BACN May Newsletter

MAY 2018 NEWSLETTER BACN BOARD CALL FOR POSTERS COMPLICATIONSUpdates from the last BACN Sharron Brown invites you Article on lip filler board meeting to provide posters for this complications by Dr Beatriz year's BACN Conference Molina

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CHAIR REPORTUpdate on the latest BACN activities, thoughts,and key actions for the coming monthsSharon BennettI am very pleased to report that so May I remind you all that this is a We are now putting togethermany of you have renewed your critical set of regulations and if supporting material and advice inmembership of the BACN and you do not meet them you could this area and Jonathan Bardolphwould like to place on record my be subject to all kinds of sanction. our Board member who is anthanks to Sarah, Gareth and Tara accountant will be producing aat BACN HQ who have been If you are still concerned about webinar on this soon.helping you all with this process. this or have not acted please go to the BACN website for information Since my last news up date weThere has never been a more and/or contact Tara at HQ. Paul have had a ‘momentous’important time to be part of a will also talk about this in his development in Scotland where‘Professional Association’ that can update. BACN nurses led by Francesprovide you with clear, impartial Turner Traill and Jacqui Partridgeand independent advice and In a similar vein we have had have campaigned, lobbied andservices that meet your immediate many requests recently about VAT now got accepted that nurses canand pressing needs. An example status and non-surgical cosmetic hold ‘Prescription Only Drugs’of this has been the great businesses. Once again this is a overnight in clinics if they areresponse to all the support we major issue for the sector and I do registered with the HIS inhave provided with regard to the know that a number of our Scotland.introduction of GDPR regulations members are having to deal withwhich goes live on 25th May 2018. the Inland Revenue on this matter. BACN NEWSLETTER

This has been an issue on which It seems a million years since we Finally just a word of reassurancethe BACN has campaigned for developed and published the that the BACN under myyears and we will continue to do ground breaking ‘BACN leadership with my committedthis in other parts of the UK where Competences’ but they are as Board Members, CEO and Headregulation is different. relevant as ever. Since then we Office team will continue to strive have had other standards to make the BACN relevant to itsWe held the BACN Board in March frameworks developed and the members, deal with the issues youand had a major policy paper Board have decided that now is face daily and come up withprepared by our CEO Paul on the time to bring all of these practical support and services. We‘Education and Training’ and the things together with a focus on always need more help andBACN role in this area. Paul will creating the ‘Specialist Aesthetic support so please do not be afraidgive further details in his report Nurse’ category. To do this we will to come forward and volunteer.with requests for help and need a number of our best nurses We need your help, commitmentsupport. However, I would like to to come together and to agree a and skills more than ever.highlight our decision to re- programme for this majorestablish the BACN Education and development. Paul will outline Again, thank you for renewingTraining Committee, and to set up how we are proposing to do this. your BACN membership, anda new ‘Clinical Advisory Group’ onwards to 2019!(CAG) with a major focus on We are just completing ourestablishing the ‘Specialist Spring/Summer round of regionalAesthetic Nurse’ category. events and thank you to all of you who attended and our sponsors. The Board discussed the regional programme and issues surrounding regional leaders and you will see a number of changes in this area coming forward before the Autumn series begins. A big thank you to Tara Glover, BACN Events Manager for running all sessions, along with Lisa Niemier who represents the regions on the Board and our Regional Leaders who do such a great job.AUTUMN AESTHETIC CONFERENCE 2018 8th - 9th November 2018 Edgbaston Stadium, Birmingham BACN NEWSLETTER

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CEO UPDATEImportant information and updates concerningthe BACN this monthPaul Burgess MBESharon has been able to give you a What is particularly noticeable is Education and Training Committeeflavour of the many things we are how it attempts to discernworking on at all levels within the between differing levels of The BACN established an ‘EducationBACN. It was very useful at the last competence as a nurse progresses and Training Committee’ many yearsBACN Board meeting to be able to from being a ‘beginner’ to an ago but it ceased to operate after thestand back and to reaffirm our ‘Advanced and Expert’ practitioner. completion of the BACN Competencycore mission and to reenergise Framework. There are now many newour very important work in The discussion at the Board issues emerging in education andeducation and training. We know involved many of the nurses who training and those need addressing:from all our interactions how were involved in this originalimportant this is for you all. exercise. There was overwhelming • Revalidation support to go back to the • CPDEducation and Training framework, look at recent • Accreditation developments on standards and to • Standard settingWe are all being bombarded with produce a revised structure with • Role of education and trainingdiffering views about regulation, the key objective of delivering that providersstandards and best practice ‘Specialist Aesthetic Nurse’ • Qualificationsmodels as this sector struggles to categorization and eventually • Many morecope with its massive growth and ‘accreditation’.ever-increasing demand for The BACN have decided to re-establishservices. I have taken the In order to do this the Board made the Education and Training Committeeopportunity to go back and to read two key decisions: and its terms of reference will bethe original ‘BACN Competency 1. To re-establish the BACN published soon.Framework’ put together by such a Education and Training Committeewonderful group of nurses and it 2. To establish a ‘Clinical Advisory BACN NEWSLETTERis more relevant than ever. Group’.

Sharon has asked that we seek Sharon has asked that we seek GDPR‘Expressions of Interest’ in serving ‘Expressions of Interest’ in servingon that Committee and the Board on the CAG and the Board will Most of our regional meetingswill seek to appoint a Chair and seek to appoint a Chair, again have included sessions on dataVice Chair. contact Sarah Greenan for more protection regulations (GDPR) information. wherever possible. This is a veryBoth Sharon and I know how busy important issue for you all. Thereyou are so the number of Other BACN Business is also a webinar produced bymeetings will be kept to a Hamilton Fraser for BACNminimum and where possible We are continuing to work on members.technology used to help many of the new initiatives andattendance. We are looking to services highlighted in the last A big thank you to Hamilton Fraserestablish this Committee by Newsletter. I would draw your for supporting us in this area.September 2018. attention to the following: I must reiterate that you should all have a GDPR plan in place toGet in touch with Sarah Greenan, BACN Shadowing Programme manage the data you keep onOperations Manager at patients and all other aspects [email protected] who will The first of these ‘shadowing’ your business.pass your details on. opportunities have been completed and there are more Log in to the BACN member's area,Clinical Advisory Group (CAG) scheduled: click 'resources' and 'GDPR'.The non-surgical sector is getting This is the programme where VATmore complicated by the day as members can go and ‘shadow’ anew treatments emerge, new very experienced BACN Nurse VAT is a massive issue for thetechniques are being developed Practitioner in their clinic for a aesthetics industry and I knowand numerous new products come day. I must reiterate that this is how concerned you all are on this.onto the market. In this context not mentoring or training but We know of members who havewe need to bring together the best gives you the opportunity to watch been targeted by the Inlandtechnical minds in the BACN to an advanced practitioner working Revenue for investigation. This istackle key issues and to provide with a review and question and not a simple matter but issupport to myself, the Board and answer session at the end. We are something you should all be awareour staff. now processing the next round of of and take steps to protect requests. yourself.The Board have therefore agreedto establish the CAG which will be BACN Business Support Programme With this in mind the BACN isasked to tackle very specific doing the following to supporttechnical issues and in effect to A series of meetings have been you:operate as a ‘Task and Finish held with partners and aGroup’. The very first task in this programme has been agreed. We • Producing a webinar with basicarea will be to review the BACN have had some delays involving guidelines and good practice toCompetency Framework, recent logistics so the Programme will be follow – delivered by our Boardstandards exercises and to update launched in Autumn 2018. Member, Treasurer and financethe framework with expert Jonathan Bardolph.recommendations on how the BACN Regional Events • Providing a session on VAT inBACN can develop an each of our Autumn regional‘Accreditation Programme’ for its The Spring/Summer round is just meetings.members. This is a very big task completing with a great response • Offering a BACN Helpline toand will take at least 12 months from you all. Great job done by discuss this mater privately withbut the Board believe this is what Tara Glover, BACN Events an expert.we should do to place our nurses Manager, our Regional Leadersat the forefront of professionalism and Lisa Niemier who has For more information contact HQand patient safety. responsibility for this on the who will put you in the right Board. Look out for Autumn dates. direction. BACN NEWSLETTER

Annual Conference Update Remember this year it will be a full I am happy to respond to any two days on 8th – 9th November member who may wish to discussThe structure has been agreed 2018. any of the above, just get inand Sharon is chasing presenters contact with me atto deliver the very best for you. Day 1 – Thursday 8th – will be a [email protected] year we have placed major workshop day with evening eventemphasis on attracting some of – a limited fee will be charged tothe leading Nurse Practitioners in cover costs.the sector to deliver Conference Day 2 – The BACN Conference –and Workshop sessions for you. free as part of the membership fee. The programme will be announced in the next few weeks as will special hotel rates and packages. UPDATE YOURPRACTITIONER FINDER today CLICK HERE Login,go to 'youraccount', then 'myfinder' BACN NEWSLETTER

NEWS FROM HQThe latest news and updates from BACN HeadOffice in BristolGareth LewisThank you again from us all at Thank you to those we saw at ACE For those who are at FACE 2018, weBACN HQ for those who have 2018 too, it was lovely to see so will be there on the Saturday. Comerenewed for the 2018/19 many friendly faces and take some say hello and have a cuppa and gomembership year. It has been selfies to upload to the BACN FB through any concerns or suggestionsgreat to catch up with you all and group. Definitely the best part for you have for us!to help some of you with your us.membership queries or Sarah Greenan is thesubscriptions. We are still in the tail end of the Operations Manager and can renewals process and making sure be contacted byIt has also been great to see many that we are all ready to launch the [email protected] you at the BACN Regional programme and registrationMeetings that have taken place process for the BACN Conference, Tara Glover isthroughout the country in April which will be open in the coming the Events Manager and can beand May. weeks. contacted by [email protected] has been working with We are also continually looking forHamilton Fraser Cosmetic more members to come forward Gareth Lewis isInsurance on our GDPR roadshow and supply articles, blogs, and the Membership andat our meetings, providing features that we can use to Marketing Manager of theopportunities to speak to Naomi promote the BACN. If you are BACN and can be contactedDi Scala. We have created a interested in finding out more by [email protected] in the member's area of about this, or getting in touchthe BACN website under resources regarding it, contact Gareth at BACN NEWSLETTERwhich go through GDPR [email protected].



CASE STUDY:LIP FILLERCOMPLICATIONDr Beatriz Molina presents a lip filler complication and discussesthe management of the patientDr Beatriz Molina Dr Beatriz Molina is medical director and owner of Medikas clinics. Dr Molina is a KOL for Galderma UK and is also an international speaker and a country mentor leader for Galderma Global. She is the founder of the IAPCAM and a finalist for the The SkinCeuticals Award for Medical Aesthetic Practitioner of the Year at the Aesthetics Awards 2017. This article is in association with Aesthetics Journal. If you are interested in writing for the journal or have any editorial enquiries email [email protected] or call 0207 148 1292.Managing complications is a The following case study will discuss HA filler was injected in the samedifficult task. However, it is even the patient journey of a young area.harder when a patient presents to female who was referred to me fromclinic with a complication from another aesthetic doctor after the As expected, following these secondanother practitioner, as most patient experienced a filler injections, the patient experiencedpatients do not know what product complication in the lips. Please note slight swelling and bruising, but thisthey had or where the product was that the below information is from went down after three days. At thisexactly injected. In this the patient’s testimony only, not stage, it seemed that there were nocircumstance, what do you do? The from the various practitioners concerns following the treatmenteasiest thing is to ask the patient to involved. and the patient was pleased with thereturn to the practitioner who results (Figure 2).treated them. This, I believe, is best Patient journeypractice as the original practitioner However, after day three, theshould have all the necessary clinical A 28-year-old female patient was patient’s lips were becoming verydata to correct the complication. recently referred to me from one of swollen. This was causing herBut, sometimes this is not an option my colleagues and friends who is an difficulty in speaking and eating asbecause the patient may have lost aesthetic doctor. her lips would split easily, even fromtheir trust in the practitioner and a soft touch (Figure 3). The skin ondoes not wish to be treated by them The patient was firstly injected by the lips became increasinglyagain. Other times, we get referrals this practitioner with 1ml of a well- sensitive and raw.from practitioners who are not sure known hyaluronic acid (HA) dermalhow to handle a complication, or the filler in May 2016. It was injected She soon developed flaky brownpatient is not listening to their into the body of the lips with a crusts and patches of dryness on theadvice. At least in these cases, a cannula in an anterograde technique underside of her top and bottom lipsreferral means that we get a full and there were no adverse events (Figure 4).medical history and we know exactly reported.what products were used and in BACN NEWSLETTERwhat way. A following treatment was performed by the same practitioner five months later, on October 28, where 1ml of a different

She was concerned as it was not However, she continued to However, her skin gotsomething she had previously experience problems; layers of the progressively and rapidly worse.experienced after her filler skin peeled off, bit by bit, and her The surgeon contacted thetreatment five months ago. Seven lips became increasingly raw. Two patient’s original practitioner viadays after her initial treatment she weeks’ post treatment, she saw email to discuss their concerns,went back to see her original her original practitioner again. and again suggested that thepractitioner. They reassured her that she was patient was experiencing a herpes experiencing some normal skin outbreak.The practitioner was not sensitivity issues followingconcerned with the patient’s treatment and things should clear After taking the course of acyclovir,symptoms and advised her that up soon. the patient’s skin became eventhe symptoms she was more raw, so she sought theexperiencing might have been the To be on the safe side, the advice of her GP, who advised thatresult of dryness or transient practitioner suggested to have the she was experiencingsensitivity. A transient reaction to filler removed with hyaluronidase. inflammatory issues in response tothe filler would mean that it It is unknown why the patient the filler treatment. She wasshould settle after a couple of didn’t agree to this, or why the prescribed topical steroidweeks.1 practitioner didn’t insist upon it. At medication and Epaderm emollient this stage, the patient was feeling cream and was told to keep usingStraight after this consultation, the as though her situation was not Aquaphor. As her symptomspatient emailed a plastic surgeon normal, but the patient said that continued, the patient went backshe found through a Google the practitioner advised her that it to the GP several days after. Theysearch to get a second opinion. was. The patient raised the prescribed oral steroid medicationThe surgeon advised her that the possibility that she might be – prednisolone 30mg a day for oneproblem could have arisen experiencing a hypersensitivity week.because the lips were potentially reaction to the product, as it was aoverfilled. They said this could be different one used to her previous At this point, the patient described,causing the mucosa, (wet part of treatment, but the practitioner did “It was as if the whole top layer ofthe lips) which would otherwise be not believe that this was a concern my lip skin had fallen away,inside the mouth, to be exposed to at this stage. exposing the raw layerthe surrounding air, drying them underneath. I also developed smallout. They advised her to use a As the skin on the patient’s lips blisters. Smiling could cause small100% petroleum ointment became increasingly sensitive, tears and abrasions in the skin. I(Vaseline) to resolve this. The fragile and seemed to rub off was having a difficult time eatingpatient had already been using when she touched them (Figure 6), and speaking, and I was drinkingAquaphor, a skin ointment she arranged an appointment with everything through a straw. Therecontaining petroleum (plus other the plastic surgeon that she had were times when the skin on myingredients) to keep her lips emailed previously on November lips looked white or pale.\"moisturised prior to the 27. The surgeon advised her thatdevelopment of this crust.2 She she was experiencing either an She had been applying Aquaphorhad used Aquaphor for at least inflammatory reaction, or a herpes to her lips constantly for twofive years intermittently, with no outbreak. weeks at this point, and sheside effects from it. Following the assumed that after seeing severaladvice of the plastic surgeon, she different practitioners of differentstarted to use more Aquaphor and experiences that keeping the lipskept a thin layer of it on her lips well moisturised was a reasonableconstantly. strategy to protect her skin. BACN NEWSLETTER

However, she did eventually notice At this point, the patient used the Patient presenting to my clinicthat the Aquaphor packaging also mobile app HealthTap andstates to ‘use as often as required’ arranged a virtual consultation On December 19, the patient cameand provides no further using Skype with a board-certified to see me after being referred byinformation regarding adverse American dermatologist. Their her original practitioner.reactions. The patient said, diagnosis was desquamation of“However, at this point I felt the lip and they said that she was Her lower lip was stained with theperhaps my use of Aquaphor had likely experiencing hypersensitivity gentian violet that she has usedbeen excessive and I discontinued issues due to the filler. They previously. The patient refused tousing it as I felt it may have been advised her to apply a topical let me examine the lips, as shecontributing to the problem.” steroid medication and to seek to said they were too painful. She have the filler dissolved if it didn’t was also very upset as herAfter discontinuing the use of clear up. Subsequently the patient condition had not improved afterAquaphor, the skin did seem to developed small cracks at the two months following her fillerclear up quite substantially corners of her mouth. The skin treatment, despite seeking advicethereafter, with a noticeable that healed in the area also from several practitioners.improvement after just the first started to have a whiteday. However, she gradually appearance again and formed After carefully looking through herdeveloped a very thick, dry crusts. medical record, her photographscrusting on her lips and was still and considering the events relatedunable to eat or speak normally as The patient had been doing a lot above, I concluded that there wasa result of this. She was only of her own research online since a compression to the vascularconsuming liquid food through a having issues with her lips and supply to the lower lip; shestraw. Unfortunately, she decided was still concerned that the aggravated things by usingto apply gentian violet to her lips problem with her skin Aquaphor, as this was acting as anas an antiseptic on December 10. desquamation, diagnosed by the occlusion. This explained theGentian violet is an antiseptic dye dermatologist, was partially due to blistering and the desquamationused to treat fungal infections of an over application of Aquaphor. of the lip and why symptoms werethe skin. She stated, “I didn’t She thought this could potentially not immediately resolved postrealise that it would stain my lips be due to maceration of her lip treatment.3so severely and that it would be skin. She asked the dermatologistimpossible to get off due to the on HealthTap explicitly about this, I knew that the only solution tofragility of my skin.” but they suggested that the resolve this was to dissolve the problem was more likely to be an filler. If there is a problem with inflammatory reaction to the filler vascular supply to the tissue, it material. They also stated that it starts to die. The patient did not could be due to an Aquaphor get necrosis, likely because there allergy. However, the patient was only a partial vascular researched the potential side compromise, not a full effects of Aquaphor on WebMD compromise; adding an emollient and found that ‘turning white, wet made things worse.1,4-11 The and soggy from too much wetness’ patient was concerned that having were possible adverse reactions.2 the filler dissolved at this point She stated, “When my lips were at would cause trauma to her lip, due their worst, the skin did indeed to the fragility of her skin. look white and soggy.” However, she did not feel that this explained BACN NEWSLETTER the other issues with her lips.

I explained, in length, the risks This case did have an unusual Conclusionassociated with dissolving the filler presentation, so it is unfair to(allergic reaction, anaphylactic think that the original practitioner All practitioners must keep goodreaction, bruising, swelling) and did not know it was a compression patient records, including beforethe pros and cons of using the at an early stage. However, they and after photos to manage ahyaluronidase, such as the fact should have known that patient’s treatment journey. In thisthat the filler would go, making something was not right. The case, the symptoms should haveher lips go back to how they were original practitioner most certainly been recognised and the fillerbefore any filler treatment. should have asked a colleague for should absolutely have been their advice at this stage, rather dissolved earlier. PractitionersI then asked her to seriously than the patient feeling that need to take patient concernsconsider the treatment and think nothing has been done and for her seriously and see patients as oftenabout going ahead with it. to seek further advice on her own. as required. They should alsoFollowing this, I referred her back I believe it’s important that establish a good network ofto her original practitioner. I got in patients stick to their original colleagues that they can trust fortouch with the practitioner and practitioner, and they need to feel advice when needed. Finally, Iadvised them to dissolve the filler as though their concerns are taken recommend that all practitionersusing hyaluronidase 1500 units in seriously. complete thorough training in10ml of sodium chloride. I also anatomy and complicationsaid that if there were concerns of There was no evidence of prevention, diagnosis andexcessive inflammation and infection, so the patient should management skills.swelling in the lips, so to not not have been on prednisolone foraggravate the problem, they could so long. As far as I am aware, Referencesstart the patient on prednisolone there was no reason for the30mg for five days. After two or surgeon to believe this was herpes   1)  Funt D, Pavicic T. Dermal fillers in aesthetics: anthree days, the patient would and the symptoms did not seem overview of adverse events and treatment approaches. Clinlikely be ready for their consistent of herpes infection. If I Cosmet Investig Dermatol. 2013;6:295-316.hyaluronidase treatment. was treating this patient, I wouldFollowing this treatment, the have started her on prednisolone   2)  WebMed, ‘Aquaphor Topical Ointment’,original practitioner reported that 30mg for one week and seen her <https://www.webmd.com/drugs/2/drug-7713/aquaphor-the patient made a full recovery. after three days just to be sure topical/details> there was no infection. At thatDiscussion point, I would have seen it was a   3) D.DeLorenzi, Complications of Injectable Fillers, Part reaction to the filler and I would 2: Vascular Complications, Aesthetic Surgery JournalIn my opinion, this patient have injected hyaluronidase. 2014, Vol. 34(4)probably experienced thesesymptoms as filler was likely Instead of treating her myself, I   4) Beleznay K, Humphrey S, Carruthers JDA, et al.injected too deeply, causing the referred her back to her original Vascular Compromise from Soft Tissue Augmentation. Jcompression. Alternatively, it practitioner for treatment. This is Clin Aesthet Dermatol. 2014;7(9):37-43. 2.could have been that too much because I do not believe in makingproduct was injected in the area. a practitioner look negligent in the   5) Coleman SR. Avoidance of arterial occlusion fromSometimes I find that practitioners eyes of the patient. Everyone can injection of soft tissue fillers. Aesthet Surg J.who use cannulas inject deeper make a mistake and the 2002;22(6):555-557.than they believe they are, which practitioner was really concernedcan cause issues. In my opinion, about the patient’s wellbeing,   6) Glaich AS, Cohen JL, Goldberg LH. Treatment ofthe original practitioner should which is why she finally referred Hyaluronic Acid Filler–Induced Impending Necrosis Withhave listened to their patient’s her to me for an opinion. The Hyaluronidase: Consensus Recommendations. Dermatolconcerns and understood that it is practitioner was also fully capable Surg. 2006;32(2):276-281.not normal to develop new of performing the hyaluronidasesymptoms days after a dermal treatment as per my advice;   7) Hanke CW, Higley HR, Jolivette DM, et al. Abscessfiller treatment.1 They likely did however, if they were not, I would formation and local necrosis after treatment with Zydermnot have enough knowledge and have quite happily step in to help. or Zyplast collagen implant. J Am Acad Dermatol.experience in regards to 1991;25(2 Pt 1):319-326.identifying and managing dermalfiller complications. 8) Cohen JL. Dermatol Surg. Understanding, avoiding, and managing dermal filler complications. 2008;34 Suppl 1:S92-S99.   9) Bailey SH, Cohen JL, Kenkel JM. Etiology, prevention, and treatment of dermal filler complications. Aesthet Surg J. 2011;31(1):110-121.   10) Ozturk CN, Li Y, Tung R, et al. Complications following injection of soft-tissue fillers. Aesthet Surg J. 2013;33(6):862-877. 11) Cohen JL, Brown MR. Anatomic considerations for soft tissue augmentation of the face. J Drugs Dermatol 2009;8:13-16. atol 2009;8:13-16. BACN NEWSLETTER

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BACN CALL FORPOSTERSSharron Brown on call for posters for this years BACN AutumnAesthetic ConferenceSharron Brown     All we ask is that you or one of The BACN website will display your collaborating authors to details of how to submit your This year the annual BACN stand by your poster available for poster via a portal that will beconference is sending out a call for delegates to discuss your work. open for a period of time to allowposters. This is an ideal There will be acknowledgement for online submission. Don’t worryopportunity for members to for the most innovative and or about the style as there will beshowcase their knowledge and educational posters. clear guidelines to help you formatpotential solutions to support, there will be two templates oneinform and educate their fellow Themes you may want to consider for case studies and the other forpeers. It is time for BACN • Audit data driven or original research.members to display and share • Businesstheir wealth of experience and • Case Studies The BACN board acknowledgesprofessional development within • Complications and adverse that our members have a widethe speciality of aesthetics. issues range of prior experiences andAbstract contents can either be • Competencies whether they are fairly new to thisresearch-based using established • Dealing with complaints speciality or seen as experts inscientific methods or demonstrate • Improving the patient this field, our annual conference isexperience and information from experience/Patient satisfaction the ideal environment for thoseindividuals or collaborations i.e. • Innovative treatments and voices to showcase their skills,from clinics or institutions. practise knowledge or practice.All posters submitted will be peer • Managing a social media profilereviewed by the programme • Peer support and supervision Posters when created effectivelycommittee and those who have • Regulatory are a concise and visuallysubmitted will be informed by • Training from novice to expert. attractive way to display this.email. BACN NEWSLETTERPosters will be on display duringthe conference lunch break and ata dedicated poster session whichwill enable all the delegates tohave a chance to view those ondisplay.

An eye catching and efficient When developing your poster So please do not let reticence stopposter should have a balance of remember that the average you from submitting a poster forartistic, methodology, evidence person spends around ten the autumn conference I for onebase and if relevant experiential seconds scanning what’s in front would love to see the quality ofelements that will appeal to those of them Rowe et al (2009) in a pilot work that is out there. The BACNdelegates walking past. Remember survey of knowledge transfer board hopes this may be a gentleto engage both sides of the brain found that visual appeal was more nudge for more nurses to comedetails that are logically presented important than content. So the forward and show the talents theywith analysis, fact and conclusion wow factor stops traffic. You want are modestly hiding. balancing with visual which the individual a metre away to bedisplays before and after able to scan your poster, drawing Referencesphotographs or data as graphs them closer to absorb thatthat can be easily read and information in ten minutes that Berg J, Hicks R, Successful design and delivery of aunderstood. Durbin (2004), Ellerbee also includes you standing by your professional poster, Journal of the American Association(2006). poster to answer any questions or of Nurse Practitioners 2017;29:461-469 share further information andThis is an ideal opportunity to then move on so others can view Buket G, Koshy K, Langhit K, Whitehurst K: How to makenetwork with possible further your work. an academic poster, Annals of Medicine and Surgerycollaboration at national level, 2016;11:69-71become recognised as an Are there any differences betweeninnovator or an expert with a a data or research abstract or a Durbin C G, Effective use of tables and figures inparticular procedure or treatment. case study?  It is important to abstracts, presentation and papers, Respiratory CareShow your fellow peers what you remember the title is the head line 2004; 49(10) 1233-1238are truly passionate about within grabber and should be no morethe diversity of medical aesthetics. than 10-12 words this should Ellerbee S M, Posters with artistic flair, Nurse EducatorThe key to a successful poster is include what was investigated and 2006;31(4)166-169give yourself enough time to iron how. What was found is in the textout all those glitches expected or box or boxes beneath. It should be Rowe N, IIic D: What impact do posters have on academicunexpected. Ask a colleagues to able to capture the attention of knowledge transfer? A pilot survey on author attitudes andproof read your work before the novice delegate through to the experiences, BMC Medical Education 2009;9:71submitting sometimes having expert. Below the title list thesomeone not emotionally invested authors and any affiliations. The Wood G J, Morrison R S: Writting abstracts andcan help you see your poster with remaining sections are for developing posters for national meetings, Journal offresh eyes and if necessary time to findings, discussion and Palliative Medicine 2011;14(3):353-359re write. Proof reading will also conclusion. With regards to a casepick up those annoying little study they can contain many ofspelling mistakes that sometimes the same elements butget missed. What causes authors importantly highlight the issuesangst?  Word limits, try to be positively or negatively that areeconomic with your descriptions, contained within the case studybullet point, use shorter remember if you are usingsentences. What are the salient someone’s image to obtain theirpoints? What is it you want those consent and if relevant toviewing your poster to take away? anonymise. Again the wow factor Concise abstracts are more likely if this is a treatment with positiveto be accepted. Berg (2017) outcomes or an adverse issue with its resolution. Ask yourself if this case study is interesting, original and or relevant? Will your peers find it attention grabbing enough to stop look and discuss further with you? Wood and Morrison (2011) BACN NEWSLETTER

ASK THE EXPERT  Gilly Dickons from Aesthetic Response will be answering businessqueries from BACN membersGilly Dickons Gilly Dickons is a co-founder of Aesthetic Response who provide an award winning, unique, expert enquiry handling and diary management service to UK aesthetic practices. Gilly’s extensive insight into the aesthetic arena arises from a career spanning 26 years in client servicing, with both TMG and Allergan. Experience gained from multiple roles, including client facing, marketing, and clinic management, together with AR's management of over 140,000 calls a year on behalf of clients across the UK, offers a unique and valuable insight into the constantly evolving aesthetics sector and the challenges you as business owners face in this increasingly competitive marketplace. In her Ask the Expert Q&A Blog Gilly offers sound advice and tips to help you to grow your aesthetic practice…GDPR - 25th May 2018… Are you • What if you send an email or letter To give an idea of the enormity ofready? to the wrong client? What do you the changes, in 2016 the ICO issues need to do to acknowledge this fines to the value of about £880,000How are your preparations for GDPR breach? for data breaches, HOWEVER, undercoming on? 25th of May is now just • Hackers can take over your PC’s if the new GDPR these would havearound the corner and ideally you they do not have adequate amounted to £69million! will be putting things into place to encryption – they create programsensure that you are going to be able that are testing your firewalls If you have a breach you have 72to comply with the new regulations. constantly looking for a way to hours to report it to the Information breach them. Once they access your Commissioners Office (ICO).  YouOf course, you can just keep doing client information they can ransom must also inform the client(s)what you have been and hope that your business. affected. Failure to follow thethe new regulations won’t affect you. • If you work from a salon or spa are process correctly can result in aYou can trust that you won’t be your client details safe? How do they second fine on top of the 4%.targeted by unscrupulous hackers, protect their systems? You need toand that you won’t accidentally consider how safe your client data is Here at AR we are working with ashare client information or have if it sits with a third party. Data Protection Consultant toyour mobile phone stolen…. • What about a break-in at your ensure that we are ready for 25th clinic?  Are your client consents and May.  The CRM companies areHave you really considered the ways files kept under lock and key? working hard to ensure they arein which data may be breached? • What if your reception staff write ready too. Please make sure you are Here are a few to consider: down client contact details and then confident that you understand the simply dispose of them in the bin? new regulations and are putting• If you were to have your phone or This again can lead to a breach. protocols in place to manage them.tablet stolen, you simply lost it, orsent it off for repairs and someone Breaches of GDPR can result in a For further information you can visitcould access your client data it business being fined up to 4% of the ICO website: https://ico.org.uk/would constitute a serious breach their turnover – yes, that is turnover,under GDPR. not profit! BACN NEWSLETTER

PRACTICE GROWTH IS ALL ABOUT KNOWING WHEN TO LET GO… Letting go is not the same as letting go of control. Aesthetic Response are the UK’s only specialised aesthetic call handling team able to help take control of your practice calls and diary bookings. This allows for more time and energy to focus on your patients and clinic growth with time at the end of the day for you. What you can expect from our team of experienced aesthetic patient advisors: High new patient conversion rates* An extended team trained in your practice to assist your patients 66 hours coverage a week including evenings and Saturdays Accurate diary bookings and eficient management of your time Consultation deposit taking Real time updates keeping you fully informed Discover how our expert enquiry handling service can support and grow your practice. Call: 0191 495 8400 Email: [email protected] Web: www.aestheticresponse.co.uk Expert Enquiry Management & Practice Support * You can expect a 70 – 90% new patient booking rate