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Ultrasonic cleaners - ANSWER-High frequency high energy
sound waves
dislodge material do not sterilize or
disinfect
High risk instruments - ANSWER-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 - ANSWER-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) - ANSWER-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) - ANSWER-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) - ANSWER-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 - ANSWER-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 - ANSWER-70% isopropyl
alcohol, bleach, iodine solutions
Kills microorganisms for low disinfectants plus fungi, doesn't
kill tuberculosis or spores