Or. Admin. Code § 331-910-0075 - Sterilization Standards for Electrology
(1) Needles
(filaments) must be single use, used on one client, then properly disposed of
in an approved sharps container defined under OAR
331-910-0000.
(2) All non-sterilized instruments or
reusable instruments that come in blood or potentially infectious materials
must be cleaned, disinfected and sterilized before use on a client or re-use on
another client.
(3) New gloves must
be worn during any sterilization procedure.
(4) The cleaning, disinfection and
sterilization process listed in Subsection (5) of this rule is not required if
single-use prepackaged sterilized instruments, obtained from suppliers or
manufacturers are used.
(5)
Approved cleaning, disinfection and sterilization process for non-sterilized
instruments or reusable instruments includes the following ordered method after
each use:
(a) Clean non-sterilized
instruments or reusable instruments by manually brushing or swabbing visible
foreign matter and rinsing the instruments with warm water and an appropriate
detergent solution to remove blood or potentially infectious
materials.
(b) Clean non-sterilized
instruments or reusable instruments must be rinsed and placed in either:
(A) An ultrasonic unit that operates at 40 to
60 hertz which is filled with an appropriate ultrasonic solution including but
not limited to an enzymatic cleaner. The ultrasonic cleaner must remain covered
when in use; Self-contained equipment used to decontaminate instruments prior
to sterilization may be used in place of an ultrasonic cleaner and used
according to manufacturer instructions. OR
(B) Rinsed, patted dry and submerged and
soaked in a protein dissolving detergent or enzyme cleaner, followed by a
thorough rinse.
(c)
Disinfect non-sterilized instruments or reusable instruments by immersing
instruments in a high level disinfectant. Instruments must be fully submerged
to ensure contact with all surfaces for an amount of time specified in the
manufacturer's instructions. If the electrologist is using an autoclave listed
in subsection (e) of this rule the electrologist is not required to immerse
instruments in a high level disinfectant.
(d) Remove non-sterilized instruments or
reusable instruments from the ultrasonic unit or self-contained instrument
washer or high level disinfectant. All instruments must be rinsed, air dried,
and individually packaged in sterilization pouches that include use of a
chemical indicator strip to assure sufficient temperature during each
sterilization cycle or other method is used to determine sterilization has been
reached. The date the sterilization was performed must be applied to the
sterilization pouch;
(e)
Individually packaged non-sterilized instruments or reusable instruments must
be sterilized by using autoclave sterilizer (steam or chemical), or dry heat
sterilizer registered and listed with the FDA;
(f) After sterilization, the sterilized
instruments must be stored in a dry, disinfected, closed cabinet or other
tightly-covered container reserved for the storage of such
instruments.
(6) Use of
a biological monitoring system ("spore tests") must be done at least once a
month, verified through an independent laboratory, to assure all microorganisms
have been destroyed and sterilization achieved.
(7) All sterilization pouches listed in
Subsection (5)(d) of this rule must contain a color indicator strip which
measures temperature control and general functioning of the
equipment.
(8) The ultrasonic unit
or other self-contained equipment listed in subsection (5)(c) of this rule must
be used, cleaned, and maintained in accordance with manufacturer's instructions
and a copy of the manufacturer's recommended procedures for the operation of
the ultrasonic unit must be kept on file at the body art facility.
(9) The autoclave sterilizer (steam or
chemical), or dry heat sterilizer listed in Subsection (5)(e) of this rule must
be used, cleaned, and maintained in accordance with manufacturer's instructions
and a copy of the manufacturer's recommended procedures for the operation of
the autoclave sterilizer (steam or chemical), or dry heat sterilizer must be
kept on file at the facility.
(10)
Biological spore test results listed in subsection (6) of this rule must be
immediately available at all times for inspection by the Office and kept at
facility premises for a minimum of two years. Biological spore test results
must be on laboratory letterhead and must contain the test date, and the name,
model and serial number (if applicable) of the sterilizer tested.
(11) The expiration date for sterilized
instruments is one year from the date of sterilization unless the integrity of
the package is compromised.
(12)
Sterilized instruments may not be used if the package integrity has been
breached is wet or stained, or the expiration date has exceeded without first
meeting the requirements listed in Subsection (5) of this rule.
(13) All sterilized instruments used during
electrology services must remain stored in sterile packages and in a dry,
disinfected, closed cabinet or other tightly covered container reserved for the
storage of such instruments until just prior to the performance of an
electrology procedure.
(14) If a
biological spore test listed in subsection (6) of this rule, result is
positive, a licensee must discontinue the use of that autoclave sterilizer
(steam or chemical), or dry heat sterilizer until it has been serviced and a
negative spore test has been recorded before putting that sterilizer back into
service. Until a negative spore test has been received, the licensee must:
(a) Use an alternative autoclave sterilizer
(steam or chemical), or dry heat sterilizer;
(b) Use only sterilized instruments that have
a sterilization date before the date the last negative spore test was recorded;
or
(c) Use only single use
instruments.
(15)
Following a positive biological spore test reusable instruments which were
sterilized following the receipt of the positive spore test must be repackaged
and sterilized pursuant to Subsection (5) of this rule, before use.
(16) Following a positive spore test the
licensee or facility must contact all clients in writing who may have received
services prior to receiving the negative spore test results.
Notes
Statutory/Other Authority: 676.615, 690.350, 690.390, 690.405, 676.618 & 676.568
Statutes/Other Implemented: 690.350, 690.390 & 690.405
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