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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 234. Medical Micropigmentation |
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Subchapter 1. General Provisions |
SECTION 310:234-1-2. Definitions
Latest version.
- The following words and terms, when used in this Chapter, shall have the following meaning, unless the context clearly indicates otherwise:"Aftercare" means written instructions given to the client, specific to the micropigmentation procedure(s) rendered, on caring for the micropigmentation area and surrounding area."Antiseptic" means an agent that destroys disease-causing microorganisms on human skin or mucosa."Autoclave bag" means a bag for holding instruments or other items, which are to be put into an autoclave for sterilization."Certification" means written approval by the Department for a person to perform medical micropigmentation."Clinical certification examination" means the examination is a clinical scenario that tests the candidate's ability to perform micropigmentation procedures. The candidate demonstrates technical competency by scoring 100% on the clinical certification examination. The clinical certification examination consists of one scenario with three skills components, one of which may be retaken two (2) times before retraining is required."Committee" MMAC means the Medical Micropigmentation Advisory Committee."Contaminated waste" means any liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood and other potentially infectious materials, as defined in the "Occupational Exposure to Bloodborne Pathogens."[29 CFR § 1910.1030]"Department" OSDH means the Oklahoma State Department of Health."Disinfection" means the destruction of disease-causing microorganisms on inanimate objects or surface."Equipment" means all machinery, including fixtures, containers, vessels, tools, devices, implements, furniture, display and storage areas, sinks and all other apparatus and appurtenances used in connection with medical micropigmentation procedures."Handsink" means a lavatory equipped with hot and cold running water under pressure used solely for washing hands, arms or other portions of the body."Hot water" means water that attains and maintains a temperature as specified in OAC 158:30."Instruments used for medical micropigmentation" means handpieces, needles, needle bars and other instruments that may contact a client's body or body fluids during medical micropigmentation."Licensing board" means the Oklahoma State Board of Medical Licensure and Supervision, the State Board of Osteopathic Examiners and/or the Board of Dentistry.[21:841.5]"Liquid chemical germicide" means a disinfectant or sanitizer registered with the Environmental Protection Agency or an approximate 1:100 dilution of household chlorine bleach (500ppm, ¼ cup/gal. or 2 tablespoons/quart of tap water) made fresh daily and dispensed from a spray bottle."Medical micropigmentation" means a medical procedure in which any color or pigment is applied with a needle or electronic machine:(A) To produce a permanent mark visible through the skin;(B) Above the jawline and anterior to the ear and frontal hairline including but not limited to application of eyeliner, eye shadow, lips, eyebrows, cheeks, and scars; and/or(C) For regimentation of areas involving reconstructive surgery or trauma. [21:841.5]"Physician"means a person licensed to practice:(A) Allopathic medicine and surgery by the Oklahoma State Board of Medical Licensure and Supervision pursuant to the Oklahoma Allopathic Medical and Surgical Licensure and Supervision Act. [Title 59 O.S. Section 481 et seq.](B) Osteopathic medicine by the State Board of Osteopathic Examiners pursuant to the Oklahoma Osteopathic Medicine Act, [Title 59 O.S.620 et seq.] or(C) Dentistry by the Board of Dentistry pursuant to the State Dental Act. [Title 59 O.S. Section 328.1 et seq.]."Procedure surface" means any part of equipment designed to contact the client's unclothed body during a medical micropigmentation procedure."Sanitize/sanitization procedure" means a process of reducing the number of microorganisms on cleaned surfaces and equipment to a safe level as has been approved by the Department."Sharps" means any object (sterile or contaminated) that may purposefully or accidentally cut or penetrate the skin or mucosa including, but not limited to, pre-sterilized, single use needles, scalpel blades and razor blades."Sharps container" means a puncture-resistant, leak-proof container that can be closed for handling, storage, transportation and disposal and is labeled with the International Biohazard Symbol."Single use" means products or items that are intended for one-time, one-person use and are disposed of after use on each client including, but not limited to, cotton swabs or balls, tissues or paper products, paper or plastic cups, gauze and sanitary coverings, razors, piercing needles, scalpel blades, and protective gloves."Skills area evaluation" means an evaluation given at the end of instruction for a particular skills area that consists of two parts: technique and theory. Mastery of technique shall be demonstrated by performing the skills on the job sheet(s) for that skills area in the presence of an approved evaluator (supervising physician or instructor) with 100% accuracy. A candidate shall demonstrate mastery of micropigmentation theory by scoring 85% or greater on a written test over the material in that skills area."Skills Challenge" means a mechanism that enables persons who are currently performing supervised micropigmentation to challenge the training requirement through previous training and experience. Candidates who satisfactorily challenge the training requirement by satisfactorily completing all skills area evaluations can take the written and clinical certification examinations. Candidates who do not satisfactorily challenge the training requirement must enroll in a medical micropigmentation training program."Sterilization" means a process resulting in the destruction of all forms of microbial life, including highly resistant bacterial spores."Ultrasonic" means ultrasonic sound, which is pertaining to acoustic frequencies above the range audible to the human ear, or, above approximately 20,000 cycles per second. There are several types of ultrasonic devices."Universal precautions" means a set of guidelines and controls, published by the Centers for Disease Control (CDC) as "Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B to health-care and public-safety workers" in Morbidity and Mortality Weekly Report (MMWR), June 23, 1989, Vol. 38, No. S-6, and as "Recommendations for preventing transmission of human immunodeficiency virus and hepatitis B virus to patients during exposure-prone invasive procedures" in MMWR, July 12, 1991, Vol. 40, No. RR-8. This method of infection control requires the employer and the employee to assume that all human blood and specified human body fluids are infectious for HIV, HBV and other blood pathogens. Precautions include hand washing, gloving, personal protective equipment, injury prevention, proper handling and disposal of needles, sharps disposal, and disposal of products contaminated with blood and body fluids."Written certification examination" means an examination taken upon satisfactory completion of all skills area evaluations. An applicant demonstrates written competency by scoring 70% or greater on the written certification examination. The written certification examination may be retaken up to two (2) times before retraining is required.