Castelluccio Donna
Danbury Hospital, Danbury, CT, USA.
AORN J. 2012 May;95(5):612-24; quiz 625-7. doi: 10.1016/j.aorn.2012.03.001.
Lasers used in the OR pose many risks to both patients and personnel. AORN's "Recommended practices for laser safety in perioperative practice settings" identifies the potential hazards associated with laser use, such as eye damage and fire- and smoke-related injuries. The practice recommendations are intended to be used as a guide for establishing best practices in the workplace and to give perioperative nurses strategies for implementing the recommended safety measures. A laser safety program should include measures to control access to laser use areas; protect staff members and patients from exposure to the laser beam; provide staff members and patients with the appropriate safety eyewear for use in the laser use area; and protect staff members and patients from surgical smoke, electrical, and fire hazards. Measures such as using a safety checklist or creating a laser cart can help perioperative nurses successfully incorporate the practice recommendations. Patient scenarios are included as examples of how to use the document in real-life situations.
手术室中使用的激光对患者和医护人员都构成许多风险。美国手术室注册护士协会的《围手术期激光安全推荐做法》确定了与激光使用相关的潜在危害，如眼部损伤以及与火灾和烟雾相关的伤害。这些做法建议旨在用作在工作场所建立最佳实践的指南，并为围手术期护士提供实施推荐安全措施的策略。激光安全计划应包括控制进入激光使用区域的措施；保护工作人员和患者免受激光束照射；为工作人员和患者提供在激光使用区域使用的适当安全护目镜；以及保护工作人员和患者免受手术烟雾、电气和火灾危害。使用安全检查表或创建激光推车等措施可以帮助围手术期护士成功纳入这些做法建议。文中包含患者案例，作为在实际情况中如何使用该文件的示例。
