INFORMATION AND INFORMED CONSENT FORM


IDENTIFICATION DATA

NAME OF THE CENTRE

SACRED TATTOO AND PIERCING

5251073A

C/ Cádiz 16 18800 Baza

PERSON APPLYING THE TECHNIQUE

Cecilio Mateos Rubio

ID 457144581

Academic Qualification: EGB

Professional Category: Tattoo artist and bander. Number 63

Telephone: 625496841

Email: ceci_ink24@hotmail.com


GENERIC NAME OF THE TECHNIQUE TO BE APPLIED

This document is signed so that the user, or whoever represents them, gives their consent to be subjected to the following body decoration technique: Skin piercing piercing.

DETAILED DESCRIPTION OF THE TECHNIQUE TO BE APPLIED

  • This technique is permanent: NO
  • This technique is for life: NO
  • The passage of time may cause alteration or discoloration of the area in which the technique is applied: NO
  • How it is done: Using a medical catheter we pierce the indicated area and then insert a piece of surgical steel or titanium.
  • May require touch-ups: NO
  • Materials used and their characteristics: Mosquito tweezers, scissors, forces, 20G, 18G, 16G catheters (depending on the piercing you want to achieve), surgical steel or titanium piercing pieces.
  • Effects that the application of the technique may have: Redness, bleeding in the area and subsequent inflammation.
  • Risks that the application of the technique may have: Allergies, risk of infection of the treated area if our recommendations are not followed.
  • Hygienic-sanitary measures to adopt in the application of the technique: Hand washing, use of sterile gloves, sterile single-use material, in the case of needles that will be disregarded in the presence of the user as well as the elimination of excess . Non-sterile and single use, protection systems such as paper, stretcher, fields to cover the table, overalls, mask, cover for the machine and film for the cans, or any device we use will be changed after contamination with blood and other substances before a new intervention. Cleaning the room after each work will be done with 70% isopropyl alcohol.
  • Budget and total cost of the service: €25.

DESCRIPTION OF STERILIZATION AND DISINFECTION METHODS USED

  • Sterilization equipment: Model STE-12-D
  • Sterilization methods: Steam autoclave sterilization.
  • Maintenance type: Periodicity.
    • 50 cycles: Cleaning the door gasket, chamber, trays and support, filter inside the chamber and inside the water tank.
    • 200 cycles: Change of bacteriological filter and cleaning of the water tank.
  • Cleaning and disinfection methods:
    • Instrument cleaning: Ethyl alcohol 70% for 30m.
    • Cleaning electrical instruments: Isopropyl alcohol 70%
    • Room cleaning: Sanitol.

SKIN PERFORATION TECHNIQUES “PIERCING”

RINGED: Body decoration procedure consisting of piercing any part of the body with the purpose of attaching metal objects or other materials. Performed with forceps, tweezers, scissors and other stainless steel surgical material, sanitized, sterilized and/or disinfected, maintaining these conditions until use, sterile single-use catheters, surgical steel jewelry, 14-karat gold, at least, or titanium, to reduce the risk of infection or allergic reaction, individually packaged and sterilized until use.

REQUIREMENTS OF THE APPLICATOR PERSON

  • Qualification or training: Courses in dermography and seminars on tattoos, micropigmentation and piercing since 2003. Sanitary hygiene certificate renewed every 5 years
  • COMPETENT UNITS. Training for:
    • Perform and supervise artistic tattoo techniques: YES
    • Perform and supervise micropigmentation processes: YES
    • Perform skin piercing "piercing": YES

RISKS

Like any invasive technique, there are risks. Whenever cuts or punctures are performed that lead to an open and bleeding wound, there are risks of local infections and contagion of diseases such as hepatitis, syphilis, HIV, among others, all of which are easy to prevent by maintaining minimal rules of hygiene and sterilization.

INSTRUCTIONS PRIOR TO APPLICATION

If you are taking any medication, consult your doctor before starting the technique to be performed.
  1. Do not sunbathe or UVA rays
  2. Do not take stimulants such as tea, coffee, soft drinks with caffeine or theine, or substances with stimulant components.
  3. Do not take alcohol, vasodilators or anticoagulants.
  4. Do not eat seafood, strong or spicy foods.
If you have any questions, consult your technician.

GENERAL CARE AFTER THE TECHNIQUE PERFORMED

RINGED: We will have to take care of it until it is completely healed. On the body and face, always with clean hands, wash the affected area and the jewelry well with a neutral soap, removing any scab that may have formed around it with a damp cotton swab. Move the jewelry so that the soap cleans and penetrates the inside of the wound, rinse it with plenty of water without leaving traces of soap and dry it, apply saline. We will avoid creams and makeup around the area during healing. In the case of oral rings, use an alcohol-free mouthwash, as well as maintain adequate hygiene. Repeat these operations at least three times a day for two to six months. In case of possible regret, your reversibility option would be to remove the jewelry and allow the wound to close.

User data

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Legal representative data

Informed consent, place, date and signature

I declare that I have been informed about the body technique called PIERCING, and I agree with the technique to be performed. I declare that I have understood the information received and that I have clarified my doubts. For this reason, I have made the decision to AUTHORIZE THE APPLICATION OF THE ABOVE TECHNIQUE.
In compliance with the General Data Protection Regulation 2016/679 and Organic Law 3/2018, of December 5, on the Protection of Personal Data and guarantees of digital rights, you are informed that your data will be included in an automated file. for its treatment, the person responsible for which is INTEGRALDIVA, SL, and whose purpose is the custody of the express consent necessary to manage the requested request. The data provided will be kept as long as the contractual relationship is maintained or for the years necessary to comply with legal obligations. The information provided will not be transferred to third parties except in cases where there is a legal obligation. You have the right of access, rectification, deletion, limitation of processing, portability or opposition of your data at C/Cádiz, 16. 1880 de Baza. Granada, or at the email address fina_actualsthetic@hotmail.com.
Check if you authorize the sending of offers and commercial communications related to those requested by any means (postal, email, WhatsApp, SMS, telephone), and this consent may be revoked at any time by the indicated means.
I authorize INTEGRALDIVA, SL to use its images and videos taken by the company for the promotion of the entity and to publish them on the website, social networks, calendars, media, etc. The data provided will be kept as long as the advertising management is maintained and will not be transferred to third parties except in cases where there is a legal obligation.

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