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APP PROCEDURE MANUAL • Associate Corporate Member • Many of These Are Available in Spanish (Latin American and Castilian), French, and Portuguese

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APP PROCEDURE MANUAL • Associate Corporate Member • Many of These Are Available in Spanish (Latin American and Castilian), French, and Portuguese Association of Professional Piercers Procedure Manual 2013 Edition ALSO AVAILABLE: APP BROCHURES PICKING YOUR PIERCER WHAT IS THE APP? BODY PIERCING TROUBLESHOOTING FOR YOU AND YOUR HEALTHCARE PROFESSIONAL SUGGESTED AFTERCARE GUIDELINES FOR BODY PIERCINGS SUGGESTED AFTERCARE GUIDELINES FOR ORAL PIERCINGS TAKING CARE OF YOUR NEW PIERCING (AFTERCARE FOR MINORS) TAKING CARE OF YOUR NEW ORAL PIERCING (ORAL AFTERCARE FOR MINORS) ORAL PIERCING RISKS AND SAFETY MEASURES JEWELRY FOR INITIAL PIERCINGS JEWELRY FOR HEALED PIERCINGS NEW! PREPARING FOR MEDICAL AND DENTAL PROCEDURES U.S. EDITION CONTENTS WHAT IS THE APP? 2 INTRO TO MICROBIOLOGY FOR THE PIERCER 4 INFECTION CONTROL 8 STERILITY CHART SYSTEMS 10 CLEANING, DISINFECTION, AND STERILIZATION 13 EQUIPMENT 17 ENVIRONMENT 21 SKIN PREPARATION 23 AFTERCARE 24 PIERCING HEALING TIMES 27 BODY JEWELRY 28 ETHICS AND LEGALITIES 32 COMPLIANCE AND TRAINING 36 EMERGENCIES 38 AFTERWORD 41 GLOSSARY 42 APPENDIX A - UNDERSTANDING SDS 45 APPENDIX B - FULL TEXT OF BLOODBORNE PATHOGENS STANDARD 1910.1030 46 APPENDIX C - HEPATITIS B VACCINE DECLINATION (MANDATORY) 56 APPENDIX D - GUIDELINE FOR HAND HYGIENE IN HEALTH-CARE SETTINGS 57 REFERENCES 59 SAMPLE MINOR RELEASE FORM 62 GAUGE CONVERSION CHART 63 PHYSICIAN ACKNOWLEDGEMENT FORM 64 Piercee’s Bill of RIGHTS 65 “EMPLOYEES ONLY” SIGN 66 EMERGENCY NEEDLESTICK INFORMATION 67 “DO NOT REMOVE YOUR JEWELRY” SIGN 68 “RIGHT TO REFUSE SERVice” SIGN 69 APP ULTRASONIC LOG 70 APP STERILIZATION LOG 71 Terms appearing in bold italics are defined in the glossary. This manual was first published in 1998 and was revised in 2002, 2005, and again in 2013. Contributors to the 2013 edition include: Elayne Angel, Sarvas Berry, Eduardo Chavarria, Dana Dinius, Rick Frueh, John Johnson, Chuck D. Kesler, Paul King, Mike Martin, Caitlin McDiarmid, Ash Misako, Marina Pecorino, Brian Skellie, Didier Suarez, Bethra Szumski, James Weber, and Bink Williams. Previous edition credits are extended to: 2005 Edition: Elayne Angel, Alicia Cardenas, Luis Garcia, Phish Goldblatt, Schane Gross, April Johnson, Jason King, Paul King, Megg Mass, Christina Shull, Crystal Sims, Bethra Szumski, James Weber, and Caitlin McDiarmid. 2002 Edition: Elayne Angel, Scott Brewer, Steve Joyner, Lisa Lystad, M.D., Patrick McCarthy, Sky Renfro, Bethra Szumski, April Williams-Warner, and Dr. Jack Ward. Original 1998 Edition: Gahdi Elias, Allen Falkner, Tracy Faraka, Kent Fazekas, Michaela Grey, Drew Lewis, Cheyenne Morrisson, David Vidra, and Dr. Jack Ward. Copyright © 1998, 2002, 2005, 2013. All rights reserved. This manual is copyrighted under Federal Law. WHAT IS THE APP? THE APP: The Association of Professional Piercers (APP) is an international educational organization • Provides a professional association for piercers to network and share information. dedicated to the dissemination of vital health and safety information about body • Encourages piercers to meet or exceed the APP standards for hygiene, safety, and piercing. We are a voluntary nonprofit alliance that has established environmental, environmental criteria, and provides an avenue to show health inspectors and the procedural, and materials standards for the body piercing industry. Governed by an public that these standards are being met. elected Board of Directors and appointed officers, the APP unites piercing professionals who freely share resources to help member and non-member piercers, healthcare • Provides piercers and legislators with support and assistance in drafting or updating professionals, legislators, health inspectors, and the public access the most current and appropriate legislation for the industry. accurate industry-related information. • Provides classes on piercing technique, business, health education, history, and numerous other topics at our annual Conference for piercers, health inspectors, and THE ORIGINS OF THE APP others involved in the industry. • Provides educational and informational materials, including consumer-oriented brochures. In 1994, representatives from several piercing studios organized a political action group in response to legislation that was pending in California (Proposition AB101). The • Attends and is involved in public health and medical conferences. association quickly grew to accommodate members nationwide and around the world. • Engages in outreach to the public at body art conventions. Our initial open meeting took place in Las Vegas in 1996, followed by the world’s first educational conference on piercing in Orlando, Florida in 1997. • Provides facts and professional opinions to the media when requested, and formally We expanded our outreach and held the first international piercing conferences in the responds to erroneous information, articles, and negative press about body piercing. UK in 1997, Amsterdam in 2002, and Mexico in 2006. With our ongoing support, piercers • Presents lectures at schools, universities, hospitals, health departments, and other in other nations have established their own non-profit organizations and now host their public and private facilities. own conferences. Today, the APP remains the foremost trusted source for body piercing information and education. • Produces The Point, a digital publication dedicated to bringing piercing-related news and information to individuals in the industry and the populations that we serve. • Staffs an email and phone response system. WHAT IS THE PURPOSE OF THIS • Maintains a comprehensive, frequently updated website with information for piercers, MANUAL? piercees, parents, educators, legislators, healthcare professionals, and anyone else with questions about body piercing. This manual is intended as a reference and guidebook for people concerned with • Does not police the piercing industry or piercers. The APP will respond to and resolve the practice and promotion of responsible body piercing—including piercers, health complaints against its members, and take action against those falsely claiming inspectors, legislators, medical professionals, insurance providers, and the general public. membership. Those in countries other than the US are invited to use this manual as a guide, keeping • Does not license or certify piercers. Members do receive a certificate of membership, in mind that regulations, available products, and industry standard techniques may vary which must be renewed every year. Individuals who take APP Conference classes by location. Please consult the APP website (safepiercing.org) for a listing of affiliated receive certificates of attendance. organizations (Associate Corporate Members). • Does not teach people how to pierce. The APP provides supplemental education and resources to piercers. WHAT ARE THE LIMITATIONS OF • Does not dictate the piercing techniques its members use, what aftercare they suggest, or which specific piercings or other body art practices they may choose to THIS MANUAL? perform. • Specifically addresses the practice of body piercing, which is defined as the act of This manual is not a training course and it will not enable anyone to become a piercer perforating the tissue of the body and inserting an ornament into the opening. Refer to without significant additional training. It is intended to provide a basic overview of the the glossary (page 42) for a complete definition. health and safety concerns faced by body piercers and to offer guidelines that minimize potential risks. This manual is not a substitute for formal training and education. Although • Supports the right for all adults to adorn or modify their bodies in a safe, informed, the content is updated periodically, information in this edition may not be current or and consensual manner when performed by a qualified practitioner under appropriate appropriate for your individual practice. It is imperative that each piercer seek out and asepsis. The APP does not directly regulate, perform outreach, or offer procedural evaluate the health and safety techniques and products that relate to his/her own practice guidelines on practices other than body piercing, but we support health and and local circumstances. For recent updates to this information, please see our website. safety organizations that do. Our most fundamental principles as expressed in our While this manual and its information, suggestions, and guidelines are offered for use environmental criteria and ethical standards extend to the greater body modification throughout the world, this version is specifically designated as the “USA Edition 2013.” community and its practices. We recognize that laws vary and not all products, tools, and jewelry types are readily available everywhere. As a result, we offer this USA Edition as a general foundation and encourage international APP member and non-member piercers, legislators, and health MEMBERSHIP inspectors in other locations to update, clarify, and edit this version (with permission) to be appropriate for their region. The APP has six types of memberships: • Professional Business Member • Professional Business Member-at-Large • Associate Member 2 APP PROCEDURE MANUAL • Associate Corporate Member • Many of these are available in Spanish (Latin American and Castilian), French, and Portuguese. There are ongoing projects to translate them to German, Italian, Japanese, • Corporate Sponsor and other languages. Free downloads are available from the APP website. • Patron Member Currently available brochure titles include: Professional Business Member (voting member) • Picking Your Piercer Works full time as a piercer and has more than one year of professional
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