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Sterilization,Sanitation and Safety Standards June 301998 (f) All substances, including but not limited to pignrt ; and dyes, used in the procedures shall be dispensed from containers in i nanner to prevent contamination of the unused portion. (g) if spray bottles are used to dispense liquids, the ligmd shall be sprayed onto a single-use wipe rather than directly onto the ;:hent. (h) The permanent cosmetic technician shall not be rcquired to have an ultrasonic cleaner and a hospital grade sterilizer if'onfy individually packaged, sterile, single-use, needles, needle chambers machine tips, machine casings,and combo couplers are used. I I'any instruments are re- used,they must be cleaned in an ultrasonic cleancr iutd sterilized in a hospital grade sterilizer. (i) If a manual device is used, it shall be single use and disposable. The device shall be sterilized before use, and discarded in a sharps container at the end of the procedure. (j) The use of some rotary pens(also called cosmetic machines) is permitted. Any rotary pen that uses a sponge at the opening of chamber to stop the pigment or body fluids from getting into the machii,e or is designed in a manner that doesn't allow it to be properly cleaned and sterilized shall not be permitted. (k) Only rotary pens that have detachable,disposable, sterile combo couplers and detachable, disposable or autoclavable casings that can be cleaned and sterilized can be used. Pre-sterilized needles shall be used in all procedures. (1) The use of any traditional coil machine shall be permitted providing the permanent cosmetic technician has a shop with an ultrasonic cleaner and hospital grade sterilizer to clean and sterilize the needles and needle bars, and the needle tubes. (m) Disposable sterile machine tips,combo couplers,needles,needle chambers,and casings shall not be re-used. (n) Fresh pigment and disposable pigment containers shall be used for each client. Used pigment and pigment containers shall be discarded after each client. (o) Immediately, before the procedure is begun, the procedure area shall be wiped down with an EPA registered germicide or disinfectant or a solution of two(2)tablespoons of bleach in one(1)quart of water and the procedure area covered with an uncontaminated paper towel or tray cover. All instruments and supplies needed for the procedure shall then be arranged on the paper. (p) Before application of permanent cosmetics, the immediate and surrounding area of the skin where the cosmetics are to be applied shall be washed with an antimicrobial soap and water or an EPA-approved antiseptic solution applied with a clean single-use paper product. If shaving is necessary, single-use disposable razors or safety razors with single service blades shall be used and discarded after each use and the reusable holder shall be sterilized in an autoclave after each use. following shaving,the skin and surrounding area shall be washed with an 14