8.20.100 Standards of practice.
Practitioners are required to comply with the following minimum health standards:
A. A practitioner shall perform all body art procedures in accordance with universal precautions set forth by the U.S. Centers for Disease Control and Prevention.
B. A practitioner shall refuse service to any person who may be under the influence of alcohol or drugs.
C. Practitioners who use ear-piercing systems must conform to the manufacturer’s directions for use, and to applicable U.S. Food and Drug Administration requirements. No practitioner shall use an ear-piercing system on any part of the client’s body other than the lobe of the ear.
D. A client health history and client informed consent shall be obtained. Prior to performing a body art procedure on a client, the practitioner shall:
1. Inform the client, verbally and in writing, that the following health conditions may increase health risks associated with receiving a body art procedure:
a. History of diabetes;
b. History of hemophilia (bleeding);
c. History of skin disease, skin lesions, or skin sensitivities to soaps, disinfectants, etc.;
d. History of allergies or adverse reactions to pigment, dyes, or other sensitivities;
e. History of epilepsy, seizures, fainting, or narcolepsy;
f. Use of medications such as anticoagulants, which thin the blood and/or interfere with blood clotting; and
g. Other conditions such as hepatitis or HIV.
2. Require that the client sign a form confirming that the above information was provided, that the client does not have a condition that prevents them from receiving body art, that the client consents to the performance of the body art procedure and that the client has been given the aftercare instructions as required by subsection (L) of this section.
E. A practitioner shall maintain the highest degree of personal cleanliness to best standard hygienic practices, and wear clean clothes when performing body art procedures; the practitioner must thoroughly wash their hands in hot running water with liquid soap, then rinse hands and dry with disposable paper towels. This shall be done as often as necessary to remove contaminants. Masks, in combination with eye protection devices, such as goggles or glasses with solid side shield shall be worn when contamination from splash, spray or droplets of blood can be reasonably anticipated. The owner of the body art establishment shall provide said protection to all employees involved in any at risk procedures.
F. In performing body art procedures, a practitioner shall wear disposable single-use gloves. Gloves shall be changed if they become pierced, torn, or otherwise contaminated by contact with any unclean surfaces or objects or by contact with a third person. The gloves shall be discarded, at a minimum, after the completion of each procedure on an individual client, and hands shall be washed in accordance with subsection (E) of this section before the next set of gloves is put on. Under no circumstances shall a single pair of gloves be used on more than one person. The use of disposable single-use gloves does not substitute for handwashing procedures as part of a good personal hygiene program.
G. The skin of the practitioner shall be free of rash or infection. No practitioner affected with boils, infected wounds, open sores, abrasions, weeping dermatological lesions or acute respiratory infection shall work in any area of a body art establishment in any capacity in which there is a likelihood that a person could contaminate body art equipment, supplies, or working surfaces with body substances or pathogenic organism.
H. Practitioners who are experiencing symptoms of acute disease that include, but are not limited to, diarrhea, vomiting, fever, rash, productive cough, jaundice, or draining (or open) skin infections, boils, impetigo, or scabies, shall refrain from providing tattoos or body piercing per 410 IAC 1-5-29.
I. Any item or instrument used for body art that is contaminated during the procedure shall be discarded and replaced immediately with a new disposable item or new sterilized instrument or item before the procedure resumes. Any items that cannot be sterilized such as cords shall be bagged to lower the chance of contamination.
J. Preparation and care of a client’s skin area must comply with the following:
1. Any skin area or mucosa surface to receive a body art procedure shall be free of rash or any visible infection.
2. Before a body art procedure is performed, the immediate skin area and the areas of the skin surrounding the body art procedure shall be washed with soap and water or an approved surgical skin preparation. If shaving is necessary, single-use disposable razors or safety razors with single-use blades shall be used. Blades shall be discarded after each use, and reusable holders shall be cleaned and autoclaved after each use. Following shaving, the skin and surrounding area shall be washed with soap and water. The washing pad shall be discarded after a single use.
3. In the event of bleeding, all products used to stop the bleeding or to absorb blood shall be single-use, and discarded immediately after use in appropriate covered containers, and disposed of in accordance with local, state and federal regulations.
K. Petroleum jellies, soaps, and other products used in the application of stencils shall be dispensed and applied on the area to receive a body art procedure with sterile gauze or other sterile applicator to prevent contamination of the original container and its contents. The applicator or gauze shall be used once, then discarded.
L. The practitioner shall provide each client with verbal and written instructions on the aftercare of the body art site. The written instructions shall advise the client:
1. On proper cleansing of the area which received the body art;
2. To consult a health care provider for:
a. Unexpected redness, tenderness or swelling at the site of body art procedure;
b. Any rash;
c. Unexpected drainage at or from the site of the body art procedure; or
d. A fever within 24 hours of the body art procedure; and
3. Of the address and phone number of the establishment. A copy of aftercare instructions shall be provided to the client. A model set of aftercare instructions shall be made by the Department.
M. Contaminated waste shall be stored, treated and disposed in accordance with applicable local, state and federal guidelines. It is the responsibility of the operator of the body establishment to be in possession of the most recent regulations for contaminated waste. [Ord. 09-06-22 § 1.]