SAFETY AND INFECTION CONTROL RULES: PRACTICE STANDARDS
A practitioner providing service or working in a facility after diagnosis of immunodeficiency disease or condition or Hepatitis B, C, or D shall observe and follow all current Centers for Disease Control (CDC) standards for public service workers regarding personal protection equipment and disposal of blood or bodily fluid contaminated articles, tools and equipment. These standards shall also apply to practitioners or employees providing services to clients who have been diagnosed with having an immunodeficiency disease or condition or Hepatitis B, C, or D. It is the position of the Board that human immunodeficiency virus (HIV) is the cause of acquired immunodeficiency syndrome (AIDS) and related immunodeficiency conditions. This virus, as well as Hepatitis B virus (HBV), Hepatitis C virus (HCV) and Hepatitis D virus (HDV), may be transmitted by sharp instruments contaminated by blood or other body fluids, if proper precautions are not followed.
Note: As the carriers of these viruses may have no symptoms, the most prudent course to follow is to treat body fluids from all persons with the same high standards of caution and to rigorously follow established safety and infection control practices as required by the law and rules of the Board. There is no published evidence to support casual transmission of HIV, by sneezing or touching, even in close household settings involving AIDS patients and family members caring for them at home. Because HIV is not spread by casual means and because of the inadequacies of the HIV antibody test, there is no reason for the Board to require blood tests prior to certification and/or licensure. Good hand washing after glove removal and between each client is imperative and the most important procedure for prevention of all infections, including HIV. Uniform body fluid precautions are ample to prevent transmission of HIV or HBV, HCV and/or HDV in a facility setting.
Stat. Auth.: ORS 676.605, 676.615, 690.165
Stats. Implemented: ORS 676.605, 676.615, 690.165
Hist.: BH 2-1978, f. & ef. 11-29-78; BH 4-1984, f. & ef. 12-7-84; BH 1-1988, f. & cert. ef. 7-1-88; BH 2-1990, f. & cert. ef. 10-29-90; Renumbered from 817-010-0130(1); BH 1-1992, f. 6-1-92, cert. ef. 7-1-92; Former section (3) renumbered to 817-010-0135(4); BH 3-1994, f. 6-23-94, cert. ef. 7-1-94; BH 1-1996, f. 5-31-96, cert. ef. 7-1-96; Renumbered from 817-010-0125; BOC 1-2000, f. 5-12-00, cert. ef. 5-15-00; BOC 1-2004, f. 6-29-04, cert. ef. 7-1-04
(1) Practitioners shall observe and follow thorough hand washing with soap and water or other alternative hand-washing products, such as gel, aerosol spray, foam, or pre-packaged hand wipes, immediately before and after serving each client as needed to prevent cross contamination and/or transmission of body fluids, infections or exposure to service-related wastes or chemicals.
(2) Practitioners who have visible open sores or bleeding lesions on their hands or arms shall not have client contact until the lesions have healed to the scab phase and shall cover them with protective gloves and/or impervious bandages prior to contact with clients.
(3) Practitioners shall wear single-use disposable or cleaned and disinfected protective gloves when performing service or affecting a procedure that routinely involves body fluid exposure, such as during a facial where blood, pus, or weeping of the skin may be present or is likely to occur during the service.
(4) Practitioners shall wear eye goggles, shields and/or a mask if spattering is likely to occur while services are being performed.
(5) Practitioners performing service on clients with skin conditions that are wet or weeping shall wear single-use protective gloves. Single-use disposable gloves shall be used and discarded after use with each client.
(6) Disposable materials that come in contact with blood and/or body fluids, such as discharge from pustules, pimples, and sebaceous glands, or are used in cleaning blood spills shall be discarded according to provisions of OAR 817-010-0060 to protect the practitioner, clients and others who may come into contact with the material.
(7) Head lice may be treated at the discretion of the practitioner and/or facility owner. Compliance with OAR chapter 817, division 10 Safety and Infection Control Rules: Facility Standards, shall be observed and followed.
Stat. Auth.: ORS 676.605, 690.165, 690.205
Stats. Implemented: ORS 676.605, 690.165, 690.205
Hist.: BH 2-1978, f. & ef. 11-29-78; BH 4-1984, f. & ef. 12-7-84; BH 1-1988, f. & cert. ef. 7-1-88; BH 2-1990, f. & cert. ef. 10-29-90; Renumbered from 817-010-0130(2); BH 1-1992, f. 6-1-92, cert. ef. 7-1-92; Renumbered from 817-010-0125; BH 3-1994, f. 6-23-94, cert. ef. 7-1-94; BH 1-1996, f. 5-31-96, cert. ef. 7-1-96; Renumbered from 817-010-0135; BBH 1-1998, f. 6-24-98, cert. ef. 6-30-98; BOC 1-2000, f. 5-12-00, cert. ef. 5-15-00; BOC 1-2004, f. 6-29-04, cert. ef. 7-1-04
Skin Care Services
(1) Estheticians may use only those chemicals or products, natural or synthetic, and manual mechanical devices designed for skin care services.
(2) Estheticians shall not use chemicals or products, natural or synthetic, manual and mechanical devices, which may damage skin.
(3) Chemicals prohibited for use shall include, but not be limited to, the following:
(a) Unbuffered alpha-hydroxy acids at concentrations greater than 15 percent;
(b) Buffered concentrations of alpha-hydroxy acids of 10 to 30 percent where pH is less than 3;
(c) Any concentration or formulation of alpha-hydroxy acids greater than 30 percent;
(d) Any concentration or formulation of trichloracetic acid (TCA) formulation containing phenol or resorcinol, or salicylic acid which acts on living tissue.
(4) An esthetician must obtain training in the safe and effective use of each chemical, product or device that the esthetician uses to provide services in the practice of esthetics, and must provide documentation of that training in response to a request from the agency. Refer to OAR 817-010-0065.
(5) All exfoliant products or formulations, and manual or mechanical devices shall be used in accordance with manufacturer’s recommendations.
Stat. Auth.: ORS 676.605 & 690.165
Stats. Implemented: ORS 676.605 & 690.165
Hist.: BH 1-1996, f. 5-31-96, cert. ef. 7-1-96; BH 1-1997, f. 7-22-97, cert. ef. 8-1-97; BOC 1-2000, f. 5-12-00, cert. ef. 5-15-00; BOC 2-2001, f. 2-16-01, cert. ef. 3-1-01; BOC 1-2002, f. 5-31-02 cert. ef. 6-1-02; BOC 1-2004, f. 6-29-04, cert. ef. 7-1-04; BOC 1-2006, f. & cert. ef. 3-15-06; BOC 1-2008, f. 5-27-08, cert. ef. 6-1-08
(1) Facility owners and independent contractors providing esthetic or nail technology services must maintain client records to ensure basic client information is available to safeguard the health and well being of both the client and practitioner.
(2) Legible hand-written or electronic records are acceptable. Basic client information includes the client's name, address, telephone number, type of service and date of service.
(3) The record must include the name and registration number of the practitioner providing service, and special instructions or notations that the practitioner believes to be pertinent to providing esthetic or nail technology services to the client, such as bleeding disorders, allergies or sensitivities to chemicals or products or complications during service(s).
(4) A practitioner may obtain medical advice if necessary to safeguard the client or the practitioner.
(5) Client records must be kept at the facility premises for a minimum of two years and must be made available immediately upon request from an enforcement officer of the Oregon Health Licensing Agency.
(6) A practitioner may not provide services to a client who refuses to provide the personal information required by (2) of this rule unless the client signs a waiver form documenting the client's refusal to provide the required information. The signed waiver form must be retained on file in the manner required in subsection (5) of this rule for client records.
(7) Practitioners providing laser hair reduction services must comply with client intake assessment and record keeping requirements of OAR 817-015-0070.
Stat. Auth.: ORS 676.605 & 690.165
Stats. Implemented: ORS 676.605 & 690.165
Hist.: BOC 1-2002, f. 5-31-02 cert. ef. 6-1-02; BOC 1-2004, f. 6-29-04, cert. ef. 7-1-04; BOC 1-2006, f. & cert. ef. 3-15-06; BOC 1-2008, f. 5-27-08, cert. ef. 6-1-08
Laser Hair Reduction Client Assessment and Records
Practitioners providing laser hair reduction services must adhere to the following practice standards in rendering acceptable client skin care:
(1) Maintain an accurate client record, which includes complete past and current health history obtained from each client before service. The assessment shall be updated and evaluated on a current basis, and must include the following:
(a) Name, address, telephone number, and date of birth.
(b) Client medical history information relevant to providing services.
(c) Prior methods of controlling or removing hair.
(d) Condition of skin tissue before initial service and any subsequent change.
(e) Pattern and structure of hair growth initially presented and any changes.
(f) Client consultation, evidence of informed consent (may be in the form of an acronym such as “PARQ” to denote procedures, alternatives, risks and questions).
(g) Date and duration of each service.
(h) Area of hair reduction service, and use of energy fluence, pulse duration and spot size.
(i) Observation of skin reaction(s) to service(s).
(j) Any other information deem appropriate to client service.
(2) Documentation must be legibly written or computerized. Client documentation, written or archived electronically by computer, must be retained for a minimum of two years and available upon request by the agency.
(3) Provide each client with a clear and concise explanation of the process and likely outcome of laser hair reduction services before providing the service:
(a) Laser hair reduction procedures.
(b) Modality to be used.
(c) Hair growth / regrowth cycles.
(d) Recommended schedule for service.
(e) Possible adverse reactions after service.
(f) Post-service care.
Stat. Auth.: ORS 690.165 & 690.205
Stats. Implemented: ORS 690.165
Hist.: BOC 1-2008, f. 5-27-08, cert. ef. 6-1-08