Cara Birkeland, RN BSN founded and is operating Velvet Foot Care on Salt Spring Island, BC.
She has been nursing since 1989, with the majority of her career woking with the elderly from bedside care to health care management.
Cara is keen to continue her learning and determined to be informed about the latest innovations and discoveries in Foot Care.
She loves the contact with her clients and believes they deserve the best possible care.
Nurses are used to care for patients. They know a broad range of health conditions. Foot Care Nurses are required to have additional education and special training to help with Foot Care concerns.
They will assess and monitor foot health, keep medical records, will identify early problems, network with other health professionals and refer to them if necessary.
Healthy feet are important to all aspects of our life, but it becomes increasingly important as we age.
We serve many elderly clients, but also younger people that have feet with complications that require special care, for example recovery from toe injuries.
Foot care is about healthy feet. Prevention or early identification of complications is as important as treating health conditions.
Many people choose Nursing Foot Care for this reason, sometimes only for checkups in certain intervals, while still looking after their own feet.
Doctors refer patients to us for foot care, but a referral is not necessary.
Registered Nurses (RN, 4 yrs with Bachelors Degree) or Licensed Practical Nurses (LPN, 2 yrs training) need to be in good standing and require additional training for Foot Care in order to work in this capacity.
Verify the current annual licensing status of a RN or of a LPN at the British Columbia College of Nursing Professionals (BCCNP).
The relevant organizations are the BC College of Nursing Professionals and the Canadian Association of Foot Care Nurses.
At Velvet Foot Care, we use a top of the line European professional podiatry drill, which is designated for medical use.
Such electrical drills are rotary tools for specialized burs (files). These are highly efficient and allow precise and safe work. They are very silent.
An LED light source is directly implemented at the hand piece, and allows for ideal work conditions even when room lighting during treatment at a client's home is not optimal.
Point suction at the end of the hand device protects both client and foot care nurse from nail and skin dust in the air (built in 'mini vacuum cleaner').
Velvet Foot Care uses Podiatry Burs made in Germany, which are only to be used by trained professionals.
Some have a fine diamond coating and are used to smoothen and clean nails or skin. They allow for very precise work such as cleaning out corners or removing unwanted materials. They can also be used to clean heels and remove hard calluses.
There are many different types of Podiatry Bits for different applications, and to be used at different rotary speeds of the drill. Applying the correct bur and using it well are both an art and a science!
Podiatry Bits need to be sterilized after use. Velvet Foot Care sterilizes all tools separately as described here and uses individual sterile bags for each session and client.
Medical Charts are a systematic documentation of a single patient's medical history and care, across time, done separately by each particular type of health care professional.
Foot Care Nurses are regulated health care professionals. They are required to have a Medical Chart for each client, where all assessments and treatments are documented at each session.
This will help with monitoring the progress of Foot Care over years, and it will help to detect early if anything unusual is happening with each client's health.
Medical Charts are medical records that will also be available to other health care professionals, for example if a nurse is referring a patient to see a doctor. Medical Charts are confidential and patients have the right to see them.
There are efforts to make these charts digital, so health care professionals can easily access each other's medical charts for the same patient. At the moment, Velvet Foot Care's charts are not high tech yet, but simply traditional and robust with hand writing!
Velvet Foot Care uses a top of the line Autoclave that meets hospital and surgery criteria for sterilization of tools.
Every client is treated with a set of tools that had been sterilized for each session.
Using controlled steam conditions are the safest sterilization techniques and do not rely on harmful chemicals.
Please find more details about our safe Foot Care here