Nonmaleficence is fiduciary value of a person or organization that acts on behalf of others, they
are legally and ethically bound to act in the best interest of their clients. Fiduciaries must
prioritize their clients' interests above their own, ensuring good faith and trust in their
actions.
In healthcare, the principle of nonmaleficence, often referred to as "do no harm," emphasizes that healthcare professionals must avoid causing harm to patients while providing care. This principle is crucial in ensuring that patients receive compassionate and effective treatment without causing adverse effects. The sterile technique is a basic fundamental to all health and medicine.
The reason you wash a wound when you fall off your bicycle is because the road was no properly sterilized before the abrasion. Tattoo artists that are following guidelines say they are doing their due diligence, but due diligence in the 70's was literally: 'If your arm rots off, we will tattoo the stump.' Why is the tattoo client's health being made into a statistical analysis today in first world countries?
There is only one way to ensure modern tattoo safety and that is single-use everything! You bet your health that your tattoo artist breaks down their plastic tattoo pen and all the digital parts between every client? One of the plagues going through the tattoo industry right now is people filling up their tattoo ink cups mid session and contaminating the entire bottle of ink. People are talking about it. There was never a safe moment in commercial tattooing yet in the USA, where every professional tattoo artist was safely tattooing.
Now just as health safety standards are starting to be standardized, we have stepped into the world of digital tattoo pens. This is not the days where everyone uses coil or rotary machines anymore. Those artists breathed those machines and took pride in their machines, knowing every part and having extra parts. Now with a plastic tattoo pen that gets covered in cellophane for every tattoo and has delicate digital internals the standard for sterilization is murky; are the pens being sent away for gamma-ray sterliation? Could that hyper-sterilization create flesh eating super-germs since the instruments had been exposed to pathogens?
It is like as soon as we get a working model, the international markets have to push the bottom out for price and convenience. How many times can a digital tattoo pen go through Ultrasonic Cleaning and Autoclaving? Is that even an appropriate question to ask... Is this an emergency? How about compared to an iPhone? How often do people you know wipe their iPhone down with rubbing alcohol even though studies have shown smartphones are covered in feces? I think the stigma of tattoo pens not needing to be broken down and go through the three steps of sterilization, has to do firstly with the complexities of the digital mechanism and the incompatibilities of the different brands of pens; and then the fact you can completely cover the instrument with cellophane; and finally the lack of durability of plastic and digital instruments.
Machined tattoo shops and their ink bottles are covered with microscopic blood particle because of the violent attenuation of the tattoo machine strokes puts those particles in the air. Wrapping a tattoo pen in cellophane does not protect it from the those micro droplets at all. Especially as the hand grips the tattoo pen and friction moves the layers of cellophane wrap, once that seal is broken blood borne pathogens travel all the way to the pen. Not because you did not apply the cellophane correctly, because they are so small layers of cellophane wrapped tightly around a pen are like a Super Highway to those parthenogens.
Prion are not adequately inactivated by most common disinfectants, or by most tissue fixatives, and some infectivity may persist under standard hospital or healthcare facility autoclaving conditions (e.g. 121°C for 15 minutes). They are also extremely resistant to high doses of ionizing and ultra-violet irradiation and some residual activity has been shown to survive for long periods in the environment. The unconventional nature of these agents, together with the appearance in the United Kingdom, Republic of Ireland and France of a new variant of CJD (vCJD) since the mid 1990s, has stimulated interest in an updated guidance on safe practices for patient care and infection control.
Adhesive Film Dressing should be removed under flowing water at the end of a warm the shower at 130 degree angle, pulling away from the adhesive while holding the skin taut. Adhesive Film Dressing, at least the non-medical grade tattoo barriers should be removed slowly, about a quarter inch per two seconds removed, under flowing water at the end of a warm shower at a one-hundred and thirty degree angle, moving down away from the adhesive with water running underneath the adhesive while you remove it.
A healing tattoo should be washed with non scented antibacterial soap. The tattoo and the pores connected to it have the ink sitting like in a toothpaste tube. So take care and attention not to apply pressure on the tattoo. Without scrubbing the tattoo, create a foam with the soap or use a foaming soap dispenser and apply a thick layer of the foamed soap onto the tattoo wound. Let the foamed, unscented antibacterial soap sit for 90 seconds.
Then rinse the wound gently and quickly, in the opposite direction the majority of incisions were made, as not to rinse out any of the ink like a coffee stain in a mug in the sink. Never scrub or scratch a tattoo, gently pat dry the tattoo wound with a clean paper towel or sterile pad, not a cloth towel because germs can grow in the cloth. Never scratch or rub a tattoo for at least 8 months.
The best place for an accessible tattoo that is discrete is behind the wrist on the forearm. In my professional opinion obviously, the best place anatomically overall for a tattoo is the frontside of the neck down to and including the sternum. The neck has multiple layers of cervical fascia. Those layers of cervical fascia; the general thickness of the skin; the type of skin; and easy presentation of the front of the neck which is still able to be covered up while still conforming to regular clothing esthetic makes the front of the neck the best place to get a tattoo. Use UV Protective Sterile Adhesive Film Dressing for healing to protect the area from the sun.
Once your tattoo is healed or if you choose to heal it without a Sterile Adhesive Film Dressing you will need to keep the tattoo moisturized. I like to use Booda Butter Cocoa Eco Balm and/or aloe vera. Booda Butter Cocoa Eco Balm's Ingredients are: Coconut Oil*, Macadamia Nut Oil*, Candelilla Wax, Cocoa Butter* and Pure Cacao Absolute*. (*Certified Organic and Unrefined). I like this product for the ethics and because the product comes in a lipstick style applicator so you do not have to rigorously clean your hands to avoid cross contaminating the moisturizer before application!One of the creative trends I would like to see done away with is this trend of tattooing detail to be viewed from 9" away. That is a distance really not achieved by anyone except people who are admiring your tattoo work and if it didn't look good from 13' away and it does not open up at 3" away no one really cares how well the artist succeeded with the tattoo application. Tattoo artists are tattooing for photos sake and it is not even portraits of the person they tattooed. The photo distance looks like they were taken in bed next to the person. That's not where a tattoo is supposed to show off its detail.
Now there is a place for single needles, so I am not taking anything away from that, but machined tattoo artists are typically using single needle cartridges in order to reach the same depth they typically use but for fine line. Meaning you can do a fine line tattoo with a 3 or a 7 needle grouping if you stay towards the top of the derma layer. When tattoo needles make their incision the ink does not get pushed in to the skin. Instead a gap is created in the derma and then the ink is on standby on the needle and gets plunged into the gap threw suction the absence removal of the needle in the incision. So making a deeper gap with, makes the gap larger because of the tapering of the needles and upon removal of the instrument the ink is deposited into a larger gap into the reticular layer of the derma. If the instrument goes too deep the incision reaches the subcutaneous tissue and you have a blowout. But blowouts can happen over time as the ink settles because the instrument was applied to deeply.
This was not so much of an issue thirty years ago, my only guess is apprenticeships were better then and you have to either tattoo yourself and have experience in home surgery to know how the different layers of skin feel and act or see the tattoos you perform after 30 years. That's why tattoo apprenticeships were so important. Commercial Tattoo sterility is a rather new phenomenon that you can teach rather quickly, but to explain the difference of tattoo application depth, how to approximate a person's skin type by pinching it and how to 'float the needle' with a tattoo gun are difficult to teach let alone learn. The tattoos people are getting nowadays are blowing out after years because of the technique applied and the depth of the instrument. When you listen to films of tattoo masters from mid century their machines are often set quite slower than typical machined tattoo artists of today.
That could have to do with contemporary machined tattoo artists wanting to pack more color quickly and/or the pace they ae comfortable moving their machine strokes. But if the tattoo is applied deeply and the needle is set to a higher voltage (over 6-9), the tissue is being chewed up more and you will more than likely have a blowout. Videos I have seen of tattoo historical machined tattoo artist masters, their machines do not sound like they are set more than 6 or 7. I don't think that those lessons got passed down correctly to all of the tattoo artists in the generation of "the most famous tattoo artist sellout." And then that generation took a sort of, a salt the earth approach.
Because those lessons are not really that hard to learn and quite frankly Artificial Intelligence knows the correct answers from auditing the Internet. But to covet those simple lessons, which do not become apparent until years after the tattoo has been applied is a way to control the market and maybe only their family apprentices would know how to properly lay ink. The ability to tell if a tattoo is going to blowout over time by only the sound of the application of the machine depicting depth and voltage must have been frustrating for those old-time masters. Who would have constantly said, "that doesn't sound right" you are not apply the tattoo correctly but the tattoo looks comparable walking out the door. Quite frankly a lot of those artists were passed on by the time their stubborn apprentice's tattoos started blowing out after a few decades. RIP