Laserfiche WebLink
INSTRUMENT LOG <br />If singlewe, prepackaged, pre-stefdiTtd butNments and needles are used please maintain the following rewrds: <br />(1) A record of purchase and use of all singleise lrmtuments. <br />(2) Alog of all procedures, including the names of the practitlonerand cilerd and the date ofthe procedure. <br />(3) Written proof no rompany or laboratory letterhead slowing that the prctenlized Instruments ham undergoneastedllnDon pmress. Writtenprodshall <br />dearly Identify the instromems sterilized by name or Item number and shall Identifythe later batch number of thesterigzer run. <br />Supplier <br />Instrument/Needle <br />Won <br />Stedllrstlon Data 6pindkin <br />trwake NW" <br />AFTERCARE INSTRUCTIONS <br />CIENTNAME: <br />The following verbal and/or written instructions were communicated to the cgem: - <br />1. Irdormadon on the are of the procedure site. <br />2. Restrictions on physical aclivPUes such as bathing, recreational water acdvities, gandenmg, or monad with animals, and the duration of the restritllom. <br />3. Signs and symptoms or Infection Including but not betted to redness, swelling, tenderness of the procedure site, red meals going from theprotedore site towards <br />the heart, elevated body temperature, or purulent drainage from the procedure site. <br />a.Instrvttbns to all a physidanIf arty of the addressed signs and svmptoms appear or for any Other reason related to the Body Art prumclure(s). <br />S. If ptWdan rare 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 />resolutbn by physician or dime, This Information shag be placed In the client's file. <br />COMMENTS: <br />To the best of my knowledge this Irdomalion Is correct <br />practitioner Signature: Data: <br />I have receNed aftercare InstrlldlCrd: <br />Client Signature: Date: <br />Since the situation with C.OVm-19 pandemic, by signing this notice, I am acknowledging that an inherent rk* Of exposure to COVID-19 exists in training <br />c cnt where people are present By attending the training event, you aed any guests Whouadly assume an risks related to exposure in COVID-19 and agrr ee not <br />to hold M croblading Aad®y-Braeko Babif doo; USA AadeaeyBeauty School, Master Jocelyn, Master Danny or any of their affiliates, oucoors, 1 ees or <br />volunteers liable for any illness or injury. <br />Signature: <br />FulInam r. <br />Dales <br />8/15/17 <br />SWP452 <br />•.vww.microbletl inedchee.com <br />