brnskll.com/shares/statim/ for a thorough description of some options, including accessible … Read more
I am teaching Biomaterials standards for body art at the BMXnet conference in Essen, Germany this month for World Standards Day, the celebration of the birth of ISO October 14th, 1946. ASTM International will participate in the U.S. celebration of World Standards Day, sponsored by the American National Standards Institute (ANSI) on Oct. 13 in Washington, D.C. This year’s … Read more
Did you read confusing STATIM information in the old APP Procedure Manual? (prior to 2013 edition)
- STATIM in the old APP Procedure Manual
In the current 2013 edition of the APP Procedure Manual, I helped correct the previously confusing references to Statim autoclaves.
The current 2013 version of the guidelines refer to the Statim and the acceptable use of unwrapped sterilization methods.
Quotes from the 2013 APP procedure manual:
- Steam under pressure (saturated steam/steam autoclave): 220-270 kpa pressure at 132° Centigrade (270° Fahrenheit) for 3-40 minutes depending on cycle.
- Steam autoclave process types
- Steam flush-pressure pulse (type S):
“Another design in steam sterilization is a steam flush-pressure pulsing process, which removes air rapidly by repeatedly alternating a steam flush and a pressure pulse above atmospheric pressure. Air is rapidly removed from the load as with the prevacuum sterilizer, but air leaks do not affect this process because the steam in the sterilizing chamber is always above atmospheric pressure. Typical sterilization temperatures and times are 132°C to 135°C with 3 to 4 minutes exposure time for porous loads and instruments.” The Statim is an example of a type S steam flush pressure pulse autoclave, which is acceptable for sterilization.
The actual procedure surface is referred to as an “aseptic field,” and is a sterilized surface that becomes exposed to air contact only at the beginning of the piercing procedure. The aseptic field used by most piercers is the sterile inside surface of a freshly opened large autoclave or sterile glove package, Statim cassette, rigid sterilization container, or sterilized tray. Once the package is opened, sterile tools, needles, jewelry, and disposables can be dropped onto the inside surface for use. The exterior of sterilized packages such as those containing the jewelry should not touch the aseptic field; the contents should be carefully dispensed onto it.
To minimize the risk of cross-contamination and to ensure that piercing room procedures are as clean as possible, many components of the tray setup must be disposable. Unless supplies are purchased presterilized* or will be sterilized in an autoclave immediately prior to the procedure, all disposables must be individually packaged in autoclave bags, sterilized, and remain intact in their pouches stored in enclosed, nonporous drawers or containers until use. Disposable materials that must be sterilized include: marking implements, piercing needles, corks or synthetic stoppers, elastic bands, swabs, and gauze.
* This includes only FDA-cleared items that are commercially sterilized according to accepted medical standards. The supplier must make documentation of appropriate sterilization available.
The following is to clarify the inconsistencies in the previous editions:
Sign up for the workshop with Brian Skellie
Previously Presented at BMXnet, UKAPP, APP, LBP, 2º Congresso Educativo para Perfuradores Corporais da América do Sul – ATPB 2013
1) What is Anodizing?
Anodizing is a process where a coating is built up on the surface of certain metals (titanium, niobium, tantalum, aluminum, magnesium and zinc) by heating, with chemicals, or by electricity. In the case of titanium, the coating that is built up is a layer of titanium dioxide.
Ever wonder why we get different results when we search for the same thing? I don’t think it is a glass half empty/half full thing.
Here is a glimpse of a few piercings I performed during an exhibition for colleagues in New England. I enjoy sharing ideas and techniques with my peers. Let me know what you think.
My goal is an atraumatic aseptic technique: Primum non nocere
All of these piercings were performed without clamps using the STATIM 2000 autoclave, sterilized single use equipment, sterile nitrile gloves, and the titanium jewelry was anodized with the Reactive Metals Micro anodizer.