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PDFWAC 246-145-030

Sterile procedures in electrology.

To ensure that clients are not exposed to disease through needles or other instruments, electrologists must:
(1) Use single-use, presterilized disposable needles on one client and then dispose of the needle immediately in a puncture-resistant container;
(2) Not use reusable needles;
(3) Use single-use sharp items on only one client and dispose of the items immediately in a puncture-resistant container;
(4) Only reuse cleaned and sterilized sharp items and instruments that are intended for multiple use;
(5) Thoroughly clean and sterilize reusable sharp items and instruments between clients;
(6) Accumulate reusable sharp items and instruments in a holding container by submersion in a solution of a protein-dissolving enzyme detergent and water;
(7) Sterilize reusable items in a steam autoclave or dry-heat sterilizer, which is used, cleaned and maintained according to the manufacturer's instructions;
(8) Resterilize a reusable sterile instrument before using it on a client, if it is contaminated by dropping, by touching an unsterile surface, by a torn package, by the package being punctured, damaged, wet or by some other means;
(9) Immediately dispose of a single-use item in a puncture-resistant container, if it is contaminated by dropping, by touching an unsterile surface, by a torn package, by the package being punctured, damaged, wet or by some other means;
(10) Immediately dispose of an instrument in a puncture-resistant container if the expiration date has passed; and
(11) Monitor sterilizers to determine that all conditions of sterilization are met. This includes:
(a) Assuring that sterilizers have a thermometer and timer to indicate whether adequate heat has been applied to packaged equipment;
(b) Using or checking chemical indicators on each package to assure the items have been exposed to the sterilization process;
(c) Sterilizers must be tested by biological spore tests according to the manufacturer's instructions. In the event of a positive biological spore test, the electrologist must take immediate action to ensure all conditions of sterilization are met; and
(d) Documentation of monitoring must be maintained either in the form of a log reflecting dates and person(s) conducting the testing or copies of reports from an independent testing entity. The documentation must be maintained at least three years.
[Statutory Authority: RCW 70.54.340. WSR 10-12-057, § 246-145-030, filed 5/27/10, effective 7/1/10; WSR 02-11-109, § 246-145-030, filed 5/20/02, effective 6/20/02.]
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