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. equipment shall not be used after the expiration date or if the package has been breached. If disposable instruments are used, those instruments shall be disposed of in accordance with applicable laws. All hazardous waste, body fluids, and medical waste of any kind shall be disposed of in accordance with the Virginia Department of Environmental Quality's Regulated Medical Waste Regulations, 9 V AC 20-120-10 et seq., as amended, or any successor regulation. (14) Jewelrv/ornamentation. All jewelry used in body piercing shall be made only of surgical implant grade stainless steel, solid l4K or l8K white or yellow gold, niobium, titanium, platinum, or dense and low-porosity plastic. All jewelry shall be free of nicks, scratches or irregular surfaces and shall be in a properly sterilized condition when used. . (15) Hand washing and gloves. The body artist shall wash his or her hands with liquid germicidal soap or use a sanitizing solution between customers, between tattooing or piercing different parts of the body on the same person, and whenever gloves are changed. Hands should be washed when visibly soiled. The body artist shall wear protective, disposable latex or vinyl gloves while tattooing, and shall wear a new pair of gloves for each client and when tattooing or piercing different parts of the same client. Gloves shall also be changed for any interruption of service, each time gloves become torn or perforated, or whenever the ability of the gloves to function as a barrier is compromised. (16) Communicable diseases. No tattoo may be administered by any person having a communicable disease until they have provided a written statement to the Department of Professional and Occupational Regulation from a health care practitioner that the artist's condition no longer poses a threat to public health. Body artists having draining lesions on their hands or face will not be permitted to work until cleared by a health-care professional. Body art should not be performed on any skin surface which manifests any evidence of unhealthy conditions such as rashes, boils, infections, or abrasions. (17) Client screening and disclosure. Before performing any body art procedure, the body artist shall inform the client that the performance of a body art procedure may involve health risks if the client has any ofthe following conditions or medical history: a) history of diabetes or other immune disorders b) history of hemophilia or other bleeding disorders c) history of skin diseases, skin lesions, keloidal scarring, or skin sensitivities to soaps, disinfectants,etc. d) history of allergies, adverse reaction to pigments or dyes, latex, or other skin sensitivities. e) history of epilepsy, seizures, fainting, or narcolepsy. .