SAFETY AND INFECTION CONTROL RULES: PRACTICE STANDARDS
(1) When providing services in a field of practice an authorization holder must:
(a) 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 to prevent cross contamination and exposure to blood or other potentially infectious materials.
(b) Wear single-use disposable protective gloves when performing a service or procedure that routinely involves exposure to blood or other potentially infectious materials.
(c) Wear eye goggles, shields or a mask if spattering is likely to occur while services are being performed.
(d) Dispose of refuse and waste materials that come in contact with blood or other potentially infectious materials according to provisions of OAR 817-010-0060.
(2) Head lice may be treated at the discretion of the authorization holder. Compliance with OAR chapter 817, division 10 Safety and Infection Control Rules: Facility Standards, must be observed and followed.
Stat. Auth.: ORS 676.605, 690.165 &
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; BOC 1-2014, f. 2-27-14, cert. ef. 3-1-14
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) An authorization holder providing esthetic or nail technology services is responsible for collecting and maintaining copies of client records. If client records are maintained by the facility the facility license holder must provide the practitioner certificate holder who is providing the services, with copies of those client records upon request. The record must include:
(a) Basic client information including the client's name, address, telephone number, type of service and date of service;
(b) The name authorization holder and practitioner certificate number of the practitioner providing the service, and special instructions or notations pertinent to providing esthetic or nail technology services to the client, includes but is not limited to, bleeding disorders, allergies or sensitivities to chemicals or products or complications during service(s); and
(c) Medical advice, if obtained.
(2) Client records must be kept at the facility for a minimum of two years and must be made available immediately upon request from an enforcement officer of the Oregon Health Licensing Agency.
(3) An authorization holder is prohibited from providing services to a client who refuses to provide the personal information required in subsection (1)(a) 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 (2) of this rule for client records.
(4) An authorization holder 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
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; BOC 1-2014, f. 2-27-14, cert. ef. 3-1-14
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
Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
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