Before carrying out any treatment, you should always carry out a thorough consultation. A client consultation card protects you in the unlikely event of a client making an insurance claim against you. It shows that you took all the steps required of you and it shows the health information that the client told you, which is the information that you used to decide to proceed the treatment with.
Consultation forms are part of a criterion for standard legal operating procedure in the beauty industry and are drilled into beauty professional’s routine from day one. A consultation card is used to find out if there are any contra-indications which may prevent the beauty therapist from carrying out a treatment.
All salon professionals carrying out treatment’s must keep their client consultation cards and ensure that they are stored in a cabinet which can be locked in order to comply with the data protection act.
A client consultation card should include:
· Personal Details
· Medical History
· Client Lifestyle
· Treatment Record
Make sure the client has signed the form, you have reviewed it double check if the client is unclear of anything on the form.
When treating any new client you will need to perform a sensitivity test, or 'patch' test. Solvents and adhesives contain chemicals which the client may have an adverse reaction to. This is of particular concern around the eye, as it is an extremely sensitive area of the body, and so any reaction could be very uncomfortable and potentially damaging.
During the consultation, you should conduct a careful examination of the client's eyelashes and eye area to identify any factors which will affect the treatment. The examination is a visual examination under a magnifying lamp.
You should write down what you can see and include verbal responses to your questions on the client's record card. This will form part of the clients medical history stored on their file.
To begin the examination you must remove any make-up by using the appropriate cleanser. Start by looking at the health of the natural eyelashes. You should check whether they are weakened in any way as this would prevent treatment. Look for any signs of eyelashes that are broken or any gaps where eyelashes have fallen out. If there are no eyelashes present you need to know if this is the result of a medical condition such as alopecia or just lack of care when removing make-up.
If it is lack of care the client will need advice on how to take care of their natural eyelashes to allow them to re-grow. You cannot stick the individual lashes directly onto the skin. If they have been diagnosed with alopecia the treatment cannot go ahead.
Sometimes clients who have recently given birth suffer loss of hair. Once the eyelashes have grown back and are healthy, treatment may go ahead.
Clients who are going through a course of chemotherapy or radiotherapy may also experience hair loss. Once the cancer treatment has been completed and the eyelashes have re-grown, treatment may go ahead with a medical practitioners written consent.
During the examination you should also look for any signs of infection in the eye and eyelashes that would prevent treatment, for example, sticky eyes where pus has caused the lashes to clump together. Check whether the eyeball is a healthy colour or if there is any sign of redness or swelling. Presence of any of these things could indicate that infection is present and this would prevent treatment and the client would have to be referred to their GP for treatment.
Look for signs of irritation, such as redness or watery eyes. You should check whether this indicates an allergy to a certain product that the client is currently using or if they suffer from hay fever. Further questioning would clarify if there are any known allergies. This would indicate that they were not suitable for treatment.
If the client's eyes do not water under the light of the lamp you may need to ask if they suffer from dry eyes. Check whether they use drops to keep their eyes moist.
If there is any sign of dry flaky areas of skin or red, irritated skin around the eyelid and socket that would indicate that the client may suffer from eczema or dermatitis or has very sensitive skin.
If the client is wearing contact lenses they must remove them or treatment cannot go ahead.
Any bruising around the eye will prevent treatment until the area had healed and the client is no longer in discomfort.
Any scarring may indicate that the client has had recent surgery. The client may have had surgery to correct a medical condition or had cosmetic surgery recently. If the scarring was very recent then treatment must not go ahead. It would be best to refer the client to their GP to discuss when it would be safe for the treatment to go ahead.
If the client blinks a lot it could be a sign of nervousness. Nervous clients are not suitable for treatment if they cannot keep their eyes still.
If there are cataracts present the client may be due to have surgery. This may restrict when treatment can be given.
If the client has a prosthetic eye they would need to be referred to their GP to ascertain if you can proceed with the treatment and obtain their written consent.
If there are any other abnormal defects to the eyeball, you should refer the client to their GP for written consent prior to offering treatment.
You should check for any signs that the skin around the eye socket has been injected with fillers. If so, you must ask the client to check with their GP to see what time gap there should be between the cosmetic treatment and the lashes being applied.
If there is any other sign of irritation of the skin due to the use of chemical peels or microdermabrasion treatments the same rule would apply. If in doubt always obtain written consent from their GP prior to offering treatment.
If the client has recently had semi permanent mascara applied to their eyelashes it would be best not to proceed with the application of individual lashes as this could damage the natural eyelashes. It would be best to wait until the eyelashes are in their completely natural state.
The consultation should also allow you to establish what the client wants from the treatment. Find out whether they want to enhance their look or opt for something more dramatic. When discussing what options are available you should take into account the condition of the clients natural eyelashes and inform them what is possible to achieve.
You should also assess whether the client has had any other eyelash treatments such as tinting or perming, as these chemicals may affect the adhesive. If the client requires any such treatments first you should check with your manufacturer how their products will respond.
When carrying out a client consultation you should be looking for contra-indications to the treatment.
Contra-indications are health conditions that a client may have which means you might have to avoid working on those specific areas of the body. In more extreme cases you may need to avoid the treatment altogether. Remember that you are not qualified to diagnose a medical condition and therefore, if you have any doubt about whether to offer your client a manicure treatment, you must refer them to their GP to obtain written consent for treatment.
It is important to check with your insurance company to determine which contra-indications they require you to check for as this can differ between insurers. Therefore, if you do not check for their list of contra-indications you may find that you are not covered should a client make a claim against you.
If the client is a regular, you should ask them to check the consultation form that they have filled in and inform you of any changes. Once you have determined that it is safe to proceed with the treatment, take the client to the treatment area and perform the treatment. Following the treatment, you should assess the treatment, make notes of any observations that you made during the treatment and give the client after care advice.