On November 1, USP published the new version of USP <797> which will become effective November 1, 2023. Although the new chapter clarifies a number of issues, we still find a few topics that our clients ask for further clarification. One of those areas is USP <797> jewelry and cosmetics requirements.
What Are USP <797> Jewelry and Cosmetics Requirements?
Question: To comply with USP <797> requirements, what jewelry may be worn, if any, by staff working in the clean room?
Answer: The USP <797> chapter contains specific requirements for jewelry and cosmetic use. Hand jewelry such as rings may not be worn under sterile gloves because the ring(s) may compromise the effectiveness of hand hygiene or tear the glove(s) while being donned. Jewelry that cannot be removed, such as microdermal piercings, may be worn so long as they are covered to minimize the risk of contamination. In addition, cosmetics, including eyelash extensions, are not allowed.
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Would you comment on whether nose rings could be reasonably allowed as they do not interfere with garbing?
This is an excellent question. We have not seen a specific Q&A released regarding facial jewelry, particularly nose rings. However, the new language forbids all jewelry, and since nose rings are considered jewelry, they, too, would be prohibited.
I am seeing nose rings being worn in our hospital IV preparation clean room.
I too stated it was jewelry. Is there a place in the rules that can be copied & shown to these people that nose rings are NOT allowed?
Thanks, in advance.
Terri
Hi Terri: Unfortunately, there is not a clear line here between removing piercings and covering them in the regulations. The 797 USP General Chapter 3.1 Personnel Preparation states you need to remove exposed jewelry including piercings that could interfere with PPE. It states you must cover non-removable jewelry.
I would suggest looking at hospital policy for dress code in general and similar infection risk occupations such as OR staff and try to be consistent. Some states may be more rigorous in their interpretation of “no piercings,” like California which prohibits them by regulation.
USP has an unusual design in that it places responsibility for protecting the compounding environment in the hands of the “designated person.” That individual has to analyze the literature, consult with infection prevention and come up with a conclusion. The designated person could establish more rigorous microbiological surface sampling frequency upon the staff who have facial piercings to determine if there is any genuine risk.
Covering the facial piercing is one potential option. We have read an OR study from England that said removal of facial piercings brings more bacteria to the surface of the skin, than just leaving it alone and covering it.
Hope that helps. Let us know if we can be of further assistance.