ENVIRONMENTAL HEALTH
TATTOO/ BODY PIERCING PROGRAM
Tattoo & Body Piercing
Definition/Establishments/
Inspections
Tattoo means any method of placing designs, letters, figures, symbols,
cosmetics or any other marks under the skin of a person with ink or color by
the aid of needles or instruments.
There are 409 tattoo establishments in the state
Each requires four(4) inspections per year.
Body Piercing means the piercing of any part of the body for compensation by
someone, other than a physician licensed under title 63, who utilizes a needle
or other instrument for the purpose of inserting an object into the body for
non-medical purposes; body piercing includes ear piercing except when the
ear piercing procedure is performed on the ear with an ear piercing gun.
There are 231 establishments statewide .
Each of these requires one(1) inspection per year.
CRITICAL ITEMS (VIOLATIONS)
TATTOO PROGRAM
CRITICAL ITEMS (VIOLATIONS)
Definition:
Means those aspects of operation or conditions
which, if in violation, constitute the greatest
hazards to health and safety, including imminent
health hazards.
IMMINENT HEALTH HAZARDS
Definition:
“any condition, deficiency, or practice . . . which, if not
corrected, is very likely to result in illness, injury, or
loss of life.”
IMMINENT HEALTH HAZARDS ARE CRITICAL ITEMS
THAT MAY RESULT IN THE IMMEDIATE CESSATION OF
OPERATIONS.
IMMINENT HEALTH HAZARDS
Examples of Imminent Health Hazards –
A. AUTOCLAVE NOT WORKING AND NO STERILE
NEEDLES OR BARRELS AVAILABLE.
B. NO POTABLE WATER AVAILABLE.
C. SEWAGE OVERFLOW OR BACKED UP IN
ESTABLISHMENT
CRITICAL ITEMS (VIOLATIONS)
• Item 4 – Autoclave meets minimum time,
temperature, pressure.
250° F
15 psi
15 min.
AUTOCLAVES THAT YOU MAY
ENCOUNTER
2540M
2540M
Tuttnauer
TUTTNAUER
Autoclave
AUTOCLAVE
2100 Classic Autoclave
CRITICAL ITEMS (VIOLATIONS)
Item 6 – Water source approved, hot and cold
under pressure.
A sink (hand or utensil) with hot and cold running water for handwashing and
sterilization, in addition to the bathroom sink.
CRITICAL ITEMS (VIOLATIONS)
Item 7 – Sewage and liquid waste disposal.
CRITICAL ITEMS (VIOLATIONS)
Item 9 – Cross-connection, backflow, back siphonage.
Cross-connections: existing or potential connections between potable
(drinking) water and sewage or other hazards.
CRITICAL ITEMS (VIOLATIONS)
• Item 10-Installed, designed, number, convenient, available
•
A hand basin is required in the restroom; one or
more must be convenient to all work stations.
Basins must be accessible, convenient, and without
extraneous items in the basin.
•
SOME WORK ROOM CONFIGURATIONS MAY
REQUIRE MORE THAN ONE BASIN
CRITICAL ITEMS (VIOLATIONS)
• Item 13- Presence/evidence of insects, rodents, harborage—
outer openings protected
• Check around doors and windows; also around
conduits, pipes, wires, and other items penetrating building’s exterior
walls.
OUTSIDE OPENINGS (DOORS, WINDOWS,
VENTS, CONDUITS, ETC.) MUST HAVE GAPS
LESS THAN ¼ INCH. EXTERIOR DOORS MUST
REMAIN CLOSED
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 21- Toxic items stored, labeled, used.
• Toxic items must be properly labeled, stored, and used.
Proper labeling means the common name or use in legible
English; ie. “window cleaner”.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 21- No reuse of single use articles
Definition:
A disposable item that is used one (1) time on one (1)
client and then is properly disposed of by appropriate
measures.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 21- No reuse of single use articles
ITEMS DESIGNED FOR SINGLE-USE
DYES, DYE CUPS, GLOVES, NEEDLES, OINTMENTS,
PAPER TOWELS, PLASTIC BARRELS, STENCILS,
MARKING PENS, TONGUE DEPRESSORS, ULTRASONIC
SOLUTIONS & CUPS , DISPOSAL RAZORS, etc.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 27- Good hygienic practices, proper
handwashing.
• Wash hands often and
properly
• Lather for at least 20 sec.
• Avoid excessive jewelry
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 27- Good hygienic practices, proper handwashing
ME
“Double Handwashing” means that hands are washed both in
the restroom and also on returning to the workroom (area).
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 27- Good hygienic practices, proper handwashing
• Smoking
• Eating
• Drinking
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 29- Employees with infectious lesions on hands
restricted from tattooing
• Artists and piercers with hand lesions may not perform
procedures.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 30- Monthly microbiological monitoring
tests
•
•
TATTOO: Done monthly.
PIERCING: Done weekly.
• Spore testing is done using a known bacterial species. The sample is run
during a normal autoclave cycle and sent off to be processed by an
independent, licensed laboratory. Spore testing may not be done “in
house.” “Positive” samples require that another spore test be done; a
second “positive” sample requires notifying the Health Dept.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 31- Tubes and needles sterilized in an
approved manner. Equipment sterilized for not more
than one (1) year.
• Only an autoclave is approved for
final on-site sterilization.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 31- Tubes and needles sterilized in an approved
manner. Equipment sterilized for not more than one (1) year.
Autoclaved items must be properly
dated; storage time cannot exceed
one year.
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 32- Work room equipped and restocked as
required
• **SIX (6) STERILIZED NEEDLES, NEEDLE BARS, AND BARRELS
• **ONE (1) EXTRA PACKAGE OF DISPOSABLE TOWELS
• **ONE (1) EXTRA BOX OF DISPOSABLE GLOVES
• **EXTRA SUPPLIES OF BANDAGES, ANTIBACTERIAL SOAP, OINTMENTS,
AND GELS
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 33- Sterile instruments properly handled
• Several Problems
-Unrestrained Hair
-Assembly of instruments
without gloves
-Barrel and Q-Tips laying on
paper towels
CRITICAL ITEMS (VIOLATIONS)
• Critical Item 34- Reusable instruments properly handled
• Reusable items must be properly handled; for example, tattoo
barrels must be disinfected before handling.
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Tattoo Critical Items Presentation