Foot care training

Nurses Entrepreneurs

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I have been interested in starting a foot care service for some time now and after reading posts from LoisJean feel this is something I can do. I would like to start out by receiving some kind of training but cannot find anyone who provides this type of course.

I have been in touch with LoisJean who has given me wonderful information about becoming an independent provider performing foot/nail care however I would like to take a course of some description to make myself more prefessional. I found a course titled "Foot & Nail care for Nurses" which sounds absolutely perfect but it is Wisconsin and I live in New York, I cannot find anything else closer to home.

If anyone has crossed this bridge already and can offer any advice I would be extremely grateful.

Regarding FNANA... It never really got off the ground. Two nurses from Arizona took over the binder, but did not have time or resources to manage it. I now have the original binder and have been in the same circumstance. I will be meeting with 6 CFCN's at the Baton Rogue LEAP course next month and we will be discussing the organization of some sort of foot care nursing interest group. It will be up to them, as I am pretty swamped with a nonprofit organization that I started... THE PREVENTIVE DIABETIC FOOT CARE ALLIANCE. Maybe someday we will get organized!!!

i work for a small foot care company in massachusetts and we use Benz All to "clean" instruments between patients. we do routine foot care, no diabetics. private pay. RN's only.

Benz-All

Benz-All is an efficient germicidal concentrate of benzalkonium chloride with an added anti-rust ingredient. Shown to be effective in the chemical disinfection of instruments and equipment. Once diluted, benz-all is almost odorless, does not have a tendency to stain, and has minimal color change with a change in the pH. Cleaned instruments should be immersed in benz-All for at least 15 minutes for effective disinfection, rinsed with sterile water and dried before use. 10mL bottle mixed with tap, distilled or bottled water makes 1 quart of solution. 40mL bottle makes 1 gallon

Just wanted to make a comment about the cold sterilization method. If you purchase the product Accel SC20, which is sold in a gallon, all you have to do is pour out enough liquid to cover your instruments and this amount can be used over and over for the next 14 days.

No need to use a whole gallon. Other liquid sterilants require that an activator be added to the gallon, which then requires that you use that entire gallon.

I would like to question you about your message.

Disinfection is not the same as sterilization.

All instruments must be sterilized for each client, anything else would be poor nursing practice and also place the client at high risk for infection.

To Footcare Nurse, you said "Just wanted to make a comment about the cold sterilization method. If you purchase the product Accel SC20, which is sold in a gallon, all you have to do is pour out enough liquid to cover your instruments and this amount can be used over and over for the next 14 days.

No need to use a whole gallon."

Could you please tell me where this product is available? I cannot find it anywhere on the internet and the RN who owns the business would like more information. Are you in Canada, or US? We have also used a product called Ecotru. Thanks for any assist you can give in finding the cold sterilization product you mentioned.

LoisJean- What happened to you and the other "old-timers" on this forum... tutti?

I am getting ready to start doing foot care as an RN after 16 years in the beauty business. I am curious what nurses charge per patient for routine nail trimming, etc. I am going to be working under a podiatrist and I am having a hard time finding out what people charge! :twocents:

So what instruments do you like to use besides a curette and nail trimmers? I'm having trouble getting info from folks about this! Do you use a Dremel for calluses or just files?

As for the amount to bill to clients, depends on where you live. Here in Canada, on the west coast, I charge $50.00 for approx. 40 minutes. This is for an in house call.

I'm in Canada. Just to let you know, there is a national push to have all foot care standardized across the country. Part of this would include how to sterilize ie: only by autoclave.

Here in the States routine foot care is considered a "clean" procedure. we use benz-all to disinfect instruments, H2O2, alcohol, gloves, masks, individual emoryboards, sanding disks for the dremel for sanding of thick nails, callouses, etc, cotton balls, a 'probe' only to check edges of nails, and we give a foot massage. Items are discarded for each client, and dremel and instruments cleaned between each client. We each see approx 12-14 clients in an average clinic day. Our clinic visits are $28 for 1/2 hour and our home visits are $45 lasting 45-60 mins. All private pay as routine foot care is not covered by insurance and Medicare. We do not do diabetics or anyone with severe vascular disease as they are referred to a podiatrist, or anyone with infected skin/nail areas. Our company has been in business over 32 years and employs RN's only.

currently i am concerned about the use of proper masks for the nurses protection when sanding skin and nails and health risks involved in using Benz-all. I would like to know how other foot nurses deal with these issues. Does anyone have a suggestion for a mask? (sometimes we are working in very close quarters with 2-6 other nurses all sanding at various times and i am not sure we are adequately protected) And any other suggestions for a good all around disinfectant?

just a quick aside...by "here in the States" i can only say for my area, which is Mass. I do not propose to know the protocol of other States or Canada.

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