18 AAC 23.340. Sanitation

(a) An individual may not smoke, eat, or drink in a procedure area.

(b) The owner or operator of a shop described in 18 AAC 23.300 shall ensure that

(1) if blood spills, splatters, or sprays onto a procedure surface, that surface is immediately cleaned and sanitized;

(2) an aluminum foil or plastic cover is used to protect items and surfaces that may become contaminated by blood or saliva during use and that are difficult or impossible to clean and disinfect; the coverings must be removed, discarded, and replaced with a clean covering between clients;

(3) after each use, each procedure surface and client chair or bench is cleaned and sanitized;

(4) each horizontal surface, restroom, and general work surface in the shop is cleaned and sanitized at least daily; and

(5) all storage cabinets are kept clean.

(1) any products applied to the skin, including a tattooing or permanent cosmetic coloring transfer or stencil, is single-use and disposable except that a reusable acetate stencil may be used if the stencil is sanitized after use on each client;

(2) any petroleum jelly, soap, and other product used in the application of stencils is dispensed and applied to the area to be tattooed with sterile gauze, with a sterile tongue depressor, or in a manner that prevents contamination of the original container and its contents; the gauze or tongue depressor must be discarded after a single use;

(3) any single-use material that cannot be sterilized is stored in covered containers; additionally, the practitioner shall

(A) remove any material from the container in a manner to prevent contamination of the original container and the contents; and

(B) discard a single-use item after use on each client; and

(4) if a marker is used to mark the client's skin, the marker is used on cleansed skin or a surgical marking pen that is sanitized by design, such as an alcohol-based ink pen, is used.

(d) A practitioner shall open each package containing a sterile instrument in the presence of the client and handle each instrument in a manner to prevent contamination of that instrument.

(e) A practitioner shall discard any item or instrument that is contaminated by contact with an unclean surface or object or contacts an individual other than the practitioner or client and replace that item or instrument immediately with a sterile item or instrument before the practitioner resumes the procedure.

(f) If the package seal on a single-use, disposable, sterile instrument has been broken, that instrument may not be used.

(g) The owner or operator of a shop described in 18 AAC 23.300(a) shall establish written sanitary procedures available for department review that include

(1) instrument cleaning and sterilization;

(2) cleaning and sanitizing of each procedure area; and

(3) a medical waste management plan in accordance with 18 AAC 23.330 that includes segregation, identification, packaging, storage, transport, treatment, disposal, and contingency planning for blood spills or loss of containment of medical waste.

History: Eff. 12/1/2002, Register 164

Authority: AS 08.13.030

AS 08.13.120

AS 08.13.210

AS 44.46.020

Editor's note: Under Department of Labor and Workforce Development regulations set out in 8 AAC 61.1010, the requirements of 29 C.F.R. 1910.1030, addressing occupational exposure to blood borne pathogens, are occupational safety and health standards in this state. Owners and operators should contact the Department of Labor and Workforce Development for assistance in complying with those requirements.

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