In addition to General and Operational Requirements
Before the Service:
- Inspect the skin. Do not treat inflamed or infected skin or skin with a rash.
- Needles and lancets are to remain in the sterile package until use.
- Approved sharps containers must be located in the area that the sharps item is used.
Remember: You do not have to see blood or body fluids on instruments for an infection to occur.
- For extractions, pre-packaged, single-use sterile needles and lancets must be used and discarded in an approved sharps container immediately after use.
- Some instruments such as tips for diamond-peel microdermabrasion, and needle caps, are required to be sterile prior to use. If these items are reusable, they must be cleaned and then sterilized by an acceptable method. If they are not reusable, they must be disposed immediately after use.
- Some reusable equipment and instruments must be cleaned and then disinfected (low to high level) between clients:
- facial steamers – low level
- tables, headrests – low level (high level if surfaces contaminated with blood and body fluids)
- high frequency glass or metal probes – intermediate to high level
- comedone extractors – intermediate to high level
- Equipment and instruments that cannot be properly cleaned and disinfected between clients are single-use, such as cotton balls, swabs, sponges, tissues, wooden applicators, needles, lancets, micro-dermabrasion tubing and tips, and plastic needle caps.
- Equipment surfaces such as control unit, magnifying lamp and light source, clip cord, touched by the practitioner during the procedure shall be cleaned and low level disinfected (clip cord – intermediate) after each client. Alternatively, single-use plastic can be used to cover the surface and discarded after each client and then the surface must be cleaned and low-level disinfected at the end of the day.
- Provide an approved sterilizer or pre-packaged, sterile items
- If pre-packaged, sterile items are provided, records of all information are required onsite for tracking purposes, such as proof of sterility, name of company that sterilizes the needles, lot numbers, invoices and receipts. Any sterile items without records may be seized by the Public Health Inspector at time of inspection.
Source: Ministry of Health and Long-Term Care, Infection Prevention and Control Best Practices for Personal Services Settings, January 2009