Patti Owens RN, MHA, CMLSO, Abigail Colbert CMLSO
The advancement of laser technology creates new beam and non-beam hazards with decisive laser safety controls. The diversity of laser technology, environments, personnel, and procedures dictate critical assessment skills for each unique clinical application. Compliance with regulatory agencies and non-governmental controls is necessary to mitigate potential injuries. This lecture will highlight areas of workplace non-compliance and how translated regulations and evidence-based practices can provide successful remediation outcomes.
ANSI Z136.3-2018 “Safe Use of Lasers in Health Care” Section 1.3.2.2 describes the evaluation of the potential hazards of each laser and control measures to mitigate risks to the patient and laser team members. These standards apply to whether a laser is owned, rented, or leased. Risk assessment and management are the foundation for establishing a successful facility-based Laser Safety Program. The LSO and other delegated laser team members must understand the nuances and risk factors associated with each laser’s wavelength, accessories, specialty procedure utilization, and personnel dynamics within the laser room.
Lecture will explore potential hazardous situations regarding non-compliance with laser protective eyewear, the creation of the laser treatment control area, staffing of the laser operator, and the use of smoke/plume evacuation equipment. Additional areas of potential hazards will be reviewed in regards to developing a laser safety program with an appointed LSO, consensus with an ENT shared airway protocol, and the need for education of the laser team. Common knowledge gaps related to deficiencies in one’s laser safety compliance background and the essential mediation skills necessary for the laser team will be explored. Exploring strategies for best practices for patient safety, risk management, and the creation of a successful laser safety program will be the ultimate goal of this presentation.