Foot care training - page 22

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... Read More

  1. by   suzanRN
    LoisJean- What happened to you and the other "old-timers" on this forum... tutti?
    Last edit by sirI on Oct 17, '09
  2. by   itsamyshouse
    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!
  3. by   itsamyshouse
    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?
  4. by   footcare nurse
    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.
  5. by   footcare nurse
    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.
  6. by   thewowfactor
    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?
  7. by   thewowfactor
    just a quick "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.
  8. by   footcare nurse
    Some thoughts on foot care being a "clean" procedure. If instruments are not being sterilized, how are you protecting the public from fungal or other bacterial infections? What if you accidentally nicked the tissue, this does happen, you have now compromised the integrity of the skin and have introduced potential and probable pathogens due to the the lack of sterilization. Sanding disks are for woodworking and will produce larger dust particles. We are professionals and as such should be using instruments and products in the industry. Using podiatry burs will decrease the size of particles. This now brings me to protection from nail dust. In my practice most of my elderly clients have thickened and usually some sort of fungal nail(s). The only way to try to protect yourself and your client from inhaling very nasty fungal dust is with a dust extractor. Most nurses do not wish to spend the amount of money on this piece of equipment but you must weigh the health factors. Next.... masks, no less than a N95 should be used. You will have to do some research about this as N95's do come in many models and protection. CDC and NOSH approved are the only ones that should be considered.
  9. by   ehresources
    Hi All,
    I hope this clarifies some issues/questions that have been posted recently. Foot care is considered a clean procedure but that does not mean that sterilzation of tools between clients is not essential, especially due to the potential for injury and infection. The simplest product (and safest) for cold sterilization is accelerated hydrogen peroxide. The brand I use is the Accel CS20 by Virox. There are other brand names available (I am in Canada but I do know there is soemthing in the US). For a mask, I use an N95 as it is the best protection available. Whatever products you use, it is imperative that you read the manufacturers instructions and MSDS documents - not only about using the product but also about disposal of it. Pricing will vary depending on how you set up your business. Start with a base salary (what you want to earn per hour or person) and then add all your expenses. That should give you a ball-park figure. Don't forget things like travel time. Having solid policies and procedures/protocols in place when you set up your business/practice is critical. The first few can be tough but then they get easier - I promise.
    A word of advice: Always practice to the highest standard! It is the best for you and your clients and it is probably only a matter of time before it becomes the minimum standard.
    For the nurses in Vancouver - good luck with your conference. Link up with Foot Care Canada and other resources (such as those that host conferences elsewhere in Canada).
    I would be interested in the Alliance if someone wants to PM me
  10. by   ZEROPOINT
    Hi Tutti
    I recently joined this forum as I am very interested in the Foot Care business. You mentioned someone in Canada who gave you such great mentoring. I would appreciate getting the name/contact information of that person, I know its been a while but who knows. I do have in-laws in Canada and would not be a problem there. The only school that I know of here in Georgia that teaches this program is Emory and they have a two day program in adjunct with their Wound/Ostomy/Incont. Program which I really dont think its too complete. I know there's a great need for Foot Care Nurses here in Georgia. I am also not sure if nurses can practice independently here in Ga but I have started an investigation with the Ga State Board of Nursing. If the Japanese nail salons can operate without a nursing license, then why can't us the professionals practice independently also!!
  11. by   ZEROPOINT
    Are there any Foot Care Nurses in Georgia. I would appreciate hearing from you as soon as possible. Thank you.
    Last edit by sirI on Dec 6, '09
  12. by   barefootnurse
    I have been teaching foot care nursing for 16 years and am a specialist in the area of infection control, instruments, equipment and supplies. Although foot care may be considered a "clean procedure", as it is not a surgical procedure, all instruments must be terminally sterilized between use on patients. Autoclave being the best way. If you plan to make foot care your business, it is well worth it to invest in good equipment so that you can give the best care. In my opinion the dremel grinder should be banished from use and replaced with an electric nail drill, or podiatry file, with a vacuum attachment. Though these files are expensive, they pay for themselves over time in time saved. If you are a professional, you should use professional equipment. Dremels are made for craft projects, not foot work. Most nurses who use them use the disposable sand paper burs.... which, though clean, ARE NOT STERILE. The are bulky and often cause nicks on the skin around the nail. All burs should be sterilized and used on only one patient. There is a great little autoclave by Presitge. There is an N95 mask available that has disposable filters. Best practice is to replace the filter after each patient and to wipe down the mask after each use.
  13. by   imani
    My husband and I are interested in starting a foot care businnes. We are both certified. He has a BSN and I am an LPN. We have called podiatrists and none seem interested or even know what we are tolking about. HELP!!!! We will be taking the classes in Michigan in did you all get started? Were the podiatrists open? We live in MO.....