Eyebrows

All of these clients had their eyebrows tinted then waxed! Loved learning how to do this. Tint the eyebrows first. Then clean clients eyebrows and surrounding skin, then use your prep oil and then waxing powder (this helps prevent tearing or irritation), then place thin layer of wax. Place waxing paper over and press into hairs. Grab edge pull skin tight and remove waxing strip. Place fingers over waxed area to help avoid sting. Continue with waxing after done place after oil to remove any residual wax left over. Then clean client with mild astringent.

When measuring the space between the eyebrows you should line it up with the outside of the nose, anything extra or any spare hairs in the middle should be removed. Above eyebrows can be cleaned up as well. Arch of eyebrow should start with the outside of the iris. Trim any long hair that are out of place.

CPR

I have been CPR certified for years through my first profession of Dental Assisting. The protocols have changed over the years but basically as long as you are doing something it is better than nothing. The class is always taught in my dental office by fireman/EMT Jason Underwood. He is hilarious and makes the class super enjoyable and fly by with his insane stories. The new protocols as of this last year are pretty simple. But it will also depend on if you are "working" someone (giving them CPR) by yourself or have help. The way you will do CPR has age limits but these of course depend on the size of person not just age. Example: you come across a 8 year old in 5 year olds body size you will treat them as a child, not adult. Also clothing must be removed to get proper CPR done, also in case patient doesn't revive and EMT's need to shock patient they will need no clothing on anyway. Yes this does mean as embarrassing as it is you will need to remove ladies bras... but better alive and embarrassed right?
If you alone find an unresponsive adult (ages 8 and older) you will first...

1. check patient to see if they respond (try to wake them up) if they don't check for breathing (look for chest rise).
2. Call for Help then call 911, if there is an AED machine available (shock machine) get this at this time.
3. Check for pulse. (carotid artery, this can be found if you go to either left or right side of throat below jaw)
4. If no pulse-START COMPRESSIONS. Using both hands intertwine hands, lock elbows, and find middle of sternum, start compressing, you want to go about 2 inches down. Press HARD and FAST. Do 30 compressions. (You may hear noises of breaking bones or calcification, keep going, having a broken bone is better than being dead.)
5. Open Airway and give 2 breaths. Tilt head back all the way by lifting chin. You should see the chest rise. DO NOT give anyone you don't know health history of breaths without a mask. As sad as this sounds you are no good to anyone dead yourself if you contract a disease.  (Hep A, B, C, TB, and AIDS) Compressions are better than nothing so don't feel bad. (the fireman who taught our class had a friend on the force who contracted Hep from a 8 month old baby he did CPR on and died leaving his 3 young children and wife alone at the young age of 36. He figured "what could a baby have?" Patient died 5 years later from it's disease as well.) Masks are cheap and can be found online for about $20. Get one keep it in your car, purse, at home etc. 
6. Resume compressions. Another 30. 
7. Reassess victim after 5 cycles of this. 30 compressions/2 ventilations. If nothing use AED machine at this time, most of them now days are fool proof. Clothing must be off and kits will have instructions on how to use it. STAND CLEAR, do not touch them at ALL. It will shock you and give you a wicked charley horse.

 2 person CPR Adults
Same thing but take turns compressing and breathing. (30 compressions 2 breaths.)You don't want to tire if you don't have to.
Adult rescue breathing:
patient found with a pulse. 1 breath every 5 seconds. Reassess patient pulse every 2 minutes. Call 911.
Adult foreign Airway body obstruction (conscious patient):

1. Ask victim if they are choking
2. Ask victim if they can speak (if victim is coughing/speaking, they are getting air do nothing unless it stops, DO NOT leave them alone however, stay in case it becomes a full obstruction)
3. Get behind patient
4. Place one fist just above belly button, thumbs inward, grasp first hand w/ second hand
5. Pull your fists inward and upward rapidly 5 times
6. Reassess patient- repeat above steps until victim can breathe or becomes unconscious. 

Patient who becomes unconscious

1. Carefully support patient to ground
2. Call for Help/911
3. Start chest compressions (no pulse check- 30 compressions)
4. Look into mouth prior to breathing to see if you can see object obstructing airways, If you can use fingers to remove it, if not 2 breathes. 
5. If ventilation doesn't cause chest to rise readjust head and try again. If no rise repeat compressions

Obese or pregnant women:
5 chest thrusts instead

1 person child (1-8years) CPR
Same as  adult just use one hand instead of two for compressions 30 compressions/ 2 breaths, you will want to tilt chin less than adult. 5 cycles. If no response call 911 and continue.

2 person child or infant CPR
15 compression instead and take turns, 10 cycles. Call 911.

Child airway obstruction
Same as adult but use one hand and don't push inward and upward with as much force.

1 person Infant (under 1) CPR

1. check for unresponsiveness
2. yell for help/911
3. check for pulse (brachial artery, inside of arm)
4. If no pulse start compressions, 2 fingers 30 compressions, support head with other hand on forehead
5. open airway, don't tilt head far it closes of airways, 2 SMALL breathes (the amount of air you could fill with just cheeks puffed up, you can pop their lungs...) watch for chest rise.
6. resume compressions
7. reassess after 5 cycles
8. if you haven't call 911 now!

Infant airway obstruction
5 back blows between shoulder blades, babies stomach laid length wise over forearm tucked into body palm supporting head (football hold) use other hand for blows. Follow this with 5 chest thrusts. After each cycle elevate child to see if it's breathing. 

Child and infant rescue breathing w/ pulse
1 breath every 3 seconds, reassess every 2 minutes.

Hope this helps, please feel free to ask me or call your local fire department/ EMT service with any questions or to get certified!!!! You can save someones life but hopefully you will never have to use it! :)

Manicures

Set up for Manicures

• Hot towel
• Soaking bowl w/ soap
• Nail polish remover
• Cotton
• Finger nail clippers
• Nail files
• Nail buffer
• Cuticle Pusher
• Cuticle removing gel
• Scrub
• Lotion
• Alcohol
• Base coat polish
• Nail polish
• Top coat
• Cuticle oil 

You want to have all products that you will use out before time of service. Place towel in cavi so that it is ready when needed and has time to heat. (It will be beneficial to you to soak towel in water that is already hot so that it won't take as long to heat.) While client is picking out desired nail color excuse yourself to fill soaking bowl with hot water and a tiny bit of antibacterial soap.
Ask client how they like they shape of there nails and what length they would like them to be while assessing nail condition. If clients want length off you will clip nails at this time. Then you will start to shape nails. When shaping nails you may use a back and forth motion if nails are healthy and thick. If they are more fragile you will want to use minimal strokes and only go in one direction. Try to avoid going down sides of nails to much as this can cause hang nails. If you already see hang nails present ask client if they are okay with you removing them, you will do this with your clippers.
After you have done one hand you will want to place cuticle removing gel onto cuticles (being careful not to touch cuticles with bottle as this is cross contamination). You will then place clients fingers into water, make sure to ask client if the temperature is okay. Then proceed to other hand. After you are done filing and shaping second hand you will want to switch it to water and place other hand on towel. You will then start to push cuticles back. You want enough pressure to remove cuticle that have been building up on base of nail. Do this at base of nail as well as up then sides, then clean out underneath nail. Buff nail to get any extra organic matter off nail as well as shine any scratches in nail. Repeat with other hand.
Get hand scrub and massage any rough spots, repeat to other hand. Get hot towel out of cavi and make sure temperature of towel is okay to client. Let hands sit in hot towel while gently rubbing hands, let soak on hands for a couple minutes. Remove one hand and rub scrub off it and place on top of towel after cleaned off. Repeat with other hand. Move wet towel to the side.
Get lotion and start massaging hands and arms. Make sure that the pressure feels okay to client. Work lotion into skin after it is absorbed move to other hand. Work up the arm and across it, move to wrists then hands and fingers. Don't rush this process its the most relaxing for you clients. After you are done with massage remove any lotion from nail with cotton that has alcohol on it. You may then place base coat. Do this to all ten fingers, it gives first nails time to dry so that you may move to next coat. You will then place colored polish. You will most likely need to do this multiple times to get desired color as well as fix any brush strokes you may see. You want to try to get nail covered in three strokes. After finished with color you may move to your top coat. After nails are dry you may place a cuticle oil as well as a hand toner for a fresh finish.

Eyebrow Tinting

Loved learning how to tint! It was something that I had never actually heard of doing myself, I have always penciled in my eyebrows and loved the results tinting gave me. It is great because it picks up on the lighter hairs in your brows and makes them look fuller without having to pencil brows.
You want to start with clean brows, then mixing the tint and the developer (made of HO2O, hydrogen peroxyde) in equal amounts you start to paint onto eyebrows. You want to place tint quickly at first so that the eyebrows can start developing together, then going back you place more and work it into hairs. After you have placed tint it is a good idea to clean up any extra around brows to make sure it doesn't tint skin. You can also do a wax right after and clean up extra product this way. Depending on how dark you want hairs to go depends on how long you leave tint on. This process time is anywhere from 3 minutes to 15 minutes. After you have gotten desired color you will remove tint with wet cloth. Please let us know if you would like to try this awesome service! :)