Laser Safety
Laser Safety
1.0 Purpose:
1.1 To provide patients, employees, credentialed specialists, contractors, and visitors with a safe
working environment during the use of laser equipment.
2.0 Definitions:
2.1 FDA Laser Classification
2.1.1 Considered non-hazardous. Hazard increases if viewed with optical aids,
including magnifiers, binoculars, or telescopes.
2.1.2 Hazard increases when viewed directly for long periods. Hazard increases if
viewed with optical aids.
2.1.3 Depending on power and beam area, can be shortly hazardous when directly
viewed or when staring directly at the beam with an unaided eye. Risk of injury
increases when viewed with optical aids.
2.1.4 Immediate skin hazard from direct beam and immediate eye hazard when viewed
directly.
2.1.5 Immediate skin hazard and eye hazard from exposure to either the direct or
reflected beam; may also present a fire hazard.
3.0 Supplies:
3.1 Laser Manual Guidance book (Sphinx jr)
4.0 Responsibilities:
4.1 Operation theater staff
5.0 Policy:
5.1 IAH set program for the safe use of lasers to protect patients and staff during laser use.
5.2 All Physicians and nurses dealing working with laser will be trained and assessed annually
for training and education needs.
5.3 Biomedical Engineering is responsible for performing regular preventative maintenance and
testing on laser machine as our hospital policy
5.4 Physician and nurse will inspect machine before every use.
5.5 All IAH laser procedure application is internal use
5.6 Staff will use Personal protective equipment during laser treatment.
5.7 Any adverse events result from the use of lasers devices should be reported immediately
5.8 Laser program will revised annually or when needed.
6.0 Procedure:
6.1 IAH use internal laser treatment only ( FDA- IV) for following identified applications:
6.1.1 Urology (ureter stricture, kidney stones…etc.)
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6.1.2 ENT (Reduction of turbinate, reduction of nasal septum…etc.)
6.2 Every Procedure should be applied as the manual application parameter for the following :
6.2.1 Pulse energy
6.2.2 Frequency
6.2.3 Stone Effect
6.2.4 Laser fiber
6.3 Procedure parameter will be documented on the intra operative screen.
6.4 Authorized physicians and staff they are oriented and trained about laser device, treatment
parameters, safety procedures, infection control procedures and event reporting management
will able to do laser treatment.
6.5 Biomedical engineer will trained all staff will working with laser device for the following:
6.5.1 Using the manufacture manual to set parameters for identified procedure.
6.5.2 Using the specific laser eye googles during working with laser device
6.5.3 How to inspect the laser device before any usage
6.5.4 How to activate laser stop and when they need to use
6.5.5 Safe equipment storing and moving.
6.6 Safety and infection interventions:
6.7 Operating room should be signed by laser warning sign before starting laser treatment and
the authorized staff should be interred only
6.8 The authorized staff should not ready laser treatment until to set parameter as the manual
application sitting
6.9 Laser device should be inspected externally for any failure before starting
6.10 The laser activation should not be started until the fiber tube (laser beam) is on the
selected organ, stone, cartilage…etc.
6.11 All staff working in the laser procedure should wear the protective goggles during
procedure
6.12 Even that the IAH laser used for internal treatment the staff should applied theater PPE
(Mask, Head cap, Gown and gloves)
6.13 The operation theater room window will covered by Laser Safety Covers.
6.14 The operation nurse will prepare wet pads for fire safety before procedure
6.15 Anesthesiologist will use the laser suitable endotracheal tube
6.16 Any procedure may developed dust and smoke the staff should draped area very well to
protect patient and staff.
6.17 Fiber tubes will discarded in the medical waste after the procedure as our hospital policy
6.18 Any adverse event occurred for patient/Staff should be reported immediately and action
plan will be set based on improvement needs.
6.19 Any laser device failure occurred should be reported immediately and Place a copy of
the out of service sign
6.20 Biomedical Engineering is responsible for performing regular preventative maintenance
and testing on laser device as our hospital policy
7.0 Attachment:
7.1 None.
8.0 References:
8.1 JCI accreditation 7th edition, COP.4
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8.2 FDA Medical Laser procedures
8.3 LISA Laser Products Guide