NYC TATTOO LICENSE PAPER ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔Necessary Equipment - ✔✔Packages of sterile instruments and sterile needles; •
Metal tray for holding sterile sets of instruments or clean equipment prior to the skin
piercing service; • Storage containers, with lids, to store clean items such as cot ton
balls or small sterile packages, e.g. forceps; • Single-use plastic sheaths or bags to
cover items that can not be easily cleaned, e.g. the tattoo machine, the cord, the plastic
spray bottle used toclean and disinfect the skin during tattooing; • Metal basin or other
suit able container for dirty equipment.
✔✔Necessary Supplies - ✔✔Medical gloves, e.g. latex, nitrile, neoprene, or vinyl;
Single-use wooden tongue depressors or cotton-wrapped sticks for removing creams,
gels, or ointments from a bulk container into smaller, single-use packages; • Clean linen
or disposable towels for patient protection or cover for a working surface; • Wrapping
materials or suitable containers to contain instruments for sterilization; • Chemical
time/temperature and/or humidity sensitive tape, strips or pellets for monitoring each
sterilization cycle; • Spore strips or vials for testing the sterilization process monthly; •
Liquid hand washing soap contained in a pump style container or cartridge for a wall
mounted unit; • Detergent for cleaning; • Commercial sharps containers (puncture-
resistant) for sharp waste; • Hospital grade disinfectant(s).
✔✔Cleaning the Environment - ✔✔i. Routine Cleaning Use a solution of detergent and
water to clean dust and soil from all surfaces in the shop. Equipment or surfaces that
have been touched and are potentially contaminated during procedures require special
care. ii. Special Cleaning of Contaminated Surfaces After each client, use gloved hands
to clean and disinfect equipment or surfaces that may have become contaminated. A
low level disinfectant (see Table 1), mixed according to manufacturers' directions and
the specified con tact time,should be used to disinfect contaminated surfaces.
Alternatively, an intermediate level disinfectant, e.g. a solution of household bleach, 1
part bleach and 9 parts water mixed fresh daily (1:10), may be used. iii. Blood Spills
When a blood spill occurs, the practitioner should wear gloves and blot up the blood
with disposable towels before applying a disinfectant to the surface area. The towels
should be discarded into a plastic-lined waste receptacle. After the spill area has been
,cleaned, an intermediate level hospital grade disinfectant should be applied to the area
for the length of time recommended by the manufacturer. As an alternative, a solution of
household bleach and water (as described above) should be left on the surface for 10
minutes.
✔✔Cleaning Instruments and Equipment - ✔✔Contaminated instruments should be
cleaned in the dirty zone, preferably in a utility sink. Cleaning removes soil and body
materials, e.g. blood, from instruments, equipment, and environmental surfaces.
Cleaning must occur as a first step before the disinfection or sterilization process, or the
disinfection or sterilization will be ineffective. A step-by-step cleaning guide follows
(Table 1)
✔✔1 Soak items that cannot be immediately cleaned in basin of cool water with or
without detergent. - ✔✔Used instruments should be soaked to prevent blood and other
organic matter from drying on the item. Do not soak dirty items in hot water or a
disinfectant before cleaning, because it causes the soil and matter to stick to the surface
of the object.
✔✔2 Put on utility gloves(non-medical gloves) - ✔✔Utility gloves are suitable for
cleaning and have a wider bib at the wrist to help prevent water from entering the inside
of the glove. They are also reusable and therefore economical. Some items may require
a more delicate glove.
✔✔3 Take instruments apart and rinse in lukewarm running water. - ✔✔HOT WATER
MAKES PROTEINS STICK TO OBJECTS
✔✔4 Prepare cleaning sink by adding warm water and detergent - ✔✔Ensure that
objects are visible by using a low sudsing detergent
✔✔5 Clean instrument surfaces by using friction (washing and scrubbing motions). Use
a small brush to clean any crevices or seams on the instruments, e.g.hinges. -
✔✔Scrub below the water surface to prevent splashing into the eyes or on the clothing.
An ultrasonic cleaning device, with a lid, may be used for cleaning
✔✔6 Drain dirty water.Rinse instruments in cleaned warm water - ✔✔Rinsing removes
residual detergent that may impair the function of the instrument or interfere with the
action of disinfectants
✔✔7 Either air dry or dry with a lint free towel. - ✔✔If wet items are not dried a film may
be left on the surface (biofilm), which contains microorganisms
✔✔8 Store cleaned instruments in a covered container until disinfected or sterilized, if
required. - ✔✔Uncovered, clean instruments may become contaminated by dust or
moisture
, ✔✔9 Remove utility gloves; wash, rinse and hang to dry - ✔✔Cleaned utility gloves may
be used again as long as the rubber is not torn orpunctured
✔✔10 Wash hands - ✔✔Hands should be washed after glove removal to avoid
contamination
✔✔Ultrasonic cleaner method - ✔✔Ultrasonic cleaners work by producing high-
frequency, high-energy sound waves that cause organic material to dislodge and drop
to the bottom of the tank. Use only a manufacturer-recommended detergent because
others may limit the effectiveness of the ultrasonic cleaner. Cannulated items may
require additional manual cleaning, because these items are not always successfully
cleaned in an ultrasonic cleaner. Cannulated items should be brushed thoroughly and
rinsed before being carefully placed into the ultrasonic tank, to ensure air is not trapped
within the lumen. They should be brushed again on removal (using a clean brush) to
remove loosened debris. Ultrasonic cleaners do not sterilize or disinfect instruments, but
they provide a safe and effective means of cleaning most reusable instruments before
sterilization Manufacturer's recommendation must be followed for ensuring correct and
safe operation of the ultrasonic cleaner
✔✔High risk - ✔✔procedure: Penetration of sterile or mucosal with a sharp instrument
All body piercing and tattooing procedures Accidental breaks of intact skin, such as
shaving or occupational exposure. response : CLEAN AND STERILIZE.
✔✔Intermediate risk - ✔✔procedure : Manicure/pedicure response : CLEAN DRY
DISINFECT RINSE WITH DISTILLED WATER DRY
✔✔Low risk - ✔✔Procedure : Hairdressing (for example, combs) Response: CLEAN
DRY
✔✔Disinfection - ✔✔Instruments used on intact skin may be washed and stored in a dry
place, but instruments that penetrate the skin must undergo cleaning and sterilization.
The use of disinfectants do not replace the need for good cleaning practices, and all
items/ equipment/surfaces must be thoroughly cleaned before disinfection. Disinfectants
should be used only when equipment or the environment is contaminated with blood or
other body substances however, items that can be, must be sterilized after cleaning.
Detergent solution is sufficient for cleaning off perspiration, for example. Disinfectants
can become easily contaminated and are a potential source of infection. Solutions
should be labeled appropriately (with the name, date and dilution strength). Do not mix
detergent or disinfectant solutions because they may react with each other and, in doing
so, reduce their effectiveness or cause harm. Some disinfectants, such as those
producing chlorine, must be freshly prepared. Only disinfectants registered with the
Environmental Protection Agency (EPA) should be used for disinfection. The
disinfectant should only be used for the approved purpose. When buying a disinfectant,
ask the manufacturer to give you a material safety data sheet (MSDS), which gives
information about use of the product and worker safety.
QUESTIONS AND ANSWERS SURE A+
✔✔Necessary Equipment - ✔✔Packages of sterile instruments and sterile needles; •
Metal tray for holding sterile sets of instruments or clean equipment prior to the skin
piercing service; • Storage containers, with lids, to store clean items such as cot ton
balls or small sterile packages, e.g. forceps; • Single-use plastic sheaths or bags to
cover items that can not be easily cleaned, e.g. the tattoo machine, the cord, the plastic
spray bottle used toclean and disinfect the skin during tattooing; • Metal basin or other
suit able container for dirty equipment.
✔✔Necessary Supplies - ✔✔Medical gloves, e.g. latex, nitrile, neoprene, or vinyl;
Single-use wooden tongue depressors or cotton-wrapped sticks for removing creams,
gels, or ointments from a bulk container into smaller, single-use packages; • Clean linen
or disposable towels for patient protection or cover for a working surface; • Wrapping
materials or suitable containers to contain instruments for sterilization; • Chemical
time/temperature and/or humidity sensitive tape, strips or pellets for monitoring each
sterilization cycle; • Spore strips or vials for testing the sterilization process monthly; •
Liquid hand washing soap contained in a pump style container or cartridge for a wall
mounted unit; • Detergent for cleaning; • Commercial sharps containers (puncture-
resistant) for sharp waste; • Hospital grade disinfectant(s).
✔✔Cleaning the Environment - ✔✔i. Routine Cleaning Use a solution of detergent and
water to clean dust and soil from all surfaces in the shop. Equipment or surfaces that
have been touched and are potentially contaminated during procedures require special
care. ii. Special Cleaning of Contaminated Surfaces After each client, use gloved hands
to clean and disinfect equipment or surfaces that may have become contaminated. A
low level disinfectant (see Table 1), mixed according to manufacturers' directions and
the specified con tact time,should be used to disinfect contaminated surfaces.
Alternatively, an intermediate level disinfectant, e.g. a solution of household bleach, 1
part bleach and 9 parts water mixed fresh daily (1:10), may be used. iii. Blood Spills
When a blood spill occurs, the practitioner should wear gloves and blot up the blood
with disposable towels before applying a disinfectant to the surface area. The towels
should be discarded into a plastic-lined waste receptacle. After the spill area has been
,cleaned, an intermediate level hospital grade disinfectant should be applied to the area
for the length of time recommended by the manufacturer. As an alternative, a solution of
household bleach and water (as described above) should be left on the surface for 10
minutes.
✔✔Cleaning Instruments and Equipment - ✔✔Contaminated instruments should be
cleaned in the dirty zone, preferably in a utility sink. Cleaning removes soil and body
materials, e.g. blood, from instruments, equipment, and environmental surfaces.
Cleaning must occur as a first step before the disinfection or sterilization process, or the
disinfection or sterilization will be ineffective. A step-by-step cleaning guide follows
(Table 1)
✔✔1 Soak items that cannot be immediately cleaned in basin of cool water with or
without detergent. - ✔✔Used instruments should be soaked to prevent blood and other
organic matter from drying on the item. Do not soak dirty items in hot water or a
disinfectant before cleaning, because it causes the soil and matter to stick to the surface
of the object.
✔✔2 Put on utility gloves(non-medical gloves) - ✔✔Utility gloves are suitable for
cleaning and have a wider bib at the wrist to help prevent water from entering the inside
of the glove. They are also reusable and therefore economical. Some items may require
a more delicate glove.
✔✔3 Take instruments apart and rinse in lukewarm running water. - ✔✔HOT WATER
MAKES PROTEINS STICK TO OBJECTS
✔✔4 Prepare cleaning sink by adding warm water and detergent - ✔✔Ensure that
objects are visible by using a low sudsing detergent
✔✔5 Clean instrument surfaces by using friction (washing and scrubbing motions). Use
a small brush to clean any crevices or seams on the instruments, e.g.hinges. -
✔✔Scrub below the water surface to prevent splashing into the eyes or on the clothing.
An ultrasonic cleaning device, with a lid, may be used for cleaning
✔✔6 Drain dirty water.Rinse instruments in cleaned warm water - ✔✔Rinsing removes
residual detergent that may impair the function of the instrument or interfere with the
action of disinfectants
✔✔7 Either air dry or dry with a lint free towel. - ✔✔If wet items are not dried a film may
be left on the surface (biofilm), which contains microorganisms
✔✔8 Store cleaned instruments in a covered container until disinfected or sterilized, if
required. - ✔✔Uncovered, clean instruments may become contaminated by dust or
moisture
, ✔✔9 Remove utility gloves; wash, rinse and hang to dry - ✔✔Cleaned utility gloves may
be used again as long as the rubber is not torn orpunctured
✔✔10 Wash hands - ✔✔Hands should be washed after glove removal to avoid
contamination
✔✔Ultrasonic cleaner method - ✔✔Ultrasonic cleaners work by producing high-
frequency, high-energy sound waves that cause organic material to dislodge and drop
to the bottom of the tank. Use only a manufacturer-recommended detergent because
others may limit the effectiveness of the ultrasonic cleaner. Cannulated items may
require additional manual cleaning, because these items are not always successfully
cleaned in an ultrasonic cleaner. Cannulated items should be brushed thoroughly and
rinsed before being carefully placed into the ultrasonic tank, to ensure air is not trapped
within the lumen. They should be brushed again on removal (using a clean brush) to
remove loosened debris. Ultrasonic cleaners do not sterilize or disinfect instruments, but
they provide a safe and effective means of cleaning most reusable instruments before
sterilization Manufacturer's recommendation must be followed for ensuring correct and
safe operation of the ultrasonic cleaner
✔✔High risk - ✔✔procedure: Penetration of sterile or mucosal with a sharp instrument
All body piercing and tattooing procedures Accidental breaks of intact skin, such as
shaving or occupational exposure. response : CLEAN AND STERILIZE.
✔✔Intermediate risk - ✔✔procedure : Manicure/pedicure response : CLEAN DRY
DISINFECT RINSE WITH DISTILLED WATER DRY
✔✔Low risk - ✔✔Procedure : Hairdressing (for example, combs) Response: CLEAN
DRY
✔✔Disinfection - ✔✔Instruments used on intact skin may be washed and stored in a dry
place, but instruments that penetrate the skin must undergo cleaning and sterilization.
The use of disinfectants do not replace the need for good cleaning practices, and all
items/ equipment/surfaces must be thoroughly cleaned before disinfection. Disinfectants
should be used only when equipment or the environment is contaminated with blood or
other body substances however, items that can be, must be sterilized after cleaning.
Detergent solution is sufficient for cleaning off perspiration, for example. Disinfectants
can become easily contaminated and are a potential source of infection. Solutions
should be labeled appropriately (with the name, date and dilution strength). Do not mix
detergent or disinfectant solutions because they may react with each other and, in doing
so, reduce their effectiveness or cause harm. Some disinfectants, such as those
producing chlorine, must be freshly prepared. Only disinfectants registered with the
Environmental Protection Agency (EPA) should be used for disinfection. The
disinfectant should only be used for the approved purpose. When buying a disinfectant,
ask the manufacturer to give you a material safety data sheet (MSDS), which gives
information about use of the product and worker safety.
