LESS THAN 30 DAYS UNTIL THE APP CONFERENCE!

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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!*

Read moreLESS THAN 30 DAYS UNTIL THE APP CONFERENCE!

Working with a STATIM autoclave

Practical information about your STATIM sterilizer

Statim G4 & Classic 2000, 5000, 7000, & 900 (Stattoo)

These details and suggested practices should help you better understand and streamline your workflow

Contents

Read moreWorking with a STATIM autoclave

Statim misconceptions

Did you read confusing STATIM information in the old APP Procedure Manual? (prior to 2013 edition)

STATIM in the old APP Procedure Manual

Get the 2013 APP procedure manual
Get the 2013 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:

Sterilization Methods:

Benchtop Sterilization

 

Aseptic Field

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.

DISPOSABLE SUPPLIES

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:

Read moreStatim misconceptions

Selected freehand piercings

Here is a look at a few recent piercings I performed during an exhibition for colleagues in New England. I really 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 SMT Micro anodizer.

A video of a few procedures by Brian Skellie

Skin antiseptics for piercing preparation

Thoughts on options for skin cleaning prior to body art procedures.

If a product is not labeled for surgical preparation, it really doesn’t matter how good of a hand and body soap or cleanser it is. It would only be a really strong hand wash product, or possibly aftercare for our purposes.

Choose a product that has claims as a “surgical skin preparation” because “scrub” alone is only the first step as cleaning. A two step “scrub then paint” process is appropriate and advised by CDC. That involves a solvent or detergent scrub to clean followed by the surgical antiseptic to kill microbes to an irreducible minimum level of contamination.

What does the evidence suggest that we use?

I have replaced this two step product in my procedure with a sterile version by Aplicare or Cardinal Health

  • I’ve been using FDA approved skin prep PVP-I, CHG or alcoholic CHG, or alcohol depending on the area, with a preference for sterile products, and keep looking for other safe, appropriate options.
  • For oral preparation, an antiseptic mouthwash containing CPC or dilute H2O2 and friction.

I’m still looking for a universal surgical preparation agent, and have not found anything on the market that is both proven and FDA approved other than PVP-I, CHG based products and alcohol. I don’t want to recommend anything unless it is tested and labeled for the purpose.

Read moreSkin antiseptics for piercing preparation