Association of periOperative Registered Nurses | AORN



Name: Date: Competency Statement: The laser operator has completed facility- or health care organization-required education and competency verification activities related to the role of laser operator. 11. Guideline for safe use of energy-generating devices. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2016.Outcome Statement: The patient is free from injury caused by laser sources.2Petersen C, ed. Laser Injury. In: Perioperative Nursing Data Set. 3rd ed. Denver, CO: AORN, Inc; 2011:185-188.9715512700This tool may be used independently or as an addendum to the perioperative RN competency verification tool.00This tool may be used independently or as an addendum to the perioperative RN competency verification petency Statements/Performance CriteriaVerification Method[Select applicable code from legend at bottom of page]Not Met(Explain why)DEM/DO/DAKATS/SBT/CSVRWM/P&PODescribes the laser safety program for any owned, leased, or borrowed laser equipment used in any location at the facility or health care organization.Collaborates with the perioperative RN, surgeon, and anesthesia professional to address risk factors related to the use of the laser identified during the patient’s preoperative assessment.Identifies the nominal hazard zone applicable to the laser in use. Identifies the laser treatment area and controls access byplacing clearly marked laser signs at all entrances to laser treatment areas when lasers are in use andcovering windows with a barrier that blocks transmission of a beam as necessary according to the type of laser being used.Reports malfunctioning laser equipment and accessories according to the facility or health care organization policies and procedures.Implements procedures to prevent accidental activation or misdirection of the laser beams that includerestricting access to laser keys to authorized personnel who are skilled in laser operation,monitoring that the operating physician is the only person activating the foot pedal of the laser,placing lasers in stand-by mode when not in active use, andkeeping the laser fiber in view during active use.Follows the facility’s cleaning practices and manufacturer’s instructions for use when cleaning laser equipment.Verifies that perioperative team members in the nominal hazard zone wear protective eyewear or use filters of specific wavelength and optical density for the laser in use.Places correct laser wavelength and optical density eye protection at the entrance to a room where a laser is in use.Inspects the laser eyewear for damage before use and removes damaged eyewear from use.Verifies patients’ eyes and eyelids are protected from the laser beam.Verifies the location and availability of the fire extinguisher.Identifies the location of the emergency shut off for the laser.Keeps laser equipment free from liquids, including not placing liquids on the laser equipment.Handles electrical cords and plugs of the laser in a manner that minimize the potential for damage. Inspects the cords and plugs for damage and removes damaged equipment from use.Verifies that preventive maintenance indicators are present and current.Monitors the laser and the security of the laser by never leaving the laser unattended during activation of the laser,removing keys to the laser after use and placing them in a designated location for storage, andreturning the laser to a designated storage location after use.Follows fire prevention precautions and verifies thatany flammable solutions used for preoperative patient skin antisepsis are dry and the fumes have dissipated before activation of the laser,saline or sterile water is present on the sterile field,moistened materials (eg, radiopaque sponges, towels) are placed around the surgical site and remoistened periodically to prevent them from drying and becoming an ignition source, andmoist packs are used in the anus for rectal or perineal procedures. Places the foot pedal near the operating physician;Communicates the location of the foot pedal to the operating physician.Adheres to all necessary laser safety precautions bywearing correct laser protective eyewear that is specific to the type of laser being used,observing safe laser signage,removing laser signage from the procedure room doors when the laser procedure is completed, andkeeping windows covered with a suitable barrier and doors closed to block laser beam transmission, as applicable.Reports accidents or injuries related to laser procedures according to facility or health care organization policies and procedures.Performs a laser self-test according to the manufacturer’s instructions for use if required.Calibrates the laser according to the manufacturer’s instructions for use if required. Test-fires the laser according to the manufacturer’s instructions for use if required.Notifies the team members that the laser has been tested, inspected, and is functioning correctly.Verbalizes a review of facility or health care organization policies and procedures related to laser safety.Participates in quality improvement programs related to laser safety.Concurrent competency verification of the following is recommended[Additional competencies related to laser safety as determined by the facility or health care organization.] ................
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