8.11 The body art facility must follow the procedure outlined in 8.11.1-7 for responding to a positive spore test if the mechanical (e.g., time, temperature, pressure) and chemical (internal or external) indicators suggest that the autoclave is functioning properly. A single positive spore test result probably does not indicate autoclave malfunction. The autoclave should be removed from service, though, and sterilization operating procedures reviewed to determine if operator error could be responsible (CDC, 2016). 1. In the sterilization log, document procedures taken to remedy the situation. 2. Remove the autoclave from service and review sterilization procedures (e.g., work practices and use of mechanical and chemical indicators) to determine whether operator error could be responsible for the positive spore test. 3. Recall, to the extent possible, and reprocess all items processed since the last negative spore test in a separate autoclave that has negative spore test results. 4. Retest the autoclave by using spore tests, mechanical, and chemical indicators after correcting any identified procedural problems. 5. If the repeat spore test is negative, and mechanical and chemical indicators are within normal limits, put the autoclave back in service. 6. The following are required if the repeat spore test is positive: 1. Do not use the autoclave until it has been inspected or repaired and the exact reason for the positive test has been determined. This work should be done by a factory authorized service professional, who is certified to repair and maintain the specific autoclave that is being worked on. 2. An autoclave shall pass a spore test before being put back into service after repairing or relocating. 7. Maintain sterilization records (i.e., sterilization cycles, maintenance, and spore tests) in accordance with this Code.
9. Preparation and Care of the Procedure Site
9.1 Any surface of the skin or mucosa to receive a body art procedure must be intact and free from suspected abnormalities of the skin or mucosa such as, but not limited to, suspected rash, visible infection, sunburn, or moles. 9.2 Glove Usage 1. Prior to, during, and after a body art procedure, the body artist must wear gloves and use aseptic technique to ensure that the instruments and gloves are not contaminated. This includes but is not limited to: 1. when setting up the procedure area. This set up includes touching containers, ink bottles, barrier films, exteriors of sterile packaging, and while assembling tattoo machines and needles. 2. when prepping skin, applying stencils, or drawing designs on the skin.
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