Chapter 10

Infection Control

 

Section 1.                Definitions.

 

(a)               Clean:  Removal of surface and/or visible debris by using soap, detergent or chemical "cleaner", followed by a clean water rinse.  Prepares non-porous items for disinfection by removing debris, product residues, organic matter and oils that may interfere with disinfection chemicals.  Reduces the number and slows the growth of pathogens on both porous and non-porous surfaces.  Cleaning does not make multi-use items safe for use.

 

(b)               Disinfect:  The process of making a non-porous item safe for use requires the use of a chemical intended to kill or denature a bacteria, virus or fungus.  Items to be disinfected must be cleaned prior to disinfection.  Proper disinfection requires adherence to manufactures label with regard to concentration and contact time.  UV light is not acceptable for disinfection.

 

(c)               Disinfectant:  EPA registered bactericidal, virucidal and fungicidal disinfectant that is approved for use in a salon, or spa setting.  Instruction label must be followed for dilution ratio and contact time.  Disinfectant used when there is contact with blood or body fluids must be labeled as effective against HIV-1 and human Hepatitis B virus.

 

(d)               Contact Time:  The amount of wet contact time required for a disinfectant to be effective against the pathogens on the label.  Clean items or surfaces must remain completely immersed or visible wet (spray or wipes) for full contact time to be effective. 

 

(e)               Non-porous:  Material that has no pores and does not allow for liquids to be absorbed or pass through.  Common non-porous materials include glass, metal and plastic.

 

(f)                Porous:  Material that has minute spaces or holes through which liquid or air may pass. (Permeable, penetrable, cellular)

 

Section 2.                Wet Disinfection and Storage Standards.

 

(a)               Prior to use on any client, all non-porous tools and implements or multi-use items must be cleaned and disinfected.  Items must be cleaned with soap and water or a chemical cleaner.  Items must then be disinfected by complete immersion in a properly diluted, EPA registered, bactericidal, virucidal, fungicidal disinfectant that is mixed and used according to the manufacturer's directions.  EPA registered bactericidal, virucidal, and fungicidal wipes and sprays may be used where designated in these rules.

 

(b)               Items must stay immersed or visibly wet with disinfectant for the entire contact time listed on the manufacturer's label to be effective.

 

(c)               All disinfectant must be prepared daily according to manufacturer's directions or more often if solution becomes contaminated or cloudy.  

 

Section 3.                Single Use Items (porous items).

 

(a)               Any item that cannot be cleaned and disinfected, is considered single use and must be disposed of after each use.  This includes, but is not limited to, nail files/emery boards made of any material except metal, plastic or glass, all cotton, buffing blocks, pumice stones, orange wood sticks, toe separators, wooden spatulas, neck strips, and paper coverings.

 

(b)               Single use items may not be stored for customers on the premises and customers may not take single use items home and return with them for service.

 

(c)               All single use items must be stored in a clean, covered container marked "clean" or in their original, single use packaging. 

 

Section 4.                Dry Storage Standards.  Disinfected implements must be stored in a disinfected, dry covered container and be isolated from contaminants.  At no time can these items come into contact with used/dirty items.

 

Section 5.                Clippers and Trimmers.  Clippers and trimmers must be cleaned and disinfected after each use with a disinfectant spray or wipe, used according to manufacturer's label. Clipper wash may be used as a cleaner prior to disinfection, but is not acceptable as a disinfectant unless labeled as a bactericidal, virucidal and fungicidal disinfectant.  Clippers must be stored in a clean place such as on a hook, stand or on a clean towel covered by a clean towel when not in use.

 

Section 6.                Hand Hygiene.  Thoroughly wash hands and exposed portions of the arms with soap and water before providing services to each client, and after smoking, drinking, eating, and using the restroom.  An equally effective hand sanitizer is acceptable except for after using the restroom.

 

Section 7.                Pedicure Spa Standards. 

 

(a)               After each client or service:

 

(i)                 Drain tub.

 

(ii)               Remove all parts (filters, screens, drains, jets, etc.); and

 

(iii)             Clean and disinfect the removable parts as follows:

 

(A)              Scrub with brush and soap or detergent until free of debris;

(B)              Rinse;

 

(C)              Completely immerse in an EPA registered, bactericidal, virucidal, fungicidal disinfectant mixed and used according to the manufacturer's directions;

 

(D)              Rinse;

 

(E)               Air dry; and

 

(F)               Replace the disinfected parts into the tubs or store them in a clean, dry, covered container. 

 

(iv)             Clean tub according to manufacturer's instructions.  Take special care to remove all film, especially at the water line.  Rinse tub well;

 

(v)               Fill tub with fresh water, add appropriate amount of disinfectant into water according to the disinfectant manufacturer's label;

 

(vi)             At minimum use an EPA registered bactericidal, virucidal, and fungicidal disinfectant that is mixed and used according to the manufacturer's directions;

 

(vii)           Allow the disinfectant to stand for non-circulating tubs or circulate for circulating tubs for the contact time specified according to the manufacturer's instructions; and

 

(viii)         Drain tub and rinse with fresh water.

 

Section 8.                Blood Exposure Procedure.  If a blood exposure should occur, the following steps must be followed:

 

(a)               When possible, injured party should go to a sink and rinse injury with running water and "milk" the injury to remove any bacteria that may have entered the wound;

 

(b)               Supply injured party with antiseptic or single use packet of antibacterial ointment and the appropriate dressing to cover the injury; and

 

(c)               Dispose of all soiled articles in trash. Immediately clean and disinfect all non-porous items.  Do not continue service with these items.

 

Section 9.                Chemical Safety.

 

(a)               Chemicals shall be transported and stored in accordance with the manufactures label.

 

(b)               Chemicals must be stored in the original containers.

 

(c)               Chemicals must be stored in overhead cabinets or locked cabinets.  They may not be stored in areas used by customers such as bathrooms.

 

(d)               Chemicals may only be mixed and applied to customers specifically as instructed on manufactures label, including patch test.

 

(e)               Chemicals must be discarded in accordance with manufacture's label, local, state, and federal rules.

 

(f)                Chemicals shall not be mixed with any other substance unless expressly instructed on the label.

 

Section 10.            Communicable Disease.  Licensees shall not perform any service if they have been diagnosed with a communicable disease until cleared by a medical professional for return to work.  Licensees shall not perform a service on a client who has visible swelling, eruption, redness, bruising on skin or rash in an area where a service is to be performed.  Clients with a physician's note indicating they are not contagious, (such as psoriasis) are an exception to this rule.

 

Section 11.            Product Safety. 

 

(a)               All products in multiuse containers such as lotions, creams, powders, and waxes shall be stored, handled, and applied in such a manner as to prevent contamination of the remaining product in the container. 

 

(b)               All product in multiuse containers shall be removed from containers with a new, single use spatula or a non-porous spatula that has been cleaned and disinfected.

 

(c)               A single spatula may be used for product that is separated into single use, disposable container for application, but all remaining product, the container and spatula must be disposed of immediately following the service.

 

(d)               No implement shall be doubled dipped back into the original container. 

 

(e)               Powder shall be dispensed from shaker and liquid preparations shall be dispensed from an atomizer or applicator bottle without contamination.

 

Section 12.            Nail Services.

 

(a)               Nail tables shall be cleaned and disinfected after each use with an approved disinfectant.

(b)               Electric nail files and attachments shall be properly disinfected after each use.  Attachments shall be stored in a clean, closed drawer, cabinet or container.

 

(c)               Paraffin wax shall be used in single use bags only.

 

Section 13.            Esthetics Services.   

 

(a)               Esthetic devices allowed must be commercially available and not pierce, ablate, or destroy the live tissue of the skin, and be operated within manufacturer guidelines.

 

Section 14.            Eyelash Extensions Services.

 

(a)               Eyelash stands, holders, pallets, and trays must be cleaned and disinfected before use with each client.

 

(b)               Glue pallets and holders must be cleaned and disinfected before each client.

 

(c)               Eyelash extensions must be stored in a clean, closed container or in closed original packaging. Eyelash extensions that are removed from the container or original packaging for client's eyelash service and not used must be disposed of and not used for another client.

 

Section 15.            Towels and Coverings.

(a)               A clean cape shall be provided for each client. 

 

(i)                 If it is not possible to use a clean cape for each client, a neck strip or clean towel must be used.

 

(b)               A clean covering shall be used on the esthetic table for each client.

 

(c)               All clean towels, table, bed and client coverings shall be stored in a clean closed dry cabinet or container.

 

(d)               All soiled linens shall be kept in a ventilated container with a lid.  All linens (towels, sheets, robes, etc.) must be laundered prior to use.  Laundry may be done through commercial laundry services or on site.  If laundry is being done on-site, there must be a functional washing machine and dryer on the premises. 

 

Section 16.            Common Areas.

 

(a)               Shampoo bowls shall be cleaned with approved disinfectant after each use.

 

(b)               Wax containers and pots shall be kept clean and free of debris, and covered when not in use.   No implement shall be double dipped back into the wax container.  If wax becomes contaminated or has visible debris, pot must be emptied and disinfected.  No wax may be re-used, only new wax may be used in the pot.

 

(c)               Restroom facilities shall be adequately supplied with disposable hand towels and liquid soap.  Cloth towels are not allowed.

 

(d)               Hand sanitizer shall be available.

 

(e)               All refuse shall be deposited in suitable receptacles with lids.  Lids shall be kept in place at all times.  All refuse shall be disposed of in a manner so as not to be unsightly, offensive, or a menace to health.  Hair cuttings shall be swept up and properly disposed of after each client.

 

(f)                All coffee and other refreshments shall be served in a single use container with lids.  No open food or drink is allowed in the work area.

 

(g)               Animals may not be used to perform any service in a salon. 

 

Section 17.            Prohibited Items. The following items shall not be present in a salon. 

 

(a)               Methylemethacrylate Monomer (MMA);

 

(b)               Wooden handle, natural bristle neck brushes or table dusters;

 

(c)               Roll on wax;

 

(d)               Multiuse puffs or sponges; and

 

(e)               Styptic pencil.