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

IECT Protocol 

Clinical Performance Grading Checklist: Week

Practical/ Internship/VIP Day

Onsite Procedures 3A & 3B

Infection Control/ Consultation/ Draping & Greeting/ Facial Analysis Assessment/Face Shapes/ Face Measurement/ Makeup Assessment/ Pre Cleanses/ Magnifying 1st Look /Color Theory/ Tweezing Eyebrows /Shaping Eyebrows / Sebaceous Activity Assessment/ Skin Types Assessment/ Hydration Level Assessment/ Retail Products/ Magnifying Lamp with Consultation/ Skin Types Classification - Sebaceous Activity Baseline/ Skin Composition Assessment - Skin Types / Skin Color Composition Assessment/ Wood Lamp Conditions Color Chart/First Skin Analysis - Characteristics Assessment/ First Skin Analysis - Services/ Treatment / Product Ingredients Analysis Assessment – Cleanser/ Cleansing Movement Technique -Effleurage & Friction & Petrissage / Facial Cleanse/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
    •Begin 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 (TV version antennas) are the skin responds to environment.
19. Patient Comfort level Pressure Skill
20. What type of pressure does the client prefers? Subjective application, pressure delivery is based on individual esthetician
    •1 – Soft Feathering Light Contact
    •2 – Medium Direct Contact
    •3 – Hard Firm Contact
21. 1st Look Analysis - Begin your 1st Look Analysis
22. Consultation Assessing with Magnifying Lamp/ loupe - Look at the patient current makeup application style and colors
    •Tip Remember: Use Magnifying Lamp/ loupe
23. 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
24. Record finding - Makeup Assessment Form
    •Retail Skin Type:
    •Normal
    •Combination
    •Dry
    •Oily
    •Sensitive
25. Select Pre Cleanse (common names) Makeup Remover Product -
    •Water base Oil base
26. Begin Eyes Pre Cleanse – apply product with fingers
27. Begin Lips Pre Cleanse - apply product with fingers
28. 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)
29. Toner – pH balancer after cleansing
30. Consultation Assessing with Magnifying Lamp/Loupe
    •White light is a combination of all visible rays of the spectrum
    •Facial features are asymmetric
31. First Look with Magnifying Lamp Skill
    •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)
32. Physical Features Assessment – Parts of the Head
    •Hair
    •Forehead
    •Temple
    •Eyes
    •Eyebrow
    •Eyelids
    •Eyelash
    •Ear
    •Earlobe
    •Nose
    •Nostril
    •Cheeks
    •Mouth
    •Lips
    •Jaw
    •Chin
33. Measurements (Vocabulary/Skill) (Look and Determine)
    •Middle of Face – 1/2
    •Forehead - 1/3
    •Top Cheekbones – 1/3
    •Jaw Line – 1/3
34. Face Shapes
    •Inverted Triangle
    •Diamond
    •Heart
    •Oblong
    •Square
    •Triangular
    •Oval
    •Round
35. Face Shapes + Eye Shapes ideal (Vocabulary/Skill) (Look and Determine)
36. 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
37. 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❑
38. 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
39. Correction/ Balancer – cancel each other out to neutral
    •Green – Red
    •Orange – Blue
    •Violet - Yellow
40. Select Color Plan (Look and Determine)
    •Foundation
    •Tips: Determine your skin tone
    • Cool – your veins are blue 
    • Warm – your veins are green 
41. 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.
42. Eyebrow Shaping and Design Assessment
43. 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)
44. 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
45. 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)
46. Tweezing - Choose Type of Tweezers
    •• Needle Nose Tweezers
    •• Pointed Tweezers
    •• Slant Tip Tweezers
    •• Eyebrow Scissors
    •• Eyebrow Brush/Comb
47. Eyebrow Shaping Post treatment
    •• Antiseptic
48. Begin Facial Treatment/Service - (use skin diagram chart)
    •Prepare Magnifying Lamp
    •Turn on Magnifying Lamp
    •Turn on Wood Lamp – should be performed in a dark room or leave it skirt on the machine to create a darken environment
49. Begin First Skin Analysis - Consultation to determine and select skin type for products and
    treatment protocol purposes. Use Magnifying Lamp/Woods Lamp
50. Magnifying Lamp/ Loupe - First Skin Analysis using Magnifying Lamp Consultation to determine overall condition of the stratum corneum of epidermal layers. The Magnifying Lamp allows you see magnified version of the skin stratum corneum. You should be able to determine the depth, appearance, texture of lesion, and healing stages process
    •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)
51. Wood’s Lamp – 1st Skin Analysis using Wood 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, texture of lesion, and healing stages process. (2nd Skin Analysis Skill)
    •Wood Lamp/Loupe Skin Types Classification - Sebaceous Activity Baseline
    •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)
52. 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
53. Skin Composition Assessment – Skin Type: Sebum level activity.
    •Oily Yes Activity
    •Oily/ Sebum oily, waxy substance – (Sebaceous Activity and oil present)
    •Dry No Activity
    •Dry/ Alipidic – (Sebaceous Activity is not present; lack oil) no visible pores, thin texture
54. Know your scope of practices
    •Scope of Practice: most state licensure only allows the Esthetician to provide services and treatment for the stratum corneum only.
55. Skin Color Composition Assessment
    •Red/ Purple/ Blue = Vascular Bed
    •Yellow/ Orange tones = Pigment Carotene
    •Browns/ Black = Melanin
56. Integumentary Systems Facts - Know your skin structure and function
57. Skin Nerve receptors
    •Thermo Receptor – sense heat or cold
    •Free nerve ending - located throughout the skin – mechanical, thermal, or noxious stimulation
    •Epidermis layer/ soft keratin
    •Stratum corneum - corneocytes
    •Stratum lucidum
    •Stratum granulosum
    •Stratum spinosum
    •Stratum basale/germinativum
    •Dermis
    •Skin Nerve receptors – Meissner’s – senses Touch receptors at Vibration 20-40 Hz range Location dermis layer Glabrous skin (hairless, thick skin) ❑
    • Skin Nerve receptors - Ruffini Corpuscle – located dermis layers hairy and (glabrous) skin without hair senses warmth receptors
    •Papillary layer
    •Reticular layer
    •Pacinian Corpuscle – located lower layers dermis hairy and (glabrous) skin without hair senses pressure receptors Vibration 150 - 300 Hz range
    •Collagen - pump the skin; strengthen the skin 70% of dermis ❑
    •Elastin – pliability, firming /tightness ❑
    •Hypodermis (Subcutaneous)
    •Adipose tissue
    •Mucocutaneous
    • Skin Nerve receptors - Krause Corpuscle – sense Cold receptor – pressure. Location (mucocutaneous) Lips Tongue Genitals ❑❑❑
58. First Skin Analysis Characteristics (function) of the Skin Skill – 1st Skin Analysis/ Characteristics and Function Consultation is use to overall surface appearance of the conditions and health upper epidermal layers
59. Characteristics (function) of the Skin Skill Consultation Assessing Touch/Sensations/Pressure/Vibration/Temperature using Magnifying Lamp and Hand/Touch as assessment tools
    •Visual/Skin Color Undertone Skill – Ask the following questions?
    •What colors do you see in your skin?
    •Cool – your veins are blue ❑
    •Warm – your veins are green ❑
    •Visual/Moisture Level Skill – Ask the following questions:
    •Does the skin feel..??????????????? Oily Dry ❑❑
    •Does the skin look...? Dull – Low sebum (oil) activity Dewy – Healthy ❑❑Hydration levels Shiny – Excess sebum (oil) activity ❑
    •Visual/Elasticity Skill - Move the skin; touch it to see how it moves back.
    •Elasticity permits the body to move freely without danger of tearing or rupturing when we stretch or bend. This is due mainly to the network of elastin and collagen fibers found in the dermis. Elasticity gives the skin the flexibility to withstand any physical pressure that could puncture it or leave a portion of the body unprotected. . Skin bounces back when lightly pinched; moisture level.
    •Loss of elasticity - Ask the following questions: Good – 1 Poor – 2 Fair – 3 ❑❑❑Bad - 4 ❑
    •Visual/Touch Texture – Skill Rub the skin ask the following questions.
    •Skin has different degrees of thickness on different parts of the body. It is thin around the eyes and thick on the palms of the hands and soles of the feet. In general, a man’s skin is thicker than a woman’s. The skin has structural folds formed by movement and muscular contraction (i.e. wrinkles). The skin feels
    smooth because of hair growing on its surface. Is there new scaring? This allows determination of absorption of product or penetration.
    •Signs of acne lesions or scars. Ask the following questions:
    •Does the skin feel...? Slick Rough ❑❑
    •Does the skin look...? Medium Thick Thick ❑❑❑
    •Touch/Temperature Control - Skill Use back of hand to determine differences in temperatures.
    •The skin controls the body’s temperature by opening or closing its pores and regulating the secretion of sweat from its glands. Hot flashes cause bacteria to be more present; Antiseptic cleansers. If always cold: harder absorption; slower healing; products should lay on skin i.e. heavier. Pores are either dilated or constrict. When the pore or follicle openings are dilated this creates a pathway for bacteria and free radicals to get into the skin. This can cause different skin conditions.
    •Ask the following questions: When touching the skin is it...? Cold Cool ❑❑Warm Hot ❑❑
    •Visual/ Temperature Control - Skill Use back of hand to determine differences in temperatures.
    •Extremes environmental temperature - Ask the following questions: Are the Pores/ Follicles...? Dilated (Hot) Constrict (Cold) ❑❑
    •Visual/Sensations/Pressure (Nerve Receptors) Skill – Determining touch and facial movement of treatment.
    •The skin is the sensory organ with which we touch and feel the world. The nerves in the skin enable us to gather vital information about the environment for our survival in it. Verbal communicate between you and your patients is extremely important when accessing Pain Scale (measure pain intensity/tolerance) levels between 0 (pain free) and 10 (pain makes you pass out). This allows you to determining the prefer touch/pressure of movements need throughout/during the treatment.
    •Ask the following questions:
    •What type of pressure does the client prefers? Subjective application, pressure delivery is based on individual Therapist
    •1 – Soft Feathering Light Contact ❑
    •2 – Medium Direct Contact ❑
    •3 – Hard Firm Contact ❑
    •What is the client’s pain tolerance on a level of 0 – 10? 0 meaning = pain free and 10 meaning = pain makes you pass out
    •What temperature is your skin more sensitive to? Hot Cold ❑❑
    •Does the patient experience sensitivity to smells (olfactory)?If, so what are they__________
    •Our sense of smell is an environmental warning/danger signal gas, spoiled food, fire. It’s common for acne patients to like the smell of aspirin. Salicylic acid is used as an active ingredient several topical Acne products. It’s has similar properties benefits of anti-inflammatory action for body and skin
    •Visual/Permeability (Skin Absorption depth) Skill - Stretch skin to check for dehydration. Rub the skin ask the following questions
    •The stratum corneum is a waterproof and water resistant barrier that doesn’t allow harmful foreign bodies to penetrate. Keratin in the outer cells makes the skin impermeable. Texture of the stratum corneum; Thin, Medium, or Thick? Thicker; break it down (light exfoliation) smooth out to allow penetration. Ideal: medium texture. Thin: Only use hydration cream no exfoliation. If thin build it up before treating using products formulated for sensitive skin. Laser or chemical scaring
    •Ask the following questions:
    •Does the skin feel...? Slick Smooth Rough/ Gritty❑❑❑
    •Does the skin look...? Examples Thin (Over Exfoliated) Thickness ❑❑(Scar Tissue)
    •Skin Color Complexion Composition Assessment - Mechanoreceptors Nerve Receptors & Color Complexion using Touch/Sensations/ Pressure/Vibration = Mechanoreceptors Nerve Receptors assessment tools
    •Visual/Touch/Temperature Control –/ Follicles –Dilated (Hot)
    •Visual/Touch/ Temperature Control –/ Follicles Constrict (Cold)
    •Visual/Texture –Medium/ Thick (Scar Tissue)
    •Visual/Texture – Thin (Over Exfoliated)
    •Visual/Temperature Control –yellowish green (bacteria present Infection) Visual/Temperature Control Redness= Erythema Puffy /Angioedema=Swelling (Inflammation present)
    •Touch/Temperature Control Redness= Erythema Puffy /Angioedema=Swelling (Inflammation present) Balloon like
    •Touch/Temperature Control raised and Touch/Temperature Control Heat/Hot/ (bacteria present Infection)
    •Visual/Temperature Control –blueish gray (lack Circulation)
    •Touch/Temperature Control Cold (lack Circulation)
    Wood Lamp Skill
60. Begin Wood Lamp Skill – should be performed in a dark room or leave it skirt on the machine to create a darken environment
61. 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)
    •Wood Lamp Conditions Color Chart
    •() 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
62. Select Services/ Treatment – focus on treating specific skin conditions and concerns
    • Brightening - Lighten/abnormal pigmentation ❑
    • Firming – Rejuvenating Elasticity ❑
    • Hydrating – Increase Moisture balance ❑
    • Renewal – Exfoliating / Cellular turnover ❑
    • Anti – Aging – Antioxidant / Wrinkles ❑
    • Facial Maintenance -Oil Controlling – Reduce sebum production ❑
    • Acne – Anti-Inflammatory/ Reduce bacteria/ Calming & Soothing ❑
    • Detoxifying oily skin with congestion ❑
63. Consultation to determine and select Cleansing Product Skill/ Vocabulary
64. Cleanser Product Formulation Types & Ingredients - Cleanser Surfactant
    •Foaming – (e.g. Oily, Acne, Sensitive, Combination) Sodium Lauryl Sulfate (SLS) ❑emulsifier and foaming agent
    •Bar Soap – (e.g. Oily, Acne, Combination)
    •Cream – (e.g. Dry, Sensitive)
    •Gel Base – (e.g. Oily, Acne, Sensitive, medicated)
    •Milk/ Lotion – (e.g. Dry, Sensitive, Combination)
    •Alcohol /Degrease – Remove oils from skin
65. Cleansing Movement Techniques Skill
    •Spreading / Sliding – Effleurage Demonstrates effleurage movement (close your hands like you are about say a prayer. This is what your hands and finger is look like when performing effleurage)
    •Circular -- Gentle Lifting– Petrissage movement lifting, kneading and/or pinching movements Demonstrates petrissage movement (your hands should look like you are pinching and lifting the skin. Use the side of you wrist to practice pinching and sliding movements)
    •Circular Pressure – Friction movement Demonstrates friction movement – (you finger pad should look like you are pressing into the skin and deep rubbing it round in circular motion).
    •Perform on Temples pressing and deep rubbing
    •Begin on Temples: - Slide each hand to temples (temporalis) and perform temple circles 6x easing up on speed of circles by the 4th circle. End at temples with a slight hold with two fingers
    Apply Masks
66. Apply Eye Cream/ Mask
67. Apply Lip Cream/ Mask
68. Apply Mask – leave on 5 to 10 mins
69. Remove Mask with cold towel and Blot face with tissue
70. Sun Protection – SPF/Foundation Makeup
71. Complete Treatment/Services
72. Degloving
73. End the Treatment – Consultation for Follow up appointment
74. Product Recommendation - Retail
    •Retail Products for Maintenance care
    •Retail Products for Treatment
75. Gloving
76. Bed Making
77. Infection Control Procedure - OSHA (Occupational Safety and Health Administration) - safety in the workplace
78. Cleanup Duties
79. Review Protocol and Lesson

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