Iowa
Body Art & Hospitals Sterilization Guidelines
body piercing and tattooing
(1) Safety and sanitation standards and procedures to be followed
to prevent the transmission of infectious diseases during the
performance of tattooing and body piercing procedures;
(2) Standards and procedures to be followed for appropriate disinfection
and sterilization of all invasive equipment or parts of equipment
used in tattooing procedures, body piercing procedures, and ear
piercing procedures performed with an ear piercing gun;
hospitals 4715-20-02 Sterilization and disinfection..
(A) Heat sterilization:
(1) All instruments and all items that are able to withstand repeated
exposure to heat must be heat sterilized between patients. Sterilization
must be accomplished by an FDA-approved device or method, For
example, autoclave, dry heat, or unsaturated chemical vapor.
(2) All high speed and surgical handpieces, low speed contra angles,
prophy angles, and nose cones must be subjected to heat sterilization.
Sterilization must be accomplished by an FDA-approved device or
method.
(3) The following instruments and items (but not limited to) must
be heat sterilized between patients:
(a) All hand and orthodontic instruments;
(b) All burs and bur changers, including contaminated laboratory
burs and
diamond abrasives;
(c) All endodontic instruments;
(d) Air-water syringe tips;
(e) High-volume evacuator tips;
(f) Surgical instruments;
(g) Ultrasonic periodontal scalers and tips; and
(h) Electro-surgery tips:
(i) Metal impression trays; and
(j) Intra-oral radiographic equipment that can withstand heat
sterilization.
(4) All heat sterilizing devices must be tested for proper function
on a weekly basis by means of a biological monitoring system that
indicates microorganism kill. The biological monitoring system
used must include a control to verify proper microbial incubation.
In the event of a positive biological spore test, the dentist
must take immediate remedial action to ensure that heat sterilization
is being accomplished. Immediate remedial action is defined as
following manufacturer guidelines and performing a second biological
spore test. In the event a second positive biological spore test
occurs, the device must be removed from service until repaired.
Proof of such repair must be maintained with the testing documentation.
(5) Documentation must be maintained either in the form of a log
reflecting dates and person(s) conducting the testing, or copies
of reports from an independent testing entity may be used. The
documentation shall be maintained for a period of at least two
years, and shall be maintained in the dental facility and be made
immediately available upon request by an authorized agent of the
state dental board.
(B) Chemical sterilization:
(1) Instruments and items that cannot withstand heat sterilization
must be subjected to a chemical sterilization process between
patients, which is defined as use of a sterilant cleared by the
FDA in a 510(k) in accordance with the manufacturer's instructions.
(C) Surface disinfection:
(1) Environmental surfaces that are contaminated by blood or
saliva must be properly cleaned prior to disinfections. Disinfections
must be accomplished with a an appropriate disinfectant that is
registered with the environmental protection agency and used in
accordance with the manufacturer's instructions. The disinfections
process must be followed between each patient.
(2) Impervious backed paper, aluminum foil or plastic wrap must
be used to cover surfaces or items that may be contaminated by
blood or saliva and that are difficult or impossible to disinfect.
The cover must be removed, discarded and then replaced between
patients.
(D) Single use items:
(1) All single use or disposable items, labeled as such, used
in patient treatment must be discarded and not reused. Single
use items include but are not limited to:
(a) Disposable needles and syringes;
(b) Local anesthetic carpules;
(c) Saliva ejectors, high volume evacuator tips, and air water
syringe tips;
(d) Prophy angles, cups, and brushes;
(e) Polishing discs, cups, points;
(f) Fluoride trays; and
(g) Disposable impression trays.
(2) Items such as impressions contaminated with blood or saliva
must be thoroughly rinsed, placed in, and transported to the dental
laboratory in, an appropriate case containment device that is
properly sealed and labeled. HISTORY: Eff 11-1-87; 7-25-93; 3-3-95;
4-7-00 Rule promulgated under: RC Chapter 119. Rule authorized
by: RC 4715.03 Rule amplifies: RC 4715.30 119.032 review date:
12-16-99, 04-07-05
For complete code click here
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