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Piercing Guns

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Audit tool for infection control assessment

Part 1
Part 2

* Source:  J Kim Gunn, Public Health Specialist (Communicable Disease Control),
North Staffordshire Health Authority (HA).  Reproduced with her permission

Revised by Ann Baxter, CICN, Merton, Sutton & Wandsworth HA, 2002 (adapted from West Midlands Infection Control Nurses Association Tool, 1998).

 

 

OPERATOR’S NAME: ______________________________________________

 

                                                                                    Yes           No           N/A

UNDERTAKES:      SKIN PIERCING
                                    TATTOOING
                                    OTHER         

 

ADDRESS/TEL NO: _______________________________________________

                                     _______________________________________________                             

DATE OF AUDIT  _________________________________________________

 

AUDIT COMPLETED BY (print name): ______________________________

 

 

 

INFECTION CONTROL GUIDELINES FOR
BODY MODIFICATION ARTISTS
.

Answer Yes or No. Please tick a box for all questions

STANDARD 1

HAND HYGIENE

Hands will be washed correctly, using a cleaning agent, at the facilities available, to reduce the risk of cross contamination

 

                                                                                   

 

Yes

No

N/A

1.

Wash hand basin is available

 

 

 

2.

Liquid soap dispenser is located near wash hand basins

 

 

 

3.

Paper towels dispenser at all sinks in procedure areas and wash hand basin within operating room

 

 

 

4.

Sinks are visibly clean

 

 

 

5.

Sinks are free from nailbrushes

 

 

 

6.

Hot and cold water is available at sinks (preferably via mixer taps with elbow or foot operation)

 

 

 

7.

Wash hand basin and sinks in procedure areas are free from tea cups and drinking facilities

 

 

 

8.

Access to wash hand basin is clear e.g. no equipment soaking in sink

 

 

 

9.

There is a foot-operated bin for waste towels in close proximity to handwashing sinks

 

 

 

10.

Is this bin operational?

 

 

 

11. Is there a handwashing poster on display by handwashing area(s)?      
12. Are there toilet facilities for staff with separate handwashing facilities?      
13. There is a separate sink and area for cleaning instruments      

                                                                                  

Comments:

 

 

 

 

 

STANDARD 2

Procedures and Practices

Body Modifications practices will observe best practice to reduce the risk of cross infection to clients, whilst providing appropriate protection to operators.

  1. The following protective clothing is available for use:

 

Yes

No

N/A

1.

Non-sterile latex/vinyl/nitrile gloves (non-powdered)

 

 

 

2.

Disposable plastic aprons

 

 

 

3.

Clean protective over-clothing that is changed daily (if plastic aprons not used)

 

 

 

4.

Eye goggles or face shields available where risk assessment indicates their use

 

 

 

  1.  The following procedures/practices are observed:

 

Yes

No

N/A

1.

Single-use sterile dressings are applied following tattooing

 

 

 

2.

Disposable single-use razors are used to shave clients prior to procedure

 

 

 

3.

Multiple-use items are not used for clients e.g. marking pens, deodorant sticks, petroleum containers, skin cream tubes

 

 

 

4.

Verbal and printed after-care information on tattooing/piercing available for clients to take away

 

 

 

5.

Clients receive an explanation about the procedure and are asked to sign a consent form

 

 

 

6.

Records of clients are kept including the following details:
name, address, age, proof of ID and part of body tattooed/pierced

 

 

 

7.

Are clients asked health related questions prior to undertaking the procedure as part of consent?

 

 

 

8.

Operators are aware of the procedure for dealing with body fluid spillage Paper towels and hypochlorite (e.g.Milton) is available for cleaning up body fluid spillage

 

 

 

9.

Isopropyl alcohol wipes or other recommended agents are used to clean the client’s skin prior to the procedure

 

 

 

10.

Tattoo stencils are single use

 

 

 

11.

If used, trigger spray bottles are clearly labeled with the substance within, emptied and washed out daily and wiped down with detergent between clients.

 

 

 

12.

Tattoo motors and clipcords are covered with plastic and changed between clients.

 

 

 

13.

Dye containers are single-use only and are appropriately disposed of following use

 

 

 

14.

Sterile disposable needles are single-use only

 

 

 

15.

If needle bars are re-used they are appropriately sterilised between uses

 

 

 

 

 

The following policies and records should be kept on file and regularly updated:

 

Yes

No

N/A

1.

Handwashing

 

 

 

2.

Cleaning policy (inc. frequency rota/protocol)

 

 

 

3.

Sterilisation and monitoring procedures

 

 

 

4.

Management of healthcare risk and general waste

 

 

 

5.

Management of blood spillages

 

 

 

6.

Use of protective clothing

 

 

 

7.

Needlestick injury procedure

 

 

 

8.

Sharps handling/disposal

 

 

 

9.

Safety data sheets for the use of chemicals

 

 

 

10.

Training records of staff

 

 

 

11.

Staff health including Hepatitis B status

 

 

 

12.

The policies are regularly reviewed/up to date (i.e. yearly)

 

 

 

Comments:

 

 

 

 

STANDARD 3

MAINTENANCE OF THE ENVIRONMENT

The procedure environment will be appropriately maintained to reduce the risk of cross infection.

 

Yes

No

N/A

1.

All general areas are clean and uncluttered

 

 

 

2.

There is a documented, regular cleaning programme in operation

 

 

 

3.

There is no carpet in procedure area(s)

 

 

 

4.

Sufficient surface area for procedure and suitable layout of clean and dirty procedure fields

 

 

 

5.

Procedure areas are clean and free from extraneous items

 

 

 

6.

All sterile products are appropriately stored above floor level

 

 

 

7.

Client couches/chairs/floors in the procedure areas have wipeable surfaces

 

 

 

8.

Client couches/chairs in the procedure areas are in a good state of repair

 

 

 

9.

Disposable paper is used to protect the couches/chairs in the procedure area(s)

 

 

 

10.

Cleaning equipment is stored in a clean and dry condition.

 

 

 

11.

Buckets are clean, dry and inverted after use

 

 

 

12.

Cleaning cloths are single-use and disposed of at the end of the day.

 

 

 

13.

If used. Modesty cover blankets are laundered, (changed daily and when contaminated)

 

 

 

14

Surface joints and seals (e.g. sinks, worktop edges to wall) are free from mould

 

 

 

Comments:

 

 

 

 

STANDARD 4

WASTE DISPOSAL

Waste will be disposed of safely without risk of contamination or injury and within current guidelines

 

 

Yes

No

N/A

1.

The operator has written instructions on the safe disposal of waste

 

 

 

2.

Foot operational waste bins are in working order and lined with a plastic bag in procedure areas

 

 

 

3.

Appropriate yellow waste bags are used for disposal of healthcare risk waste

 

 

 

4.

Healthcare risk waste and domestic waste are correctly segregated

 

 

 

5.

Waste bags are less than ¾ full and securely tied

 

 

 

6.

Healthcare risk waste is stored in a designated area prior to disposal

 

 

 

7.

The storage area is locked and inaccessible to unauthorised persons and pests. The storage area should be marked with a bio-hazard sign.

 

 

 

8.

Bags are labelled with source (Studio’s Name) – in accordance with the Local Authority for commercial premises

 

 

 

9.

Collection of healthcare risk waste is undertaken at least weekly with a registered company and disposed of in line with current guidelines.

 

 

 

10.

All documentation on waste management should be kept on file.

 

 

 

11

Protective clothing (e.g. gloves and aprons) are available to staff handling clinical waste

 

 

 

Comments:

 

 

 

 

 

STANDARD 5

SHARPS AND NEEDLESTICK INJURY

Sharps will be handled safely in order to negate the risk of sharps injury and in accordance with the current guidelines.

 

 

Yes

No

N/A

1.

Sharps boxes are available for use and located within easy reach

 

 

 

2.

Sharps boxes conform with the BS7320 and UN3291 standards

 

 

 

3.

Sharps box is filled to the fill-line or less

 

 

 

4.

Sharps box is assembled correctly – check lid is secure

 

 

 

5.

Sharps box is labelled with point of source

 

 

 

6.

Staff are aware of Hepatitis vaccination policy

 

 

 

7.

Staff are aware of procedure in case of needlestick injury. Procedure displayed in treatment area.

 

 

 

8.

Sharps boxes are stored above floor level and safely out of reach of children and visitors

 

 

 

10.

Operators are vaccinated against Hepatitis B and there is documented proof of this

 

 

 

11.

Sharps boxes are disposed of appropriately in line with current guidelines

 

 

 

Comments:

 

 

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