28-24-12

Kansas Administrative Regulation No. 28-24-12

Infection Control Regulations for Practitioners and Facilities

28-24-12 Electrolysis instruments, equipment, and practices.

Only single-use instru­ments or sterilized equipment shall be used on a consumer.

1. Each licensee or appren­tice shall first clean all non-single-use nonelectrical instruments or equipment that comes in contact with an individual consumer by performing each of the following steps after each use with an individual consumer and before sterilization:
1. Clean the instruments or equipment with warm, soapy water with detergent to remove visible debris;
2. rinse and air-dry the instruments or equipment; and
3. immerse the instruments or equipment in an ultrasonic unit that is operated in accor­dance with the manufacturer’s instructions and that contains water and either a protein-dissolving detergent or an enzyme cleaner.
2. Each licensee or apprentice shall ensure that all non-
   single-use nonelectrical instruments and equipment are sterilized by adhering to either or both of the following practices:
1. Placing reuseable instruments in sterilization bags with color strip indicators and then placing the bags in a steam autoclave sterilizer or a dry-heat sterilizer that is ap­proved and listed by the FDA and that is used, cleaned, and maintained according to the manufacturer’s directions; or
2. using single-use, prepackaged, sterilized instruments or equipment obtained from suppliers or manufacturers.
3. Each steam autoclave sterilizer and each dry-heat sterilizer shall meet the following requirements:
1. Be approved by the U.S. food and drug administration (FDA);
2. contain visible physical indicators, including a thermometer and a timer, necessary to ensure that the steam autoclave sterilizer is functioning properly during sterilization cycles;
3. be used with chemical indicators that change color after exposure to the sterilization process, to ensure that all sterilization requirements are met; and
4. be cleaned, used, and maintained according to the manufacturer’s instructions.
4. Each cleaned instrument or piece of equipment shall be sterilized in accordance with the manufacturer’s instructions for each specific sterilizer and by utilizing one of the following:
1. Steam autoclave sterilizer. If a steam autoclave sterilizer is used, the instruments or equipment shall be sterilized for 15 to 20 minutes at 250 degrees Fahrenheit and the pres­sure shall consist of 15 to 20 pounds per square inch (psi).
2. Dry-heat sterilizer. If a dry-heat sterilizer is used, the instruments and equipment shall be sterilized for either 60 minutes at 340 degrees Fahrenheit or 120 minutes at 320 degrees Fahrenheit.
5. Each operator shall use a sterilization-monitoring service or laboratory using com­mercially prepared spores at least monthly to ensure that all microorganisms have been destroyed and sterilization has been achieved.
1. Each operator shall maintain a log at the establishment with the date and results of each monthly test for a minimum of three years and shall make the records available for review at any time by the board or the board’s designee.
2. A copy of the manufacturer’s procedural manual for operation of the steam autoclave sterilizer or dry-heat sterilizer shall be available for inspection by the board or the board’s designee.
6. Each licensee or apprentice shall place only the single-use instrument or sterilized equipment to be used for each consumer on a clean field and shall replace the clean field with a new clean field after each consumer.
7. Each licensee or apprentice shall dispose of each needle and any other sharp equip­ment in a puncture-resistant, leakproof container that can be securely closed for the handling, storage, transportation, and disposal of sharps. The container shall be red and shall be labeled with the biohazard symbol.
8. The surface of each counter, each piece of furniture, and each piece of equipment in each area where a consumer is served shall be made of smooth, nonporous materials. Each licensee or apprentice shall clean these surfaces using either an EPA-registered disinfectant according to the manufacturer’s instructions or a bleach solution.