The following are procedures and practices for body-piercing.
(A) Piercings of minors will be permitted only with a legal guardian present, and must comply with §§ 112.04 and 112.05 above. Certain piercings forbidden (See division (EE) below). Both guardian and child must read, understand and sign the release form. Both parties must provide valid identification. Both parties must fully understand post piercing after-care suggestions.
(B) Piercing an obviously intoxicated person is prohibited.
(C) The use of properly configured, autoclave sterilization units on all reusable items is mandatory. Monthly efficacy testing, via a""spore test", is mandatory. A sign, prominently posted, shall apprise the public of the existence of the results of this monthly test and invite them to review said results. "Dry" heat, glass bead or pressure cookers are not acceptable methods of sterilization.
(D) Signage requesting patrons to refrain from removing their own jewelry should be easily visible.
(E) Counter tops, displays and doorknobs must be non-porous and frequently disinfected throughout the day and as needed. Disinfectant hand wipes such as SaniDex® should be readily available for patrons' use.
(F) Operators must attend and pass a certified CPR and basic first aid class.
(G) Owners who have employees must implement OSHA Blood Borne Pathogens Standard #1910.1030.
(H) An understanding of and vigilant use of cross contamination prevention and infection control must be documented.
(I) Thorough hand washing, utilizing sufficient amounts of liquid anti-bacterial soap (pump dispenser or better) and running water must be performed immediately prior and immediately after each individual service. Single-use, disposable paper products are to be used. Enclosed "C" fold paper towels are preferred over standard exposed roles.
(J) New, clean and fresh disposable medical gloves are to be worn for each new service. Gloves must be changed after each occurrence of contamination. Gloves should be stored in a very clean, closed container when not in use.
(K) All needles must come individually bagged and autoclave sterilized, used on one client and one client only and immediately disposed of in an OSHA-approved sharps container. Yearly removal of full (two-thirds), sealed labeled containers, by a medical waste disposal service, which follows Indiana Infectious waste rule (410 I.A.C. 1-3), must be documented. Reuse of piercing needles is strictly prohibited.
(L) After soaking in an enzymatic detergent such as Enzol® (or equivalent) for no less than ten minutes, used reusable tools must be fully submerged in an ultra sonic cleaner for no less than 15 minutes, then air dried prior to autoclaving.
(M) All reusable, stainless steel instruments must be autoclaved in appropriate, dated, sealed bags with indicator strips fully visible. Bags left unopened, in a closed container, for longer than 30 days, must be re-autoclaved. Immediately after use, the tool is to be placed in a lidded, non-porous container to await detergent soak, ultrasonic cleaning, drying and bagging, prior to autoclaving. This container must be disinfected at least daily.
(N) A hospital-level, hard surface disinfectant such as MadaCide® (or equivalent) must be employed on all involved surfaces prior to every individual's piercing session. All involved surfaces must be non-porous and in excellent repair. If spray dispensers are used, spray should be directed into a clean, disposable paper towel; then, the towel should be used to disinfect the surface. Impregnated towelettes, Sani-Cloth®, are preferred for this application.
(O) All supplies that come into contact with the piercing station should be in "single portion" form. Including, but not limited to, anti-bacterial ointments, iodine swabs, alcohol wipes and the like. These packages must be wiped down with a hospital-level, hard surface disinfectant and air dried, prior to being stored in very clean, closed containers.
(P) Floors in the piercing area must be non-porous, of solid, durable construction and disinfected on a regular basis, and as needed. Carpeting is prohibited.
(Q) All oral piercing shall be preceded by the client performing a one minute, vigorous application of an antiseptic mouthwash such as Listerine®
(R) All other pre-piercing sites must be thoroughly cleaned with an iodine-based product such as Betadine® (or equivalent) for one full minute. All traces of iodine must be removed before the client departs. On individuals with iodine sensitivity, Benzethonium Chloride (or equivalent) solution is an acceptable substitute.
(S) Corks and rubber bands must be autoclaved. Single-use packaging is preferred. Bulk sterilized supplies must be kept in a very clean, closed container, opened and touched with fresh gloves only.
(T) All insertable jewelry is to be sterilized (individually is preferred) and kept in a sterile, closed container. Sterilized jewelry is to be soaked in a hospital-level, hard surface disinfectant, for no less than ten minutes prior to insertion. Jewelry must be thoroughly dried before insertion. Jewelry previously worn by anyone other than the pierce must be autoclave processed.
(U) All jewelry is to be made of high quality 14k solid gold, surgical grade stainless steel (316L series), niobium, titanium, platinum or inert plastics. No silver, gold-plated or gold-filled jewelry is to be inserted in fresh piercings. Reasonable requests for non-commercial reasons, to divulge the manufacturer of the jewelry for sale, should be met.
(V) Sterilized items, in unopened bags, must be left in the autoclave to dry. The door on the autoclave may be left slightly ajar to facilitate drying. Once dry, using clean and fresh gloves, bagged tools must be placed in a very clean, closed container.
(W) A separate, dedicated area must be provided for the preparation, cleaning and disinfection of tools and equipment.
(X) A service sink, with hot and cold running water, is to be separated from the above area. Wrist, elbow, infrared or foot operated fixtures must be installed. This sink is never to be used for food or drink preparation.
(Y) Disposable table paper should be provided and changed between clients.
(Z) Privacy screens or devices must be made available at the patron's request.
(AA) Good ventilation must be available. The use of air "scrubbers" (HEPA filters) is encouraged.
(BB) All restrooms available to the public must be kept clean and disinfected regularly and as needed.
(CC) Written detailed post-piercing aftercare suggestions must be provided.
(DD) Piercers shall maintain a high degree of personal cleanliness and wear clean clothing. Piercers should refrain from piercing while under the influence of medications that may cause drowsiness. Piercers should use discretion when considering whether to work while ill.
(EE) Penile piercings which invade the Urethra and commonly known as Prince Albert, Ampallang and Apadravya are forbidden.
(Ord. 2003-13, passed 10-6-2003) Penalty, see § 112.99