1. Greet the operator
2.
Questions to start with
·
What types of services do you
offer?
o
Tattooing, piercing,
suspension, branding, bifurcations, scarification, implantation, anesthetics,
etc.
·
How many clients do you receive
on a typical/busy day?
·
How many artists are working
here?
·
How long have you been in this
business?
·
Anything you would like me to
address?
3.
Request for a general tour of
the premise, focus on …
·
Available hand sinks in
proximity to service area
·
Open space or enclosed service
rooms
·
Equipment storage
·
Types of disinfectant used
o
High level disinfectant1
(6% hydrogen peroxide, 2% gluteraldehyde)
o
Intermediate level disinfectant2
(70% isopropyl alcohol, 1 part bleach and 9 parts water)
·
Cleaning room
·
Public washroom
·
Lighting and ventilation
·
Non-porous surfaces
·
General cleanliness
o
Should have no clusters and
dust accumulation
o
All surfaces should be
disinfected with low level disinfectant3
4.
Inspect each service room or
each service routine set-up/procedures
Tattoo Typical Set-up
o
Storage of equipment
·
Sterile packaging with labels
·
Closed drawers
o
Biohazard disposal container
·
Rigid, puncture-proof
a.
Paper towel
· single-use
· must be stored in a manner that is not exposed to dust
|
g. Ink pot
· semi-critical item
· use high-level disinfectant
|
b.
Single-use latex gloves
· must be stored in a box that is not exposed to dust
· should not replace hand-washing
|
n. Needle4
· single-use
· in sterile packaging
|
c.
Vaseline bottle
· bags should be changed between clients
|
i. Tattoo gun
· bags should be changed between clients
|
d.
Antiseptic solution bottle
· bags should be changed between clients
· used prior tattooing
|
j. Bagged electrical cord
· changed between clients
· prevent cross-contamination
|
e.
Tongue depressor
· single-use
· prevent double dipping
|
k. Sanitary sheet
· prevent cross-contamination between counter surfaces and equipment
· changed between clients
|
f.
Razor
· single-use
|
Piercing Typical Set-up
o
Storage of equipment
·
Sterilized packaging
·
Closed drawers
a. Non-critical equipment2,3
· in sterile packaging with date label
· use low/intermediate-level disinfectant
|
d. Jewelry4
·
in sterile packaging
·
approved metal
|
b. Anti-septic wipe5
· 70% isopropyl alcohol disinfectant prior piercing
|
e. Ink pen
· non-critical equipment
· use low-level disinfectant if feasible
|
c. Needle4
· in sterile packaging
· single use or sterilized between clients
|
f. Sanitary sheet
· physical barrier between equipment and surface
|
o
Scalpels4
o
Dermal punches4
o
Jewelry and implant materials4
2.
Assess operator’s safety
precaution
·
How are they safely transporting
biohazard materials to cleaning area?
·
Safe disposal of single-use
materials (i.e. needles) or biohazards?
3.
Inspect the equipment cleaning
area
·
Must be separated from the
service area(s) with no public access
o
Maintenance/Servicing logs
·
Two-Compartment Sink
o
Separation of clean and dirty
equipment
o
Type of cleaner used
·
Ultrasonic Cleaner
o
Clean lid that prevents
splashing when operating
o
The types of disinfectant used
·
Neutral, low alkaline detergent
o
Maintenance/Servicing logs
·
Autoclave (heat sterilization)
o
Sterilization records
o
Spore strips
4.
Sit down with the operator for
questioning period and debriefing
·
Ask about the field experience
and training of the artists
·
Recommend hepatitis B
vaccination for the safety of the artist and the client
·
Review the potential health
risks and cross-contaminations
(blood borne
diseases, skin infections and physical injuries)
·
Latex gloves and Vaseline
issues
o
Vaseline has the potential to
dissolve latex gloves in 20 minutes.
·
Take a look at records of
incidents
·
Take a look at informed consent
for under-age clients and general client records
·
Screening questions for clients
o
Are they feeling ill?
o
Any medication they are
currently taking
o
Any medical conditions that the
operator needs to know
o
Client’s age
·
After-care instructions for
clients
5.
Review the inspection form and comment
on corrective action needed.
6.
Thank the operator for his/her
time.
1 High
level disinfectants must be used for any equipment that has been contact with
ears, nose, mouth, or non-intact skin
2 Intermediate level disinfectants
must be used for blood spills
3 Low level disinfectants are Quats, 3% hydrogen peroxide, for
general non-critical surface cleaning
4 These
equipment must be cleaned in the ultra cleaner and sterilized or disposed of
immediately if single-use
5
Examples of skin sterilization products are antiseptics such as 70% isopropyl
alcohol and iodine.
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