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1. Specific State Rules and Regulations/ Specific State Medical Board Report Summary

Includes: Specific state Summary and applicable contact information: Recommended for Physician Cosmetic Laser Offices

Laser and Intense Light (LIL) devices and treatments are subject to numerous state regulations which are changing constantly, frustrating and confusing manufacturers of such devices and providers of services. Many states have increased the level of scrutiny of health and safety issues related to the use of lasers and intense pulsed light devices for cosmetic treatments. New statutes and regulations have been proposed, and task forces have been established to study these issues. Basic laser safety fundamentals for your facility should be based on Federal Laser Safety Guidelines as well as specific State Laser Regulations, occasionally requiring registration and fees, as well as a delegation documentation of the resident Medical Laser Safety Officer and training documentation responsible for each facility associated with medical lasers.

In addition to this evolving situation, state medical boards, professional healthcare boards, and non professional boards are involved in offering rules, regulations, position statements, and other mandatory or pre emptive suggestions to prepare the aesthetic laser practitioner for the trends of regulations to come. State specific rules may require specific training, registration, and documentation process for operators of these Class 3b and Class 4 lasers and Intense Pulse Light Devices. The task of evaluating the large amounts of information and the development of a program right for your business can be daunting.

This report contains researched material that provides the physician office Medical Laser Safety Officer the contact information and most recent information available on the status of both Federal and state specific rules and regulations pertaining to laser safety. If your lasers or facility should be registered, this report will provide the registration information. In addition, your report will contain information pertaining to the existence or trends towards state medical board or state health department mandates towards the acceptable delegation of responsibility of laser operators, training and documentation required.

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2. Laser Physician Office Informational and Document CD Tools (Surgical Facility and Physician Office Versions Available)

Includes: Specific State Summary (see #1), applicable contact information, Copy of Federal ANSI Z136.3 Laser Safety in Healthcare Facilities, Instructional CD for establishing Laser Safety Program in the Surgical Facility or Physician Office/Medical Spa Setting, and initial telephone consult as program guide with experienced Certified Medical Laser Safety Officer.

This program combines not only the Specific State Rules and State Medical Board Report Summary, but also provides the office facility Medical Laser Safety Officer or Physician with the step by step process for establishing the medical laser safety office documentation framework that your program can be built around. Key issues that are addressed are:
Medical Laser Safety Officer & Training/ Documentation (Medical Spa Setting)
Federal Laser Safety Guidelines Compliance
State Laser Regulations/ Registration/ Fees Compliance
Standard Operating Procedures/ Standing Order Templates
Training Guidelines for Operators and Staff
Quality Assurance Programs
Delegation of Authority and Supervision: Present and Future for Your State
Documentation Requirements
Program Annual Audit Procedures

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3. Medical Laser Safety Officer Training for the Hospital Setting (On Site & On Line Components)

Includes: Handouts, 9.0 Nursing Contact Hours (total on line and on site), certificates of completion, access to assigned on line programs “Laser Physics & Safety for the Operating Room”, “Medical Laser Operator Course”, and on site training component, “MLSO Concept Applications for the Perioperative Environment. Facilities will also receive Medical Laser Safety Surgical Laser Program Informational CD, and a facility copy of ANSI Z136.3 Federal Laser Safety Guidelines for Healthcare Facilities.

Each facility owning and/or facilitating the operation of Class 3b and 4 lasers are required to appoint a Laser Safety Officer responsible for developing and maintaining the Laser Safety Program for that facility. This program provides the facility Laser Safety Officer the tools and training to ensure that the appointed MLSO receives the education and training required to safely and effectively function in this position. The participant will be exposed to the basics of laser physics and safety, energy and power concepts, types of lasers and output modes, internal laser safety audit process, fundamentals of anticipating potential risks and injuries, techniques for limiting these risks and preventing injuries, didactic training on established best practices for the laser operator training behaviors and protocols, and tools to establish a properly documented surgical laser safety program
for JC, AAAHC, or other surgical healthcare facility inspection process. This program includes access to on line courses that cover “OSHA Laser Physics & Safety for the Operating Room”, “Medical Laser Operator Course”, as well as the onsite course “MLSO Concept Applications for the Perioperative Environment” This program provides a total of 9.0 nursing contact hours through the Texas Nurses Association and the North Carolina Nursing Association.

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4. Laser Physics and Safety for the Operating Room (On Line)

Includes: On Line Course Access, 1.4 Nursing Contact Hours available, certificates of completion

This on line program meets ANSI, OSHA, AORN, AAAHC and JC training requirements for annual update of surgical staff. Laser Safety Training is required for All PERIOPERATIVE STAFF working with or around medical laser systems. This requirement is established by ANSI Z136.3 “Safe Use of Lasers in Health Care Facilities” and enforced by surgical laser credentialing entities and laser safety enforcement groups.

This program provides 1.4 nursing contact hours through the Texas Nurses Association.

The course covers:
Laser and Energy Concepts
Laser Tissue Interaction
Laser Safety Concepts and Practices

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5. Hands On Laser Operational Training

This program provides a competency based hands on training with specific laser devices
owned, operated, or hosted by the hospital facility. Each participant will experience the
opportunity to have hands on training on all aspects of the laser equipment including
equipment introduction, laser device and accessory operation, application, tissue
response and applications safety, start up, shut down, and minor troubleshooting.
This requirement is established by ANSI Z136.3 “Safe Use of Lasers in Health Care
Facilities” and enforced by JCAHO, OSHA, and other state agencies.

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6. Medical Laser Operator Didactic Skills Training (On Line)

This innovative course is designed to provide a continuing educational experience to the medical/ surgical healthcare worker that will demonstrate the responsibility of a credentialed laser operator according to federal guidelines and commonly accepted bench mark facilities.

Whether the laser operator is experienced or new to the responsibility of surgical laser operation, this course will provide valuable insight into the laser operator role as well as decrease the time required to train a new laser operator. The Laser Operator Course should be used in conjunction with comprehensive hands on training with specific laser equipment that the operator will be responsible for.

This program provides 1.9 nursing contact hours through the Texas Nurses Association.

The course covers:
Laser and Energy Concepts Review
Medical Laser Safety Review
Class 4 Medical Laser Facility Expectations for Operators
Pre Operative, Intra Operative, Post Operative Behavior and Skills Sets
Special Safety Concerns
FAQs for Medical Laser Operators

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7. Holmium Laser Biophysics & Applications

This program will provide an educational program for the surgical nursing professional involved with holmium laser. This program describes the surgical holmium laser adjustments available, how those adjustments will affect different human target tissues, holmium laser surgical applications, holmium laser safety discussions, and discussions to assist in understanding how this laser energy source is used most efficiently and safely. The program is designed to instill an understanding of the surgical holmium, how it is used, how it affects tissue, and safety issues associated with this specific wavelength.

This program provides 1.8 nursing contact hours through the Texas Nurses Association.

The course covers:
Laser and Energy Concepts Review
Holmium Laser Tissue Interaction
Holmium Laser Safety Concepts and Practices
Truths and myths about holmium laser energy use and application

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8. ENT Laser Safety (On Line)

This course provides all members of the surgical team with the knowledge to prevent and if necessary contain possible tragic surgical events. Insight into the potential hazards associated with the use of lasers during airway surgery aides in reducing potential risks associated with the use of Class 3b or Class 4 lasers. Surgery in the airway using lasers is common and can afford the patient effective and efficient surgical outcomes. Proper training and education are necessary in reducing potential risks associated with patient injury during these procedures. The operating room team and medical staff should have access to a cohesive training program based on available techniques and procedures designed to prevent and manage these incidences. Airway fires are generally preventable by a surgical team that has been trained to understand the components of this type of fire, and how to work together as a team to manage the contributing factors of a potential airway fire.

The course covers:
The ENT Surgical Laser Fire Triangle
Cause and Effect of Surgical Laser ENT Fires
Class Specialty Procedures for Preventing ENT Laser Fires
Specialty Equipment for Preventing ENT Laser Fires
Proper use of ENT Laser Safety Equipment and Supplies
Special ENT Laser Safety Procedures and Protocol
Importance of Teamwork
Importance of Team Approach to Education and Training for Laser ENT Safety
Managing ENT Laser Fire
Role of the Mobile Laser Provider for ENT Laser Procedures at the Surgical Facility
The ENT Laser Surgical Team Dry Run
Team Training that Supports the Facility ENT Laser Safety Policies

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9. Laser Physics and Safety for the Healthcare Facility (OSHA) (On Line)

Regulatory educational course for annual healthcare worker updates on OSHA regulated Laser Safety when using Class 3b and Class 4 medical and surgical lasers (hospital and physician office setting) and teaching the healthcare worker how to understand laser technology and how to use the controls in place to protect themselves.

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10. Medical Laser Safety Officer Fundamentals for the Mobile Laser Provider (On Site)

This presentation is designed to provide the mobile laser provider technician with the basic fundamentals of the tools and responsibilities faced by a facility Medical Laser Safety Officer. Successful completion of this on site course provides the mobile technician the information necessary to partner successfully with the medical facility medical laser safety officer and the customer surgical facilities.

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11. Operating Room Protocol for the Medical Device Representative (On Line)

This presentation is designed to meet the requirements for manufacturer representatives as part of a representative credentialing process for hospitals and surgery centers. This course teaches the manufacturer representative or non OR employee what the expectations are when working in the Operating Room Environment.

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12. Hazard Communications (OSHA Annual Update) (On Line)

This presentation is designed to meet the annual training requirements of OSHA's Hazard Communication Standard (29 CFR 1910.1200) for healthcare workers to ensure that the hazards of all chemicals are evaluated, and that information concerning their hazards is transmitted to employers and employees.

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13. Bloodborne Pathogens (OSHA Annual Update) (On Line)

This presentation is designed to meet the annual training requirements of OSHA's Bloodborne Pathogen Standard (29 CFR 1910.1030) for healthcare workers to protect the nation's workers, particularly healthcare workers, from occupational exposure to viruses and bloodborne pathogens.

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14. HIPAA (On Line)

This presentation is designed to meet the annual training requirements for annual healthcare worker updates on the federal HIPAA Law or Health Insurance Portability and Accountability Act.

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15. Fire Safety (OSHA Annual Update) (On Line)

This presentation is designed to meet the annual training requirements of OSHA's Fire Safety Training Standard (29 CFR 1910.38) to ensure that employees are provided training on the characteristics of fire, the basic principles of fire prevention and the appropriate course of action to take if a fire should occur in the workplace.

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16. Electrical Safety (OSHA Annual Update) (On Line)

This presentation is designed to meet the annual training requirements of OSHA's Electrical Safety Training Standard (29 CFR 1910.38) to ensure that work practices shall be employed to prevent electric shock or other injuries resulting from either direct or indirect electrical contact.

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17. Sterilization & Disinfection (On Line)

This presentation is designed to meet the training and update requirements for mobile surgical technicians on the responsibilities, techniques, and requirements for understanding the processes involved in disinfection and decontamination in the physician office or small surgical facility.

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18. Instrument Processing (On Line)

This presentation is designed to meet the training and update requirements for mobile surgical technicians on the responsibilities, techniques, and requirements for instrumentation processing in the physician office or small surgical facility.

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19. FDA Medical Device Reporting (On Line)

This course will provide the participant with an understanding of the guidelines, resources, and tools available for reporting adverse events associated with the FDA's Medical Device Reporting (MDR) and the MedWatch Safety Information and Adverse Event Reporting Programs. This program discusses who should report various types of safety issues, how to report, and how the FDA uses these reports to resolve issues and get essential safety information back out to the public.

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20. Electrosurgical Science & Safety (On Line)

This presentation is designed to meet the training and update requirements for mobile surgical technicians associated with the safe and effective use of electrosurgical energy.

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21. ENT Laser Safety (On Line)

This course provides all members of the surgical team with the knowledge to prevent
and if necessary contain possible tragic surgical events. Insight into the potential hazards
associated with the use of lasers during airway surgery aides in reducing potential risks
associated with the use of Class 3b or Class 4 lasers. Surgery in the airway using lasers
is common and can afford the patient effective and efficient surgical outcomes. Proper
training and education are necessary in reducing potential risks associated with patient
injury during these procedures. The operating room team and medical staff should have
access to a cohesive training program based on available techniques and procedures
designed to prevent and manage these incidences. Airway fires are generally preventable
by a surgical team that has been trained to understand the components of this type of
fire, and how to work together as a team to manage the contributing factors of a potential
airway fire.

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NOTE:

Access to SIS, Inc. on line laser courses requires a coupon code provided to the individual or participating Healthcare System Administrator. Call or contact a SISeLearn representative at:

Leslie@siselearn.com or call 214-850-3302

For On Line Course Access Link go to: www.siselearn.com


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