Medical Aestheticians: Medical Spa Patient Charting

Many aestheticians coming from the day spa industry into the medical spa environment have to learn a whole new way of documentation as a client now transforms into a patient.

Aestheticians who are used to time and date stamping treatments with occasional side or progress notes, now are expected to chart everything they say and do during a patient's treatment. Along with charting comes treatment consent forms, HIPPA Forms, photography consent forms, payment agreement forms, anatomical charting forms, etc.

Medical Aestheticians who have any contact with a patient as any part of their treatment, should be charting everything from follow-up calls, to topical treatments used and the patient's response, to laser settings, test patch tests, follow up appointments, and the patient's tolerances to treatments.

As a new medical aesthetician, your day spa 'client' files have now been transformed into a legal medical records which could need to stand up in a court of law. Some new medical aestheticians I have spoken with have not yet learned to correctly chart and feel they should not be required to.

Why is it patient charting so important? Unfortunately, there have been more recent horror stories hitting the media than stories of healing and hope, especially when it comes to medical spa therapies that involve lasers and IPLs. These circumstances are a catalyst of change to medical laser laws across the U.S. Whether the MD is on site or off site, they (along with the medical esthetician) can be held responsible for any legal implications filed by a patient at the hands of a clinician, laser technician, or medical Esthetician.

While it may seem harsh, even the most skilled and brilliant esthetician should be terminated if they refuse to properly chart and document a patient's care. The rule of thumb is just this... if you didn't chart it, it didn't happen.

If you're a medical esthetician performing medical treatments it's up to you to know what your medical spas requirements are around patient charting and what potential problems exist if you fail to live up to these new requirements.

Medical Spa MD is a medical community of Plastic Surgeons, Cosmetic Dermatologists, and Aesthetic Physicians with more than 4,200 medical spa members. Medical Spa MD offers wholesale Botox online and offers information on nonsurgical cosmetic medical technologies and treatments.

October 17 2009 | Cosmetic Surgery | No Comments »

Hair Removal

Before laser and IPL devices entered the market, electrolysis was the only form of permanent or long-term hair removal available. Electrolysis is still performed today, but it is painful and invasive to the skin, allowing for a chance of infection. Unfortunately, this painstaking process is performed one hair follicle at a time. During the electrolysis procedure, a fine needle is inserted into the hair follicle, delivering a galvanic current to destruct the follicle stem cells. Regular maintenance procedures are often required for years after the initial treatment.

In contrast, with laser and pulsed light technology, hundreds of hair follicles are treated at a time and vary upon the spot size (the size of the tip of the device delivering energy). These hair removal procedures are non-invasive and take only minutes to perform instead of the many hours with electrolysis.

What is Melanin?

Laser hair removal is based on selective photothermolysis (using light and heat for destruction of a hair follicle) with melanin being the target chromophore (chemical grouping that produces color).The most important consideration prior to hair removal procedures is the patient's hair color and skin type. The difference between the absorption of laser or light energy by melanin in the hair follicle and melanin in the epidermis determines the amount of energy that can be safely used without harming the skin.

A patient with very dark skin and gray or white hair, would have little if any response, while light-skinned patients with dark hair are considered to be the ideal patients for hair removal Since melanin in the hair shaft and follicle are the target source for laser and IPL hair removal procedures, patients should be advised during their initial consultation not to tweeze, wax or use any depilatory device prior to hair removal. Hair which is protruding from the skin can singe during a laser or light treatment which causes an unpleasant smell and possible flares. The patient can shave the area to be treated or can use hair removal creams, which preserves the chromophore in the follicle

Procedure

Most laser hair removal devices technically operate the same way when performing a treatment. The parameters (joules, milliseconds, pulse, etc.) on the device should be set according to the patient's skin analysis and history. Patients should not wear dark clothing near the area to be treated as the pigment in the clothing can be absorbed by the laser resulting in a burn. The patient should be advised to refrain from using any lotions, body washes, cosmetics, or skin medications the day of treatment. A topical anesthetic may be applied prior to the procedure, but if any residue of the anesthetic remains, it should be wiped clean from the skin. A patch test should be performed on the targeted treatment area. Several treatments are required at monthly intervals for the best outcome and yearly maintenance procedure is highly recommended.

March 28 2009 | Cosmetic Surgery | No Comments »