(1) All nondisposable instruments used for tattooing or body piercing that can come into contact with blood or body fluids must be individually wrapped and sterilized by an autoclave. All disposable instruments that come into contact with blood or body fluids must come from the supplier individually wrapped and sterile.

(2) All jewelry must be sterilized or disinfected by at least one of the following methods:

(a) individually wrapped and autoclaved;

(b) come from the supplier individually wrapped and sterile; or

(c) be disinfected by complete immersion in 70% alcohol.

(3) Whenever an autoclave is used, the following requirements apply:

(a) Autoclave packaging and a testing indicator for verifying temperatures must be used each time.

(b) The autoclave must be allowed to run a complete cycle for 20 minutes at 15 pounds of pressure at a temperature of 250°F (121°C), or in accordance with the autoclave manufacturer's instructions.

(c) After autoclaving, the package must be dated and initialed by the artist. If the autoclaved instrument or jewelry is not used within six months of the sterilization date, or if the packaging is no longer intact, the article must be rewrapped and resterilized before use.

(d) Monthly biological monitoring must be conducted on the autoclave using standard spore units that are analyzed by a certified laboratory.

(e) Following sterilization, equipment, and jewelry must remain in the autoclave packaging.

(4) Sterile packages must be opened in full view of the client.

(5) Jewelry that is sterilized by a chemical sterilant must be immediately inserted into the client to prevent possible contamination.