About this fact sheet
This fact sheet has been developed by NSW Health to assist body piercers, and the operators of premises where body piercing is carried out, to adopt good infection control practices. Good infection control will prevent the spread of disease, as well as enable body piercers and body piercing operators to meet the requirements of the Public Health Regulation 2012 as they relate to 'skin penetration procedures'.
Procedures that involve skin penetration carry a greater risk of spreading disease because microorganisms (germs) can easily enter the body when the skin barrier is broken. Microorganisms that are present on dirty contaminated equipment, especially needles, have caused outbreaks of diseases such as hepatitis C and B. Most of the outbreaks of disease have occurred when contaminated needles were used. Because of this risk, needles must not be reused.
Premises - registration, construction and materials
- All premises that carry out skin penetration procedures, including body piercing, must be registered with the local council. Notification forms are available from Public health legislation.
- The construction of the premises should meet with local council requirements.
- The finish on all surfaces within the premises should be made of materials that are easily cleaned.
- Adequate lighting should be provided.
- Premises must be properly equipped with:
- a hand wash basin that has a supply of clean, warm, potable water (The hand wash basin should be located in the treatment area)
- a separate sink that has a supply of clean, warm water for cleaning equipment (A cleaning area should be provided and the dirty area should be separated from the clean area)
- liquid soap (or an alcohol based hand cleaner)
- single-use towels or an automatic hand dryer
- disposable gloves, clean linen and gowns or aprons that are appropriate for the skin procedures carried out at the premises
- a waste disposal bin.
- Any equipment at the premises must be in good working order, be cleaned and dried after use and be kept in a clean and dry condition.
- If reusable articles are sterilised on site, they must be sterilised using a bench-top steriliser that complies with AS 2182-1998 Sterilisers - Steam - Bench top. (There must be at least one person present at the time the steriliser is used who is adequately trained in the operation of the bench-top steriliser).
- Sterilisation must be carried out in accordance with AS/NZS 4815:2006 Office-based health care facilities - Reprocessing of reusable medical and surgical instruments and equipment, and maintenance of the associated environment.
- Equipment must be thoroughly cleaned (i.e. via scrubbing, using an instrument washer, and/or ultra-sonic cleaner) before processing through a bench-top steriliser (see How to Sterilise your instruments and comply with the Public Health Regulation, 2012 ).
- All instruments must be wrapped and packaged prior to processing through a bench-top steriliser. This will maintain sterility and permit aseptic removal of the contents of the pack at the time of use. An exception to this requirement is if items are used immediately after processing through a bench-top steriliser.
- The bench-top steriliser must have a print out facility to record the cycle parameters (i.e. temp, pressure, time), otherwise a Class 4, 5 or 6 chemical indicator must be placed in one instrument package (in ever load) or there must be direct observation and recording of cycle parameters.
- Where on-site technical support is not available to achieve calibration or validation, a Class 5 or 6 indicator must be placed in every instrument package (in every load) or a process challenge device must be used in every load.
- Equipment which is difficult to clean and sterilise, should only be used once and then thrown away (single-use only).
- If needles are used in the piercing procedure, they must be single use and disposed into an appropriate sharps container which complies with AS/NZS 4261:1994 Reusable containers for the collection of sharp items used in human and animal medical applications, or AS 4031 - 1992 Non-reusable containers for the collection of sharp medical items used in health care areas.
- Articles which are used in the piercing procedure but do not penetrate the skin must be cleaned and kept in a clean condition.
- Towels or other types of linen used for covering or protection during the piercing procedure must be clean at the start of each treatment. Linen should be washed in detergent and hot water.
- The premises must be kept in a clean and hygienic condition at all times.
- Treatment areas such as benches should be cleaned between each client and/or a clean covering placed over the treatment surface.
- All waste should be bagged appropriately and disposed of daily.
- The area to be pierced should be cleaned with a skin antiseptic.
- If a needle is used for a body piercing procedure:
Cartridges that hold the jewellery in place during a piercing should be disposed of immediately after piercing.
Most jewellery comes in pre-sterilised packaging and should be intact prior to the piercing, and open just prior to starting the piercing procedure.
Jewellery should not be used that has been on display.
Sterile parts of the equipment that will penetrate the skin should not be handled. (If handling sterile equipment is necessary, a sterile insertion tube, a pre-packed sterile alcohol swab, a sterile dry swab, or sterile single use gloves should be used).
There should be no exchange of jewellery once inserted into an opening.
To prevent cross contamination, all liquids, creams, inks and pigments must be decanted into single use containers, and a single use applicator must be used for each person undergoing the procedure.
If wax is used for hair removal, the wax and any instrument used to apply the wax (such as a spatula) must be immediately disposed after completing the procedure.
All waste should be bagged appropriately and disposed of daily.
Sterile packaging should be opened just prior to starting the treatment.
- it must not be reused
- it must be disposed of into an approved sharps container (see 'Equipment' above).
- A clean gown or apron and single use gloves must be worn by the person carrying out the body piercing during the procedure.
- If the person carrying out the body piercing has a cut or wound, it should be covered with a sealed waterproof bandage.
- Hands should be washed:
- before and after attending a client
- before and after a procedure
- after exposure to a body substance
- after touching a clients surroundings
- after the removal of gloves.
- See Hand Hygiene Australia for additional information on how to wash your hands.
- In circumstances where a topical anaesthetic preparation is required or desired, there is no objection to the client purchasing the product from a local pharmacy and bringing it to the body piercing studio. This product may then only be applied or used for that patron. The body piercing studio cannot under any circumstances supply a topical anaesthetic cream (such as Lignocaine, Emla cream, Medijel, and Xylocaine).
- Schedule 4 prescription only medicines (i.e. injections) can only be supplied and labelled by a medical practitioner and can only be administered by a medical practitioner or a nurse practitioner.
- Sterilisation records must be kept for 12 months showing (a) the time and date when each article was sterilised and (b) the length of time that the article was sterilised and the temperature and pressure levels of the bench-top steriliser.
- After care instructions should be provided to the client on cleaning the site and jewellery, infections, healing times and what possible problems to look for.
- Clinical/biohazard waste (i.e. waste containing any blood or bodily fluids) must be disposed into a clinical waste bin and then collected by a licensed waste contractor (see you local council).
- Body piercing practitioners should have adequate knowledge on body piercing and infection control. First aid knowledge is also recommended.
- Body piercing practitioners must comply with the Children and Young Persons (Care and Protection) Act 1998. For additional information please contact the Department of Community Services (DOCS), your local police or visit the NSW legislation website.
Fees and penalties for non-compliance
- Failure to comply with the Public Health Act 2010 and the Public Health Regulation, 2012 can result in the issue of a penalty infringement notice. Penalties range from $110 - $1100 for an individual and $220 - $2200 for a corporation. Maximum penalties are higher for prosecutions and may include a daily penalty.
- Administration fees ranging from $250 - $270 are charged if an improvement notice or prohibition order is required to be issued.
- Reinspection of the premises in relation to a prohibition order incurs a fee to the occupier of the premises of $250 per hour with a minimum charge of half an hour and a maximum charge of 2 hours (excluding time spent travelling).
Contact your local council or public health unit
In NSW, call 1300 066 055 to talk to your local public health unit.