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INSTRUMENT LOG <br />J <br />If single-use, pre-packaged, pre-sterilized instruments and needles are used please maintain the following records: <br />(1) A record of purchase and use of all single-use instruments. <br />(2) A log of all procedures, including the names of the practitioner and client and the date of the procedure. <br />(3) Written proof on company or laboratory letterhead showing that the presterilized instruments have undergone a sterilization process. Written proof shall <br />clearly identify the instruments sterilized by name or item number and shall identify the lot or batch number of the sterilizer run. <br />Supplier Instrument/Needle Lot/ID # Sterilization Date Expiration Invoice Number <br />AFTERCARE INSTRUCTIONS <br />CLIENT NAME: <br />The following verbal and/or written instructions were communicated to the client: <br />1. Information on the care of the procedure site. <br />2. Restrictions on physical activities such as bathing, recreational water activities, gardening, or contact with animals, and the duration of the restrictions. <br />3. Sig s and symptoms of infection including but not limited to redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards <br />the heart, elevated body temperature, or purulent drainage from the procedure site. <br />4. Instructions to call a physician if any of the addressed signs and symptoms appear or for any other reason related to the Body Art procedure(s). <br />5.14 physician care is required by the client related to the Body Art procedure(s), the client is to notify the Body Art facility and practitioner of the problem and the <br />resolution by a physician or clinic This information shall be placed in the client's file. <br />COMMENTS: <br />To the best of my knowledge this information is correct: <br />Practitioner Signature: Date: <br />I have received aftercare instructions: <br />Client Signature: Date: <br />SW P-152 8/15/17 <br />www.microbladingriches.com <br />