1. Customized interventions to increase compliance with hygiene rules
Thijs Veenstra
ECTP | April 2019

2. Steps in advancing safe tattooing
Regulation of tattooing services since 1982
National Dutch guideline since 2007
Licensing by regional health services
Random inspection by Food and Consumer Product Safety Authority
Implementation CEN foreseen in 2019

3. Guideline compliance, a continuing concern
Number of studio’s showing deficiencies remains high
No significant result
Think before you ink campaign in
Interventions mainly based on legal enforcement of guideline compliance

4. Guideline compliance, a continuing concern

5. New opportunities based on the CEN standard
Implementing training based on the CEN standard
2018: Exploring possibilities for implementation, assessing branch support
2019: Planning for introduction of mandatory training
2020: Ministerial decision on how to proceed

6. Insights needed for customized interventions
How to make tattooist comply with the hygiene guidelines?
Survey among 60 inspectors from different organisations
Formation of tattooist panel

7. Outcome
Tattooists..
Underestimate the risk of complications including infections
Are sceptical about practicability of guidelines
Lack knowledge of guideline content

8. Meanwhile
Tattooists..
Generally have a positive attitude toward guidelines
Think hygiene is important, and part of their profession
Trust in their ability to comply with the rules
Are proud of their individual profession
Are intrinsic motivated to deliver a high quality service

9. Conclusion
To improve compliance, we should develop strategies aiming to increase risk awareness, knowledge and acceptance by referring to craftsmanship, pride and professional responsibility

10. Primary interventions
5 short instruction videos, compliant with CEN, designed in cooperation with the tattooist panel
Improved accessibility and online responsive guidelines
Digital and postcard campaign promoting the videos
Maintaining the tattooist panel for designing future tailored interventions

11. Action: hand hygiene

12. Action: aftercare

13. All videos Disinfective agents Hand hygiene Cross contamination
Disinfective agents
Hand hygiene
Cross contamination
After Care
Cleaning and Disinfecting

14. Thank you
ECTP | april 2019