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Colorado Body Art Sterilization Guidelines

Adams County | Arapahoe County | El Paso County

SECTION 8: INSTRUMENTS/STERILIZATION

8-801 Instrument Cleaning

(a) All instruments that penetrate body tissue shall be properly cleaned prior to packaging and sterilization. All other instruments shall be cleaned and disinfected after each use.

(b) All instruments placed in the procedure area shall be repackaged and resterilized

(c) Employees shall wear heavy-duty, multi use, and waterproof gloves while cleaning instruments.

(d) Used instruments shall be soaked in a disinfectant until cleaning can be performed. The solution shall be changed in a time as recommended by the solution manufacturer.

(e) Instruments shall be disassembled for cleaning.

(f) All instrument components shall be cleaned, either manually or in an ultrasonic cleaner, using the appropriate cleaning agent specific to the type of cleaning performed.

8-802 Instrument packaging/wrapping

(a) Employees shall wear clean gloves while packaging/wrapping instruments.

(b) Instruments shall be wrapped or packaged with a sterilizer indicator on or in each package.

(c) All packages shall be labeled with the time and date of sterilization. Packages will no longer be considered sterile six months after the date of sterilization.

8-803 Instrument Sterilization

(a) The sterilizer shall be designed and labeled as a medical instrument sterilizer.

(b) The operators’ manual for the sterilizer shall be available on the premise and the sterilizer shall be operated according to manufacturer’s recommendations.

(c) The sterilizer shall be cleaned and maintained according to manufacturer’s specifications.

(d) A sterilizer load log shall be maintained for a minimum of three years at the facility and made available for inspection. The log shall contain the following documentation for each load:

1. Description of instruments contained in the load;

2. Date of sterilization load, and time or other unique identifier if more that one load is processed during a single day;

3. Sterilizer cycle time and temperature;

4. Indication of proper sterilization of instruments, as evidenced by the appropriate color indicator change on each package. Indicator used shall be compatible with sterilization process being used; and

5. Action taken when appropriate color indicator change did not occur.

(e) Sterilizer Monitoring

1. Sterilizer monitoring shall be performed at least monthly (unless more frequent monitoring is specified by the manufacturer) by using a commercial biological monitoring (spore) system.

2. All biological indicators shall be analyzed by a laboratory independent from the establishment.

3. Biological indicator test results shall be maintained on the premises for a minimum of three (3) years and must be available for inspection at all times.

8-804 Instrument Storage

(a) Hands shall be washed prior to handling sterilized instrument packs.

(b) After sterilization, the instruments shall be stored in a dry, clean area reserved for storage of sterile instruments.

Revision: April 12, 2001

Adams County (top)

SECTION 8: INSTRUMENTS/STERILIZATION
8-801 Instrument Cleaning
(a) All instruments that penetrate body tissue shall be properly cleaned prior to packaging and sterilization. All other instruments shall be cleaned and disinfected after each use.
(b) All instruments placed in the procedure area shall be repackaged and resterilized.
(c) Employees shall wear heavy-duty, multi-use, and waterproof gloves while
cleaning instruments.
(d) Used instruments shall be soaked in a disinfectant until cleaning can be performed. The solution shall be changed in a time as recommended by the solution manufacturer.
(e) Instruments shall be disassembled for cleaning.
(f) All instrument components shall be cleaned, either manually or in an ultrasonic cleaner, using the appropriate cleaning agent specific to the type of cleaning performed.

8-802 Instrument Packaging/wrapping
(a) Employees shall wear clean gloves while packaging/wrapping instruments.
(b) Instruments shall be wrapped or packaged with a sterilizer indicator on or in each package.
Page 10
(c) All packages shall be labeled with the time and date of sterilization. Packages will no longer be considered sterile six months after the date of sterilization.

8-803 Instrument Sterilization
(a) The sterilizer shall be designed and labeled as a medical instrument sterilizer.
(b) The operators’ manual for the sterilizer shall be available on the premise and the sterilizer shall be operated according to manufacturer’s recommendations.
(c) The sterilizer shall be cleaned and maintained according to manufacturer’s specifications.
(d) A sterilizer load log shall be maintained for a minimum of three years at the facility and made available for inspection. The log shall contain the following documentation for each load:
1. Description of instruments contained in the load;
2. Date of sterilization load, and time or other unique identifier if more than one load is processed during a single day;
3. Sterilizer cycle time and temperature;
4. Indication of proper sterilization of instruments, as evidenced by the appropriate color indicator change on each package. Indicator used shall be compatible with the sterilization process being used; and
5. Action taken when appropriate color indicator change did not
occur.
(e) Sterilizer Monitoring
1. Sterilizer monitoring shall be performed at least monthly (unless more frequent monitoring is specified by the manufacturer) by using a commercial biological monitoring (spore) system.
2. All biological indicators shall be analyzed by a laboratory independent from the establishment.
3. Biological indicator test results shall be maintained on the premises for a minimum of three (3) years and must be available for inspection at all times.

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Arapahoe County (top)

SECTION 8: INSTRUMENTS/STERILIZATION
8-801 Instrument Cleaning
(a) All instruments that penetrate body tissue shall be properly cleaned prior to packaging and sterilization. All other instruments shall be cleaned and disinfected after each use.
(b) All instruments placed in the procedure area shall be repackaged and resterilized.
(c) Employees shall wear heavy-duty, multi-use, and waterproof gloves while
cleaning instruments.
(d) Used instruments shall be soaked in a disinfectant until cleaning can be performed. The solution shall be changed in a time as recommended by the solution manufacturer.
(e) Instruments shall be disassembled for cleaning.
(f) All instrument components shall be cleaned, either manually or in an ultrasonic cleaner, using the appropriate cleaning agent specific to the type of cleaning performed.

8-802 Instrument Packaging/wrapping
(a) Employees shall wear clean gloves while packaging/wrapping instruments.
(b) Instruments shall be wrapped or packaged with a sterilizer indicator on or in each package.
Page 10
(c) All packages shall be labeled with the time and date of sterilization. Packages will no longer be considered sterile six months after the date of sterilization.

8-803 Instrument Sterilization
(a) The sterilizer shall be designed and labeled as a medical instrument sterilizer.
(b) The operators’ manual for the sterilizer shall be available on the premise and the sterilizer shall be operated according to manufacturer’s recommendations.
(c) The sterilizer shall be cleaned and maintained according to manufacturer’s specifications.
(d) A sterilizer load log shall be maintained for a minimum of three years at the facility and made available for inspection. The log shall contain the following documentation for each load:
1. Description of instruments contained in the load;
2. Date of sterilization load, and time or other unique identifier if more than one load is processed during a single day;
3. Sterilizer cycle time and temperature;
4. Indication of proper sterilization of instruments, as evidenced by the appropriate color indicator change on each package. Indicator used shall be compatible with the sterilization process being used; and
5. Action taken when appropriate color indicator change did not
occur.
(e) Sterilizer Monitoring
1. Sterilizer monitoring shall be performed at least monthly (unless more frequent monitoring is specified by the manufacturer) by using a commercial biological monitoring (spore) system.
2. All biological indicators shall be analyzed by a laboratory independent from the establishment.
3. Biological indicator test results shall be maintained on the premises for a minimum of three (3) years and must be available for inspection at all times.

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For more information click here
For more information click here
Resource Articles click here

El Paso County (top)

SECTION 3.7: INFECTION AND EXPOSURE CONTROL WRITTEN PROCEDURES

A. Every body art establishment shall have and comply with written procedures for infection and
exposure control. All procedures developed for the written plan shall be in compliance with all local
and state regulations.
B. These written procedures shall include, but are not limited to:
1. Instrument cleaning and sterilization.
2. Cleaning and disinfection of the procedure area(s), as required in Section 3.9:B.7.
3. Universal Precautions procedures.
4. An Infectious Waste Management Plan, consistent with Section 25-15-403, C.R.S., including
segregation, identification, packaging, storage, transport, treatment, disposal and contingency
planning for blood spills or loss of containment of infectious/regulated waste.

SECTION 3.8: INSTRUMENT CLEANING/STERILIZATION

A. Instrument Cleaning:
1. All instruments that penetrate body tissue or are utilized during the performance of body art
procedures shall be properly cleaned prior to packaging and sterilization. All other instruments
shall be cleaned and disinfected after each use.
2. All instruments placed in the procedure area shall be repackaged and re-sterilized.
3. Employees shall wear heavy-duty, multi-use, and waterproof gloves or gloves that provide
equivalent protection while cleaning instruments.
4. Used instruments shall be soaked in a disinfectant until cleaning can be performed. The solution
shall be changed in a time as recommended by the solution manufacturer.
5. Instruments shall be disassembled for cleaning.
6. All instrument components shall be cleaned, either manually or in an ultrasonic cleaner, using the
appropriate cleaning agent specific to the type of cleaning performed.

B. Instrument Packaging/Wrapping:
1. Employees shall wear clean gloves while packaging/wrapping instruments.
2. Instruments shall be wrapped or packaged with a sterilizer indicator on or in each package.
3. All packages shall be labeled with the date of sterilization.
4. Packages that have reached the expiration date established by the manufacturer or in the absence
of such expiration date have reached a date equivalent to six months after the date of
sterilization, or that have been otherwise compromised either in handling or storage will no
longer be considered sterile.

C. Instrument Sterilization:

1. The sterilizer shall be designed and labeled as a medical instrument sterilizer.
2. The operators’ manual for the sterilizer shall be available on the premise and the sterilizer shall
be operated according to manufacturer’s recommendations.
3. The sterilizer shall be cleaned and maintained according to manufacturer’s specifications.
4. A sterilizer load log shall be maintained for a minimum of three years at the facility and made
available for inspection. The log shall contain the following documentation for each load:
a. Description of instruments contained in the load;
b. Date of sterilization load, and time or other unique identifier if more than one load is
processed during a single day;
c. Sterilizer cycle time and temperature;
d. Indication of proper sterilization of instruments, as evidenced by the appropriate color
indicator change on each package. Indicator used shall be compatible with the sterilization
process being used; and,
e. Action taken when appropriate color indicator change did not occur.

D. Sterilizer Monitoring:
1. Sterilizer monitoring shall be performed at least monthly, unless more frequent monitoring is
specified by the manufacturer, by using a commercial biological monitoring (spore) system.
2. All biological indicators shall be analyzed by a laboratory independent from the establishment.
3. Biological indicator test results shall be maintained on the premises for a minimum of three (3)
years and must be available for inspection at all times.
E. Instrument Storage:
1. Hands shall be washed in accordance with Section 3.9:B.1 of these regulations prior to handling
sterilized instrument packs.
2. After sterilization, the instruments shall be stored in a dry, clean area reserved for storage of
sterile instruments.
F. Single Use Items:
1. Single use items shall not be used on more than one client and shall be disposed of after the
procedure.
2. Contaminated single use needles, razor blades, and other sharps shall, immediately after use, be
disposed of in approved sharps containers.

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