Particular aspects of disinfecting

1. Germicides. In disinfecting tools, instruments, and implements, a disinfectant treatment of tools, instruments, and implements must be used in accordance with the directions of the manufacturer. All germicidal solutions must be fresh, clean, and free from contaminants. 2. Fluids, creams, waxes, cosmetic preparations, and powders. All fluids, semifluids, creams, waxes, and powders must be kept in a clean, enclosed container and must be dispensed with a clean spatula or from a shaker, dispenser pump, or spray-type container. The reuse of the same spatula or applicator for the same client, also known as double dipping, is prohibited to prevent cross-contamination. If product becomes contaminated or debris is found, the product must be discarded. 3. Wax. a. A new pair of gloves must be worn when performing waxing or tweezing services. b. Wax must be dispensed with a single-use applicator for each application and must be discarded after a single use. Double dipping is prohibited. Paraffin wax must be portioned out for each client in a bag or other container or dispensed in a manner that prevents contamination of the unused supply. c. Wax pots must be cleaned of all wax residue. d. Roll on wax must be single-use cartridges only. Cartridges with removable roller heads are prohibited. e. If debris is found in the wax pot or paraffin warmer, or if the wax or paraffin has been contaminated by contact with skin, unclean applicators, or double dipping, the wax pot or paraffin warmer must be emptied, the wax must be discarded, and the pot or warmer must be disinfected. 4. Tools and instruments. All tools, instruments, and implements must be kept clean and disinfected at all times. Padded brushes must be cleaned and sprayed with disinfectant and may not be immersed . 5. Containers. The manufacturer's label must be on all original containers for any chemicals used in the establishment and school. All bottles and containers must be correctly and distinctly labeled with the manufacturer's label to disclose their contents, and all bottles and containers containing poisonous substances must be so designated. 6. Waste container. Each licensed establishment and school must provide adequate covered and lined waste containers which must be emptied when full. 7. Wet disinfecting units. Each establishment and school shall have wet disinfecting units of sufficient size and quantity to disinfect all tools, instruments, and implements of the establishment, and such disinfectants must be readily accessible and used according to the manufacturers' directions. 8. Storage of supplies. Every establishment and school shall have a separate enclosed cabinet or storage area for supplies. Any supplies containing caustic or other material harmful to humans must be stored in a place not readily accessible to clients or the public. 9. Electrical outlets. Each licensed establishment and school shall have a sufficient number of electrical outlets so that no cord or electrical connection constitutes a hazard, fire or otherwise, to the public or individuals employed or learning in the establishment. 10. Neck brushes. An establishment or school may not use neck brushes. 11. Cleaning and disinfection of pedicure and manicure equipment. All pedicure chairs, pedicure carts, foot spas, manicure tables, screens, filters, drains, and other removable parts must be cleaned and disinfected after each use. a. Piped pedicure tubs with jets. For piped pedicure tubs equipped with jets: (1) The disinfectant must be circulated through the system at the proper concentration; (2) Circulation must continue for the manufacturer's recommended contact time; and (3) The tub then must be rinsed with hot water and dried with a clean towel. b. Use of liners. The cleaning and disinfecting procedures outlined in this section must be followed regardless of whether liners are used in the pedicure tub. Liners must only be applied immediately prior to pedicure service. 12. Dry storage. All tools, instruments, and implements must be stored in a clean closed cabinet, container, or drawer. The use of self-sealing sterilization pouches as a means of storage is prohibited unless the use of an FDA-regulated medical sterilization device is used. Paper, money, candy, and personal items may not be stored or placed in cabinets or drawers where tools, instruments, and implements are stored. 13. Ultraviolet light. Ultraviolet light boxes used as a means of disinfection are prohibited. 14. Banned products. Any products or supplies banned by the United States drug enforcement administration or other federal, state, or local governing agency, including methyl-methacylate, are prohibited. Banned products or supplies may not be kept on the premises. 15. Prohibited tools, implements, equipment, and practices. The following tools and procedures are prohibited: a. Razor-type callus shavers, credo blades, rasps, graters, or other similar sharp implements for skin removal, due to the risk of client injury associated with their use, except as otherwise provided in North Dakota Century Code chapter 43-11. b. Performing injections of any kind, even under the direction or supervision of an approved health care provider. c. Performing blood draws, even under the direction or supervision of an approved health care provider. Prohibited tools, implements and equipment may not be kept on the premises.