1. (a) Body piercing standards.

   1. (1) Initial jewelry for body piercing shall meet ASTM International or ISO standards.
   2. (2) The jewelry must be able to withstand the heat and pressure of autoclave sterilization.
   3. (3) All surfaces and ends must be smooth and free of nicks, scratches, burrs, and polishing compounds, and metals must have a consistent mirror finish.

   4. (4)

      1. (A) An artist shall maintain on file for inspection a Mill Test Certificate confirming certification by ASTM International or the International Organization for Standardization, both for steel and titanium jewelry for initial piercing.
      2. (B) The documentation shall accompany each initial piercing jewelry order.
   5. (5) Use of personal client jewelry or any apparatus or device presented by the client to be worn within an initial piercing is prohibited.
   6. (6) Any jewelry used for the procedure must be properly sterilized prior to use and handled in a manner to maintain sterility until use.
   7. (7) No product shall be used in or on a fresh body piercing that warns against such use, nor shall these products be used against manufacturer warnings in the aftercare or healing of the piercing.
   8. (8) Any marking instrument shall be single-use and disposable.

2. (b) Tattoo and permanent cosmetic standards.

   1. (1) All inks, dyes, and pigments must be produced by a commercial manufacturer and accepted for use by the Department of Health by providing Material Safety Data Sheets and/or ingredient information.
   2. (2) Any needle shall be single-use only and sterilized prior to use.
   3. (3) All products used for the procedure such as skin cleansers, etc., shall be used in accordance with the manufacturer's instructions.
   4. (4) Any nontattooing marking instrument shall be single-use only and disposed of after use.
   5. (5) After the procedure is complete, the tattoo or permanent cosmetic shall be cleaned and, where feasible, an ointment and a nonstick bandage applied.
   6. (6) All tubes, barrels, tips, or hand tools used for permanent cosmetics shall be single-use and disposable or stainless-steel tubes, which may be sterilized onsite in accordance with this part.

3. (c) Branding standards.

   1. (1) Any metal or other instrument used in a branding procedure that comes in direct contact with the client's skin shall be single-use or capable of being properly sterilized.
   2. (2) All products used for the procedure such as skin cleansers, preps, or ointments shall be used in accordance with the manufacturer's instructions.
   3. (3) Any marking instrument or stencil shall be single-use only and disposed of after use.
   4. (4) The artist, the client, and any assistants or other individuals in the procedure room shall wear adequate personal protection equipment throughout the procedure.
   5. (5) The procedure area for branding shall be an enclosed room with adequate ventilation.
   6. (6) Metal used in strike branding procedures shall be made of nongalvanized steel.

4. (d) Scarification standards.

   1. (1) Scarification procedures shall be performed in a dedicated enclosed workroom that is used for no other purpose at that time.

   2. (2) Adequate surface barriers shall be:

      1. (A) Used to prevent contamination on all work surfaces; and
      2. (B) Replaced after each procedure.
   3. (3) Both oral and written aftercare shall be given to the client prior to beginning any scarification procedure.
   4. (4) All marking instruments and stencils shall be single-use and disposable.
   5. (5) A scarification artist shall wear disposable eye and respiratory protection as well as an adequate hair restraint at all times while performing the scarification procedure.

   6. (6) All scarification instruments shall be:

      1. (A) Individually prepackaged and presterilized by the manufacturer; and
      2. (B) Handled in a manner to avoid compromising sterility.

   7. (7)

      1. (A) A scarification artist shall wear sterile individually prepackaged gloves during the scarification procedure.
      2. (B) A new pair of sterile gloves shall be worn for each scarification procedure.
      3. (C) If the scarification artists must stop the procedure to conduct other tasks, the artist must:

5. (i) Wash his or her hands according to 17 CAR § 54-306(e)(1)(B); and

   1. (ii) Put on a new pair of sterile gloves.
   2. (8) A client's skin must be thoroughly cleaned with soap and water, rinsed, and swabbed with an antiseptic solution prior to a scarification procedure.
   3. (9) If the area in which the procedure is to be performed requires shaving, it shall be done with a single-use disposable razor.
   4. (10) After the procedure is complete, the area shall be washed and a nonstick bandage applied.
   5. (11) All scarification implements used to break or cut the skin shall be regarded as sharps and must be single-use and disposed of in compliance with the Rules Pertaining to the Management of Medical Waste from Generators and Health Care Related Facilities, 20 CAR pt. 53.
   6. (12) Surface barriers used during scarification procedures shall be considered medical waste and disposed of accordingly after each procedure.

Codification Notes: “ISO” refers to International Organization for Standardization.