Make sure the table is upholstered with vinyl or some other material which can be sanitized. Do not re-use any towel or sheet that was used or intended to be used on a previous client. Everything set up for the previous client should be removed from the massage area before the next client is admitted into the area to prevent accidental reuse.

Any product the therapist uses must be kept germ-free. The exterior of squeeze bottles should be cleaned and sanitized between clients. If applicator wands are used, they should be sterilized or discarded after use. To avoid cross contamination by double-dipping an applicator wand into a product, be sure to have an immediate receptacle for used items. If a second application of the product is required for the client, a second applicator should be used so the product is not contaminated.

Any tools used with clients must be capable of being sanitized or sterilized between clients or else disposable. There are several germicides on the market made especially for this purpose.

Follow the manufacturer’s directions for any equipment which is used. For example, a hot pad, if improperly applied, can burn the client’s skin. There should be sufficient towels placed between hot pad and skin. Hot stones are another consideration. Some skin types cannot tolerate much heat.

Linen should be kept in a cabinet or closet with a door. A sign indicating it contains clean linen needs to be posted on the cabinet/closet. Soiled linen should be kept in a hamper or separate area and clearly marked.

To avoid cross contamination, do not provide bar soap. Soap should be in a soap dispenser. Restroom dispensers (toilet paper, seat protectors, paper towels, soap) should be monitored and kept restocked.

Areas with running water (bathroom, laundry) should have washable floors and walls.

The therapist should wash hands thoroughly between clients with a soap or other disinfectant and nail brush. Nails should be kept trimmed. Because of the close proximity between client and therapist, body or breath odor is easily detected. Diligent hygiene is the best way of preventing an unpleasant situation. The therapist’s clothing should be clean and in good repair.

Any germs the client is exposed to in the clinic, the therapist is exposed to as well. This Standard of Practice benefits the therapist as well as the client.