Institute of Epidermal Cell Therapy /IECT Practical Performance Training-Theory

IECT Protocol 

Clinical Performance Grading Checklist: Week

Practical/ Internship/VIP Day

Onsite Procedures 2A & 2B

Client Draping & Makeup Skill Protocol Makeup Consultation & Skin Analysis Client Draping and Preparation, Consultation with Magnifying lamp Skin Types & Hydration Levels, Facial Assessment, Eyebrow Grooming/Eyebrow Shaping/ Product Ingredients Analysis Assessment – Follow up Treatment Plan

1. Hand washing Skill - Sanitize hands (Sanitation is the lowest level of infection control)
   •Wash hand with soap and water for 20 to 60 seconds
   •Use Nail brush
2. Put on Gloves Skill
3. Fold & Hang Laundry Storage Skill – towels, wraps, robes, pair slipper in bag
4. Room Set Up Skill
   •Prepare warm towels – per day
   •Prepare warm water – per day
   •Prepare warm hand cloth – per day (optional for Hand treatment)
   •Check Equipment
   •Stock Supplies and implements
   •Prep Steamer for use – check water level (add distilled water if needed)
   •Preheat – Steamer (Keep the Streamer 15 to 16 inches )
   •Preheat – Dr. Lucas /Electric Pulverizer, Unscrew top on machine.
   •Using distilled water only; fill the tube with water to the water level line. Tap water can leave deposits that can clog and cause breakage. Fill the large glass container with tonic, lotion or product that the client needs. The small container remains empty to collect liquid from the condensed steam. Turn on the machine; it takes ten minutes for the water to warm up.
5. Station Set Up Skill
   •Prepare warm towels 3 pre treatment
   •Prepare warm water 1 cup pre treatment
   •Prepare cold towels per 2 treatment
   •Prepare cold water
   •Mummy Mask (cold paper towel)
   •Prepare electrodes
   •Prepare warm hand cloth 2 per treatment (optional for Hand treatment)
6. Remove Gloves/Degloving Skill
   • Tip: Remember glove to glove and skin to skin
7. Greeting Client skill - Explain what an Esthetician is (we perform services on the body’s largest organ the skin)
   • Offer water
   • Explain the purpose of the Consultation and Student Wavier form
   • Have the client complete the Student Wavier form
8. History Intake Form - should be completed before every facialservice
   • Tip: Complete Confidentiality base off service.
   •Have the client complete the Client Consultation/Health form – use for the skin analysis procedure to help determine skin type, skin condition and select the best protocol for client/patient services - Makeup/Hair Removal/Body/Face/Consultation
9. Escort Client to the changing area
   •Ask Client to remove contract lens, jewelry
   •Ask your Client remove any heavy or stain makeup product such as eyeliner, mascara, lipstick with makeup/baby wipes
   •Ask your Patient to use the nail brush with soap and water to clean their hands (optional for Hand Massage treatment)
10. Escort Client to the Facial Bed - Help Client get into bed
    •Ask Client Bed’s confront level support of the:
    •Head
    •Neck
    •Lower Back (Lumbar Area)
    •Under Knees
    •Feet
11. Review Client’s Consultation
    •Began Hand massage (continue with the Client’s Consultation Skill)
    •Assess Nail Cuticle (Eponychium) Treatment
    •Wrap the hand in warm hand cloth
    •Repeat the same procedure on the opposite hand
    •Remove hand cloth
12. Review and Discuss Intake Form with client health history
    •Skin Consultation Form
    •Contraindication – Any disease or disorder that cause harm to the patient/client when performing services/treatment. The Esthetics should refer the patient/client to their physician or have written authorization to proceed with any services/treatment
    •Genetics & Heredity = Intrinsic Factors
    •Lifestyles = Extrinsic Factors
    •Lesions
    •Immunity – Natural & Acquired - body’s ability to resist infection and destroy bacteria
    •Disorders/ Disease: Chronic & Acute
    •Mental Disorders: Excoriation/Acne excoriee -skin picking scraping lesions, causing ❑abrasion
    •Infections: General & Local & Contagious- Herpes Simplex virus (Cold sores)
    •Asymptomatic - shows no symptoms of a disease
    •Symptomatic
    •Contagious disease or disorders: Tinea/Ringworm cause fungal Scabies cause ❑❑parasite/mite
13. Take Photos
    •Front View
    •Right View
    •Left View
    •Under Chin
    •Forehead
    •Neck (optional)
14. De-glove/ Sanitize Hands Skill
15. Put on Gloves
16. Client Draping Skill
    •Chest Towel
    •Facial Cap - Sanitizer hands after the hair is touch
17. Sanitize Hands Skill
18. Assess Client/ Patient Comfort level Pressure
    •Tip: Pain Tolerance scale 0 (lowest) to 10 (highest) Pressure corpuscles receptors in the Skin. Receptors responds to the skin
19. Know the structure and function of the skin nerve receptors
    • Meissner’s – located dermis layers glabrous skin -senses touch receptors Vibration 20-40 Hz range
    • Krause Corpuscle – located (mucocutaneous) lips, tongue, and genitals cold receptor - pressure
    • Pacinian Corpuscle – located lower layers dermis hairy and (glabrous) skin without hair senses pressure receptors Vibration 150 - 300 Hz range
    • Ruffini Corpuscle – located dermis layers hairy and (glabrous) skin without hair senses warmth receptors
    • Thermo Receptor – sense heat or cold
    • Merkel’s disc – located epidermis layers (glabrous) skin without hair skin -pressure
    • Free nerve ending - located throughout the skin – mechanical, thermal, or noxious stimulation
    • Hair Follicle Ending – located around the hair follicle - hair displacement
20. Begin your 1st Look Analysis
21. Consultation Assessing with Magnifying Lamp/ loupe - Look at the patient current makeup application style and colors
    • Tip Remember: Use Magnifying Lamp/ loupe
22. Magnifying lamp strength (amount of curvature a lens will have) Esthetics practices commonly use the following 3, 5, 10 diopter (field of view) magnification
    •3x diopter (curved mirror) magnification
    •5x diopter (curved mirror) magnification
    •10x diopter (curved mirror) magnification
23. Record finding - Makeup Assessment Form
    •Retail Skin Type:
    •Normal
    •Combination
    •Dry
    •Oily
    •Sensitive
24. Select Pre Cleanse (common names) Makeup Remover Product -
    • Water base Oil base
25. Begin Eyes Pre Cleanse – apply product with fingers
26. Begin Lips Pre Cleanse - apply product with fingers
27. Begin Face Pre Cleanse – Apply product with fingers. (The difference in performing a facial cleanses on a male or female client is the direction of the hair growth pattern. When male pattern hair growth is present your hands should follow the direction of the hair growth)
28. Toner – pH balancer after cleansing
29. Consultation Assessing with Magnifying Lamp/Loupe
    • White light is a combination of all visible rays of the spectrum
    • Facial features are asymmetric
30. First Look with Magnifying Lamp Skill
31. Physical Features Assessment – Parts of the Head
    • Remember to adjust client/ patient head for purpose viewing the face. Please locate each facial feature. (Look and Determine)
    
    • Physical Features Assessment – Parts of the Head
      •Hair
      •Forehead
      •Temple
      •Eyes
      •Eyebrow
      •Eyelids
      •Eyelash
      •Ear
      •Earlobe
      •Nose
      •Nostril
      •Cheeks
      •Mouth
      •Lips
      •Jaw
      •Chin
32. Measurements (Vocabulary/Skill) (Look and Determine)
    • Middle of Face – 1/2
    • Forehead - 1/3
    • Top Cheekbones – 1/3
    • Jaw Line – 1/3
33. Face Shapes
    •Inverted Triangle
    •Diamond
    •Heart
    •Oblong
    •Square
    •Triangular
    •Oval
    •Round
34. Face Shapes + Eye Shapes ideal (Vocabulary/Skill) (Look and Determine)
35. Eye Shape – Measurement
    •Tip: Shape between the eyes should be length of one eye. Dark Circles – create triangles shape for under eye concealer
    • Almond Ideal shape – (Elongated) Shape like an almond; outer and inner corner has aligned
    • Round – (Big Eyes)More white around the pupils
    • Close Set/Small – Narrow the one eye width; inner corner of eyes is close to bridge of nose
    • Protruding – Bulge from the eye socket Sits forward into the eye socket
    • Heavy Lidded/ Hooded – when eyes are open the crease and lid is not visible
    • Deep Set – Sits deep/back into the eye socket
    • Monolid – without crease separation
    • Upturned – outer corner points upward; outer corner is higher than inner corner
    • Down turned - outer corner points downwards; outer corner is lower than inner corner
    • Double lid - when eyes are open a fold is visible above the lash line
36. Makeup Assessment Form (Look and Determine)
    •Color (Lip, Eye, & Cheek)
    •No Makeup
    • ❑Basic Makeup Application Look (SBR 5 minute Application Skill) ❑
    • ❑Daytime
    • ❑Evening Look
    • ❑Special Occasion/ Formal Look
37. Select Color Plan – (Vocabulary)
    •Color Wheel (State Board)
    •Primary - fundamental colors not obtained from a mixture
    • Red
    • Blue
    • Yellow
    •Secondary - obtained by mix equal parts of two primary colors(Vocabulary)
    • Violet = (2 part)Red + (1 part)Blue
    • Green = (1 parts)Blue + (3 parts)Yellow
    • Orange =(3 part)Yellow + (2 parts)Red
    •Tertiary - obtained by mix equal amount of secondary color and its neighboring primary colors (Vocabulary)
    • Blue – Violet = Blue + Violet
    • Red – Violet = Red + Violet
    • Red – Orange = Red + Orange
    • Yellow – Orange = Yellow + Orange
    • Yellow – Green = Yellow + Green
    • Blue – Green = Blue + Green
38. Correction/ Balancer – cancel each other out to neutral
    •Green – Red
    •Orange – Blue
    •Violet - Yellow
39. Select Color Plan (Look and Determine)
    •Foundation
    •Tips: Determine your skin tone
    • Cool – your veins are blue
    • Warm – your veins are green
40. Eyebrow Shaping Assessment – Correct location and placement of the eyebrow
    •Tip the eyebrow should sit on the upper orbital bone and curve the eye socket.
    • Starting Point - create vertical line from inner corner of the eye to side of nose – (Tip when shaping: create vertical line from the inner edge of nostril to top of nose)
    • Distance between the brows- create a horizontal line at the top of the nose (widest part of the brow)
    • Arch Point – create a vertical line form the side of nose to the outer edge of iris (highest point of your brow)
    • End Point of Brow - create a vertical line from the side of the nose to outer corner of the eye- (Tip when shaping: create a vertical to where the brow will end.
41. Eyebrow Shaping and Design Assessment
42. Prepare Eyebrow Grooming Setup
    •Select Eyebrow pencil/wax color/service
    •Brown – (brow color)
    •Black - (brow color)
    •Eyebrow and Lash Tint Color (Advanced Skill)
    •Eyelash Perming (Advanced Skill)
43. Select Eyebrow Stencil Shape
    •Face Shapes – Eyebrow Stencil Shape
    • Inverted Triangle Eyebrow Shape - Rounded
    • Diamond – hairline narrow, jaw comes to point at chin Eyebrow Shape -Angled
    • Heart Eyebrow Shape - Rounded
    • Oblong – Eyebrow Shape – Flat
    • Square Eyebrow Shape - Angled
    • Triangular Eyebrow Shape - Flat
    • Oval - Ideal shape Eyebrow Shape - Angled
    • Round Eyebrow Shape - Angled
44. Begin Eyebrow Shaping Skill -
    •Tweezing Skill – Hold skin tight and pull out hair in the direction of hair growth
    •Blading/ Razoring (Advanced Skills)
    •Threading ( Advanced Skills)
45. Tweezing - Choose Type of Tweezers
    • Needle Nose Tweezers
    • Pointed Tweezers
    • Slant Tip Tweezers
    • Eyebrow Scissors
    • Eyebrow Brush/Comb
46. Eyebrow Shaping Post treatment
    • Antiseptic
47. Begin Facial Treatment/Service - (use skin diagram chart)
    •Prepare Magnifying Lamp
    •Turn on Magnifying Lamp
48. Begin First Skin Analysis - Consultation to determine and select skin type for products and treatment protocol purposes. Use Magnifying Lamp/Woods Lamp
49. Know your scope of practices
    •Skin Layers – Scope of Practice most state licensure only allows the Esthetician to provides or addresses concerns/service/care for the stratum corneum.
50. Know your skin structure and function
    •Epidermis layer/ soft keratin
    •Stratum corneum - corneocytes
    •Stratum lucidum
    •Stratum granulosum
    •Stratum spinosum
    •Stratum basale/germinativum
    •Dermis
    •Papillary layer
    •Reticular layer
    •❑Collagen - pump the skin; strengthen the skin 70% of dermis
    •❑Elastin – pliability, firming /tightness
    •Hypodermis (Subcutaneous)
    •Adipose tissue
51. Prepare Magnifying Lamp & Woods Lamp
    •Turn on Wood’s Lamp
52. Begin First Skin Analysis - Consultation to determine and select skin type for products and treatment protocol purposes. Use Magnifying Lamp/Woods Lamp
53. Turn on Wood Lamp – should be performed in a dark room or leave it skirt on the machine to create a darken environment
54. Wood’s Lamp - Consultation to determine overall condition of the epidermal layers. The Wood’s Lamp allows you see deep layer of the skin. You should be able to determine the depth, appearance, and texture of lesion. As well as it’s healing process. (2nd Skin Analysis Skill)
    • () White Fluorescence – Thick corneum layer.
    • () White Spots - Horny layer of the skin and dead skin cells
    • () Blue-White - Normal and healthy skin.
    • () Fluorescence – Thin skin without enough moisture (dehydrated).
    • () Light Violet – Dehydrated skin
    • () (Bright Fluorescence – Hydrated Skin
    • () Yellow - Oily areas of the face and comedone
    • () Pink – Oily areas of the face and comedone
    • () Brown – Pigmentation and dark spots
    • () Orange - bacteria of the face and comedone
55. Skin Types Classification - Sebaceous Activity Baseline Tip: Use Magnifying Lamp
    •Oily/ Sebum oily, waxy substance – (Sebaceous Activity and oil present)
    •Dry/ Alipidic – (Sebaceous Activity is not present; lack oil) no visible pores, thin texture
    •Combination – (Retail Dry/Oily)
    •Sensitive (Conditions)
    •Acne- Retail ( disease)
    •Anti-Aging-( Retail)
56. Hydration/ Moisture Levels (Look and Determine)
    •Hydrated Skin Condition (Moisture and water is present) – dewy Appearance
    •Dehydrated Skin Condition - (Moisture is not present; lack water) – dull Appearance
57. Skin Composition Assessment (Look and Determine)
    • Red/ Purple/ Blue = Vascular Bed
    • Yellow/ Orange tones = Pigment Carotene
    • Browns/ Black = Melanin
58. Apply Eye Cream/ Mask
59. Apply Lip Cream/ Mask
60. Apply Mask – leave on 5 to 10 mins
61. Remove Mask with cold towel and Blot face with tissue
62. Sun Protection – SPF/Foundation Makeup
63. Complete Treatment/Services
64.  Degloving
65. End the Treatment – Consultation for Follow up appointment
66. Product Recommendation - Retail
    • Retail Products for Maintenance care
    • Retail Products for Treatment
67. Gloving
68. Bed Making
69. Infection Control Procedure - OSHA (Occupational Safety and Health Administration) - safety in the workplace
70. Cleanup Duties
71. Review Protocol and Lesson

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