All health care practitioners must follow all public health and safety regulations to ensure the protection and well-being of each patient. Massage therapists are no exception. Client welfare is the foundation of an ethical and professional practice for the massage practitioner. Creating and defending a secure environment for our clients to receive treatment ultimately is based on the practitioners' routines in the clinic, office or spa. These healthy habits are the groundwork that prevent accidents from taking place.

Review these guidelines to guarantee the safety of your clients:

• Adhere to a schedule for the cleaning and maintenance of your office, tools and equipment.
• Consistently wash hands thoroughly between clients and prior to resuming treatment.
• Wash all linens in soap and hot water. Store and transport them in a sanitary manner.
• Always thoroughly sterilize table, headrest, equipment and other tools between clients.
• Know all local ordinances and health department regulations regarding the type of clinic you operate or work in.

A general maintenance and cleaning schedule must be adhered to in the treatment room, bathroom and all waiting and admittance areas. The bathroom must be easily accessible and consistently stocked. Hand washing is the simplest, most effective way to prevent transmission of any diseases. Prior to resuming patient care, hands should be washed after using the toilet and after touching eyes, nose, ears or mouth. Keep fingernails neatly trimmed and remove all jewelry. Always apply soap to wet hands, wash for 10 to 15 seconds, scrubbing webs, palms and fingertips, from the wrists to the elbows.

Moreover, avoid reusing any towel or sheet that has come into contact with a client. Linens must be washed in hot water and stored properly in a labeled cabinet with closed doors. All dirty linens must be put into a separate linen basket for washing. A consistent order in sanitation procedures before admitting your next client will prevent accidents from occurring. Avoid cross-contamination during treatment by always using a new or sterilized applicator wand for all application of lotion and creams.

A major preventative action we can take to protect any transfer of disease is the sterilization of all table surfaces, especially the headrest. The table and headrest should be wiped down with a germicidal wash, as should any tool or lotion bottle. There should be sufficient and reasonable space for clients to change and to get on and off the table safely. Always make sure the table, chairs and other equipment are in good condition. This includes all emergency and safety equipment, such as fire extinguishers and clearly marked exits.

Additionally, check out the neighborhood in which you are planning to open your office for good lighting and adequate space for all treatment procedures. The location of a therapeutic office should be in a pleasant area where clients can feel free from harms way. Make sure the parking lot is accessible and well-lit so that clients can get in and out safely.

Furthermore, local ordinances and health department regulations regarding the type of clinic you operate can be attained through the city and should be referenced. Know how to accommodate the elderly and disabled persons. They may require your assistance getting on and off the table, as well as special accessibility to the restroom. Be aware of emergency procedures for your building, including how to use the nearest fire extinguisher.

Overall, the way your clinic runs and looks is proof of your concern for your clients and ultimately leaves a lasting impression on each person you treat. A first impression cannot be repeated. Maintain all health and safety guidelines taught in training and incorporate them with state and local laws to keep your clients safe.

I welcome any feedback, comments or questions. Please e-mail me at dwall@massagetoday.com.