NYC TATTOO LICENSE FINAL PAPER 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔Blood spills - ✔✔Gloves to blot up with disposable towel, apply disinfectant to
surface, towels discarded in plastic lined waste receptacle, intermediate level hospital
grade disinfectant applied to area for recommended time, or bleach and water for 10
mins
✔✔Cleaning process - ✔✔Soak items in basin of cool water with or without detergent so
blood or organic matter doesn't stick (not hot water or disinfectant) causes stick
Utility gloves to take instruments apart and rinse in lukewarm water
Cleaning sink preparation with warm water and detergent
Clean instruments with friction or use ultrasonic cleaning device
Drain water and rinse cleaned instruments
Dry and store cleaned instruments in container until disinfection and sterilization
Remove gloves and wash and hang dry
Wash hands
✔✔Ultrasonic cleaners - ✔✔High frequency high energy sound waves dislodge material
do not sterilize or disinfect
✔✔High risk instruments - ✔✔Penetration of sterile or mucosal with a sharp instrument
Tattooing procedures
Accidental breaks of skin
CLEAN AND STERILIZE
Intermediate clean dry and disinfect such as mani pedis
Low risk hairdressing clean and dry
✔✔Disinfection - ✔✔Items and equipment and surfaces should be cleaned before
disinfection
Only used when equipment or environment is contaminated with blood or body
substance,
Disinfectants can become easily contaminated .
Disinfectants should be EPA registered, manufacturer should give MSDS material
safety data sheet
Rinse in distilled water
✔✔Non Critical items (disinfection) - ✔✔May come into contact with intact skin used for
routine housekeeping
Rarely contaminated with body fluid like chair and table, detergent and warm water
Items contaminated with body fluid like dirty instrument tray, motor frame, tattoo chuck
or clamp, pump packs, spray bottle, low level disinfectants like quarts or 3% hydrogen
peroxide
Wet paper towel, wipe clean with disinfectant and allow for sufficient time
, ✔✔Semi Critical items (disinfection) - ✔✔Come into contact with mucous membranes or
non-intact skin or hold sterile item
Intermediate and high level disinfectants for items that cannot soak 70% isopropyl
alcohol or 1 part bleach 10 parts water wiped and air dried
Items capable of being soaked High level disinfectants 2% gluteraldehyde or 6%
hydrogen peroxide , soaked in disinfectant for recommended time
✔✔Critical items (disinfection) - ✔✔Tattoo needles, sterile items
Purchased sterile or sterilized in steam or heat dry
Chemicals that sterilize not recommended because of difficult monitoring
✔✔Low Level disinfectant - ✔✔Quaternary ammonium (quats) or some phenols/
hydrogen peroxide
For non critical items some bacteria and viruses like herpes HBV HCV and HIV
Doesn't kill tuberculosis fungi or spores
DONT USE FOR DISINFECTING INSTRUMENTS
✔✔Intermediate Level disinfectant - ✔✔70% isopropyl alcohol, bleach, iodine solutions
Kills microorganisms for low disinfectants plus fungi, doesn't kill tuberculosis or spores
Burns skin and stains fabric
1 part bleach and 10 parts water prepared daily not good for metal instruments because
corrosion
✔✔High Level disinfectant - ✔✔2% gluteraldehyde 6% hydrogen peroxide
Semi critical items and critical items that cannot be sterilized
Kills all virus and bacteria but not spores
Skin irritant and toxic vapors for gluteraldehyde not corrosive never spray
Hydrogen peroxide corrosive to some metals like aluminum
✔✔Storage of Chemicals - ✔✔Well ventilated
Drop on or brush on products
Avoid aerosol product
Wear gloves when decanting or mixing
Label and date solutions
Cool area away from gas appliances
Unauthorized access secure
Remove chemical waste in large covered bin because of fumes
✔✔Sterilization - ✔✔Pre cleaned and appropriately packaged with steam or heat
sterilization
Self sealing autoclave bag systems
Single client instruments can be grouped in tray or container
Date sterilization
Well spaced
Chemical color indicator on autoclave bags
QUESTIONS WITH ANSWERS GRADED A+
✔✔Blood spills - ✔✔Gloves to blot up with disposable towel, apply disinfectant to
surface, towels discarded in plastic lined waste receptacle, intermediate level hospital
grade disinfectant applied to area for recommended time, or bleach and water for 10
mins
✔✔Cleaning process - ✔✔Soak items in basin of cool water with or without detergent so
blood or organic matter doesn't stick (not hot water or disinfectant) causes stick
Utility gloves to take instruments apart and rinse in lukewarm water
Cleaning sink preparation with warm water and detergent
Clean instruments with friction or use ultrasonic cleaning device
Drain water and rinse cleaned instruments
Dry and store cleaned instruments in container until disinfection and sterilization
Remove gloves and wash and hang dry
Wash hands
✔✔Ultrasonic cleaners - ✔✔High frequency high energy sound waves dislodge material
do not sterilize or disinfect
✔✔High risk instruments - ✔✔Penetration of sterile or mucosal with a sharp instrument
Tattooing procedures
Accidental breaks of skin
CLEAN AND STERILIZE
Intermediate clean dry and disinfect such as mani pedis
Low risk hairdressing clean and dry
✔✔Disinfection - ✔✔Items and equipment and surfaces should be cleaned before
disinfection
Only used when equipment or environment is contaminated with blood or body
substance,
Disinfectants can become easily contaminated .
Disinfectants should be EPA registered, manufacturer should give MSDS material
safety data sheet
Rinse in distilled water
✔✔Non Critical items (disinfection) - ✔✔May come into contact with intact skin used for
routine housekeeping
Rarely contaminated with body fluid like chair and table, detergent and warm water
Items contaminated with body fluid like dirty instrument tray, motor frame, tattoo chuck
or clamp, pump packs, spray bottle, low level disinfectants like quarts or 3% hydrogen
peroxide
Wet paper towel, wipe clean with disinfectant and allow for sufficient time
, ✔✔Semi Critical items (disinfection) - ✔✔Come into contact with mucous membranes or
non-intact skin or hold sterile item
Intermediate and high level disinfectants for items that cannot soak 70% isopropyl
alcohol or 1 part bleach 10 parts water wiped and air dried
Items capable of being soaked High level disinfectants 2% gluteraldehyde or 6%
hydrogen peroxide , soaked in disinfectant for recommended time
✔✔Critical items (disinfection) - ✔✔Tattoo needles, sterile items
Purchased sterile or sterilized in steam or heat dry
Chemicals that sterilize not recommended because of difficult monitoring
✔✔Low Level disinfectant - ✔✔Quaternary ammonium (quats) or some phenols/
hydrogen peroxide
For non critical items some bacteria and viruses like herpes HBV HCV and HIV
Doesn't kill tuberculosis fungi or spores
DONT USE FOR DISINFECTING INSTRUMENTS
✔✔Intermediate Level disinfectant - ✔✔70% isopropyl alcohol, bleach, iodine solutions
Kills microorganisms for low disinfectants plus fungi, doesn't kill tuberculosis or spores
Burns skin and stains fabric
1 part bleach and 10 parts water prepared daily not good for metal instruments because
corrosion
✔✔High Level disinfectant - ✔✔2% gluteraldehyde 6% hydrogen peroxide
Semi critical items and critical items that cannot be sterilized
Kills all virus and bacteria but not spores
Skin irritant and toxic vapors for gluteraldehyde not corrosive never spray
Hydrogen peroxide corrosive to some metals like aluminum
✔✔Storage of Chemicals - ✔✔Well ventilated
Drop on or brush on products
Avoid aerosol product
Wear gloves when decanting or mixing
Label and date solutions
Cool area away from gas appliances
Unauthorized access secure
Remove chemical waste in large covered bin because of fumes
✔✔Sterilization - ✔✔Pre cleaned and appropriately packaged with steam or heat
sterilization
Self sealing autoclave bag systems
Single client instruments can be grouped in tray or container
Date sterilization
Well spaced
Chemical color indicator on autoclave bags
