COPE National  
    
4: IS YOUR USE OF NEEDLES SAFE IN YOUR PRACTICE?


by - Pauline W. Fallis,

Over the years I have heard from many electrologists about the practice of re-using electrolysis needles. They have been wiped off with a disinfectant and saved in an envelope for that client's next treatment, or they have been wiped off with a disinfectant and used on multiple clients, or they have been processed in a beaded unit and used again on the same client on their next visit or even on another client. If you are using any of these procedures in your practice, you are putting both yourself and your client at risk.

Your needles are one of the most critical instruments that you use in the practice of electrology. It is the instrument that penetrates the skin. It sometimes becomes contaminated with blood, serum or other material, from or on the skin, or in the hair follicle during the treatment. The use of contaminated needles is one of the most risky practices respecting the transmission of H.I.V., Hepatitis B, or Hepatitis C. It is for this reason that it is particularly important that a sterile disposable needle be used for each treatment.

There are several types of electrolysis needles available in the market. They may be stainless steel or gold-plated, one or two piece, insulated or non-insulated, and disposable or non-disposable. The choice is yours, depending on your epilator, your preference or your standards. This discussion will focus on the choice between disposable or non-disposable and their care and handling to ensure that these needles are sterile at the time that they are actually used.

Non-disposable needles are made of a different quality of metal, thus making them able to withstand the sterilization process, whether by a steam or dry heat method. Chemical sterilization should not be done on needles, because there is no way of monitoring the effectiveness of the sterilization process, and there is no way of storing them in a sterile state ready for use. If your choice is non-disposable needles, then after treatment they must be cleaned thoroughly. No instruments can be sterilized unless they are cleaned first. They then must be packaged in sterilization wrappings. Packaging materials for sterilization are available from a number of suppliers and they must be stored in a clean dry place prior to use. Even new re-usable needles, BEFORE they are used for a treatment, MUST be cleaned, packaged and sterilized, just as if they had already been contaminated from actual use.

Disposable pre-packaged sterile needles are the safest for both client and electrologist, and they should be your first choice. They are designed to perform the same as re-usable needles, but are manufactured differently because they are meant to be used for one treatment only. These needles are not designed to withstand exposure to the high heat of any sterilization process. They must not be sterilized for reuse because sterilization by any method, including chemicals, may damage the needles and affect their performance. Like all sterile products, whether re-processed or purchased, they must be stored in a clean dry place ready for use.

The relatively low cost of sterile disposable needles, on a per client basis, represents a very small part of the treatment cost. Not only is the cost of a re-usable needle higher at the outset, there is a hidden re-processing cost made up of time and supplies, that is not usually taken into account.

The use of sterile disposable needles is a standard of practice demanded of the members of the Canadian Organization of Professional Electrologists, (COPE National). It is reassuring to the educated client that the electrologist is using safe devices and practices. This in turn results in higher client satisfaction.

REFERENCES -

Fallis, P.W. - "Handbook on Infection Control in Office-Based Health Care and Allied Services." - Canadian Standards Association, Plus 1112, Toronto, Ontario - 1994.

Mahan, J.L., and Ebersole, M.E. - "Infection Control Standards for the Practice of Electrology" - American Association of Electrology, Trumbull, Connecticut, U.S.A., - 1991.

Whipple, L. and Helgeson, J. - "Infection Control Practices and Sterilization Standards". - Society of Clinical and Medical Electrologists Inc., Bellingham, Massachusetts, U.S.A., - 1993.

INFECTION CONTROL ARTICLES

  1. PREPARING FOR THE PATIENT/CLIENT
    Spring 2001, Volume 8, Number 1

  1. PREVENTING INFECTION FOR ELECTROLYSIS
    Fall 2000, Volume 7, Number 2

  1. INFLUENZA
    Spring 2000, Volume 7, Number 1

  1. MICROORGANISMS AND INFECTIOUS DISEASE
    Summer 1999, Volume 6, Number 2

  1. BLOOD BORNE INFECTIOUS DISEASES AND PERSONAL PROTECTION
    Spring 1999, Volume 6, Number 1

  1. MICROORGANISMS & INFECTION
    Fall 1998, Volume 5, Number 2.

  1. BIOLOGICAL TESTING OF YOUR STERILIZATION PROCESS
    Spring 1998, Volume 5, Number 1

  1. STEAM STERILIZATION
    Fall 1997, Volume 4, Number 2

  1. CHEMICAL STERILIZATION
    Spring 1997, Volume 4, Number1

  1. DRY HEAT STERILIZATION
    Fall 1996, Volume 3, Number 2

  1. STERILIZATION
    Spring 1996, Volume 3, Number 1

  1. IS YOUR USE OF NEEDLES SAFE IN YOUR PRACTICE?
    Fall 1995, Volume 2, Number 2

  1. PREPARING INSTRUMENTS FOR STERILIZATION
    Spring 1995, Volume 2, Number 1

  1. WHY ARE GLASS BEAD STERILIZERS NOT RECOMMENDED FOR USE IN ELECTROLOGY?
    Fall 1994, Volume 1, Number 2

  1. STERILIZATION: HOW, WHEN, AND WHAT WITH
    Spring 1994, Volume 1, Number1

 

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