The Medical Laser Safety Officer has the responsibility to administer the Laser Safety Program in the treatment area of the Health Care Facility. One important component of the safety program is the evaluation and control of potential hazards associated with the Laser and its use.

This presentation will focus on the electrical hazards that may adversely affect health care personnel and the patients receiving treatment. These non-beam hazards often do not receive the attention they should when performing a hazard analysis. A more thorough evaluation may be performed and a more detailed Safety Audit checklist may be developed when the MLSO has specific information regarding electrical systems and components.

Information presented in this document will include:

  • Defining an electrical shock

  • Understanding micro/ macro currents and shocks

  • Electrical power systems: grounded versus isolated

  • Power outlets, cords, cord caps and strain relief

  • Extension cords

  • Leased equipment electrical safety considerations

  • Regulatory agencies and Standards

By applying specific knowledge of the electrical environment in the laser treatment area, the MLSO will have the opportunity to develop useful electrical safety audits, hazard evaluations and control measures. The MLSO will also have an understanding of the role that the Clinical Engineering/Bio-Med and Facilities Management departments have in providing support in the maintenance of an electrically safe laser use environment.

1.
NFPA 99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.3
2.
ANSI Z136.1-2007 (
For Safe Use of Lasers
) Chapter 7-7.2.1.4
3.
NFPA 99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.4.1.1
4.
http://en.wikipedia.org/wiki/ Mains Electricity by Country
5.
NFPA 99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.3.2.2.2
6.
NFPA 99 (
2012
)
Health Care Facilities Code Handbook
.
7.
ANSI/AAMI ES 60601-1-1-2005 (
American National Standards Institute/Association for the Advancement of Medical Instrumentation
).
8.
IEC, (International Electrotechnical Commission)
Medical Electrical Equipment-Part 1: General requirements for Safety and Essential Performance, International Electrotechnical Commission,
Geneva
,
1995
.
9.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.3.2.1.2
10.

IEC 60601-1-clause 4.7

11.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-63.2.6
12.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.3.2.6.3
13.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6-6.3.2.6.3.2
14.
http://electricalsafetyanalyzers.com (
NETECH Biomedical and Industrial Test Equipment
)
15.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 3-3.1.175, Touch Current (General Definitions)
16.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 10-10.2.3.2
17.
ANSI Z136.1-2007 (
For Safe Use of Lasers
) Chapter 7-7.2.1.1
18.
http://www.cemag.com/archive/02/Spring/richards.html (
Medical Electronics: Ensuring Compliance with Product Safety Tests
)
19.,20.
23.
ANSI Z136.1-2007 (
For Safe Use of Lasers
) Chapter 7-7.2.1(.2)(.3)
24.
ANSI Z136.1-2007 (
For Safe Use of Lasers
) Chapter 1.3 (Laser Safety Programs) and Appendix A (A1.2)
25.
ANSI Z136.3-2011 (
For Safe Use of Lasers in Health Care
) Chapter 5-5.1
26.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 7-7.2
27.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 4-4.1, 4.2, 4.3
28.
Laser Institute of America CMLSOs’ Best Practices in Medical Laser Safety
(
2012
) Chapter 8-8.2, 8.3
29.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 6- A.6.3.2.2.8.4 9
30.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 7-7.1
31.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 1-1.3.2
32.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 4-4.3.6
33.
LIA, CMLSOs’
(
2012
)
Best Practices in Medical Laser Safety
Chapter 3-3.3.4
34.
LIA, CLSOs’ Best Practices in Laser Safety
(
2008
) Chapter 10-10.1, 10-2
35.
LIA, CMLSOs’
(
2012
)
Best Practices in Medical Laser Safety
Chapter 9-9.1
36.
LIA, CLSOs’ Best Practices in Laser Safety
(
2008
) Chapter 2-2.1
37.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 5-5.2, 5.2.1, 5.2.2
38.
Laser Institute of America
(
2012
)
CMLSO’s Best Practices in Medical Laser Safety
, First Edition 8-8.3.1
39.
ANSI Z136.3-2011, (
For Safe Use of Lasers in Health Care
) Chapter 1-1.4.2
40.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 10-10.3
41.
NFPA-99 (
2012
)
Health Care Facilities Code Handbook
Chapter 1-1.3.4.3, Chapter 6-6.3.2.2.8, Chapter 3-3.3.184 and A.3.3.184
42.
LIA, CMLSOs’
(
2012
)
Best Practices in Medical Laser Safety
Chapter 2
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