Unit AP708 Clinical Aesthetic Procedures: Temporary Dermal Fillers for the Face (A/651/9197) Unit AP708 Clinical Aesthetic Procedures: Temporary Dermal Fillers For The Face Assignment Brief Qualification Qualifi Level 7 Diploma in Clinical Aesthetic Practice (610/7007/5) Qualifi Level 7 Certificate in Clinical Aesthetic Procedures: Dermal Fillers (610/7009/9)
Unit Reference Number A/651/9197 Unit Code AP708 Unit Title Clinical Aesthetic Procedures: Temporary Dermal Fillers for the Face RQF Level : 7 Number of Credits 15 Total Qualification Time (TQT) 150 hours Guided Learning Hours (GLH) 75 hours Unit Aim (NOS SKANSC4 Perform Rejuvenation, Regeneration And/Or Enhancement Of The Skin Using Dermal Filler Procedures) ⮚ This unit is based on the NOS for performing rejuvenation and/or regeneration of the skin using dermal filler techniques for cosmetic purposes to improve the facial skin condition. ⮚ This unit is for experienced aesthetic practitioners wishing to undertake advanced non-surgical cosmetic procedures. It stresses the need for safe working practices and controlling hazards. Emphasis is placed on the importance of a thorough client consultation to identify the skin conditions to be treated. ⮚ Aesthetic practitioners will formulate an individual procedure plan, provide procedure and aftercare advice, and do a post-procedure evaluation and reflection for continuous improvement. ⮚ The aesthetic practitioner must have a Basic Life Support and Anaphylaxis Management or a First Aid at Work qualification or equivalent and be able to carry out the functions within SFHCHS36: Basic life support and have access to life support equipment as identified in the complication management plan.
To achieve this unit Aesthetic practitioners will need to ensure that their practices reflect up-to-date information, policies, procedures and best practice guidance.
NOS Performance Criteria (PC) Carry out a concise and comprehensive consultation face to face with the individual and maintain your responsibilities for health and safety pre, during and post the dermal filler procedure Discuss to establish the individual’s objectives, concerns, expectations and desired outcomes to inform the dermal filler procedure plan to include: 2.1 alternative treatment options Develop an emergency plan with the identified healthcare professional/regulated independent prescriber trained to deal with adverse reactions to dermal fillers Establish the dermal filler procedure plan **in accordance with legislative requirements and organisational policies and procedures to include: 4.1 the individual procedure plan 4.2 advice, support and guidance 4.3 emergency plan 4.4 pain management strategy Reiterate, confirm and agree with the individual, they have understood the proposed dermal filler procedure and pain management to include: 5.1 contra-actions 5.2 adverse reactions Obtain the individual’s written informed consent for the dermal filler procedure and pain management, allowing an adequate time scale for the individual to make an informed choice Review the written informed consent for the dermal filler procedure and pain management Select an effective hygiene preparation product to meet the individual’s needs in accordance with the manufacturer’s instructions Prepare the individual’s treatment area in accordance with the dermal filler procedure protocol and associated risk avoidance strategies to include: 9.1 mark out pre-procedure markings if applicable Source and select the hyaluronic acid dermal filler, detailing the G prime, viscosity and longevity of the product to meet the individuals needs and area to be treated, including associated risks Inject the dermal filler with the sterile single use needle and/or cannula in accordance with the dermal filler procedure protocol to include: 11.1 adaptation of injection techniques, depth and placement 11.2 in accordance with the pre-procedure markings if applicable Monitor the individual’s health, wellbeing and skin reaction throughout the dermal filler procedure in accordance with legislative requirements and organisational policies and procedures In the event of an adverse reaction or incident, the aesthetic practitioner must take prompt corrective action as set out within the emergency plan to include: 13.1 seek and implement immediate medical intervention from the identified healthcare professional trained to deal with complications as set out in the emergency plan when a prescription only medication is required Conclude the procedure in accordance with the dermal filler procedure protocol, legislative requirements and organisational policies and procedures to include: 14.1 removing any pre-procedure markings if applicable Take and store consensual visual media of the individual’s treatment area in accordance with insurance requirements, organisational policies and procedures Complete the individual’s non-surgical cosmetic procedure records and store in accordance with data legislation Use reflective practice to evaluate the dermal filler procedure and take appropriate action Provide and obtain confirmation of receipt of the verbal and written instructions and advice given to the individual pre and post procedure to include: 18.1 the aesthetic practitioners contact details 18.2 emergency plan 18.3 contingency plan in the event of absence Record the outcome and evaluation of the dermal filler procedure to agree and inform future procedures Discuss and agree future procedures with the individual Knowledge and understanding (KU) You need to know and understand:
The importance of collaboration with competent professionals to support effective and safe working practices Your role and responsibilities in performing non-surgical cosmetic procedures and the importance of working within your competence Why you must comply with ethical practice and work within the legislative requirements The importance to engage in, and document continuous professional development to include, up-to-date information policies, procedures and best practice guidance The anatomy and physiology relevant to this standard The types, composition and pharmacological effects of chemical compounds in dermal filler solutions to include: 6.1. the physiological effect of hyaluronic acid solution has on facial anatomy, skin tissue and blood supply How to adapt injection techniques to place hyaluronic acid solution safely beneath the skin tissue into underlying structures to meet the individual’s needs The adverse reactions associated with a dermal filler procedure to include: 8.1 knowledge and avoidance of danger zones 8.2 non-Hyaluronic Acid dermal fillers (semi-permanent) How to implement the correct course of action in the event of an adverse reaction or incident to include: 9.1 why and when immediate medical invention is necessary The risk avoidance strategies The importance of obtaining and following instructions from the identified healthcare professional/regulated independent prescriber in the event of an adverse reaction The purpose, use and limitations of dermal filler procedures in relation to: 12.1 past and current medical history 12.2 previous non-surgical cosmetic and/or dental procedure history 12.3 relevant lifestyle factors 12.4 contraindicated medication and medical conditions 12.5 the individual’s physical and psychological suitability for the non-surgical cosmetic procedure 12.6 individual’s expectations 12.7 hyper-immune response management 12.8 anaphylaxis management The regulatory and legislative requirements for ‘medical devices’ The regulatory and legislative requirements for sourcing, recording and administering dermal filler to include: 14.1 product name 14.2 batch number 14.3 expiry date 14.4 material data sheets 14.5 storage 14.6 disposal 14.7 audit and accountability The types of pain management and associated risks The legislative requirements and restrictions for sourcing, storing and using licensed topical anaesthetics The health and safety responsibilities in line with legislation before, during and after the dermal filler procedure Why it is important to discuss and establish the individual’s objectives, concerns, expectations, desired outcomes and agree the non-surgical cosmetic procedure plan The importance of using visual aids to inform the individual of the physical effects The fee structures and treatment options The legislative and indemnity requirements of gaining signed, informed consent for the dermal filler procedure Why it is important to allow time for the individual to reflect before confirming and agreeing to receive the elective non-surgical cosmetic procedure The importance of obtaining written consent for the dermal filler procedure and pain management strategy The types of hygiene products for the skin and the importance of following manufacturer’s instructions The importance of adhering to the dermal filler procedure protocol The importance of monitoring the health and wellbeing of the individual during and post procedure The importance of adhering to the emergency plan in the event of an adverse reaction The legislative, insurance and organisational requirements for taking and storing visual media of the individual’s treatment area The legislative and regulatory requirements of completing and storing the individual’s non-surgical cosmetic procedure records The expected outcomes from a dermal filler procedure The purpose of reflective practice and evaluation and how it informs future procedures How to collate, analyse, summarise and record evaluation feedback in a clear and concise way The importance to record the outcome and evaluation of the dermal filler procedure The instructions and advice pre and post the dermal filler procedure Learning Outcomes, And Assessment Criteria Learning Outcomes. To achieve this unit a learner must be able to: Assessment Criteria: Assessment of these outcomes demonstrates a learner can: NOS/ BKS
LO1 Adhere to legal, ethical and professional standards for dermal filler procedures
1.1 Evaluate your role and responsibilities in performing non-surgical cosmetic procedures and the importance of working within your competence KU2 1.2 Explain why you must comply with ethical practice and work within the legislative requirements KU3 1.3 Describe the regulatory and legislative requirements for ‘medical devices’ KU13 1.4 Explain the regulatory and legislative requirements for sourcing, recording and administering dermal filler to include: • product name
• batch number
• expiry date
• material data sheets
• storage
• disposal
• audit and accountability
KU14 1.5 Explain the legislative requirements and restrictions for sourcing, storing and using licensed topical anaesthetics KU16 1.6 Describe the health and safety responsibilities in line with legislation before, during and after the dermal filler procedure KU17 1.7 Explain the legislative and indemnity requirements of gaining signed, informed consent for the dermal filler procedure KU21 1.8 Explain the legislative, insurance and organisational requirements for taking and storing visual media of the client’s treatment area KU22 1.9 Explain the legislative and regulatory requirements of completing and storing the client’s non-surgical cosmetic procedure records KU29 1.10 Develop an emergency plan with the identified healthcare professional/regulated independent prescriber trained to deal with adverse reactions to dermal fillers PC3 KU1,KU11,
KU27
LO2 Conduct a client consultation and develop a personalised procedure plan for dermal filler procedures 2.1 Conduct a structured face-to-face client consultation, ensuring compliance with health and safety before, during, and after the dermal filler procedure, and effectively use visual aids to explain anticipated physical effects PC1 KU12,
KU19
2.2 Discuss client objectives, concerns, expectations and desired outcomes to inform the dermal filler procedure plan including; fee structure, treatment options, and alternative treatment options
PC2 KU18,
KU20,
KU30
2.3 Establish the dermal filler procedure plan in accordance with legislative requirements and organisational policies and procedures to include: • the personal procedure plan
• advice, support and guidance
• emergency plan
• pain management strategy
PC4 KU10,
KU15
2.4 Reiterate, confirm and agree with the client, that they have understood the proposed dermal filler procedure and pain management to include: • contra-actions
• adverse reactions
PC5 KU8
2.5 Obtain and review the client’s written informed consent for the dermal filler procedure and pain management, allowing an adequate time scale for the client to make an informed choice PC6, PC7 KU21,
KU22,
KU23
2.6 Compare the types, composition and pharmacological effects of chemical compounds in dermal filler solutions to include the physiological effect hyaluronic acid solution has on facial anatomy, skin tissue and blood supply
KU6 LO3 Deliver dermal filler procedures safely and effectively
3.1 Select an effective hygiene preparation product to meet the client’s needs in accordance with the manufacturer’s instructions PC8 KU24
3.2 Prepare the client’s treatment area in line with the dermal filler procedure protocol and risk avoidance strategies to include marking out the procedure sites where applicable
PC9 3.3 Source and select the hyaluronic acid dermal filler, detailing the G prime, viscosity and longevity of the product to meet the client’s needs and area to be treated, including associated risks PC10 3.4 Inject the dermal filler with the sterile single-use needle and/or cannula following the dermal filler procedure protocol to include: PC11 KU7
• adaptation of injection techniques, depth and placement • in line with the pre-procedure markings if applicable
3.5 Monitor the individual’s health, wellbeing and skin response throughout the dermal filler procedure, ensuring compliance with legislative requirements and organisational policies and procedures PC12 KU26
3.6 In the event of an adverse reaction or incident, the aesthetic practitioner must take prompt corrective action following the emergency plan to include: promptly obtain medical intervention from the designated healthcare professional when complications arise and prescription-only medicine is required
PC13 KU9
3.7 Conclude the procedure in line with the dermal filler procedure protocol, legislative requirements and organisational procedures to include: removing any pre-procedure markings if applicable
PC14 LO4 Provide aftercare for dermal filler procedures and review procedure outcomes
4.1 Capture and securely store clientapproved images of the procedure area in compliance with insurance and organisation requirements PC15 4.2 Complete the individual’s non-surgical cosmetic procedure records and store in line with data legislation PC16 4.3 Provide verbal and written instructions and confirm the client’s receipt of pre and post-procedure advice to include: the aesthetic practitioner’s contact details
PC18 KU34
• emergency plan • contingency plan in the event of absence
4.4 Discuss, record and evaluate the outcomes and agree future procedures with the client PC19. PC20 KU33
LO5
Reflect on practice and engage in continuing professional development
5.1 Keep a reflective journal, review the dermal fillers procedure and evaluate own strengths and areas for improvement PC17 KU30
5.2 Explain the importance in engaging in, and documenting continuous professional development including keeping updated on policies, procedures and best practice guidance
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