Treat skin imperfections using advanced electrical epilation techniques

This standard is about the skills involved in carrying out advanced electrical epilation treatments to treat skin tags, milia, telangiectasia, spider naevi and Campbell de Morgan. You will carry out a thorough consultation with the client, formulate an individual treatment plan, provide treatment and aftercare advice.

To carry out this standard you will need to maintain effective health, safety and hygiene throughout your work. You will also need to maintain your personal appearance and demonstrate effective communication and consultation skills.

The main outcomes of this standard are:

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1. maintain safe and effective methods of working when using electrical epilation equipment to treat client's skin imperfections

2. consult, plan and prepare for treatments

3. treat skin imperfections

**Maintain safe and effective methods of working when using electrical epilation equipment to treat client's skin imperfections

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1.  maintain your responsibilities for health and safety throughout the treatment

2.  prepare and protect your client and yourself with personal protective equipment within the treatment area

3.  maintain your client's modesty, privacy and comfort at all times

4.  position your client to meet the needs of the treatment without causing them discomfort

5.  ensure your own posture and working methods minimise fatigue and the risk of injury to yourself and others

6.  ensure environmental conditions are suitable for the client and the treatment

7.  use working methods that minimise the risk of cross-infection

8.  ensure the use of clean equipment and materials

9.  promote environmental and sustainable working practices

10. follow workplace and suppliers' or manufacturers' instructions for the safe use of equipment, materials and products

11. dispose of waste materials to meet legal requirements

12. complete the treatment within a commercially viable time

Consult, plan and prepare for treatments

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13. use consultation techniques to determine the client's treatment plan

14. ensure that informed and signed parent or guardian consent is obtained for minors prior to any treatment

15. ensure that a parent or guardian is present throughout the service for minors under the age of 16

16. recognise any contra-indications and take the necessary action

17. agree the treatment and outcomes that meet the client's needs

18. obtain signed, informed consent from the client prior to carrying out the treatment

19. use consultation techniques to establish the client's medical history, skin classification and condition

20. identify any skin imperfections, the area to be treated, client expectations and the treatment objectives

21. take photographs of the area to be treated following organisational practices

22. explain the physical sensation created by the treatment to the client

23. carry out a test patch prior to treatment, following organisational requirements

24. select and prepare equipment and products to meet the treatment objectives

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Treat skin imperfections

25. ensure the area to be treated is clean, oil free and dry

26. use the size, and type of needle to treat the skin imperfections

27. load and use needles avoiding damage and contamination throughout the treatment

28. illuminate the treatment area and use magnification to ensure maximum visibility during treatment

29. ensure your treatment techniques minimise discomfort to the client

30. work systematically to treat skin imperfections within the agreed area

31. manipulate the skin, to meet the needs of different skin imperfections

32. adapt your treatment techniques according to the level of skin reaction ** 

33. apply a product or sterile dressing to the treated area

34. give your client advice and recommendations on the treatment provided

35. ensure the client's records are completed and signed by you and the client

Maintain safe and effective methods of working when using electrical equipment to treat client's skin imperfections

1.  your responsibilities for health and safety as defined by any specific legislation covering your job role

2.  the reasons for checking current insurance guidelines for the delivery of advanced epilation treatments

3.  the responsibilities under local authority licensing regulations for yourself and your premises

4.  why it is important to maintain client's modesty, privacy and comfort

5.  how the position of your client and yourself can affect the desired outcome and reduce fatigue and the risk of injury

6.  the importance of personal hygiene, protection and presentation in maintaining health and safety in your workplace

7.  the different types of work related injuries associated with the delivery of advanced epilation and how they can be avoided

8.  the necessary environmental conditions for services such as heating and ventilation and why these are important

9.  methods of cleaning, disinfection and sterilisation

10. why it is important to avoid direct and indirect cross-infection by working safely and hygienically

11. the hazards and risks associated with the delivery of advanced epilation treatments and how these can be minimised

12. the different types of working methods that promote environmental and sustainable working practices

13. suppliers' and manufacturers' instructions for the safe use of equipment, materials and products which you must follow

14. the legal requirements for waste disposal

15. the reasons for completing the service in a commercially viable time

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Consult, plan and prepare for treatments

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16. why it is important to communicate with clients in a professional manner

17. how to complete a consultation taking into account client's diverse needs

18. the legal requirements for providing treatments to minors under 16 years of age

19. the age at which an individual is classed as a minor and how this differs nationally

20. the importance of agreeing the treatment that meets the client's needs

21. the legal significance of gaining signed, informed client consent prior to treatment

22. the legislative requirements for storing and protecting client data

23. how to recognise contra-indications that would prevent or restrict the treatment and why

24. the contra-indications requiring *medical *referral and why

25. the necessary action to take in relation to specific contra-indications when referring clients

26. the reasons for not naming specific contra-indications when referring clients

27. how to recognise different skin types and classifications

28. the different types and causes of skin imperfections

29. why it is advisable to take photographs of the treatment area pre and post treatments and how they should be taken

30. how to describe the physical sensation of the treatment to the client and what can impact on client pain threshold

31. the importance of carrying out a test **patch and providing aftercare instructions

32. the constraints surrounding advanced epilation treatments such as cost, time, number of treatments, healing rate and client commitment

33. how skin sensitivity is affected by other skincare treatments which may inhibit treatment

34. how to select and prepare the products, equipment and materials for the treatment

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Treat skin imperfections

35. the types and sizes of needles available for the treatment of skin imperfections

36. how to load and use needles to avoid damage and contamination

37. why it is important to use magnification and illuminate the treatment area

38. the different type of treatment techniques and equipment available

39. the effects of different currents used for skin imperfections

40. how you stretch and manipulate the skin to ensure effective treatment results

41. the reasons for working systematically with correct spacing across the area to be treated

42. the importance of recognising and monitoring the skin reaction when treating different types of skin imperfections

43. why and how to remove skin debris from the needle during the treatment process

44. how to adjust the intensity and duration of current flow during treatment

45. possible contra-actions which may occur, how to deal with them and what advice to take

46. the anatomy and physiology of the skin

47. the importance of post-treatment assessment through client feedback, such as questionnaire, telephone call, next visit follow up

48. the advice and recommendations on products and services

**Consultation techniques

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1. questioning

2. listening

3. visual

4. manual

5. written

**Skin imperfections

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1. milia

2. skin tag

3. telangiectasia

4. spider naevi

5. Campbell de Morgan

**Treatment techniques

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1. needle depth and pressure

2. current intensity

3. duration of current flow

4. needle selection

5. treatment area spacing

Advice and recommendations

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1. suitable aftercare products and their uses

2. avoidance of activities which may cause contra-actions

3. time intervals between treatments

4. present and future products and treatments

**Health and safety

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1. Health and Safety at Work Act

2. The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR)

3. The Health and Safety (First Aid) Regulations

4. The Regulatory Reform (Fire Safety) Order

5. The Manual Handling Operations Regulations

6. The Control of Substances Hazardous to Health Regulations (COSHH)

7. The Electricity at Work Regulations

8. The Environmental Protection Act

9. The Management of Health and Safety at Work Regulations

10. The Health and Safety (Information for Employees) Regulations

Environmental and sustainable working practices

1. reducing waste and managing waste (recycle, reuse, safe disposal)

2. reducing energy usage (energy efficient equipment, low energy lighting, utilising solar panels)

3. reducing water usage and other resources

4. preventing pollution

5. using disposable items

6. using recycled, eco-friendly furniture

7. using low chemical paint

8. using environmentally friendly product packaging

9. choosing responsible domestic products (Fairtrade tea and coffee)

10. encouraging carbon reducing journeys to work

Diverse needs

1. cultural

2. religious

3. age

4. disability

5. gender

Contra-indications which prevent

1. pacemakers

2. haemophilia

Contra-indications which restrict

1. psoriasis

2. eczema

3. acne

4. epilepsy

5. diabetes

6. infectious and contagious disease

Contra-actions

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1. erythema

2. oedema

3. blanching

4. bleeding

Anatomy and physiology

1. the structure and function of the skin

2. the principles of cellular repair and regeneration

3. the principles of the autonomic nervous system

4. the structure and function of the circulatory system

5. the structure and function of the lymphatic system

6. the structure, function and malfunction of the endocrine system

7. how melanin affects treatment

Advice and recommendations

1. additional services

2. additional products

3. the normal reactions which occur after treatment and how to deal with them

4. the lifestyle factors and changes that may be required to improve the effectiveness of the treatment

5. the importance of future treatments to maintain optimum results

6. the importance of avoiding certain products during the skin healing process, such as perfumed and chemical based products, exfoliating agents

7. the importance of avoiding touching the treated area and removing scabs

8. the importance of using a suitable product to assist the healing process

9. further treatments to enhance the treatment results, for example facials, photo rejuvenation

10. the importance of giving precise, accurate aftercare advice to clients, to avoid post-treatment damage

11. the importance of post-treatment assessment through client feedback for example questionnaire, telephone call, next visit follow up

The following key values underpin the delivery of services in the beauty, nails and spa sectors

1. a willingness to learn

2. a flexible working attitude

3. a team worker

4. a positive attitude

5. personal and professional ethics

The following behaviours underpin the delivery of services in the beauty, nails and spa sectors. These behaviours ensure that clients receive a positive impression of both the organisation and the individual

1. meeting the organisation's standards of behaviour

2. greeting the client respectfully and in a friendly manner

3. communicating with the client in a way that makes them feel valued and respected

4. treating the client courteously and helpfully at all times

5. adapting behaviour to respond effectively to different client behaviour

6. checking with the client that you have fully understood their expectations

7. responding promptly and positively to the client's questions and comments 

8. recognising information that the client might find complicated and checking whether they fully understood

9. explaining clearly to the client any reasons why their needs or expectations cannot be met

10. maintaining effective, hygienic and safe working methods

11. adhering to workplace, suppliers' and manufacturers' instructions for the safe use of equipment, materials and products  

12. meeting both organisational and industry standards of appearance.

The following key skills underpin the delivery of services in the beauty, nails and spa sectors

1. the ability to self-manage

2. excellent verbal and non-verbal communication

3. using the most appropriate ways of communicating with a client

4. responding promptly to a client seeking assistance

5. quickly locating information that will help the client

6. providing the client with information they need about services and products offered by the organisation

Blanching

Whitening of the epidermis.

Campbell de Morgan

Non linear concentrations of blood present in the skin's surface, overlaid with a translucent layer of the skin; may be raised of flat and varying in size. Otherwise known as Cherry Angiomas or blood spots.

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Skin tags

Fibrous skin condition found individually or in groups. Consisting of fibrous tissue varying in size and colour. Commonly found on neck, axilla and groin area, also known as pendunculated papilloma, fibro epithethial papilloma or polyp or raised fibroma simplex.

Spider Naevi (Telangiectasia Angioma)

Central dilated blood vessel with smaller capillaries radiating from it, like the legs of a spider.

Telangiectasia

A permanently dilated capillary or group of capillaries visible on the skin's surface. Commonly known as thread veins.

Test Patch

Tests to determine the degree of skin reaction and sensitivity. Test patches can be used to test the degree of heat sensitivity and pain response plus skin reaction. Test patch can incorporate patch test, thermal test or tactile test.